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22
February, 2012
Wednesday

LOINC

Enabling international adoption of LOINC through translation

Vreeman DJ et al, Journal of Biomedical Informatics, 2012

Interoperable health information exchange depends on adoption of terminology standards, but international use of such standards can be challenging because of language differences between local concept names and the standard terminology. To address this important barrier, we describe the evolution of an efficient process for constructing translations of LOINC terms names, the foreign language functions in RELMA, and the current state of translations in LOINC. We also present the development of the Italian translation to illustrate how translation is enabling adoption in international contexts. We built a tool that finds the unique list of LOINC Parts that make up a given set of LOINC terms.
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23 January 2012 | No Comments »
Categories: Science | Country: United States | EHR: EHR | Tag(s): Adoption, LOINC, Standards, Terminology

An Approach to Improve LOINC Mapping through Augmentation of Local Test Names

Kim H et al, Journal of Biomedical Informatics, 2011

Mapping medical test names into a standardized vocabulary is a prerequisite to sharing test-related data between healthcare entities. One major barrier in this process is the inability to describe tests in sufficient detail to assign the appropriate name in Logical Observation Identifiers, Names, and Codes (LOINC®). Approaches to address mapping of test names with incomplete information have not been well described.
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23 December 2011 | No Comments »
Categories: Science | Country: United States | Tag(s): LOINC, Terminology

Single vocab standard for each EHR reporting domain seen as ‘momentous’

Mary Mosquera, Government Health IT

“The Health IT Standards Committee has endorsed a single set of vocabulary standards and a single guide for putting them in place for each area of quality reporting measures, an accomplishment that some individuals and groups have been working on for 10 years. The domains include medications, labs and allergies.
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18 August 2011 | No Comments »
Categories: News | Country: United States | EHR: EHR, EHR USA | Tag(s): LOINC, SNOMED, Standards, Terminology

National Library of Medicine launches MedlinePlus Connect

Business Wire

“The National Library of Medicine, the world’s largest medical library and a component of the National Institutes of Health (NIH), has formally launched MedlinePlus Connect. This free service allows health organizations and health information technology (HIT) providers to link patient portals and electronic health record (EHR) systems to MedlinePlus.gov, a trusted source of authoritative, up-to-date health information for patients, families and health care providers. MedlinePlus brings together information from NIH, other federal agencies, and reputable health information providers. MedlinePlus covers a wide range of health conditions and wellness issues, and includes key resources to inform patients about their health.
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21 June 2011 | No Comments »
Categories: News | Country: United States | EHR: EHR, EHR USA | Tag(s): Health Information, LOINC, SNOMED, Standards

Lost in Translation? Clinical Decision Making and the Need for Lab Data Standards

Gai Elhanan, Healthcare IT News

“The HITECH initiative and the promise of effectively coordinated care are fundamentally based on the adoption of standards as an integral part of the larger adoption of healthcare information technology. Numerous types of standards are being promoted, including messaging standards, secure communication standards and data standards. But perhaps, some of the most important standards are those that are not being enforced.
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8 June 2011 | No Comments »
Categories: News | Country: United States | EHR: EHR, EHR USA | Tag(s): Clinical Data, Decision Making, lab, LOINC, Standards

Seamless Interoperability

Keith W. Boone, Healthcare Standards

“Some of these decisions are made locally by the provider, based on their organizations policies and workflows. Others are negotiated with someone else. Some are made by the supplier. You cannot order something from a supplier that they don’t provide.
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25 May 2011 | No Comments »
Categories: News | Country: United States | Tag(s): HL7, Interoperability, LOINC

A problem that can’t be sugar coated

Eric, Healthbase Australia Blog

“With the burgeoning prevalence of diabetes mellitus in Australia and many other countries, there has been an accompanying increase in blood tests for its diagnosis and treatment. One of the commonest tests used is for determining the average amount of sugar in a person’s blood over the past several months, by measuring the ratio of glycated haemoglobin A1c (HbA1c) to the total haemoglobin level.
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8 March 2011 | No Comments »
Categories: News | Country: Australia | Tag(s): Coding, Diabetes, LOINC, SNOMED, Standards, Terminology

Stage 2 Meaningful Use – what should it look like?

Robert Rowley, EHR Bloggers

“Now that Stage 1 Meaningful Use of Electronic Health Records (EHRs) is out the door, and in the process of being implemented by health care providers and hospitals across the country, the Office of the National Coordinator (ONC) is soliciting input and comments about the next step – Stage 2 Meaningful Use. Stage 2 is slated for implementation beginning in 2013.
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19 January 2011 | No Comments »
Categories: News | Country: United States | EHR: EHR, EHR USA | Tag(s): Connectivity, Health Information Exchange, HL7, LOINC, Meaningful Use, Standards

The role of standardized data and terminological systems in computerized clinical decision support systems: Literature review and survey

Ahmadian L et al, International Journal of Medical Informatics, 2010

Introduction
Clinical decision support systems (CDSSs) should be seamlessly integrated with existing clinical information systems to enable automatic provision of advice at the time and place where decisions are made. It has been suggested that a lack of agreed data standards frequently hampers this integration. We performed a literature review to investigate whether CDSSs used standardized (i.e. coded or numerical) data and which terminological systems have been used to code data. We also investigated whether a lack of standardized data was considered an impediment for CDSS implementation.
[ More ]

30 December 2010 | No Comments »
Categories: Science | Tag(s): Decision Support, ICD-10, LOINC, Medical Informatics, Standards, Terminology

Achieving “Meaningful Use” of Electronic Health Records Through the Integration of the Nursing Management Minimum Data Set

Westra BL et al, The Journal of Nursing Administration, 40(7/8)

OBJECTIVE:
To update the definitions and measures for the Nursing Management Minimum Data Set (NMMDS).

BACKGROUND:
Meaningful use of electronic health records includes reuse of the data for quality improvement. Nursing management data are essential to explain variances in outcomes. The NMMDS is a research-based minimum set of essential standardized management data useful to support nursing management and administrative decisions for quality improvement.
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29 July 2010 | No Comments »
Categories: Science | Country: United States | EHR: EHR, EHR USA | Tag(s): LOINC, Meaningful Use, Nurses, Standards

An evaluation of medical knowledge contained in Wikipedia and its use in the LOINC database

Friedlin J, McDonald CJ, J Am Med Inform Assoc, 17(3)

The logical observation identifiers names and codes (LOINC) database contains 55 000 terms consisting of more atomic components called parts. LOINC carries more than 18 000 distinct parts. It is necessary to have definitions/descriptions for each of these parts to assist users in mapping local laboratory codes to LOINC. It is believed that much of this information can be obtained from the internet; the first effort was with Wikipedia. This project focused on 1705 laboratory analytes (the first part in the LOINC laboratory name).
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4 May 2010 | No Comments »
Categories: Science | Country: United States | Tag(s): Coding, Internet, LOINC, Wikipedia

Meaningful use – laboratory integration

Robert Rowley, EHR Bloggers

“Ever since the ONC made its recommendations to CMS for Meaningful Use and Certification of Electronic Health Records (EHRs), we have been commenting on several aspects of the 25 criteria categories needed to be eligible for HITECH incentives starting in 2011. We have commented on the question of Certification and stand-alone billing systems, and on challenges around interoperability, particularly with respect to statewide and regional Immunization Registries.
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19 January 2010 | No Comments »
Categories: News | Country: United States | EHR: EHR, EHR USA | Tag(s): Coding, lab results, LOINC, Meaningful Use, Terminology

Electronic health records: We may be trying to do too much too quickly

Stephen Strauss, CBC News

“Who would have thought that researching the contorted birthing of electronic health records would make an ordinarily smiley journalist feel like an extraordinarily frustrated poet?
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9 January 2010 | No Comments »
Categories: News | EHR: EHR | Tag(s): HL7, LOINC, SNOMED, Standards, Terminology

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