Abstract
Public health reporting of laboratory results requires unambiguous identification of the test performed and the result observed. Some laboratories are currently using Logical Observation Identifier Names and Codes (LOINC) for the electronic reporting of laboratory tests and their results to public health departments. Initial use revealed inconsistent identification and use of LOINC concepts by laboratories and public health agencies and an inability to systematically extend, for public health use, the tables when adding new concepts. We applied simple, logical rules to existing LOINC concepts to facilitate the creation of a hierarchy of concepts and to allow the identification and specification of appropriate terms for public health reporting and subsequent data aggregation. The hierarchy also allows the systematic addition of new concepts further supporting public health reporting. Application of the hierarchy is illustrated by using all laboratory LOINC concepts assigned to the subset of microbiology test types (CLASS MICRO).
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- Effler P., Ching-Lee M., Bogard A., Ieong M. C., Nekomoto T., Jernigan D. Statewide system of electronic notifiable disease reporting from clinical laboratories: comparing automated reporting with conventional methods. JAMA. 1999 Nov 17;282(19):1845–1850. doi: 10.1001/jama.282.19.1845. [DOI] [PubMed] [Google Scholar]
- Forrey A. W., McDonald C. J., DeMoor G., Huff S. M., Leavelle D., Leland D., Fiers T., Charles L., Griffin B., Stalling F. Logical observation identifier names and codes (LOINC) database: a public use set of codes and names for electronic reporting of clinical laboratory test results. Clin Chem. 1996 Jan;42(1):81–90. [PubMed] [Google Scholar]
- Huff S. M., Rocha R. A., McDonald C. J., De Moor G. J., Fiers T., Bidgood W. D., Jr, Forrey A. W., Francis W. G., Tracy W. R., Leavelle D. Development of the Logical Observation Identifier Names and Codes (LOINC) vocabulary. J Am Med Inform Assoc. 1998 May-Jun;5(3):276–292. doi: 10.1136/jamia.1998.0050276. [DOI] [PMC free article] [PubMed] [Google Scholar]
- McDonald C. J., Overhage J. M., Dexter P., Takesue B. Y., Dwyer D. M. A framework for capturing clinical data sets from computerized sources. Ann Intern Med. 1997 Oct 15;127(8 Pt 2):675–682. doi: 10.7326/0003-4819-127-8_part_2-199710151-00049. [DOI] [PubMed] [Google Scholar]
- Roush S., Birkhead G., Koo D., Cobb A., Fleming D. Mandatory reporting of diseases and conditions by health care professionals and laboratories. JAMA. 1999 Jul 14;282(2):164–170. doi: 10.1001/jama.282.2.164. [DOI] [PubMed] [Google Scholar]
- Steindel S. J., Rauch W. J., Simon M. K., Handsfield J. National Inventory of Clinical Laboratory Testing Services (NICLTS). Development and test distribution for 1996. Arch Pathol Lab Med. 2000 Aug;124(8):1201–1208. doi: 10.5858/2000-124-1201-NIOCLT. [DOI] [PubMed] [Google Scholar]