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Consiglio Nazionale delle Ricerche Maria Teresa Chiaravalloti Public Laboratory LOINC Workshop & Committee Meeting Regenstrief Institute, Indianapolis.

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Presentation on theme: "Consiglio Nazionale delle Ricerche Maria Teresa Chiaravalloti Public Laboratory LOINC Workshop & Committee Meeting Regenstrief Institute, Indianapolis."— Presentation transcript:

1 Consiglio Nazionale delle Ricerche Maria Teresa Chiaravalloti Public Laboratory LOINC Workshop & Committee Meeting Regenstrief Institute, Indianapolis June 6-7, 2011

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

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

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 Public Laboratory LOINC Workshop & Committee Meeting - Regenstrief Institute, Indianapolis - June 6-7, testing regions Molinette Hospital and School of Medicine, Torino

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 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 Public Laboratory LOINC Workshop & Committee Meeting - Regenstrief Institute, Indianapolis - June 6-7, 2011 Mouse epithelium topoEpiteliodi, leukotriene releaseLeucotrieni, rilascio COMPONENT + rilascio di leucotrieni, 18q chromosome deletion18q, cromosoma, delezione

8 Issues and answers LOINCLOINC 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 DanderForfora 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) 3,3416,026 LOINC codes generated 43,15243,720 Public Laboratory LOINC Workshop & Committee Meeting - Regenstrief Institute, Indianapolis - June 6-7, 2011 Open issues: Synonyms of fully translated names Open questions being discussed among our domain experts

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

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

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


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