Jyllian Thibodeau · Product Builder · Leadership, research and experience design · Sydney

Proactive drug warnings

A drug library that speaks up, like a detective's sidekick, when a patient's symptom might be a side effect of their medication.

At a glance

Situation
Medical Director owned a vast library of drug information, but doctors had to look things up. A patient on long-term medication might arrive with a vague complaint that was really a side effect.
Task
Make the library act on its own, surfacing relevant information at the moment a doctor needs it.
Action
Trained a parser on drug monographs to list each drug's side effects, matched them against each patient's prescriptions, and designed a flag that leads straight to the evidence.
Result
A full interactive prototype in which a symptom typed into a consult flags its likely cause.
Situation

A library you have to remember to open

A Medical Director subsidiary held a large library of information about medicines and treatments. Like most reference libraries, it waited to be consulted. A common scenario: a patient on medication for a chronic illness develops a side effect, and arrives with unclear complaints. Could the system connect the dots?

A cartoon: the patient says they're sore all over, the doctor starts ruling things out, and a small robot sidekick says it's noticed a clue.
The idea: a sidekick that notices the clue.
Task

Make the information find the doctor

Make the library act on its own, surfacing the right information when a doctor would want it, without adding work to the consult.

Action

Read the monographs, then match them to the patient

Teach the system to read drug monographs

A drug monograph is a structured record: what the drug treats, how it works, and its side effects. We trained a semantic parser to find medically significant terms in each one and link related elements, building an indexed list of possible side effects for every drug. That list is then matched against the record of any patient prescribed the drug.

A drug monograph with side effects highlighted, linking the drug to a side effect and its symptoms.
Side effects found and linked in a monograph.

Flag it in the consult

When a doctor records a symptom that matches, the system raises a flag naming the likely cause, and highlights the related parts of the patient's record.

A consult screen: the reason for visit is muscle aches, and a flag suggests a side effect of Lipitor as a possible cause.
Muscle aches, with a possible cause flagged: a side effect of the patient's statin.

Lead straight to the evidence

Selecting the flag opens the drug's details, the patient's history with that prescription, and the full monograph, already open at the relevant section.

The drug detail view: prescription history, indications, potential side effects and the monograph.
The evidence, one click from the flag.
Result

A library that speaks up

  • Full prototypeof the flow, from symptom to flag to evidence.
  • Reusablelinks between drugs and effects, also feeding self-building care plans.
  • TestedShown to GPs as a prototype. Useful for exploring what the drug library could do; the roadmap went to more immediate priorities.

Where the concepts led, and what they taught me, is in the Medical Director story.