A Web-based Assistant for Mapping NHI Laboratory Codes to LOINC

• Main Authors: Lee Ding Yang, 李定洋
• Other Authors: Chien-tasi Liu
• Format: Others
• Language: zh-TW
• Published: 2006
• Online Access: http://ndltd.ncl.edu.tw/handle/68638723906284621151

碩士 === 臺北醫學大學 === 醫學資訊研究所 === 94 === Handling to the medical examination data is an important issue in the hospital. Under current administrative structure, each hospital has its own local codes to perform the examinations and management the laboratory data. These codes may suit for internal use, but may cause the great difficulties in data communication, clinical diagnosis, and comparison of the examination data between hospitals. Thus this system caused a serious waste, in global situation. To construct a new communication system for exchange the laboratory data between hospitals will cost large amount resources. An alternative choice is setting the logical observation identifier names and codes (LOINC) as standard, and directly converting the local code to LOINC. The main purpose of this study is to construct an information inquiry platform which is suitable for domestic hospital and examination center to communicate with each other using their familiar internal-used code, but not to construct a new system to replace the Regenstrief LOINC Mapping Assistant (RELMA) system which is widely-used in foreign area. The most familiar coding systems for the domestic hospital are their local code and national health insurance (NHI) standard code. Each hospital already established corresponding sheet between local examination code and the NHI standard code to declare the NHI payment. Thus, the main work in this study is concentrating to construct a platform which can directly inquire the LOINC information using local laboratory name or NHI laboratory name. This system will construct a web-based mapping assist system. Using Taiwan-LOINC knowledgebase, user can inquire the information with single NHI standard code, category of the NHI standard codes, and examination term. After arrange the collected examination term, a keyword-LOINC database has been build up. The user can also inquire the LOINC code by these keywords which are not standard keywords in LONIC but are familiar to the laboratory technician. When the corresponding sheet between local codes and LOINC code has been established in each hospital, the different coding system in different hospital can be easily communicated, and data can also be easily exchanged and analyzed. Thus, the cost of NHI can be reduced.