LOINC, a universal standard for identifying laboratory observations: A 5-year update
LOINC, a universal standard for identifying laboratory observations: A 5-year update
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DOI：
10.1373/49.4.624
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发表时间：
2003-04-01
影响因子：
9.3
通讯作者：
Maloney, P
中科院分区：
文献类型：
--
作者：
McDonald, CJ;Huff, SM;Maloney, P
逻辑观察标识符名称和代码（LOINC（R））数据库为报告实验室和其他临床观察结果提供了通用代码系统。其目的是识别电子消息中的观察结果，例如健康等级7（HL 7）观察消息，以便当医院、健康维护组织、制药商、研究人员和公共卫生部门从多个来源接收到此类消息时，他们可以自动将结果归档到其医疗记录、研究和/或公共卫生系统的正确位置。对于每个观察结果，数据库包括一个代码（其中25000个是实验室测试观察结果）、一个长正式名称、一个30个字符的“短”名称和同义词。该数据库带有一个映射程序，称为Regenstrief LOINC映射助手（Regenstrief LOINC Mapping Assistant），以帮助将本地测试代码映射到LOINC代码，并方便LOINC结果的浏览。LOINC和REMOMA都可以从http：//www. regenstrief.org/loinc/. LOINC医学数据库包含超过30，000种不同观察结果的记录。大型参考实验室和联邦机构正在使用LOINC代码，例如，疾病预防控制中心和退伍军人事务部，是健康保险便携性和责任法案（HIPAA）附件提案的一部分。在国际上，它们已被瑞士、香港、澳大利亚和加拿大以及德国国家标准组织Deutsches Instituts fur Normung采用。实验室应在其出站HL 7消息中包含LOINC代码，以便临床和研究客户可以轻松地将这些结果集成到其临床和研究存储库中。实验室还应鼓励仪器供应商在其仪器输出中提供LOINC代码，并要求在他们从参考实验室获得的HL 7信息中提供LOINC代码，以避免将如此多的转诊测试集中在“发送实验室”代码下。(C)2003年美国临床化学协会。
The Logical Observation Identifier Names and Codes (LOINC(R)) database provides a universal code system for reporting laboratory and other clinical observations. Its purpose is to identify observations in electronic messages such as Health Level Seven (HL7) observation messages, so that when hospitals, health maintenance organizations, pharmaceutical manufacturers, researchers, and public health departments receive such messages from multiple sources, they can automatically file the results in the right slots of their medical records, research, and/or public health systems. For each observation, the database includes a code (of which 25 000 are laboratory test observations), a long formal name, a "short" 30-character name, and synonyms. The database comes with a mapping program called Regenstrief LOINC Mapping Assistant (RELMA(TM)) to assist the mapping of local test codes to LOINC codes and to facilitate browsing of the LOINC results. Both LOINC and RELMA are available at no cost from http://www. regenstrief.org/loinc/. The LOINC medical database carries records for >30 000 different observations. LOINC codes are being used by large reference laboratories and federal agencies, e.g., the CDC and the Department of Veterans Affairs, and are part of the Health Insurance Portability and Accountability Act (HIPAA) attachment proposal. Internationally, they have been adopted in Switzerland, Hong Kong, Australia, and Canada, and by the German national standards organization, the Deutsches Instituts fur Normung. Laboratories should include LOINC codes in their outbound HL7 messages so that clinical and research clients can easily integrate these results into their clinical and research repositories. Laboratories should also encourage instrument vendors to deliver LOINC codes in their instrument outputs and demand LOINC codes in HL7 messages they get from reference laboratories to avoid the need to lump so many referral tests under the "send out lab" code. (C) 2003 American Association for Clinical Chemistry.