LOINC in Prehospital Emergency Medicine in Germany – Experience of the `DIRK´-Project

Abstract

Summary Background: Treatment of patients picked up by emergency services can be improved by data transfer ahead of arrival. Care given to emergency patients can be assessed and improved through data analysis. Both goals require electronic data transfer from the emergency medical services (EMS) to the hospital information system. Therefore a generic semantic standard is needed. Objectives: Objective of this paper is to test the suitability of the international nomenclature Logical Observation Identifiers Names and Codes (LOINC) to encode the core data-sets for rescue service protocols (MIND 2 and MIND 3). Encoding diagnosis and medication categories using ICD-10 and ATC were also assessed. Methods: Protocols were broken down into concepts, assigned to categories, translated and manually mapped to LOINC codes. Each protocol was independently encoded by two healthcare professionals and in case of discrepancies a third expert was consulted to reach a consensus. Results: Currently 39% of parameters could be mapped to LOINC. Additional use of other coding systems such as International Statis -tical Classification of Diseases and Related Health Problems (ICD-10) for diagnoses and Anatomical Therapeutic Chemical Classification System (ATC) for medications increases the rate of ‘mappable’ parameters to 56%. Conclusions: Although the coverage is low, mapping has shown that LOINC is suitable to encode concepts of the rescue services. In order to create a generic semantic model to be applied in the field our next step is to request new LOINC codes for the missing concepts.

Application of a Regenstrief RELMA V.6.6 to Map Russian Laboratory Terms to LOINC

“…Comparing the presented study with previous non-English mapping projects one can see that the study has almost reached the results of a manual mapping to LOINC project for French, Italian and German languages [16,25] that provided a 93.1% successful mapping result. The study has reached a better mapping rate in comparison with a semi-automated mapping of German terms by Zunner et al [15].…”

“…However, the application of LOINC for routine use in clinical laboratories has been limited. Published LOINC mapping projects indicate that the availability of efficient tools and the effort to define and maintain full coverage of lab-Application of a Regenstrief RELMA V.6.6 to Map Russian Laboratory Terms to LOINC G. Kopanitsa 1,2,3 oratory observations are important factors influencing the decision to employ LOINC as a coding system [6,8,[11][12][13][14][15][16][17]. In addition to the LOINC database, Regenstrief has developed a free software program called RELMA (the REgenstrief LOINC Mapping Assistant).…”

Improving Bridging from Informatics Theory to Practice

“…Manuscripts on standards formed again a considerable part of the publications of last year. They included articles on standards for ontologies [37], for data and observations [38] and for health-enabling technologies [20]. Publications on citation analysis and on its relevance for health care were also presented and discussed [39,40].…”

LOINC – Internationale Nomenklatur zur Kodierung von medizinischen Untersuchungen und Befunden

“…PDMS stellen dabei alle für die Patientenbehandlung relevanten Informationen berufsgruppenübergreifend am klinischen Arbeitsplatz patienten-und problemorientiert dar [Raetzel et al, 2005]. Dazu müssen PDMS die Daten aus unterschiedlichen Quellen zusammenführen [Raetzel et al, 2005;Röhrig et al, 2006;Röhrig et al, 2009] [Knaus et al, 1985;Junger et al, 2002], SAPS II [Le Gall et al, 1993;Engel et al, 2003]);…”

“…Edeler et al, 2014]). Die in einem PDMS aus den unterschiedlichen Quellen zusammengeführten Daten werden häufig alleine, aber vor allem auch in Kombination für diagnostische und therapeutische Entscheidungen verwendet.…”