LOINC – SNOMED CT Cooperation on Content

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Presentation transcript:

LOINC – SNOMED CT Cooperation on Content Overview for IHTSDO Business Meetings April 2016 London, England

Background Cooperative agreement between RII and IHTSDO, July 2013 Builds on strengths of each terminology Minimize and manage duplication SNOMED CT and LOINC work better together Provide links between LOINC and SNOMED CT

Value Greater consistency in coding of order entry and results reporting Improvements in each terminology Improved analytics and quality control Query LOINC via SNOMED CT hierarchy and relationships Better identification and maintenance of laboratory tests value sets for public health reporting Enhanced tracking and management of infectious disease outbreaks Integrates disparate elements in EHRs Lab test in LOINC with elements in patient chart in SNOMED CT (e.g. allergies, chief complaint, vital signs, age) Enables clinical decision support, may aid in reimbursement

Roles of individuals and groups Internal project team – currently 7 individuals Business Services Executive, Head of Education, Release Manager, Digital Product Architect, Head of Terminology, Terminologists LOINC project team contacts Executive Policy Group (3 from RII and 3 from IHTSDO) Observable and Investigation Model Project Subproject on CollabNet (those interested in participating contact SSA or FAS) Project groups and Special Interest Groups (e.g. Substance Redesign, IPaLM SIG , Organism and Infectious Redesign) External collaborators: Kaiser Permanente US Veterans Administration IHTSDO individuals and roles: Business Services Executive – Ian Green Head of Education – David Markwell Release Manager – Andrew Atkinson Digital Product Architect – Robert Turnball Head of Terminology – James Case Terminologists – Farzaneh Ashrafi and Suzanne Santamaria

Project scope Scope Phases Laboratory LOINC Vital signs Physiologic measurements Anthropomorphic measurements and evaluations Phases Initial Top 2000 lab LOINC tests Microbiology Chemistry Subsequent Remainder of lab LOINC Measurements

Development phase objectives Collaboration Invite participation by stakeholders Regular meetings (internal group; EPG; KP) Ensure approach works with concurrent projects (e.g. Substance Redesign, Vital signs) Publicize work and progress Content development Add and update content to SNOMED CT to complete the LOINC Parts map (techniques, substances, etc.) Determine the best approach for handling complex concepts Create documentation of process and outcomes Create and deliver alpha release and Technology Previews Test and obtain feedback Document and test the Observables model (including description logic) Document the quality test plan Review feedback on releases from stakeholders

Roadmap Alpha prototype (owl) Alpha release – Phase 1-3 Candidate baseline Release (Beta) Alpha prototype (owl) Roadmap Map LOINC parts to SNOMED Map LOINC codes to SNOMED expressions distribution Develop format LOINC Answer sets mapped to SNOMED codes Business Meeting Business Meeting Business Meeting Business Meeting April 2014 September 2015 Jan 2014 October 2014 April 2016 August 2016

Progress Collaboration Content development Regenstrief Institute IPaLM SIG, Project groups (Substance, Organism Redesign, and Observable Redesign projects) engaged Regular meetings held (internal group; EPG; KP) Posters at 2014 ICBO and SNOMED CT Showcase Presentation at 2015 SNOMED CT Showcase Content development SNOMED CT concepts added for LOINC Part mapping, metadata, etc. Draft implementation guidance released July 2014 alpha release released May 2014 with documentation 117 LOINC Terms Development of Technology Preview Structure Process Technology Preview released October 2014 with documentation 2100 LOINC Parts in LOINC Part to SNOMED RefSet 9700 LOINC Terms in LOINC Term to Expression RefSet

Progress continued Evaluation of the feedback received on the first version of the technology preview regarding release format and content Second Technology Preview released in September 2015 with documentation 4061 LOINC Parts in LOINC Part to SNOMED CT RefSet 14736 LOINC Terms in LOINC Term to Expression RefSet Alpha – Phase 3 released on April 1, 2016 with documentation Main objective: Change format of expressions from nested to flat Included minor changes in content, based on the feedback on the previous releases 4051 LOINC Parts in LOINC Part to SNOMED CT RefSet 13620 LOINC Terms in LOINC Term to Expression RefSet Due date to provide feedback: May 31, 2016

Progress Continued Test and obtain feedback Report on implementation horizon and scope released April 2014 Performed quality test plan for functionality and reproducibility Analyzed feedback on alpha prototype, first and second release of Technology Preview and modified content accordingly Documented and tested the Observables model, in nested and flattened format (including description logic and creation of OWL ontology).

Next steps Evaluation of feedback on Alpha release, Phase 3 – Spring 2016 Prepare and release Candidate Baseline– Summer 2016 Finalize map of LOINC Parts to SNOMED CT concepts – Pending receiving full set from RII Resolve some known/upcoming complex content issues Implement SNOMED CT Observables model to define existing pre-coordinated SNOMED CT concepts – Pending implementation of Observable model and development of tooling

Contact information Feedback on Alpha release – phase 3 (using JIRA Tracking Tool in Confluence) https://confluence.ihtsdotools.org/display/OBSERVABLE/LOINC+Alpha+Release+Feedback General queries to IHTSDO Project Team info@ihtsdo.org Subject: LOINC – SNOMED CT Cooperation Project

References Content Implementation Alpha release files of LOINC - SNOMED CT Cooperation Project, including additional file formats (OWL, Excel) are available at: https://mlds.ihtsdotools.org/#/ihtsdoReleases/ihtsdoRelease/50041 Implementation Guidelines for using SNOMED CT and LOINC together - Phase 2 Draft: http://snomed.org/snomedloinc Observables redesign https://confluence.ihtsdotools.org/display/OBSERVABLE/Observable+and+Invest igation+Model+Project+Home RII – IHTSDO Agreement http://www.ihtsdo.org/about-ihtsdo/partnerships/loinc

QUESTIONS & DISCUSSION