Daniel J. Vreeman, PT, DPT, MSc Associate Research Professor, Indiana University School of Medicine

Associate Director for Terminology Services, Regenstrief Institute, Inc

@djvreeman

© 2015

Approaches to LOINC Adoption Around the Globe

MedInfo 2015- São Paulo, Brazil

Leveraging a linkage to national billing codesRecognizing the difference in perspectives from payment/reimbursement versus clinical results

ASIP Santé publishes a map from NABM to LOINC NABM is national billing terminology in France

Mapping is typically one NABM to many LOINCs

Lee KN, Yoon JH, Min WK, et al. Standardization of terminology in laboratory medicine II. J Korean Med Sci. 2008 Aug;23(4):711-3. PubMed PMID: 18756062;

Pontongmak W, Kijsanayotin B, Rattanapradit A, Thit WM, Mapping Local Clinical Chemistry code with LOINC. Journal of the Thai Medical Informatics Association. 2015:1(1): 38-43.

The LOINC codes are comprehensive; it covered almost

all the Thai healthcare service laboratory terms. The high

percentage of mapping result indicates that LOINC is applicable

to Thai healthcare services.

1. Payment list of Comptroller General Department, Ministry of Finance, Thailand

2. Local laboratory test list from Hospitals in Burirum province

Identify and involve key stakeholdersInvolve key clinical leaders, professional societies, government agencies

Talking  about  LOINC  at  the  Thai  Ministry  of  Information  and  Communication  Technology

Pontongmak W, Kijsanayotin B, Rattanapradit A, Thit WM, Mapping Local Clinical Chemistry code with LOINC. Journal of the Thai Medical Informatics Association. 2015:1(1): 38-43.

International standard for medical laboratory (LOINC) has covered

clinical chemistry laboratory in all 3 major hospitals. The results showed that more than 95% are able to map. This conclude that LOINC is suitable and practical for clinical chemistry

laboratory in Thailand.

The NetherlandsNational IT Institute for Health Care in the Netherlands (NICTIZ) supported professional organizations:

Netherlands Society for Clinical Chemistry and Laboratory Medicine (NVKC)

Dutch Society of Medical Microbiology (NVMM)

Plus major LIS companies in the Netherlands

Working together on complete messaging structure and data set

Special test database (WieDoetWat-database)

Support  for  LOINC  in  Ministry  of  Health  Malaysia

Tackle “big wins” firstStandardize large central sources like public sector health systems, and use that leverage to incentivize other participants

LOINCing  at  Hong  Kong  Hospital  Authority

Estonia

Estonian eHealth Foundation (EeHF) and Estonian Society for Laboratory Medicine (ESLM) jointly identified standards and developed action plan to get lab data into Estonian National Health Information System (ENHIS).

Report available online from loinc.org

EstoniaTranslation of LOINC and reference material performed by LOINC working group

Codes from 30+ labs mapped to LOINC and made available centrally

Sets foundation for implementation roll-out for ordering and results reporting

Create National SubsetsNo one needs all 76,000 codes

Examplespan Canadian LOINC Observation Code Database (pCLOCD)

NL-subset of LOINC codes

K-LOINC (Korea)

LOINC pour résultats de biologie published by ASIP Santé

Identify key use casesAlign standardization efforts with key health goals

Rwanda

Some  ad  hoc  LOINCing

Everyone loves LOINC

photo via mccaughan

Discussion

What are the key challenges you face in implementing LOINC in your environment?

What aspect of using LOINC would you like to know more about?

What mapping approaches have you found to be most helpful?

How does LOINC fit into the eHealth strategy in your context (if at all)?

Which professionals should be involved in each step of the process?

In what ways could cooperation among LOINC adopting countries be useful?

Which aspects of the approach would be most valuable to share?

photo via milos milosevic