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National Research Council of Italy. Institute for High Performance Computing and Networking. LOINC Italia News. Maria Teresa Chiaravalloti Technologist at National Research Council, Italy PhD Student at University of Calabria, Italy. Giovanna Sannino

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Loinc italia news

National Research Council of Italy

Institute for High Performance Computing and Networking

LOINC Italia News

Maria Teresa Chiaravalloti

Technologist at National Research Council, Italy

PhD Student at University of Calabria, Italy

Giovanna Sannino

Research fellow at National Research Council, Italy

PhD Student at University of Naples “Parthenope”, Italy

Laboratory LOINC Committee Meeting

Regenstrief Institute, Indianapolis

December 7, 2012


Where we left last time

National Research Council of Italy

Where we left last time…

Institute for High Performance Computing and Networking


Mapping results an example

National Research Council of Italy

Mapping results: an example

2376local lab tests

(Laboratorio Lamberti)

89% mapped

VS

11% unmapped

Institute for High Performance Computing and Networking


What we understood

National Research Council of Italy

What we understood

LOINC Mapping Repository and RELMA “Community Edition” Project

It is strictly necessary a standardized mapping procedure/guidelines

The chance to look at what other labs have done is a key factor in mapping success

Institute for High Performance Computing and Networking


Where we left last time1

National Research Council of Italy

Where we left last time…

Institute for High Performance Computing and Networking


Governamental adoption of loinc

National Research Council of Italy

Governamental adoption of LOINC

LOINCisone of the standardizedvocabularyrecommended for identifying single items in clinical report documents

Institute for High Performance Computing and Networking


Part translation updates

National Research Council of Italy

Part translation updates

+ ClinicalParts

Institute for High Performance Computing and Networking


Mobile health monitoring systems

National Research Council of Italy

Mobile Health Monitoring Systems

  • Aims:

    • This research activity aims at designing and realizing an intelligent mobile system for clinical care and remote patient monitoring, in particular for heart monitoring of patients with chronic heart diseases.

    • Monitor parameters is not enough:

      • Example:

        • a system monitors Heart rate and Heart rate variability;

          • if (HR >= 120)

          • alarm

        • If the person under monitoring is running?

      • Intelligent context awareness

Institute for High Performance Computing and Networking


Mobile health monitoring systems1

National Research Council of Italy

Mobile Health Monitoring Systems

  • Idea:

    • Proposed approach aims at solving some m-Health open issues about intrusiveness, technological limits, reliability,interoperabilityandsecurityin order to guarantee :

      • Non-intrusive data capture by usingwearable monitoring devices

      • Intelligent data analysis for Medicalaims or healthyLifeStyle

      • Pervasive data transfer and access (e.g. Electronic Health Record)

      • Interoperabilitybetweenhealthservices and devices

      • Reliability in communications

      • Security in terms of privacy and data Integrity

Institute for High Performance Computing and Networking


Loinc italia news

Mobile Health Monitoring Systems

National Research Council of Italy

  • Results:

    • A prototype system has been designed and realized in order to:

      • Guarantee an intelligent data analysis in terms of reliability

      • Assure a correct monitoring and warning system for doctors and for patients reducing false positive alarms

      • The prototype is for Android Tablets and Smartphones and for PC Desktop Windows based.

    • The proposed approach consists in:

      • Correlation of biomedical parameters with patient’s context-aware information:

        • Biomedical information: HR, HRV, SpO2, Glycemia, Body Temperature, Respiratory Rate, etc.

        • Physical activity: Posture, Movements, etc.

      • Use of knowledge technologies to build proper applications

        • e.g. Decision Support Systems

Institute for High Performance Computing and Networking


Mobile health monitoring systems2

National Research Council of Italy

Mobile Health Monitoring Systems

  • More biomedical sensors are integrated in our system, like:

    • Zephyr BioHarness:

      a physiological monitoring system. The subject wears a Smart Fabric chest strap or shirt which incorporates sensors to monitor heart ECG signals, and respiration rate. Attached to the strap is the BioHarness Module. This contains a temperature sensor and a 3-axis accelerometer for monitoring attitude (subject posture) and activity (acceleration).

    • Alive ECG Monitor:

      a small device aimed at monitoring the user's ECG. The ECG signal can be stored in an SD memory card placed on the device and/or transmitted via a Bluetooth connection to a mobile phone, PDA, or PC for real-time display, recording and analysis. It is a wearable system suitable for the screening, diagnosis and management of cardiac chronic diseases. It is also able to monitor movements and physical activities performed by the user by means of an embedded accelerometer sensor.

Institute for High Performance Computing and Networking


Mobile health monitoring systems3

National Research Council of Italy

Mobile Health Monitoring Systems

  • The system was tested on:

    • Asus Eee Pad Transformer Prime

      • Android 4.0.3

    • Samsung Galaxy “gio”

      • Android 2.3

    • PC Desktop

      • Windows XP

Institute for High Performance Computing and Networking


Mobile health monitoring systems4

National Research Council of Italy

Mobile Health Monitoring Systems

  • What LOINC can do for us:

    • Terminology standard:

      • Communication with Electronic Health Record Systems (EHR)

        • LOINC coding system is used to identify all monitored parameters

      • Definition of Rules

        • (?m http://mH#heartRate ?hr), greaterThan(?hr,100) -> newInstance(?abn, http://mH#abnormalCondition), (?abn http://mH#conditionType 'Tachycardia'^^xsd:string), (?abn http://mHealthOnto#dueTo ?m) ]

        • (?m http://mH#8867-4 ?hr), greaterThan(?hr,100) -> newInstance(?abn, http://mH#abnormalCondition), (?abn http://mH#conditionType 'Tachycardia'^^xsd:string), (?abn http://mHealthOnto#dueTo ?m) ]

Institute for High Performance Computing and Networking


Mobile health monitoring systems5

National Research Council of Italy

Mobile Health Monitoring Systems

  • What we can do for LOINC

    • Contribute to upgrade the database with new codes related to parameters detected by wearable sensors

      • “Sagittal plane body position” : LOINC number 72282-7

Institute for High Performance Computing and Networking


Conclusions and future work

National Research Council of Italy

Conclusions and future work

  • We would like to suggest to start thinking about the need of a «translation control».

    • Could be challenging BUT it is LOINC content that goes all over the world

  • LOINC is part of a third stage of the InFSE project (started July 1st 2012)

  • LOINC tutorial

  • LOINC online helpdesk

  • Clinical LOINC, especially Tumor Registry class, to be used in a recently approved project by Pharmacy Department of the University of Calabria

Institute for High Performance Computing and Networking


Thank you for your attention

National Research Council of Italy

Institute for High Performance Computing and Networking

Thank you for your attention!

Giovanna Sannino

[email protected]

Maria Teresa Chiaravalloti

[email protected]

Laboratory LOINC Committee Meeting

Regenstrief Institute, Indianapolis

December 7, 2012


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