2015 08 - LOINC International Perspectives Panel
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Daniel J. Vreeman, PT, DPT, MSc Associate Research Professor , Indiana University School of Medicine Associate Director for Terminology Services , Regenstrief Institute, Inc @djvreeman © 2015 International Perspectives and Strategies for LOINC Adoption MedInfo 2015- São Paulo, Brazil
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Introductory remarks and overview of LOINC use around the world by Daniel J. Vreeman, PT, DPT, MSc at the MedInfo 2015 conference session "International Perspectives and Strategies for LOINC Adoption".
Transcript of 2015 08 - LOINC International Perspectives Panel
Daniel J. Vreeman, PT, DPT, MScAssociate Research Professor, Indiana University School of Medicine
Associate Director for Terminology Services, Regenstrief Institute, Inc
@djvreeman
© 2015
International Perspectives and Strategies for LOINC Adoption
MedInfo 2015- São Paulo, Brazil
PanelistsMarivan Santiago Abrahão, MD
Professor, Faculdade de Medicina, Universidade São Camilo, São Paulo, Brazil
Chair, Health Level Seven – Brazil
Boonchai Kijsanayotin, MD, PhD Health Informatician, Thai Health Information Standards Development Center, Health Systems Research Institute, Ministry of Public Health, Bangkok, Thailand
Co-Chair, Asia eHealth Information Network (AeHIN), Manila, Philippines
Maria Teresa Chiaravalloti, PhD Technologist, Consiglio Nazionale delle Ricerche (CNR), Istituto di Calcolo e Reti ad Alte Prestazioni (ICAR), Rende (Cosenza), Italy
Technical manager, LOINC Italia workgroup
Sends his regrets
Session Overview
1. Global overview of LOINC
2. LOINC in Brazil
3. LOINC in Italy
4. Themes in national approaches
5. Discussion
photo via Vernio77
LOINC is a universal code system for tests, measurements, and observations.
LOINC makes health data more fluid and understandable to different computer systems.
LOINC is like a bar code for test data…
A non-profit research organization in Indianapolis, USA
Overall steward and owner of LOINC
Develops and licenses LOINC to promote widespread global adoption
The LOINC DistributionLOINC Table, Accessory Files, and Tools and Resources for Implementers
search.loinc.org
Everything in Italian!Alternate Language Search
forum.loinc.org
RELMA®REgenstrief LOINC Mapping Assistant
RELMA FeaturesThe “Gold Standard” LOINC mapping tool
Browse LOINC content
Map local terms to LOINC import/export translate local words to LOINC-speak manual/automated mapping
Search in translated languages (and English)
LOINC in action today
LOINC Codes Over Time by Release
laboratory terms only
0
10,000
20,000
30,000
40,000
50,000
60,000
70,000
80,000
90,000
4/24/1
995 | 1.0
5/24/1
995 | 1.0
a
6/23/1
995 | 1.0
b
6/28/1
995 | 1.0
c
7/14/1
995 | 1.0
d
9/15/1
995 | 1.0
e
12/21/1
995 | 1.0
f
4/28/1
996 | 1.0
g
8/29/1
996 | 1.0
h(2)
12/3/1
996 | 1.0
h(3)
1/8/1
9997 | 1.0
i
10/9/1
997 | 1.0
j-a
5/1/1
998 | 1.0
k
2/12/1
999 | 1.0
l
7/23/1
999 | 1.0
m
8/6/1
999 | 1.0
ma
2/4/2
000 | 1.0
n
6/13/2
000 | 1.0
0
1/1/2
001 | 2.0
0
1/31/2
001 | 2.0
1
7/1/2
001 | 2.0
3
1/1/2
002 | 2.0
4
2/1/2
002 | 2.0
5
2/19/2
002 | 2.0
6
8/1/2
002 | 2.0
7
9/1/2
002 | 2.0
8
5/1/2
003 | 2.0
9
10/1/2
003 | 2.1
0
1/1/2
004 | 2.1
1
2/1/2
004 | 2.1
2
12/1/2
004 | 2.1
3
12/1/2
004 | 2.1
4
6/1/2
005 | 2.1
5
12/1/2
005 | 2.1
6
6/1/2
006 | 2.1
7
12/21/2
006|2.1
9
6/21/2
007|2.2
1
12/03/2
007|2.2
2
7/10/2
008|2.2
4
1/10/2
009|2.2
6
07/06/2
009|2.2
7
12/30/2
009|2.2
9
2/26/2
010|2.3
0
6/15/2
010|2.3
2
12/29/2
010|2.3
4
06/30/2
011|2.3
6
12/30/2
011|2.3
8
6/30/2
012|2.4
0
12/30/2
012|2.4
2
06/29/2
013|2.4
4
12/26/2
013|2.4
6
06/26/2
014|2.4
8
12/22/2
014|2.5
0
06/29/2
015|2.5
2
LOINC Codes
Only Lab LOINC Codes
Our vision is for LOINC to be integrated into every clinical information system that shares or aggregates data.
39,500+ registered users in 169 countries
Newest country with registered user: Guyana
LOINC Translators
22 organizations. Currently translations into 18 variants of 12 languages
Vreeman DJ, Chiaravalloti MT, Hook J, McDonald CJ. Enabling international adoption of LOINC through translation. J Biomed Inform. 2012 Aug;45(4):667-73. PMID: 22285984.
31201-7:HIV 1+2 Ab:ACnc:Pt:Ser/Plas:Ord:EIA
31201-7 LOINC Code
HIV 1+2 Ab
ACnc
Pt
Ser/Plas
Ord
EIA
Component
Property Measured
Timing
System
Scale
Method
Regenstrief has tools to break down each term into Parts that can be translated separately and re-used.
Anatomy of a LOINC Term
translate “Ab” once
Australia
Austria
Belgium
Brazil
Canada
Cyprus
Estonia
Finland
France
Germany
Iceland
India
Malaysia
Mexico
Mongolia
The Netherlands
New Zealand
Philippines
Portugal
Qatar
Rwanda
Saudi Arabia
Slovakia
Slovenia
Spain
Thailand
Turkey
United States
Adopted as National Standard
Large ImplementationsSIGA Saúde project
7+ Provincial systems in Canada
8+ Regional Health Information Exchanges in Spain
ePSOS
Assistance publique - Hôpitaux de Paris
Hong Kong Hospital Authority
Philippine Health Insurance Corporation
InFSE Project in 5 regions in Italy (LOINC Italia)
Many more...
In USA, major driver of eHealth standards adoption is
EHR Incentive Program
a.k.a. “Meaningful Use”
Blumenthal D, Tavenner M. The "meaningful use" regulation for electronic health records. N Engl J Med. 2010 Aug 5;363(6):501-4. Epub 2010 Jul 13. PubMed PMID: 20647183.
U.S. Food and Drug Administration (FDA)
Support for LOINC from Instrument VendorsA growing trend pushing standardization upstream
Novel LOINCing contract with IVD company
Phase 1 launched in January 2015
Joint communication coming soon
International Perspectives on LOINC Adoption
Context-specific Adoption
Approaches tailored to local context
Contributing factors
Use of English (or not) in healthcare
Differences in health system organization
Political climate around eHealth
Capabilities and penetration of electronic systems
Readiness of the workforce
