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2010 12 06 - LOINC Introduction

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2010 12 06 - LOINC Introduction

  1. 1. Public Laboratory LOINC Workshop and Committee Meeting Introduction to LOINC a universal catalog of clinical observations Daniel J. Vreeman, PT, DPT, MSc Assistant Research Professor, Indiana University School of Medicine Associate Director of Terminology Services, Regenstrief Institute, Inc 12.07.2010 Copyright © 2010
  2. 2. Origins of LOINC The lingua franca of clinical observation exchange
  3. 3. Pieter Bruegel the Elder – Tower of Babel
  4. 4. Indiana Network for Patient Care Referral Labs, RxHub, etc… St. Vincent IUMG Global Global Provider Concept Index Health Patient Index St. Francis Dictionary Departments Clarian Community Wishard Memorial
  5. 5. Logical Observation Identifiers Names and Codes A universal code system that facilitates exchange, pooling, and processing of results
  6. 6. If an observation is a questionand the observation value is ananswer… LOINC provides codes for questions Other vocabularies provide codes for the answers
  7. 7. What is my patient’shemoglobin level? 718-7:Hemoglobin:MCnc:Pt:Bld:Qn
  8. 8. How fast does mypatient usually walk? 41959-8:Walking speed:Vel:1W^mean:^Patient:Qn:Calculated
  9. 9. Indiana Network for Patient Care HL7 v.2.X Message MSH|^~&|HOSPITAL_A|SAMPLE_HOSPITAL_A|||$YearMonthDay||||||||||||||| LocalCode^LocalName^CodeSystem^LOINCcode^LOINCname^CodeSystemPID|||$patientId$||$patientName$||||||||||||||||||||PV1|||||||$attendingDoctor$||$consultingDoctor$||||||||OBR|1|||012^CBC/Auto Diff^HSPA^57021-8^CBC W Auto Diff^LN||$reqDate|||||||||OBX|2|ST|123^WBC^HSP_A^26464-8^Leukocytes [#/volume] in Blood^LN||10.8|K/MM3|||||F|OBX|3|ST|234^RBC^HSP_A^26453-1^Erythrocytes [#/volume] in Blood^LN||4.82|MIL/MM3|||||F|OBX|4|ST|345^HGB^HSP_A^718-7^Hemoglobin [Mass/volume] in Blood^LN||15.7|GM/DL|||||F|OBX|5|CE|456^HCT^HSP_A^20570-8^Hematocrit [Volume Fraction] of Blood^LN||45|%|||||||F| A   Message Processor A   Institutional Repository
  10. 10. Laboratory LOINC
  11. 11. Clinical LOINC
  12. 12. The LOINC Community Open, Nimble, Pragmatic
  13. 13. Open Development Worldwide distribution at no cost Volunteers! End-user content additions
  14. 14. Number of LOINC codes by Release 70,000 LOINC Codes Lab Codes60,000 Slope = 220050,00040,000 Slope = 600 30,00020,000 laboratory terms only 10,000 0
  15. 15. loinc.org members 10,000 9,000 8,000 7,000 6,000 5,000 4,000 3,000 10 new members per day 2,000 300 new members per month 1,000 0
  16. 16. 9040+ users in 140 countries
  17. 17. Downloads: ~1100/month
  18. 18. http://search.loinc.org (beta)
  19. 19. ~ 90 Organizations Listed
  20. 20. http://forum.loinc.org
  21. 21. International Adoption Submissions, Translations, Implementations
  22. 22. Submissions (20 mo)
  23. 23. Translators
  24. 24. Existing Translations Spanish –  BiTAC –  Conceptum Medical Terminology Center –  Mexican Institute of Social Security French –  Canada Health Infoway –  Société Française dInformatique de Laboratoires
  25. 25. Existing Translations German –  DIMDI Estonian –  Estonian Society for Clinical Chemistry Portuguese –  Brazilian Federal Agency for Health Plans and Insurance, Brazilian Clinical Analysis Society, Brazilian Clinical Pathology Society, and Diagnóstico das Américas (DASA)
  26. 26. Existing Translations German, French, Italian, Spanish –  CUMUL Simplified Chinese –  Bethune International Peace Hospital Korean –  Korean Ministry for Health, Welfare and Family Affairs
  27. 27. New/Updated this Release Estonian French German Greek Italian Spanish (maybe)
  28. 28. In-progress Catalan Dutch French Russian
  29. 29. French!
  30. 30. Large Implementations SIGA Saúde project – São Paulo, Brazil Canada Health Infoway – 5 Lab Information System Projects ePSOS
  31. 31. Large Implementations
  32. 32. US Adoption A few key highlights
  33. 33. Consolidated Health Informatics Goal –  Interoperability standards for all federal health agencies Adopted LOINC as standard –  Laboratory result names (2003) –  Laboratory test order names (2006) –  Meds: structured product labeling sections (2006) –  Federally-required patient assessment instruments with functioning and disability content (2007)
  34. 34. Other Key US Adoptions HITSP eLINCS NAACCR CDISC NCQA/HEDIS
  35. 35. Other Key US Adoptions HL7 HIPAA Claims Attachments Many HIEs –  Maine Health InfoNet –  Florida Health Information Network –  Vermont Information Technology Leaders Large Care OrganizationsInsurance Companies
  36. 36. EHR Meaningful Use •  HITECH Act in ARRA •  Reimbursements for “meaningful users” of certified EHR technology •  LOINC standard for Lab Results – Phase I: when received from lab and for patient summaries – Phase II: LOINC
  37. 37. loinc.org/slideshows

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