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评估实验室LOINC值集在质量指标、公共卫生报告及常见检测映射方面的一致性。

Evaluating congruence between laboratory LOINC value sets for quality measures, public health reporting, and mapping common tests.

作者信息

Wu Jianmin, Finnell John T, Vreeman Daniel J

机构信息

Regenstrief Institute, Inc., Indianapolis, IN ; Indiana University School of Informatics and Computing, Indianapolis, IN.

Regenstrief Institute, Inc., Indianapolis, IN ; Indiana University School of Informatics and Computing, Indianapolis, IN ; Indiana University School of Medicine, Indianapolis, IN.

出版信息

AMIA Annu Symp Proc. 2013 Nov 16;2013:1525-32. eCollection 2013.

Abstract

Laboratory test results are important for secondary data uses like quality measures and public health reporting, but mapping local laboratory codes to LOINC is a challenge. We evaluated the congruence between laboratory LOINC value sets for quality measures, public health reporting, and mapping common tests. We found a modest proportion of the LOINC codes from the Value Set Authority Center (VSAC) were present in the LOINC Top 2000 Results (16%) and the Reportable Condition Mapping Table (52%), and only 25 terms (3%) were shared with the Notifiable Condition Detector Top 129. More than a third of the VSAC Quality LOINCs were unique to that value set. A relatively small proportion of the VSAC Quality LOINCs were used by our hospital laboratories. Our results illustrate how mapping based only on test frequency might hinder these secondary uses of laboratory test results.

摘要

实验室检测结果对于诸如质量指标和公共卫生报告等二次数据用途很重要,但将本地实验室代码映射到LOINC是一项挑战。我们评估了用于质量指标、公共卫生报告以及映射常见检测的实验室LOINC值集之间的一致性。我们发现,来自值集管理中心(VSAC)的LOINC代码在LOINC前2000结果中占比适中(16%),在可报告疾病映射表中占比为52%,并且与法定报告疾病检测器前129项中共享的术语仅25个(3%)。超过三分之一的VSAC质量LOINC是该值集所独有的。我们医院实验室使用的VSAC质量LOINC比例相对较小。我们的结果说明了仅基于检测频率进行映射可能如何阻碍实验室检测结果的这些二次用途。

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