The Feasibility of Using LOINC for Laboratory Information Exchange and Assessment of Approaches to Hospital Adoption in Taiwan.

• Main Authors: Liang-Wen Wang, 王亮雯
• Other Authors: Chien-Tsai Liu
• Format: Others
• Language: zh-TW
• Published: 2009
• Online Access: http://ndltd.ncl.edu.tw/handle/23552776969640947913

碩士 === 臺北醫學大學 === 醫學資訊研究所 === 97 === LOINC (Logical Observation Identifier Names and Codes), developed by the Regenstrief Institute and the College of American Pathologists Information Committee, has been widely accepted by internationals as a standard for the exchange of laboratory tests and results. The main goal is to provide unified names and codes used for laboratory tests and clinical observation reports to facilitate the exchange of electronic medical records. The hospitals in Taiwan usually have cooperative laboratory to examination some of rare tests, but they still not apply the LOINC to result converting and data exchange. The main reason is because of the six attributes of LOINC is not correspondent to the common expression in most hospitals. It is difficult for hospitals to find a way to match the local code to LOINC. In this research, we used the NHI-LOINC mapping knowledge base and LOINC database in seven hospitals which had different number of beds and technology ability. Each hospital built in-hospital LOINC code mapping system individually and used by different database and mapping tools. Then we discuss and analysis the corresponding effect of different method and database, and try to find out the best mapping system which suit the current hospital information system in Taiwan medical environment. From the research, we could know that when a hospital can totally in charge of the laboratory information system, building an automatic mapping system by used NHI-LOINC mapping knowledge base can finish the mapping from local code to LOINC in very short time and get a good automapping rate. This research can provide a quicker and more accurate way for those hospitals which have the needs for building the mapping system.