Consiglio
Nazionale
delle Ricerche
Maria Teresa Chiaravalloti
Public Laboratory LOINC Workshop & Committee Meeting
Regenstrief Institute, Indianapolis June 6-7, 2011
Why do we need LOINC? (1)
A regional list of names and codes for laboratory
observations, exclusively used for reimbursement
Nomenclatore
Tariffario Regionale
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)
Nomenclatori
Tariffari Regionali
Obsolete
(1996)
1. n:1 mapping  multiple lab tests are mapped to one
regional code
2. Not every lab test is mapped  no correspondences
found
3. 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: 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
Molinette Hospital and
School of Medicine, Torino
5 testing
regions
Public Laboratory LOINC Workshop & Committee Meeting - Regenstrief Institute, Indianapolis - June 6-7, 2011
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
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
 Comma and words order exchange – COMPONENTS:
Mouse epithelium
Epitelio di topo
,
 Comma and words order exchange – SUFFIXES:
leukotriene release
Leucotrieni, rilascio
COMPONENT + , rilascio di leucotrieni
 2 commas
18q chromosome deletion
18q, cromosoma, delezione
Public Laboratory LOINC Workshop & Committee Meeting - Regenstrief Institute, Indianapolis - June 6-7, 2011
Issues and answers
LOINC
LOINC ITALIA
Stimulation
Administration
French: provocation
Spanish: provocación
Challenge test
Test di provocazione
Rest absorption
(METHOD)
Assorbimento RESt (Rabbit Could not figure out it is
an acronym
Erythrocyte Stroma)
Engorgement
(COMPONENT)
Congestione
No literal translation,
need to find out the
meaning
Dander
Forfora
Even though it doesn’t
cover exactly the same
semantic area
Public Laboratory LOINC Workshop & Committee Meeting - Regenstrief Institute, Indianapolis - June 6-7, 2011
Preliminary results
LOINC 2.34 and
RELMA 5.0
(December 2010)
LOINC 2.35 and
RELMA 5.2
(June 2011)
LOINC parts
translated
11,748
11,748
LOINC synonyms
(part level)
LOINC codes
generated
3,341
6,026
43,152
43,720
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)
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
 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
 Clement J. McDonald
 Daniel J. Vreeman
 Kathy Mercer
 Lorie Carey
 Claudia Bessone
 Roberto Guarasci
 Pino Cavarretta
Public Laboratory LOINC Workshop & Committee Meeting - Regenstrief Institute, Indianapolis - June 6-7, 2011
Questions and suggestions
Public Laboratory LOINC Workshop & Committee Meeting - Regenstrief Institute, Indianapolis - June 6-7, 2011
Consiglio
Nazionale delle
Ricerche
Thank you for your
attention!
mariateresa.chiaravalloti@unical.it
Public Laboratory LOINC Workshop & Committee Meeting
Regenstrief Institute, Indianapolis - June 6-7, 2011
www.loinc-italia.it