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LOINC®(finally) speaks Italian …but it needs to practice!

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Presentation on theme: "LOINC®(finally) speaks Italian …but it needs to practice!"— Presentation transcript:

1 LOINC®(finally) speaks Italian …but it needs to practice!
Consiglio Nazionale delle Ricerche LOINC®(finally) speaks Italian …but it needs to practice! Maria Teresa Chiaravalloti Public Laboratory LOINC Workshop & Committee Meeting Regenstrief Institute, Indianapolis June 6-7, 2011

2 Why do we need LOINC? (1) A regional list of names and codes for laboratory observations, exclusively used for reimbursement Nomenclatore Tariffario Regionale Lab 1 Lab 2 Lab 3 Public Laboratory LOINC Workshop & Committee Meeting - Regenstrief Institute, Indianapolis - June 6-7, 2011

3 Why do we need LOINC? (2) Obsolete (1996)
Nomenclatori Tariffari Regionali n:1 mapping  multiple lab tests are mapped to one regional code Not every lab test is mapped  no correspondences found Cost similarity based mapping  lab tests are mapped to the cost closest regional code Public Laboratory LOINC Workshop & Committee Meeting - Regenstrief Institute, Indianapolis - June 6-7, 2011

4 InFSE project and LOINC Italia
InFSE: National and international interoperability of the local electronic health infrastructures WP3: design and development of methodologies and software components for patients unique encoding LOINC Italia (www.loinc-italia.it) Implementing LOINC as national standard for laboratory observations encoding 5 testing regions Molinette Hospital and School of Medicine, Torino Public Laboratory LOINC Workshop & Committee Meeting - Regenstrief Institute, Indianapolis - June 6-7, 2011

5 Work steps Translation of the LOINC parts file (11,748 parts)
Italian linguistic variant in LOINC 2.34 and RELMA 5.0 release (December 2010) Revision of all translated parts Translational rules Linguistic solutions Issues and answers New Italian translation in LOINC 2.35 and RELMA 5.2 release (June 2011) Translation of the LOINC Users’ Guide Public Laboratory LOINC Workshop & Committee Meeting - Regenstrief Institute, Indianapolis - June 6-7, 2011

6 e.g. BPU  Unità di prodotto sangue
Translational rules LOINC acronyms and abbreviations: Italian equivalent acronym/abbreviation, if available e.g. CSF  LCS Full form in Italian e.g. BPU  Unità di prodotto sangue English acronym/abbreviation, if it is used in Italy e.g. GnRH, Ab, DNA, HIV LOINC acronym/abbreviation and its explanation (PROPERTY) Latin names only post and pre are ‘translated’ in Italian in the Synonyms field Public Laboratory LOINC Workshop & Committee Meeting - Regenstrief Institute, Indianapolis - June 6-7, 2011

7 Linguistic solutions Comma and words order exchange – COMPONENTS:
Comma and words order exchange – SUFFIXES: 2 commas Mouse epithelium Epitelio di topo , leukotriene release Leucotrieni, rilascio COMPONENT + rilascio di leucotrieni , 18q chromosome deletion 18q, cromosoma, delezione Public Laboratory LOINC Workshop & Committee Meeting - Regenstrief Institute, Indianapolis - June 6-7, 2011

8 Issues and answers LOINC LOINC ITALIA Challenge test
Test di provocazione Stimulation Administration French: provocation Spanish: provocación Rest absorption (METHOD) Assorbimento RESt (Rabbit Erythrocyte Stroma) Could not figure out it is an acronym Engorgement (COMPONENT) Congestione No literal translation, need to find out the meaning Dander Forfora Even though it doesn’t cover exactly the same semantic area Public Laboratory LOINC Workshop & Committee Meeting - Regenstrief Institute, Indianapolis - June 6-7, 2011

9 Preliminary results LOINC 2.34 and RELMA 5.0 (December 2010) LOINC 2.35 and RELMA 5.2 (June 2011) LOINC parts translated 11,748 LOINC synonyms (part level) 3,341 6,026 LOINC codes generated 43,152 43,720 Open issues: Synonyms of fully translated names Open questions being discussed among our domain experts Public Laboratory LOINC Workshop & Committee Meeting - Regenstrief Institute, Indianapolis - June 6-7, 2011

10 LOINC Italian Tool - Ver. 0.1 Beta (1)
View of mapping choices already done by others LOINC code details Mapping to regional reimbursement codes Public Laboratory LOINC Workshop & Committee Meeting - Regenstrief Institute, Indianapolis - June 6-7, 2011

11 Next steps Mapping local codes to LOINC codes in testing regions
Mapping analysis Errors Misunderstandings Needs  Submissions Panel level mapping Most common test and other analysis on the data Public Laboratory LOINC Workshop & Committee Meeting - Regenstrief Institute, Indianapolis - June 6-7, 2011

12 Acknowledgements Clement J. McDonald Daniel J. Vreeman Kathy Mercer
Lorie Carey Claudia Bessone Roberto Guarasci Pino Cavarretta Public Laboratory LOINC Workshop & Committee Meeting - Regenstrief Institute, Indianapolis - June 6-7, 2011

13 Questions and suggestions
Public Laboratory LOINC Workshop & Committee Meeting - Regenstrief Institute, Indianapolis - June 6-7, 2011

14 Thank you for your attention!
Consiglio Nazionale delle Ricerche Thank you for your attention! Public Laboratory LOINC Workshop & Committee Meeting Regenstrief Institute, Indianapolis - June 6-7, 2011


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