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Improving oral
health with
informatics
Center for Dental Informatics
University of Pittsburgh School of Dental Medicine
SDM Research Symposium, May 12, 2010
Titus Schleyer, DMD, PhD
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Challenges to improving oral health
understanding the epidemiology of oral
and craniofacial disease*
conducting research in dental practices*
measuring and improving clinical decisions
* NIDCR Strategic Plan 2009-2013
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Potential informatics solutions
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Potential informatics solutions
structured data
standardized information models
improved electronic dental records
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What are structured data?Progress note
PT: Jane Doe from Mesadonia where 1 out of 2 have periodisease. 4 years ago she was not having any symptoms of thisdisease.
Health hx updated:yes, healthyPatient Concerns: Her perio disease is not stable since her frontteeth are loose making her fearful of biting hard. She needs agood quality office where she can put her trust in.
Objective: Comprehensive exam wanted to also do a periomaint appoint, but patient did not have any money to sparetoday and wanted to do this next week. Denise wanted to do themaint today and get her on the road to stabilizing.
OCS: wnl smoker and Dr. A is rec a vizilile exam once a year.Patient scared of the unknown and cried.
GINGIVA: Patient had 4 quadrants of periodontal surgery 2years ago. She never wants to have it again. Molars areinflamed and need attention to help her stabilize. Recession andmobility are generalized
PROBE DEPTHS: 1-6 mm active infection in the molars periotype 4 at age 30. bone loss horizontal and vertical.
B.I.:34 sites of bleeding
PLAQUE/CALCULUS: stain all over from smoking and coffee.While probing I could feel debris and rough root surfaces
RADIOGRAPHS: brought x-rays
DtAGNODENT READINGS:1=34, 2=17, 5=30, 7=20, 11=12.12=11, 17=20, 20=9, 21=5, 29=24, 32=28
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One way to get structured data
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Natural languageprocessing
Jeannie Irwin. Speech to chart: speech
recognition and natural language
processing for dental charting. PhD
thesis. 2009.Supported in part by NIDCR awards 1R21DE018158-01
and 5 T15 LM007059-21 (through NLM).
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Potential informatics solutions
structured data
standardized information models
improved electronic dental records
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Paper-based patient record formats
Schleyer TK, Spallek H, Hernandez P. A qualitiative investigation of the content of
dental paper- and computer- based patient record (CPR) formats (JAMIA, 2007)
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A brief tour of the Electronic Dental
Record Information Model
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Information model
Database
User interface
Data interchange
National Health
Information InfrastructureResearch
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Potential informatics solutions
structured data
standardized information models
improved electronic dental records
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Sample usability problem: #28 missing in
Dentrix 11
Thyvalikakath TP, Monaco V, Thambuganipalle HB, Schleyer T. A usability evaluation of four commercial dental
computer-based patient record systems (JADA 2008). Supported in part by 5T15LM07059-17 through NLM and 1
KL2RR024154-02 through NCRR.
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Sample usability problem: #28 missing in
Dentrix 11
Thyvalikakath TP, Monaco V, Thambuganipalle HB, Schleyer T. A usability evaluation of four commercial dental
computer-based patient record systems (JADA 2008). Supported in part by 5T15LM07059-17 through NLM and 1
KL2RR024154-02 through NCRR.
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Dental care is full of decisions
symptoms, findings, diagnoses, treatment,
etc.
when and how we make decisions rarely
studied
key questions:
Are we making optimal decisions?
Are we translating relevant research findings
to the point of care?
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A novel approach to designing EDRs
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Please visit us at:
http://di.dental.pitt.edu.
Thank You for Your Attention!
Questions, comments?
(Yeah!)
H. Torres-Urquidy
P. Hernandez J. Irwin A. Acharya
V Monaco
and
many
others.
H. Spallek
Thanks to:
W Chapman
T. Thyvalikakath
http://di.dental.pitt.edu/http://di.dental.pitt.edu/