LOINC®(finally) speaks Italian …but it needs to practice!

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LOINC®(finally) speaks Italian …but it needs to practice! Consiglio Nazionale delle Ricerche Maria Teresa Chiaravalloti Public Laboratory LOINC Workshop & Committee Meeting Regenstrief Institute, Indianapolis June

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C onsiglio N azionale delle R icerche. LOINC®(finally) speaks Italian …but it needs to practice!. Maria Teresa Chiaravalloti. Public Laboratory LOINC Workshop & Committee Meeting Regenstrief Institute, Indianapolis June 6-7, 2011. Why do we need LOINC? (1). - PowerPoint PPT Presentation

Transcript of LOINC®(finally) speaks Italian …but it needs to practice!

Page 1: LOINC®(finally) speaks Italian …but it needs to practice!

LOINC®(finally) speaks Italian…but it needs to practice!

Consiglio Nazionale delle Ricerche

Maria Teresa Chiaravalloti

Public Laboratory LOINC Workshop & Committee MeetingRegenstrief Institute, Indianapolis June 6-7, 2011

Page 2: LOINC®(finally) speaks Italian …but it needs to practice!

Why do we need LOINC? (1)

Public Laboratory LOINC Workshop & Committee Meeting - Regenstrief Institute, Indianapolis - June 6-7, 2011

Nomenclatore Tariffario Regionale

A regional list of names and codes for laboratory observations, exclusively used for reimbursement

Lab 1

Lab 2

Lab 3

Page 3: LOINC®(finally) speaks Italian …but it needs to practice!

Why do we need LOINC? (2)

Public Laboratory LOINC Workshop & Committee Meeting - Regenstrief Institute, Indianapolis - June 6-7, 2011

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

Page 4: LOINC®(finally) speaks Italian …but it needs to practice!

InFSE project and LOINC ItaliaInFSE: National and international interoperability of thelocal electronic health infrastructuresWP3: design and development of methodologies and software

components for patients unique encodingLOINC Italia (www.loinc-italia.it)

Implementing LOINC as nationalstandard for laboratory observations encoding

Public Laboratory LOINC Workshop & Committee Meeting - Regenstrief Institute, Indianapolis - June 6-7, 2011

5 testing regionsMolinette Hospital and

School of Medicine, Torino

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Work stepsTranslation 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 rulesLinguistic solutionsIssues 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

Page 6: LOINC®(finally) speaks Italian …but it needs to practice!

Translational rulesLOINC acronyms and abbreviations:

Italian equivalent acronym/abbreviation, if availablee.g. CSF LCS

Full form in Italiane.g. BPU Unità di prodotto sangue

English acronym/abbreviation, if it is used in Italye.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

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Linguistic solutionsComma and words order exchange – COMPONENTS:

Comma and words order exchange – SUFFIXES:

2 commas

Public Laboratory LOINC Workshop & Committee Meeting - Regenstrief Institute, Indianapolis - June 6-7, 2011

Mouse epithelium topoEpitelio di

,

leukotriene release Leucotrieni, rilascio

COMPONENT + rilascio di leucotrieni,

18q chromosome deletion 18q, cromosoma, delezione

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Issues and answersLOINC LOINC ITALIA

Challenge test Test di provocazione StimulationAdministrationFrench: provocationSpanish: provocación

Rest absorption (METHOD)

Assorbimento RESt (Rabbit Erythrocyte Stroma)

Could not figure out it is an acronym

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

Page 9: LOINC®(finally) speaks Italian …but it needs to practice!

Preliminary resultsLOINC 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) 3,341 6,026

LOINC codes generated 43,152 43,720

Public Laboratory LOINC Workshop & Committee Meeting - Regenstrief Institute, Indianapolis - June 6-7, 2011

Open issues: Synonyms of fully translated names Open questions being discussed among our domain experts

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LOINC Italian Tool - Ver. 0.1 Beta (1)

Public Laboratory LOINC Workshop & Committee Meeting - Regenstrief Institute, Indianapolis - June 6-7, 2011

View of mapping choices already done by others

Mapping to regional reimbursement codes

LOINC code details

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Next stepsMapping local codes to LOINC codes in testing regions

Mapping analysisErrorsMisunderstandingsNeeds 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

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AcknowledgementsClement J. McDonaldDaniel J. VreemanKathy MercerLorie Carey

Claudia Bessone

Roberto GuarasciPino Cavarretta

Public Laboratory LOINC Workshop & Committee Meeting - Regenstrief Institute, Indianapolis - June 6-7, 2011

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Public Laboratory LOINC Workshop & Committee Meeting - Regenstrief Institute, Indianapolis - June 6-7, 2011

Questions and suggestions

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Public Laboratory LOINC Workshop & Committee Meeting Regenstrief Institute, Indianapolis - June 6-7, 2011

Consiglio Nazionale delle Ricerche

www.loinc-italia.it

Thank you for your attention!

[email protected]