Clinical LOINC Meeting Minutes
9/4/2014
**See Agenda
Slides of presentations: http://loinc.org/slideshow
Stan: Lab tutorial
Pat: Radiology tutorial
Dan: Document tutorial
Dan: Panels, forms, and assessments tutorial
LOINC update 2.48: Dan Vreeman
(SEE POWERPOINT PRESENTATION)
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Growth and adoption
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LOINC and RELMA release highlights
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LOINC Membership
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**Charging informatics schools for LOINC tutorial for revenue** idea suggested by committee
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Radlex: working towards a unified model for rad procedure names
1.
Single point of contact needed for process
2.
Mapping focus will focus on CT (per contract)
3.
Attributes can employ a syntax
4.
Have made progress on solving issues
5.
User guide in the works currently
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IHTSDO collaboration
1.
Guidance on how to use them together
2.
Meeting next month
3.
117 LOINC terms represented with the SNOMED Observables
4.
Link to expression associations
Nancy Orvis and Russ Ott: suggestions for document ontology
(see powerpoint)
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Artifact repository
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Store digitalized STR service treatment record
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Eliminated the paper process, have to electronically store for 50 years
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Includes 98 total current document types

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56 from LOINC, 32 not in ontology, and 10 DoD specific
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Army reserve has its own documentation repositiory
*Proposed two new LOINC codes and want ten codes moved into the document ontology.
*Russ Ott is going to provide specific examples of documents that will be included and will discuss at tomorrow’s meeting at 3:00 eastern time.
Susan: Nurse LOINC/ Nursing terminology
(see powerpoint)
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Meaningful Use of EHRs
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Decided terminologies for types of concepts established
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Interoperability of Nursing specific terminologies
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Currently in process of a cross-map for ICNP to SNOMED CT
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LOINC webpage that ties to the common physiologic nursing assessments and tie to the LOINC assessment codes.
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Stan wants to collaborate with Stan and the CIMI project as well
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Way to flag most commonly used nursing codes to be flagged as with lab codes.
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Stan would like a user specified hierarchical example
Bonnie Westra
(see powerpoint)
Nursing Management Minimum Data Sets
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Requested four specific needed panels (see slide, in blue font)
1.
Accreditation/certification/licensure
2.
Nurse demographics per unit or service
3.
Environmental conditions
4.
EHR implementation stages
Clinical LOINC Meeting Minutes
9/5/2014
Jim Campbell: Working with PCORI and has requested several new items.
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**Request for a new facility code **
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**Jim will send an updated spreadsheet to LOINC based on today’s discussion **

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Request from SAMHSA for a discharge summary that can flag patient sensitive data. Stan and
Clem are not in favor of doing this. It is like pre=coordinating status of a document. This should be handled elsewhere in the messaging system.
Sundak: Case reports for Hepatitis, STDs, Pertussis, and Mumps
(see powerpoints)
Hepatitis questionnaire form: need some way to specify the time frame
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All types of Hepatitis are included on the same form, they need to be different
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Different scope for the time frame, this is additional information that changes completely and you wouldn’t want to pre-coordinate all of these terms and make LOINC terms for each of these.
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Suggested to ask questions with a multiple choice question for the time frame instead
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Answer list is based off of the contact type, suggested to have sub-answer lists or a super set
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Additional variable will be added to identify the type of Hepatitis
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Needs a way to hold all the public health data elements together and get all LOINC codes associated, Dan does not think this is possible at this time
*Sundak will revise the setup for the LOINC code request
Dan Vreeman: Document Ontology
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Wound care note proposal: revise the current LOINC code 46215-0 to add into Ontology
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Propose: Change the DOC.CLINRPT to DOC.ONTOLOGY- PASSED
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Replace {provider} with {role} non-clinical or provider terms in there, and this would have it correspond with the name of the axis value-
1.
Other options proposed: {author type}
2.
Vote between author type and role 13:5 for {author type}

“Initial evaluation” and “initial assessment”- approved- not disputed six codes changed, no changes needed in the ontology
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Change “assessment “ “evaluation”- approved

“Triage+care note” proposed to create a general parent (roll up) term
1.
Amend policy of roll up for this term, no new term

Add “pathology- forensic” to “forensic medicine”: decision- add “forensic medicine” as root in
SMD add “forensic psychiatry” ass root or sub type (and any other future sub types)
Russ Ott: continuance of DoD Doc types needed

“physical profile” military readiness form (NEED NEW CODE)

2.
Needs to be called something else, more research for generally appropriate term, russ to present next meeting.

E&M and TB (NEED NEW CODE)

Russ will find specific examples of documents requested to be used and present at the next meeting, and will decide if we need new codes in the Ontology or if existing codes will work and if we could create a panel for them
Rob: Patient Care (new business)

Need code for allergy and adverse reaction doc: decision is for Rob to re-eval the C-CDA templates
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Adverse reaction code currently in place by CDA is appropriate, LOINC specify this code for clarification
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Synonyms added in LOINC: add synonyms on LOINC parts
Stan: CIMI
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Information Modeling
Clinical information modeling initiative
Interoperability of information systems –Open Platform Architecture
Healthcare Services Platform Consoritum
(see powerpoint)