![Page 1: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/1.jpg)
LOINC Introduction and Mapping Boot Camp
Daniel J. Vreeman, PT, DPT, MSc Assistant Research Professor, Indiana University School of Medicine
Research Scientist, Regenstrief Institute, Inc
Public Health Informatics 2011 Conference, Atlanta, GA Interoperability Vocabulary Messaging Standards & Tools
08.21.2011 © 2011 [email protected]
Kathy Mercer Senior LOINC Developer, Regenstrief Institute, Inc
![Page 2: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/2.jpg)
http://loinc.org/slideshows
![Page 3: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/3.jpg)
Acknowledgements LOINC Development Team Kathy Mercer, Jaci Phillips, Ian Pyle, David Baorto, Fran Brahmi
RELMA Development Team John Hook, Mark Fisher, Karen Ahmed, Anandhi Sowmyan, James Dennis
LOINC Committee (esp Jim Case) Supporters: NLM, Regenstrief (including the Indiana Center of Excellence in Public Health Informatics), Regenstrief Foundation
![Page 4: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/4.jpg)
Overview
1. Origins of LOINC 2. LOINC 101 3. LOINC Collections 4. Domain-specific Approaches 5. Mapping Tools and Resources
photo via Vernio77
![Page 5: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/5.jpg)
Origins of LOINC The lingua franca of clinical observation exchange
![Page 6: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/6.jpg)
![Page 7: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/7.jpg)
![Page 8: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/8.jpg)
![Page 9: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/9.jpg)
Similar name, different meaning…
meerkat meerkat mere cat meerkat photo via Caption Time
![Page 10: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/10.jpg)
Soda or Pop?
Lab A Test Name: Lyme Disease Serology
Measures: B. burgdorferi Ab IgG
Method: ELISA Scale: quantitative
e.g.: Titer 1:40
Lab B Test Name: Lyme Disease Antibody
Measures: B. burgdorferi Ab IgM
Method: Immune blot Scale: qualitative
e.g.: Positive
what you see in the order list
LOINC Code = 5062-5 LOINC Code = 6321-4
![Page 11: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/11.jpg)
Logical
Observation
Identifiers
Names and
Codes A universal code system that facilitates exchange,
pooling, and processing of results
![Page 12: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/12.jpg)
![Page 13: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/13.jpg)
If an observation is a question and the observation value is an answer…
LOINC provides codes for questions
Other vocabularies provide codes for the answers
![Page 14: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/14.jpg)
What is my patient’s hemoglobin level? 718-7:Hemoglobin:MCnc:Pt:Bld:Qn
![Page 15: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/15.jpg)
How fast does my patient usually walk? 41959-8:Walking speed:Vel:1W^mean:^Patient:Qn:Calculated
photo via Ed Yourdon
![Page 16: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/16.jpg)
Institutional Repository
A
A Message Processor
MSH|^~\&|HOSPITAL_A|SAMPLE_HOSPITAL_A|||$YearMonthDay||||||||||||||| PID|||$patientId$||$patientName$|||||||||||||||||||| PV1|||||||$attendingDoctor$||$consultingDoctor$|||||||| OBR|1|||012^CBC/Auto Diff^HSPA^57021-8^CBC W Auto Diff^LN||$reqDate||||||||| OBX|2|NM|123^WBC^HSP_A^26464-8^Leukocytes [#/volume] in Blood^LN||10.8|K/MM3|||||F| OBX|3|NM|234^RBC^HSP_A^26453-1^Erythrocytes [#/volume] in Blood^LN||4.82|MIL/MM3|||||F| OBX|4|NM|345^HGB^HSP_A^718-7^Hemoglobin [Mass/volume] in Blood^LN||15.7|GM/DL|||||F| OBX|5|NM|456^HCT^HSP_A^20570-8^Hematocrit [Volume Fraction] of Blood^LN||45|%|||||||F|
HL7 v.2.X Message
LocalCode^LocalName^CodeSystem^LOINCcode^LOINCname^CodeSystem
Indiana Network for Patient Care
![Page 17: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/17.jpg)
OBX||CE|6609-2^Listeria ID^LN||36094007^L. monocytogenes^SCT
Result with a Coded Value
Data type of result (OBX-5) is a
coded element
This code is from LOINC
Code identifying this observation
(what are these results? Listeria culture)
This code is from SNOMED
Code identifying the result (L. monocytogenes)
![Page 18: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/18.jpg)
A brief aside about terminology…
![Page 19: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/19.jpg)
LOINC Terminology LOINC (noun) To LOINC, LOINCing, LOINCed (verb) [Chief, Head, etc] LOINCer (noun) LOINCification (noun) SNOMED Terminology SNOMED (noun) SNOMEDicated???
From “Standardizing the MDS with LOINC® and Vocabulary Matches”
http://aspe.hhs.gov/daltcp/reports/2007/MDS-LOINC.htm
![Page 20: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/20.jpg)
Laboratory LOINC
![Page 21: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/21.jpg)
Clinical LOINC
![Page 22: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/22.jpg)
The LOINC Community Open. Nimble. Pragmatic.
![Page 23: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/23.jpg)
Open Development Worldwide distribution at no cost
End-user content additions Welcome all comers
Volunteers
![Page 24: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/24.jpg)
Regenstrief Institute Steward Developer of content
Developer of tools Developer of community Distributor
Voice
![Page 25: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/25.jpg)
LOINC Codes Over Time By Release
0
10,000
20,000
30,000
40,000
50,000
60,000
70,000 LOINC Codes
Lab Codes
laboratory terms only
Slope = 600
Slope = 2200
![Page 26: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/26.jpg)
![Page 27: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/27.jpg)
0
2,000
4,000
6,000
8,000
10,000
12,000 loinc.org members
14 new members per day 410 new members per month
![Page 28: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/28.jpg)
12,200+ users in 143 countries
![Page 29: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/29.jpg)
Downloads: ~1400/month
![Page 30: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/30.jpg)
The LOINC Distribution
![Page 31: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/31.jpg)
http://search.loinc.org
![Page 32: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/32.jpg)
http://search.loinc.org
![Page 33: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/33.jpg)
7,900 views
120 views 280 views
![Page 34: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/34.jpg)
![Page 35: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/35.jpg)
http://forum.loinc.org
![Page 36: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/36.jpg)
http://loinc.org/usage
![Page 37: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/37.jpg)
a.k.a. “Top 300 Orders”
![Page 38: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/38.jpg)
International Adoption participation, translation, implementation
![Page 39: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/39.jpg)
LOINC Submitters
Since 2009, 84 organizations from 14 countries
![Page 40: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/40.jpg)
LOINC Translators
18 organizations
![Page 41: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/41.jpg)
![Page 42: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/42.jpg)
New and Updated
Estonian
French German
Greek Italian
Spanish
![Page 43: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/43.jpg)
In-progress Catalan
Dutch French
Russian
![Page 44: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/44.jpg)
Large Implementations
SIGA Saúde project Canada Health Infoway ePSOS Assistance publique - Hôpitaux de Paris Hong Kong Hospital Authority Red Agrolab BiTAC
Lots more…success is often silent
![Page 45: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/45.jpg)
US Adoption A few key highlights
![Page 46: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/46.jpg)
US Federal Agencies NLM VA
DoD IHS NCI
CDC
![Page 47: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/47.jpg)
Other Key US Adoptions
HITSP eLINCS
NAACCR CDISC
NCQA/HEDIS, NQF
HL7
HIPAA
HIE’s
![Page 48: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/48.jpg)
EHR Incentive Program
a.k.a. “Meaningful Use”
![Page 49: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/49.jpg)
![Page 50: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/50.jpg)
![Page 51: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/51.jpg)
![Page 52: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/52.jpg)
![Page 53: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/53.jpg)
LOINC 101 LOINC for newbs (not nOObs)
![Page 54: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/54.jpg)
LOINC Names fully-specified, with 6 parts
![Page 55: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/55.jpg)
5193-8:Hepatitis B virus surface Ab:ACnc:Pt:Ser:Qn:EIA
5193-8 LOINC Code
Hepatitis B virus surface Ab
ACnc
Pt
Ser
Qn
EIA
Component
Property Measured
Timing
System
Scale
Method
There are six major LOINC axes
Anatomy of a LOINC Term
![Page 56: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/56.jpg)
NOT part of a LOINC Name Testing instrument Specific details about the specimen Priority (e.g. STAT) Where testing was done Who did the test Test interpretation Anything not part of naming the test Stuff carried in other parts of HL7 message
![Page 57: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/57.jpg)
Component
Sodium Glucose Brucella sp. organism Influenza A Virus antigen Cytomegalovirus antibody Lipids.total
The substance or entity that is measured, evaluated, or observed
5193-8:Hepatitis B virus surface Ab:ACnc:Pt:Ser:Qn:EIA
![Page 58: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/58.jpg)
Component Structure
Analyte Name^Challenge^Adjustments
Formal analyte name Specify “subanalytes” May have subclasses
Challenge Two parts separated by “post”
Adjustments
Calcium Coronavirus Ag Calcium.ionized
1H post 100 g Glucose PO
<time delay>post<challenge type>
Adjusted to pH 7.4
![Page 59: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/59.jpg)
Property
Major Categories: mass substance catalytic activity arbitrary number
The characteristic or attribute of the analyte that is measured, evaluated, or observed.
* the most difficult LOINC axis
5193-8:Hepatitis B virus surface Ab:ACnc:Pt:Ser:Qn:EIA
![Page 60: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/60.jpg)
5193-8:Hepatitis B virus surface Ab:ACnc:Pt:Ser:Qn:EIA
Fully Named Properties MCnc mass concentration
SCnc substance concentration
MCnt mass content
CCnc catalytic concentration
Prid presence or identity
Imp impression
Type “kind of”
Property is related to units of measure
mg/dL umol/L
mg/g U/L
Property * the most difficult LOINC axis
![Page 61: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/61.jpg)
photo via jurvetson
MAPPING DANGER ZONE
![Page 62: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/62.jpg)
Common Property Issues
Fraction = Part/Whole NFr: % Eosinophils / leukocytes
SFr: % HGB which is A2
Ratio = multiple analytes from same system MCrto: BUN/Creatinine in urine
Relative Ratio = measures from different system RelRto: actual to normal control
Fraction versus Ratio
![Page 63: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/63.jpg)
Non-Pt timings are often found with Rate Property
Timing The interval of time over which the observation
or measurement was made
Pt 12H 24H
point in time 12 hour collection 24 hour collection
5193-8:Hepatitis B virus surface Ab:ACnc:Pt:Ser:Qn:EIA
![Page 64: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/64.jpg)
System The system (context) or specimen type upon which the
observation was made.
5193-8:Hepatitis B virus surface Ab:ACnc:Pt:Ser:Qn:EIA
Ser Ser/Plas Bld Ur Flu Tiss XXX
serum serum or plasma whole blood urine body fluid tissue specified elsewhere
photo via AlishaV
![Page 65: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/65.jpg)
System Structure
Super System Patient is the default Used to indicate
blood product unit
bone marrow donor
fetus
818-5:A Ag:ACnc:Pt:RBC^BPU:Ord:
11670-7:Blood flow.mean:Vel:Pt:Aortic arch^fetus:Qn:US.doppler
System^Super System
photo via Xurble
![Page 66: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/66.jpg)
Scale
5193-8:Hepatitis B virus surface Ab:ACnc:Pt:Ser:Qn:EIA
Qn Ord Nom Nar
Quantitative continuous numeric can have operators
Ordinal Ranked set (1+, 2+, 3+)
Nominal unranked collection Taxonomy (e.g. bacteria)
Narrative
photo via puuikibeach
![Page 67: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/67.jpg)
Method Only needed if interpretation affected
Different normal ranges Test sensitivity
Listed at the generic level Agglutination
Immunoassay Probe with target amplification
5193-8:Hepatitis B virus surface Ab:ACnc:Pt:Ser:Qn:EIA
![Page 68: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/68.jpg)
LOINC “Parts”
Uses translation, synonymy, building hierarchies, creating display names, linking descriptions
![Page 69: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/69.jpg)
Hierarchies LOINC ‘class’ Each LOINC axis
Multi-axial Component | System
Separate download
![Page 70: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/70.jpg)
LOINC Collections Panels, forms, surveys, and other patient assessments
photo via LuzA
![Page 71: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/71.jpg)
Standardized Assessments
Vreeman DJ, McDonald CJ, Huff SM. Representing patient assessments in LOINC®. AMIA Annu Symp Proc. 2010;832-836. PMID: 21347095 .
Vreeman DJ, McDonald CJ, Huff SM. LOINC® - A Universal Catalog of Individual Clinical Observations and Uniform Representation of Enumerated Collections. Int J Funct Inform Personal Med. 2010;3(4):273-291.
![Page 72: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/72.jpg)
Assessments are widely used…
…and not unlike other clinical observations
Purpose
![Page 73: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/73.jpg)
LOINC could be a
master question file and
uniform representation
![Page 74: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/74.jpg)
Hierarchy of a Panel in LOINC
![Page 75: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/75.jpg)
Assessment Items
Question Text Question Source
External Copyright Terms of Use
Description/Definition
Units of Measure (UCUM)
HL7 Data Types (v2, v3)
![Page 76: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/76.jpg)
Structured Answer Lists Answer List Attributes
OID External Link (URL)
Answer Item Attributes ID (contains “LA” prefix)
String Sequence
Local code Score
![Page 77: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/77.jpg)
Attributes of Items in a Panel Instance
Display name override Coding instructions Cardinality
Local code on that form Skip logic Data type in form
Answer sequence override Consistency/validation checks Relevance equation
![Page 78: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/78.jpg)
![Page 79: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/79.jpg)
Panels/Forms Available as Separate Download
![Page 80: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/80.jpg)
Assessments Currently in LOINC US Government Forms
CARE, MDSv2, MDSv3, OASIS B1, OASIS C, RFC US Surgeon General’s Family Health Portrait
Brief Interview for Mental Status (BIMS)
Confusion Assessment Method (CAM)
Geriatric Depression Scale (GDS)
HIV Signs and Symptoms Checklist
Home Health Care Classification howRU
Living with HIV (LIV-HIV)
Morse Fall Scale
OMAHA
PHQ (9 and 2) Quality Audit Marker (QAM)
![Page 81: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/81.jpg)
Translational Research Variables
11,000+ variables
Oh snap!
![Page 82: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/82.jpg)
photo via kimubert
![Page 83: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/83.jpg)
DEEDS
![Page 84: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/84.jpg)
CDC Immunization Panel
![Page 85: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/85.jpg)
NAACCR
![Page 86: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/86.jpg)
More Cooking…
photo via liber
![Page 87: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/87.jpg)
![Page 88: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/88.jpg)
Lots more already there!
![Page 89: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/89.jpg)
Government Forms Lab Panels
Clinical Panels Other Surveys
HIPAA Attachments
HEDIS
![Page 90: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/90.jpg)
photo via Rainbirder
![Page 91: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/91.jpg)
Consolidated Health Informatics
![Page 92: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/92.jpg)
![Page 93: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/93.jpg)
Mapping Guidance and Approaches to Special Domains Microbiology, Reportable Conditions, Newborn Screening
![Page 94: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/94.jpg)
Not just an IT problem photo via wakefielddavid
![Page 95: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/95.jpg)
Get real. units, results, experts
![Page 96: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/96.jpg)
Don’t be a one hit wonder.
photo via gsz
![Page 97: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/97.jpg)
Introduction to LOINC Microbiology Kathy Mercer Senior LOINC Developer, Regenstrief Institute, Inc
![Page 98: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/98.jpg)
Property/Scale Prid/Nom & Type/Nom
Prid (Presence or identity)/Nom (Nominal) Expected result comes from a list Coded or free text
SNOMED recommended “No growth”
Type/Nom As above, but no negative
![Page 99: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/99.jpg)
Property/Scale ACnc/Ord
ACnc (Arbitrary concentration)/Ord (Ordinal) Expected results
Positive
Negative Detected Not detected
Yes No
![Page 100: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/100.jpg)
System XXX = “to be specified in another part of the message” Specified
Ser
Urine
Wound
Cvx
Stool Isolate
Etc.
![Page 101: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/101.jpg)
Routine Cultures
![Page 102: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/102.jpg)
Routine Cultures Component = “Bacteria identified” Property = “Prid” Time = “Pt” System = Scale = Nom Method = “Culture”
![Page 103: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/103.jpg)
Routine Cultures Component
Bacteria identified Fungus identified Virus identified
![Page 104: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/104.jpg)
Routine Cultures “Bacteria identified”
Anything that will grow on routine culture media
Bacteria
Yeasts
Does not mean only positive results No growth Normal flora
No significant growth
![Page 105: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/105.jpg)
Routine Cultures Method
Culture Anaerobic culture Aerobic culture
![Page 106: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/106.jpg)
Organism Specific Cultures
![Page 107: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/107.jpg)
Organism Specific Cultures Model 1
Component = * Property = “ACnc” Time = “Pt” System = Scale = “Ord” Method = “Organism specific culture”
![Page 108: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/108.jpg)
Organism specific culture Model 1 Component
Genus & species of the organism (s) you are looking for
Bacillus anthracis
Campylobacter jejuni Staphylococcus aureus.methicillin resistant isolate
![Page 109: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/109.jpg)
Organism Specific Cultures Model 2
Component = * Property = “Prid” Time = “Pt” System = Scale = “Nom” Method = “Organism specific culture”
![Page 110: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/110.jpg)
Organism specific culture Model 2 Component
Salmonella sp &or Shigella sp identified Yeast identified Influenza virus identified
Mycobacterium sp identified Etc.
![Page 111: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/111.jpg)
Smears
![Page 112: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/112.jpg)
Smears Component = “Microscopic observation” Property = “Prid” Time = “Pt” System = Scale = Nom Method = *
![Page 113: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/113.jpg)
Smears Method
Acid fast stain Acid fast stain.Kinyoun
Acid fast stain.Kinyoun modified Acid fast stain.Ziehl-Neelsen
Acridine orange stain Gram stain India ink preparation KOH preparation Wet preparation Microscopy.electron Microscopy.light Rhodamine-auramine fluorochrome stain XXX stain Etc.
![Page 114: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/114.jpg)
Molecular testing
![Page 115: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/115.jpg)
Molecular testing Component
Adenovirus DNA HIV1 RNA Chlamydia trachomatis DNA Chlamydia trachomatis rRNA Bacterial beta-glucuronidase (uidA) gene
![Page 116: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/116.jpg)
Molecular testing Property/Scale
Property/Scale Units
Prid/Nom -‐
ACnc/Ord -‐
ACnc/Qn IU/mL
LaCnc/Qn Log IU/ml
NCNC/Qn Copies/mL
LnCnc/Qn Log copies/mL
MCnc/Qn pg/mL
![Page 117: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/117.jpg)
Molecular testing Method
Probe Probe.amp.tar
Probe.amp.tar detection limit = 50 copies/mL
Probe.amp.tar detection limit = 0.5 log copies/mL Probe.amp.tar detection limit = 500 IU/mL
Probe.amp.sig Amplification/Sequencing
![Page 118: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/118.jpg)
Antigen detection
![Page 119: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/119.jpg)
Antigen detection Component
Organism name + Ag Adenovirus Ag Campylobacter jejuni+Campylobacter coli Ag
HIV 1 p24 Ag Haemophilus influenzae A Ag Hepatitis B virus little e Ag
Hepatitis B virus surface Ag
![Page 120: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/120.jpg)
Antigen detection Method
Null = methodless Aggl = agglutination LA = latex agglutination Comp Fix = complement fixation EIA = any immunoassay HAI = hemagglutination inhibition IF Immune diffusion Immune stain RIA - no longer performed (replaced by EIA)
![Page 121: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/121.jpg)
Toxins
![Page 122: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/122.jpg)
Toxins Component
Organism + toxin Clostridium botulinum toxin
Organism + toxin + gene Clostridium botulinum toxin A gene
Staphylococcus aureus enterotoxin A (sea) gene
Bacterial + toxin + gene Bacterial cytolethal distending toxin (Cdt) gene
Bacterial shiga-like toxin 1 (STX1) gene
![Page 123: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/123.jpg)
Toxins Method
Null = methodless Animal inoculation Cytotoxin tissue culture assay EIA IF Mouse bioassay Mouse bioassay.neutralization Probe.amp.tar
![Page 124: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/124.jpg)
Antibody detection
![Page 125: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/125.jpg)
Antibody detection Component
Organism name + Ab – e.g. Filaria Ab Ab.IgG – e.g. Filaria Ab.IgG
AB.IgG4 - e.g. Filaria Ab.IgG4 Ab.IgM - e.g. Filaria Ab.IgM Streptococcus pneumoniae 12 Ab (Streptococcus pneumoniae 12f Ab)
![Page 126: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/126.jpg)
Antibody detection Property/Scale
ACnc/Ord ACnc/Qn Titr/Qn MCnc/Qn Ratio
![Page 127: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/127.jpg)
Antibody detection Method
Null = methodless Aggl = agglutination LA = latex agglutination Comp Fix = complement fixation EIA = any immunoassay HAI = hemagglutination inhibition IB = immune blot IF Immune diffusion Immune stain RIA - no longer performed, replaced by EIA RPR VDRL
![Page 128: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/128.jpg)
Susceptibilities
![Page 129: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/129.jpg)
Susceptibility Testing Component
Generic antibiotic name Ampicillin Vancomycin
Gene Bacterial aminoglycoside resistance (aacA) gene
Mycobacterium tuberculosis pyrazinamide resistance (pncA) gene
![Page 130: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/130.jpg)
Susceptibility Testing Property/Scale
Susc/OrdQn Acnc/Ord Prid/Nom Titr/Qn
![Page 131: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/131.jpg)
Susceptibility Testing System
Isolate Isolate+Ser XXX
![Page 132: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/132.jpg)
Susceptibility Testing Culture Method
Null = Methodless Agar diffusion Gradient strip MIC MLC SBT Method for Slow-growing mycobacteria
![Page 133: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/133.jpg)
Susceptibility Testing Molecular Method
Genotyping Phenotyping Probe.amp.tar
![Page 134: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/134.jpg)
Reportable Condition Mapping Table Reportable Condition | Lab Test Name | Lab Result
![Page 135: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/135.jpg)
phinvads.cdc.gov
![Page 136: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/136.jpg)
Future Goal
Interaction with PHIN VADS to associate LOINCs and conditions within RELMA
Great Scott!
![Page 137: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/137.jpg)
Newborn Screening
photo via maile&justin
![Page 138: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/138.jpg)
Newborn Screening (loinc.org/newborn-screening)
![Page 139: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/139.jpg)
![Page 140: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/140.jpg)
The LOINCer’s Toolbox
photo via Robert S Donovan
![Page 141: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/141.jpg)
search.loinc.org If you want to poke around…start here!
![Page 142: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/142.jpg)
RELMA® REgenstrief LOINC Mapping Assistant
![Page 143: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/143.jpg)
Browse LOINC Map your local terms to LOINC
import/export
translate local words to LOINC-speak
manual/automated mapping
What’s it Good For?
![Page 144: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/144.jpg)
RELMA Highlights Search Enhanced details view
Common test list Hierarchies Panels and forms
Export, copy, paste
![Page 145: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/145.jpg)
Search Syntax Google-like
AND, OR, -<word>, +<word> Limit by category (e.g. micro)
Wildcards (? and *)
Assumes EXACT MATCH unless you use wildcards
![Page 146: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/146.jpg)
More RELMA Features User Specified Search Limits
Selectable trees for: Class
Multi-axial (component/system)
System (specimen)
Component Method
![Page 147: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/147.jpg)
Main Menu/Welcome Screen
Simple Search
![Page 148: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/148.jpg)
Search Window
enter search terms
limit to specific units
limit to common tests
Detailed help
![Page 149: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/149.jpg)
Search Window
“common tests” rank
![Page 150: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/150.jpg)
photo via x-ray delta one
A brief aside… Developing convenience sets
![Page 151: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/151.jpg)
A Few Tests Give Most Results
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
0 500 1000 1500 2000 2500 3000 3500 4000 Number of Laboratory Observation Codes (N)
Cum
ulat
ive
Labo
rato
ry O
bser
vati
on V
olum
e (%
)
Vreeman DJ, Finnell JT, Overhage JM. A Rationale for Parsimonious Laboratory Term Mapping by Frequency. AMIA Annu Symp Proc. 2007;:771-775.
![Page 152: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/152.jpg)
![Page 153: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/153.jpg)
http://loinc.org/usage
![Page 154: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/154.jpg)
Mapper’s Guide to Top 2000
![Page 155: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/155.jpg)
![Page 156: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/156.jpg)
loinc.org/usage
![Page 157: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/157.jpg)
We now return to our regularly scheduled program…
![Page 158: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/158.jpg)
Importing Local Terms into RELMA
![Page 159: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/159.jpg)
4 Ways to Build LMOF 1. Hand enter 2. Make your own table
3. Import your test catalog from text file
4. Import from real HL7 v2.x messages
bad bad
good
best
![Page 160: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/160.jpg)
Searching and Mapping to LOINC
Photo via Jeffrey Beall
what RELMA was born to do
![Page 161: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/161.jpg)
Main Menu/Welcome Screen
Hit it!
![Page 162: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/162.jpg)
Core Mapping Screen Features
Customizable grid Sort by columns View term details
Export results grid Stores mappings
![Page 163: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/163.jpg)
Context Menu
right click to bring up context menu
![Page 164: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/164.jpg)
Mapping Screen
View or edit local term
Quick select button list
Navigate through the local terms
![Page 165: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/165.jpg)
Standard Mapping Screen
Begin a search
(or hit “enter”)
![Page 166: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/166.jpg)
Initial Mapping Results
Click to show words
used in search
Fiddlesticks !#*$%!! What now???
![Page 167: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/167.jpg)
Initial Mapping Results
Use term checkbox
Number of LOINC terms containing
keyword
Battery terms included in
search
![Page 168: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/168.jpg)
Revised Mapping Results
Units restriction selected by default
![Page 169: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/169.jpg)
Re-revised Mapping Results
Number of matching
records found Match units unselected
Click any column header to re-sort
![Page 170: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/170.jpg)
Ad hoc term search
Clear all input fields
Enter keywords here
CANINE DISTEMPER VIRUS IF
![Page 171: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/171.jpg)
Tabbed Access to Functions
Navigate to Functions from Mapping Page
Switch between Grid and Tree Views
![Page 172: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/172.jpg)
Tree View
![Page 173: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/173.jpg)
Assigning a LOINC Map
Highlight correct term
Click “Map” Button (or doubleclick)
![Page 174: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/174.jpg)
Assigning a LOINC Map LOINC Term
Assigned
![Page 175: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/175.jpg)
View LOINC Term Details
View details for a specific LOINC Term
Right clicking on a LOINC term brings up a Task Menu
![Page 176: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/176.jpg)
LOINC Term Details
Change to expanded details view
Change text size
![Page 177: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/177.jpg)
LOINC Term Details: Panels
![Page 178: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/178.jpg)
Exporting Rows from Grid
export
![Page 179: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/179.jpg)
Configure Export Options
Output options
Include
column headers Save configuration and/or export
![Page 180: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/180.jpg)
More on Search Syntax
Photo via Jeffrey Beall
Tips and Tricks
![Page 181: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/181.jpg)
Search in a Field Field Example
Component component:chemotherapy
Property glucose property:CCnc
Timing glucose timing:24H
System glucose system:CSF
Scale glucose scale:Nar
Method mycobacterium method:EIA
Class glucose class:UA
![Page 182: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/182.jpg)
Other Cool Tricks Use parentheses Fuzzy search (~)
glucose (phosphate OR phosphatase) rbc -ord
Bergdorferi~
component:(norepinephrine creatinine)
![Page 183: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/183.jpg)
Limiting Your Searches Sometimes 65,000+ terms is too many
Photo via Joe Shlabotnik
![Page 184: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/184.jpg)
Setting Search Limits
Reduces number of candidate terms
Many, many options for limits Hierarchy allows domain restrictions
![Page 185: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/185.jpg)
with great power comes great responsibility
Photo via [cipher]
![Page 186: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/186.jpg)
Setting Search Limits
click Hierarchy & Search Limits tab
![Page 187: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/187.jpg)
Search Constraints
Predefined, general search constraints
Attribute trees
Local Unit Constraint:
Default is “ON”
![Page 188: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/188.jpg)
Search Constraints
include Trial, Deprecated or Discouraged LOINC codes with
returned terms
![Page 189: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/189.jpg)
Hierarchies
Restrict eligible tests to non-challenge
chemistry tests only
![Page 190: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/190.jpg)
A Reminder About Search Limits
Indicates that you’ve got something set over here
![Page 191: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/191.jpg)
Hierarchy Wrap-up All trees operate the same way All grids operate the same way Combine tree limits with others
“Mulligan” button
![Page 192: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/192.jpg)
Search Hints and Tips Zero hit keywords are ignored
(may need to rephrase) Common causes of Zero results
Too many keywords Limits and keyword contradictions Local term weirdness
Units are GREAT discriminators
![Page 193: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/193.jpg)
RELMA’s Auto Mapper Starting with our best guesses may save you time
![Page 194: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/194.jpg)
Not exactly…
![Page 195: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/195.jpg)
What Does It Do?
Batch processes local term file to get N- closest candidate LOINCs Uses words and units from local terms
Produces a ranked list for your review
![Page 196: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/196.jpg)
Recent Improvements Faster. Way faster. Better clean-up routine New specimen guesser Better local to LOINC word finder Break ties with frequency data
![Page 197: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/197.jpg)
(Lab) Auto Mapper
launch it here
a couple of options
print report or work through the ranked list when done
![Page 198: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/198.jpg)
Intelligent Mapper - Mapping Screen
![Page 199: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/199.jpg)
Auto Mapper On-Demand
![Page 200: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/200.jpg)
photo via milos milosevic
![Page 201: 2011 08 21 - LOINC Tutorial and Mapping Bootcamp - PHI 2011 Conference](https://reader033.vdocuments.net/reader033/viewer/2022061306/588a1c891a28abb21f8b4893/html5/thumbnails/201.jpg)
The Race is On!
Get LOINCing! photo via ryarwood