2011 05 26 - lab loinc tutorial - chicago - handout version - full

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!

Laboratory LOINC Workshop – Chicago, IL!

05.26.2011! © [email protected]!

Clem McDonald, MD!Director, Lister Hill National Center for Biomedical Communications – National Library of Medicine !

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!Supporters: NLM, Regenstrief, CHITREC, Metropolitan Chicago Healthcare Council, Chicago Department of Public Health!

Overview!1.  Origins of LOINC!2.  LOINC 101!

3.  Using RELMA!4.  Searching and Mapping to LOINC!

5.  Approaches to Mapping and Domain-speci"c Help!

6.  Other RELMA features!

7.  Your turn!

Origins of LOINC!The lingua franca of clinical observation exchange!

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!

Logical

Observation

Identi"ers

Names and

Codes!A universal code system that facilitates exchange,

pooling, and processing of results!

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!

What is my patient’s hemoglobin level?!718-7:Hemoglobin:MCnc:Pt:Bld:Qn!

How fast does my patient usually walk?!41959-8:Walking speed:Vel:1W^mean:^Patient:Qn:Calculated

Institutional Repository!

!"

!"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!

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)!

Laboratory LOINC!

Clinical LOINC!

The LOINC Community!Open. Nimble. Pragmatic.!

Open Development!Worldwide distribution at no cost!

End-user content additions!Welcome all comers!

Volunteers!!

Regenstrief Institute!Steward!Developer of content!

Developer of tools!Developer of community!Distributor!

Voice!!

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!

0!

2,000!

4,000!

6,000!

8,000!

10,000!

12,000!

loinc.org members!

11 new members per day!330 new members per month!

11,100+ users in 141 countries!

Downloads: ~1100/month!

6,900 views!!

100 views!260 views!

International Adoption!participation, translation, implementation!

LOINC Submitters!

Since 2009, 84 organizations from 14 countries!

LOINC Translators!

18 organizations!

New and Updated!

Estonian!

French!German!

Greek!Italian!

Spanish!

In-progress!Catalan!

Dutch!French!

Russian!!

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!

US Adoption!A few key highlights!

US Federal Agencies!NLM!VA!

DoD!IHS!NCI!

CDC!

Other Key US Adoptions!

HITSP!eLINCS!

NAACCR!CDISC!

NCQA/HEDIS!

HL7!

HIPAA!

HIE’s!

EHR Incentive Program

a.k.a. “Meaningful Use”!

New Frontiers in Content Modeling!

Standardized Assessments!

Assessments are widely used…!

…and not unlike other clinical observations!!

Purpose!

LOINC could be a !!

master question "le and

uniform representation !

Panels/Forms Available as Separate Download!

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 Classi"cation!howRU!

Living with HIV (LIV-HIV)!

Morse Fall Scale!

OMAHA!

PHQ (9 and 2)!Quality Audit Marker (QAM)!

!

Translational Research Variables!

LOINC 101!LOINC for newbs (not nOObs)!

The LOINC Distribution!

http://search.loinc.org!

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!

NOT part of a LOINC Name!Testing instrument!Speci"c 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!Stu# carried in other parts of HL7 message!

Component!

Sodium!Glucose!Brucella sp. organism!In$uenza A Virus antigen!Cytomegalovirus antibody!Lipids.total!

The substance or entity that is measured, evaluated, or observed!


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!

Property!

Major Categories:!!mass!!substance!!catalytic activity!!arbitrary!!number!

The characteristic or attribute of the analyte that is measured, evaluated, or observed.!

* the most di"cult LOINC axis!


Property!


Fully Named Properties!MCnc! mass concentration!

SCnc! substance concentration!

MCnt! mass content !

CCnc! catalytic concentration!

Prid! presence or identity!

Imp! impression!

Type! “kind of”!

* the most di"cult LOINC axis!

Property is related to units of measure!

mg/dL!umol/L!

mg/g!U/L!

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 di"erent system!!RelRto: actual to normal control!

!

Fraction versus Ratio!

photo via jurvetson!

Non-Pt timings are often !found with Ratio 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!

System!The system (context) or specimen type upon which the

observation was made.!


Ser!Ser/Plas!Bld!Ur!Flu!Tiss!XXX!

serum!serum or plasma!whole blood !urine!body #uid!tissue!speci$ed elsewhere !

photo via AlishaV!

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 $ow.mean:Vel:Pt:Aortic arch^fetus:Qn:US.doppler!

System^Super System!

photo via Xurble!

Scale!


Qn!!!Ord!!Nom!!!Nar!

Quantitative!continuous numeric!optional operator!

Ordinal!Ranked set (1+, 2+, 3+)!

Nominal!unranked collection!Taxonomy (e.g. bacteria)!

Narrative!

photo via puuikibeach !

Method!Only needed if interpretation a#ected!

Di#erent normal ranges!Test sensitivity!

Listed at the generic level!Agglutination!

Immunoassay!Probe with target ampli"cation!

5193-8:Hepatitis B virus surface Ab:ACnc:Pt:Ser:Qn:EIA

LOINC “Parts”!

Uses !translation, synonymy, building hierarchies, creating display names, linking descriptions!

Hierarchies!LOINC ‘class’!Each LOINC axis!

Multi-axial!Component | System!

Separate download!

!

!!!

RELMA®!REgenstrief LOINC Mapping Assistant!

We’ll Cover!RELMA “Boot Camp”!Mapping tips/pitfalls!Get started!

Browse LOINC!Map your local terms to LOINC!

!import/export!

!translate local words to LOINC-speak!

!manual/automated mapping!

What’s it Good For?!

Get RELMA!

http://search.loinc.org!

RELMA Highlights!Hierarchies!Search!

Enhanced details view!Common test list!Panels and forms!

Export, copy, paste!

Search Syntax!Google-like!

AND, OR, -<word>, +<word>!Limit by category (e.g. micro)!

Wildcards (? and *)!!

!Assumes EXACT MATCH unless you use wildcards!

More RELMA Features !User Speci"ed Search Limits !

Selectable trees for:!Class!

Multiaxial (component/system)!

System (specimen)!

Component!Method!

Installing RELMA!

Installation Steps!Need Windows (or a VM on a Mac)!Got disk space? 2Gb is recommended!

Start installer <drive>:\RELMA\Setup!

Specify installation directory keep default!Two database "les installed!

RELMA.MDB – LOINC terms database!

LMOF3.MDB – Local Master Observation File!

Two sample "les included !Run it!!

File Locations!Database and Ancillary Files!Windows XP!

!Windows Vista and 7!!!

Sample "les!Windows XP!

!Windows Vista and 7!

!!

C:\Documents and Settings\All Users\Documents\RELMA\

C:\Users\Public\Documents\RELMA\

C:\Documents and Settings\All Users\Documents\RELMA\Samples\

C:\Users\Public\Documents\RELMA\Samples\

Running RELMA!

Main Menu/Welcome Screen!

File->Set Preferred Language!

Select Linguistic Variant(s)!

LOINC Terms with Spanish Linguistic Variant!

All Spanish!!

Simple Search!

Search Window!

enter search terms!

limit to speci"c units!

limit to common tests!

Search Window!

“common tests” relative frequency!

Help!!

New RELMA Help"le!

Context Menu!

right click to bring up context menu!

Setting User Preferences!

select User Preferences!

from the File Menu!

...or from Welcome Screen!

Set User Preferences!

Set User Preference Dialog!

startup screen preference!

File locations:!

(see prior slide for location)!

User Map Screen Preferences!

Include/exclude battery terms!

add comments on mappings!

Importing Local Terms into RELMA!

4 Ways to Build LMOF!1.  Hand enter!2.  Make your own table !

3.  Import text "le from your test catalog!

4.  Import from real HL7 v2.x messages !

bad!bad!

good!!

best!

Make a Local Dataset!Extract from Your Test Catalog!

Battery code!Battery description or name!*Local code !*Test description or name!

Include method if important!

Units!Example Values!Laboratory Section!

Make a Delimited Text File!Need separate "elds!Use any delimiter!Fields in any order!Required "elds (minimum):!

Local Code!Local Description!Units (highly recommended)!

Importing Local Terms!1.  Start it up!2.  Find local term "le!

3. Name your working set!4.  Identify "eld delimiter in your "le!5. Match your "elds to LMOF

attributes!6.  Import!!

C:\Documents and Settings\All Users\Documents\RELMA\Samples\

C:\Users\Public\Documents\RELMA\Samples\

Example Tab-Delimited File!

Importing Local Files!

select “Import Local Terms from Delimited File”!

or just click here!

Navigate to File Location!

select File and click Open!sample "les stored in RELMA Directory!

Open File in RELMA!

Give it a name!

(RELMA allows multiple sets in one LMOF database)!

select your delimiter!

Import button!

Open File in RELMA!

oh "ddlesticks!!!!

Match Your Fields!

assign LMOF attribute!

Match Your Fields!

choose "eld name!

Now You’re Ready!!

minimum assignments!

Do It!!

After import, RELMA will search for words it does not

recognize!

Alternate Import (best)!Nothing closer to the truth than real data!

Big Pile of HL7 Messages!!

RELMA parses into dataset!OBR ID!OBR description!OBX ID!OBX description!Sample results:!

actual values, units, abnormal #ags, normal ranges!!

!

Generate Local term "le from HL7 messages !

select Import Terms from HL7 File!

Select File to Import!

select HL7 "le!

Specify HL7 File Name and Sample Size!

name the local term "le (working set)!

select which codes to store!

select the number of sample values!

HL7 Messages Data Statistics!

Your turn!!Import Local Terms!

(or sample OBX "le)!

Cleaning Your Data!A little time upfront saves more later!

photo via Mu#et!

Prep Your Data for Mapping!

Improve mapping success!!Expand abbreviations!!Ignore “administrative” words!!Standardize idiosyncratic words!!Standardize time references!

RELMA can help!

RELMA Cleaning Tools!

use this tool to edit unknown terms!

Review Unknown Local Terms!

may re-scan "le for unknown terms!

Replace Local Terms!

Assign LMOF Attribute!replacement options!

RELMA Cleaning Tools!

use this tool to make global substitutions!

Term Substitution!

save this global substitution for only this working set!

Clean Up!!Take some time to

clean up your sample "le!

Reviewing your Local Terms!

Change Local Term File!

Select the Working Set!

Manual Enter/Edit !

View/Add/Edit Local Terms!

Edit Term Dialog!

Edit\Add\Delete Terms!

Export Terms!

Print Preview List!Text alignment option!

Search Terms by Keyword!

New Terms added to LMOF!

new battery code!

click on “Edit Term” to see sample data!

Sample Results for Observation!

Sample Values from Messages!

Search Local Term File!

Enter Keyword from any Field!

Return to Full List!

Calcium!

Export Local Term File!

Delimiters supported:!

Tab, comma, bar (|)!

Searching and Mapping to LOINC !

Photo via Jeffrey Beall!

what RELMA was born to do!

Are you working on the right local "le?!

Hit It!!

Core Mapping Screen Features!

Customizable grid !Sort by columns!View term details!

Export results grid!Stores mappings!

Mapping Screen !

View or edit local term!

Quick select button list!

Custom Grid Con"guration!

Navigate through the local terms!

Con"gure Grid!

Reorder grid elements!

Select elements to display!

Reset Default Con"guration!Visually resize elements!

Quick choice buttons!

Viewing LOINC term detail !

View Local Term Details!

Select level of detail to display!

Select detail display level!

Select level of detail to display!

Standard Mapping Screen!

Begin a search!

(or hit “enter”)!

Initial Mapping Results!

Click to show words

used in search!

Fiddlesticks !#*$%!! What now???!

Initial Mapping Results!

Use term checkbox!

Number of LOINC terms containing

keyword!

Battery terms included in

search!

Revised Mapping Results!

Number of matching

records found!Units restriction

selected by default!

Re-revised Mapping Results!

Number of matching

records found!Match units unselected!

Click any column header to re-sort!

Standard Mapping Screen!

Clear all input "elds!

Enter keywords here!

CANINE DISTEMPER VIRUS IF

Ad hoc term search!

Tabbed Access to Functions!

Navigate to Functions from Mapping Page!

Switch between Grid and Tree Views!

Tree View!

Tree View!

Cannot map to terms

representing LOINC parts!

Can map to terms with LOINC Codes!

Tree Navigation Buttons!

Assigning a LOINC Map!

Highlight correct term!

Click “Map” Button !(or doubleclick)!

Adding Mapping Comments!

If comments option is selected,

prompt appears!

Check with Frank in Chemistry

Assigning a LOINC Map!

LOINC Term Assigned!

View LOINC Term Details!

View details for a speci"c LOINC Term!

Right clicking on a LOINC term brings up a Task Menu!

LOINC Term Details!

Can scroll through returned subset of

terms!

Change to expanded details view !

Change text size!

Can scroll down a single formatted page!

LOINC Term Details: Panels!

View Panel Children!

Select View Panel Children from context menu!

Panel Children!

Con"gure Export Options!

Output options!

Include !

column headers!Save con"guration and/or export!

Excel Export Format!

More on Search Syntax!

Photo via Jeffrey Beall!

Tips and Tricks!

Wildcards!“*” replaces any number of characters!

GLUC*!*COSE!GLU*SE!

“?” replaces a single character!GLUCOS?!?LUCOSE!GLUC?SE!

Search Quali"ers !

Includes Glucuronidase, Glucosidase,

Glucosylceramidase, etc.!

Detailed help available!

Search in a Field!Field! Example!

LOINC! loinc:12628-4!

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!

Other Cool Tricks!Use parentheses!!!!Fuzzy search (~)!!

(flu OR rhinovirus) -haemophilus

Bergdorferi~

component:(norepinephrine creatinine)

Limiting Your Searches!Sometimes 60,000 terms is too many!

Setting Search Limits!

Reduces number of candidate terms!

Many, many options!Hierarchy allows domain restrictions!

with great power comes great responsibility!

Photo via [cipher]!


click Hierarchy & Search Limits tab!

Search Constraints!

Prede"ned, general search constraints!

Attribute trees!

Local Unit Constraint:!

Default is “ON”!

LOINC term status!

Terms Consistent with Units!

Only terms consistent with mmol/L appear!

Quick Access Toggles For Common Restrictions!

On/O# Toggles!

Specimen Restriction!

Specimen constraints!

Terms Consistent with Specimen !

CSF

enter default specimen!

Terms Consistent with Specimen !

Only CSF Terms are returned!


Methodless Terms Restriction!

Override Methodless Terms Restriction!

Limit to Methodless Terms!

Limit to Methodless Terms!

only Methodless terms appear!

Methodless Only Unchecked!

All terms returned!

Methodless Only Checked!

Only Methodless terms returned!

Di#er in one or more components!

Conditional Methodless!

More terms returned!

No methodless term; all shown!


Limit to Lab Tests Only !

(No Clinical LOINC Terms)!


Empirically derived common tests!

(99.8% of INPC volume)!

Next Release: Top 2000 from humungous sample!

photo via x-ray delta one!

A brief aside…!Developing convenience sets!

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.!


include Trial, Deprecated or Discouraged LOINC codes with

returned terms!

LOINC Term Status!Trial!!Discouraged!!!Deprecated!

Concept is experimental in nature. Use with caution as the concept and associated attributes may change.

Concept is not recommended for current use. New mappings to this concept are discouraged although existing mappings may continue to be valid in context.

Concept is retired and should not be used, but it is retained in LOINC for historical purposes.

Include Deprecated LOINC Terms!

Deprecated LOINC Terms appear as strikethrough text with a “Do Not” symbol !

Discouraged LOINC Terms appear as an inverted triangle !

Can’t map to a deprecated term!Warning before mapping to discouraged term!

LOINC Hierarchies – Class Tree!

Three top-level branches!

Tree Navigation Buttons!

Before Class Restriction!

Large number of candidate terms!

Most terms have class of “CHAL”!

Hierarchies!

Restrict eligible tests to non-challenge

chemistry tests only!

Following Class Restriction!

Only Non-Challenge Chemistry tests returned!

A Reminder About Search Limits!

Indicates that you’ve got something set over here!

Component Hierarchy!

Show the LOINC Codes associated with these

components!

“right click” for context menu with “view details” option!

Details Screen: LOINC Part!

Show Associated LOINCs!

Hierarchy Wrap-up!All trees operate the same way!All grids operate the same way!Tree is searchable !Combine tree limits with others!

“Mulligan” button!

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!

RELMA’s Auto Mapper!Starting with our best guesses may save you time!

What Does It Do?!

Batch processes local term "le to get N- closest candidate LOINCs!!Uses words and units from local terms!

!Produces a ranked list for your review!

Recent Improvements!Faster. Way faster.!Better clean-up routine!New specimen guesser!Better local to LOINC word "nder!Break ties with frequency data!

Does it Work?!

Lab terms (internal analysis)!

!#1 ranking: 60-70ish%!!In Top 5: 70-80ish%!

!

Radiology terms!!#1 ranking: 80-90ish%!

!In Top 5: 90ish%!

!Using CPT-based restriction helped! !(but we couldn’t distribute it)!

Vreeman DJ, McDonald CJ. A Comparison of Intelligent Mapper and Document Similarity Scores for Mapping Local Radiology Terms to LOINC. Proc AMIA Symp. 2006;809-813.!!Vreeman DJ and McDonald CJ. Automated Mapping of Local Radiology Terms to LOINC. Proc AMIA Symp. 2005;769-773.!

(Lab) Auto Mapper!

launch it here!

a couple of options!

print report or work through the ranked list when done!

Intelligent Mapper - Mapping Screen!

Mapping Guidance and Approaches to Special Domains!Top N, Reportable Conditions, Newborn Screening!

Not just an IT problem!

Get real.!units, results, experts!

Don’t be a one hit wonder.!

Additional Pearls and Guidance!Clem McDonald, MD!Director, Lister Hill National Center for Biomedical Communications – National Library of Medicine !

Other RELMA® Features!Oh yes, there’s more!!

You’ve done the work. Now reap the glory.!

Using Your Mapped Terms!

photo via janeandd!

Con"gure Export Format!

Context Sensitive Export Con"guration !

LMOF Export Con"guration!

Select Fields to Export!

Select Export Format !

Save Con"guration and Export!

Printing Mapped Terms!

May highlight terms to be printed!

Click Print button to Preview output!

Custom Export Con"guration!

Select the Fields you wish to Export!

Select the Format you wish to Export!

Excel™ Export!

Export Terms Dialog!

Check Fields you wish to export!

Select Delimiter!

Select Term Set!

Parts, Panels, and Proposing New Terms!

More RELMA Fun!

LOINC Part Search!

Works just like the term search!

Handy for looking at descriptions!

Parts Search!

Parts Search!

only parts that have descriptions, references, etc!

Panels, Forms, and Surveys!

Wanted to make it easy to "nd!

Special features for browsing!

Panels, Forms and Survey Review!

Review Panels, Forms and Surveys!

Review Panels, Forms and Surveys!

Government Forms!

Laboratory Panels!

Double-click panel name to see components!

Expanded Panel Detail!

Clinical Panels!

Find where a term has been used!

3141-9

LOINC Term Panel Usage!

Other Survey Instruments!

Proposing New LOINC Terms!LOINC grows because you ask.!

Proposing a New Term!Are you sure?!Give us all you got!RELMA is best!Send them in groups!

What We Need!•  Local test/observation name!

•  Local order (panel) name!•  Description of the test !

•  Name of send out lab (if applicable)!

•  Name of healthcare organization that stimulated the request for this term (if you are submitting on behalf of someone else)!

•  Units of measure (for quantitative observations)!

•  Answer lists (for qualitative observations)!•  Sample results, reports (if applicable)!

•  Package inserts, test kit documentation (if applicable)!

•  Vendor, instrument, and/or reagent kit used to perform this test (if applicable)!

•  Description of the project or activity that stimulated the request for this term, or any other documentation you have!

Propose new LOINC terms!

Select Propose a LOINC!

Navigate through proposed terms!

Create new term, save current term

or Exit form!

Your Info!

Suggested LOINC Name!

Use Existing Terms as Template!

Select your closest match!

Click the Propose Term button!

Use Existing Terms as Template!

All required components "lled in!

Review Proposed Terms!

Review your new terms!

Review Proposed Terms!

All proposed terms fully editable!

Choose whether to send or postpone!

X

X X

Dr. Awesome LOINCer

Data Hogs, Inc

[email protected]

123-123-1234

123-123-1233

Submitting New Terms!Still need to email us the "le!

[email protected]!!More Information!

!http://loinc.org/submissions!!LOINC Submissions Policy!

!http://loinc.org/submissions-policy!!

!!

http://loinc.org/submissions/new-terms!

photo via milos milosevic!

2011 05 26 - lab loinc tutorial - chicago - handout version - full

Health & Medicine