LOINC Conference Winter 2017 | Indianapolis, IN USA

Welcome to LOINC
Daniel J. Vreeman, PT, DPT, MS, FACMI
Regenstrief-McDonald Scholar in Data Standards
Indiana University School of Medicine

Director, LOINC and Health Data Standards

@djvreeman Regenstrief Center for Biomedical Informatics

© 2017
 Welcome to the
LOINC Community

photo via jamescridland | cc-by

Hi, I’m Dan
I’m a physical therapist and medical informatician
Weird, I know.

I’ve led LOINC at Regenstrief for 10+ years

You probably get emails from me

Personal site/blog: danielvreeman.com

Random fact: I’m a Duke basketball fan

This is the
LOINC Team
(they rock)
Vision
We imagine a world where people experience
optimal health catalyzed by a seamless network of
health information systems.

Mission
Our mission is to develop and advance adoption of
data standards that enable efficient transmission,
understanding, and use of health data.
Our vision is for
LOINC to be
integrated into every
clinical information
system that shares or
aggregates data.
Our Approach:

We learn.
 meeting.loinc.org

Conference goals: learn and connect

Before we jump in, you
might be wondering…

what’s with the pig?

 Let’s get a sense
of who’s here

photo via Arran Moffat

What is your familiarity with LOINC?

Not much, I’m new

I’m relatively new
I’m an advanced LOINCer
What is your clinical background?

Laboratory professional
Physician
Nurse
Other health professional
Just love working with Health IT / data
What do you want to do with LOINC?

Data exchange
Analytics or quality metrics
App design or decision support
Research
Other
What is LOINC really
all about?
A freely available global standard…
delivered with a rich set of
implementation tools…

used by a diverse global

community…

who propel its continuous

development.
 The universal standard for
identifying health measurements,
observations, and documents.
A big toolbox:
LOINC Table
Accessory Files
RELMA
search.loinc.org
Community resources
Reference material
LForms
FHIR Vocabulary server
…and more!
photo via Robert S Donovan | cc-by-nc
56,000+ registered users from 170 countries

6,000 new users per year

Many kinds of LOINC Users
Referral / reference labs and radiology centers
Health-related federal agencies
Care organizations
Professional societies
Health information exchange networks
Insurance companies
Health IT vendors
Instrument manufacturers
Health app developers
Official national standard in 30+ countries
A small taste of LOINC
adoption around the world
Public Health Code for
Practice of Laboratory
Medicine in France
Adopts the French specification of IHE XD-
LAB profile, including HL7 CDA for format and
structure and LOINC for lab test identification

https://www.legifrance.gouv.fr/affichTexte.do?cidTexte=JORFTEXT000031922237&categorieLien=id
http://esante.gouv.fr/sites/default/files/CI-SIS_CONTENU_VOLET-CR-BIOLOGIE_v1.2.0.0.pdf
Austrian National Patient
Health Record (ELGA)
LOINC for laboratory tests as well as for
document and section encoding.
A value set of LOINC codes developed for
laboratory analyses and is constantly
maintained and updated in coordination with
the laboratory community.
Lab test reference material indexed by LOINC
code and made available online and via
infobutton links

Seerainer C, Sabutsch SW. eHealth Terminology Management in Austria. Stud Health Technol Inform. 2016;228:426-30. PubMed PMID: 27577418.
https://www.gesundheit.gv.at
Nictiz: Netherlands
Many national projects in the
Netherlands are using LOINC

Nationwide surveillance network for bacterial

typing and antibiotic resistance surveillance
National laboratory code list (selected by NVKC
and NVMM societies)
National special test registry (WieDoetWat-
database)

Nictiz is a LOINC Premium Member

http://www.cchi.gov.sa/en/Projects/SHIP/Pages/Dictionary.aspx
International Patient
Summary (IPS)
A non-exhaustive patient summary, specialty-
agnostic, condition-independent, but readily
usable by clinicians for the cross-border
unscheduled care of a patient.

Coordinated with the IPS project mandated to

CEN TC 251 by the European Commission.

Uses LOINC for:

Document type, sections, lab results, other clinical
observations, and radiology reports

http://international-patient-summary.net
St. Petersburg Medical
Information Analytical Center
Large regional health data exchange
~300 organizations, 85 labs

Developed a standardized lab test catalog

based on LOINC and a laboratory result
interface bus using HL7 FHIR
Now, ~450k tests per month flowing
Delivering results to patient’s “personal office”

Kopanitsa G. Application of a Regenstrief RELMA V.6.6 to Map Russian Laboratory Terms to LOINC. Methods Inf Med. 2016;55(2):177-81. Epub 2015 Dec 15. PubMed PMID: 26666563.

http://www.iksmedia.ru/articles/5434116-Prakticheskaya-polza-informatizacii.html
Saudi Arabia ’s Council of
Cooperative Health Insurance

Project aims to provide all 12 million

beneficiaries with first class medical
insurance services and improve
information exchange between various
stakeholders (beneficiaries, companies,
and health providers).

Adopted LOINC for lab orders/results

http://www.cchi.gov.sa/en/Projects/SHIP/Pages/Dictionary.aspx
Turkish Ministry of
Health

General Directorate of Health

Services recently mandated LOINC
for laboratory results in public,
university, and private health facilities

Maintain a Turkish translation of LOINC and

mapping to national billing codes (plus online
search/mapping tool).

http://www.cchi.gov.sa/en/Projects/SHIP/Pages/Dictionary.aspx
And so many more…

Australia, Belgium, Canada, Estonia, Kazakhstan,

Malaysia, Mexico, New Zealand, South Africa, etc…
United States
ONC
Meaningful Use regulations, 21st Century Cures Act,
Interoperability Standards Advisory

FDA
Requiring LOINC for lab test data in studies starting after March 2020
Broad vision towards using real-world evidence in post market surveillance

CDC
Longtime users of LOINC: electronic lab reporting, case reporting, immunization messaging, National
EMS Info System, National Trauma Data Standards, etc

CMS
Under Impact Act 2014, all CMS-required patient assessment instruments are standardized in LOINC

https://www.fda.gov/forindustry/datastandards/studydatastandards/default.htm

https://www.healthit.gov/isa

https://www.fda.gov/ScienceResearch/SpecialTopics/RealWorldEvidence/default.htm
Large-scale observational research
networks have adopted LOINC:

FDA’s Mini-Sentinel project

PCORnet

Observational Health Data Sciences and

Informatics (OHDSI)
Making the most out of
the LOINC Conference
Learn. Connect.
 High Level View
Wednesday
Welcome
Workshops and Mapping Lab
Plenary
Workshops and Mapping Lab
Networking and Poster Reception

Thursday
Laboratory LOINC Committee Meeting
 Today
9:00 Welcome to LOINC

9:30 LOINC for Beginners LOINC Accessory Files Mapping Lab

10:45 Break

11:00 RELMA Part 1 Panels & Orders Mapping Lab

12:15 Lunch

1:00 LOINC on FHIR

1:45 Break

2:00 RELMA Part 2 Microbiology IVD Mapping Mapping Lab

3:15 Break

3:30 Submissions for Beginners Advanced Search Techniques Mapping Lab

4:45 Reception
 Key Logistics
Restrooms

Schedule and room questions

LOINC Swag

Transportation
Stay in touch after you head home:

Mailing list
User Forum
Special Topics Workgroups
Committees
Adopter directory

Mark your calendars for next meetings:

Wednesday and Thursday June 6-7, 2018

Wednesday and Thursday December 5-6, 2018
Happy LOINCing!