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C onsiglio N azionale delle R icerche. 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. Why do we need LOINC? (1).

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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

why do we need loinc 1
Why do we need LOINC? (1)

A regional list of names and codes for laboratory observations, exclusively used for reimbursement

NomenclatoreTariffarioRegionale

Lab 1

Lab 2

Lab 3

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

why do we need loinc 2
Why do we need LOINC? (2)

Obsolete (1996)

NomenclatoriTariffariRegionali

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

infse project and loinc italia
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

work steps
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

tra nslational rules
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

linguistic solutions
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

rilasciodileucotrieni

COMPONENT +

,

18q chromosome deletion

18q, cromosoma, delezione

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

issues and answers
Issues and answers

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

preliminary results
Preliminary results

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

loinc italian tool ver 0 1 beta 1
LOINC ItalianTool - 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

next steps
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

acknowledgements
Acknowledgements
  • Clement J. McDonald
  • Daniel J. Vreeman
  • Kathy Mercer
  • Lorie Carey
  • Claudia Bessone
  • Roberto Guarasci
  • PinoCavarretta

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

questions and suggestions
Questions and suggestions

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

slide14

Consiglio Nazionale delle Ricerche

Thank you for your attention!

mariateresa.chiaravalloti@unical.it

www.loinc-italia.it

Public Laboratory LOINC Workshop & Committee Meeting

Regenstrief Institute, Indianapolis - June 6-7, 2011