Application of a Regenstrief RELMA V.6.6 to Map Russian Laboratory Terms to LOINC

G. Kopanitsa

doi:10.3414/ME15-01-0068

Methods of Information in Medicine, Table of Contents

Methods Inf Med 2016; 55(02): 177-181
DOI: 10.3414/ME15-01-0068

Original Articles

Schattauer GmbH

Application of a Regenstrief RELMA V.6.6 to Map Russian Laboratory Terms to LOINC

G. Kopanitsa

¹Tomsk Polytechnic University, Tomsk, Russia

²Helix Laboratory Service, Saint-Petersburg, Russia

³Tomsk State University for Architecture and Building, Tomsk, Russia

› Author Affiliations

Abstract

Summary

Background: Manual mapping of laboratory data to Logical Observation Identifiers Names and Codes (LOINC) requires a major effort. Application of the LOINC mapping assistant RELMA V.6.6 can reduce the effort required for mapping. The goal of the paper is to perform a semi-automated mapping of Russian laboratory terms to LOINC.

Methods: A semi-automated mapping of the 2563 terms from two clinics in Russia was performed. The first step was automatic mapping using RELMA V.6.6 and LOINC V.2.48 Russian translation by Yaroslavl state medical academy. The second step was a manual expert mapping. To evaluate the correctness of mapping all the mapped terms were reviewed by two experts.

Results: The paper presents the results of semi-automatic mapping of Russian laboratory terms to LOINC. Two clinics (A and B) and a laboratory service participated in the project. The following results were achieved: mapping of 86% terms from Clinic A and 87% from Clinic B. It has to be mentioned that 99% of terms used in 2014 were mapped. In total 2398 out of 2563 were mapped.

Discussion: The required effort was reasonable and the price of mapping and maintenance was considered as relatively low in comparison to manual methods.

Conclusion: RELMA V.6.6 and LOINC V.2.48 offer the opportunity of a low effort LOINC mapping even for non-English languages. The study proved that the mapping effort is acceptable and mapping results are on the same level as the manual mapping.

Keywords

LOINC - laboratory information system - hospital information system - semantics

Full Text

References

References
1 Zhou Q, He J, Liu J. A study on the LIS and HIS integration. Sheng Wu Yi Xue Gong Cheng Xue Za Zhi 2008; 25: 1294-1298.
2 Dixon BE, McGowan JJ, Grannis SJ. Electronic laboratory data quality and the value of a health information exchange to support public health reporting processes. AMIA Annu Symp Proc 2011; pp 322-330.
3 Were MC, Meeks-Johnson J, Overhage JM. Enhanced laboratory reports: using health information exchange data to provide contextual information to laboratory results for practices without electronic records. AMIA Annu Symp Proc. 2008 p 1174.
4 Warren JS. Laboratory test utilization program: structure and impact in a large academic medical center. Am J Clin Pathol 2013; 139: 289-297.
5 Hood FJ. Coding according to local medical review policy. South Med J 2001; 94: 1104-1106.
6 Wilson PS, Scichilone RA. LOINC as a data standard: how LOINC can be used in electronic environments. J AHIMA 2011; 82: 44-47.
7 Vreeman DJ, McDonald CJ, Huff SM. LOINC(R) – A Universal Catalog of Individual Clinical Observations and Uniform Representation of Enumerated Collections. Int J Funct Inform Personal Med 2010; 3: 273-291.
8 Co Jr MC, Boden-Albala B, Quarles L, Wilcox A, Bakken S. Using the LOINC Semantic Structure to Integrate Community-based Survey Items into a Concept-based Enterprise Data Dictionary to Support Comparative Effectiveness Research. Nurs Inform. 2012 p 88.
9 Forrey AW, McDonald CJ, DeMoor G, Huff SM, Leavelle D, Leland D, Fiers T, Charles L, Griffin B, Stalling F. et al. 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; 42: 81-90.
10 Vreeman DJ, Chiaravalloti MT, Hook J, McDonald CJ. Enabling international adoption of LOINC through translation. J Biomed Inform 2012; 45: 667-673.
11 Wu J, Finnell JT, Vreeman DJ. Evaluating congruence between laboratory LOINC value sets for quality measures, public health reporting, and mapping common tests. AMIA Annu Symp Proc 2013; pp 1525-1532.
12 Lee LH, Gross A, Hartung M, Liou DM, Rahm E. A multi-part matching strategy for mapping LOINC with laboratory terminologies. J Am Med Inform Assoc 2014; 21: 792-800.
13 Mok J, Ho PC, Tsui K, Ng L, Fung V. Quality assurance of LOINC mapping for laboratory tests – a local experience with people, process and technology. Stud Health Technol Inform 2013; 192: 975.
14 Adamusiak T, Bodenreider O. Quality assurance in LOINC using Description Logic. AMIA Annu Symp Proc 2012; pp 1099-1108.
15 Zunner C, Burkle T, Prokosch HU, Ganslandt T. Mapping local laboratory interface terms to LOINC at a German university hospital using RELMAV 5: a semi-automated approach. J Am Med Inform Assoc 2013; 20: 293-297.
16 Edeler B, Majeed RW, Ahlbrandt J, Stohr MR, Stommel F, Brenck F, Thun S, Rohrig R. LOINC in prehospital emergency medicine in Germany – experience of the ‘DIRK’-project. Methods Inf Med 2014; 53: 87-91.
17 Lin MC, Vreeman DJ, McDonald CJ, Huff SM. A characterization of local LOINC mapping for laboratory tests in three large institutions. Methods Inf Med 2011; 50: 105-114.
18 Kopanitsa G, Veseli H, Yampolsky V. Development, implementation and evaluation of an information model for archetype based user responsive medical data visualization. J Biomed Inform. 2015
19 Veseli H, Kopanitsa G, Demski H. Standardized EHR interoperability – preliminary results of a German pilot project using the archetype methodology. Stud Health Technol Inform 2012; 180: 646-650.
20 Kawada T. Sample size in receiver-operating characteristic (ROC) curve analysis. Circ J 2012; 76: 768 author reply 769.
21 Berry KJ, Johnston JE, Mielke Jr. PW. Weighted kappa for multiple raters. Percept Mot Skills 2008; 107: 837-848.
22 Khan AN, Russell D, Moore C, Rosario Jr. AC, Griffith SP, Bertolli J. The map to LOINC project. AMIA Annu Symp Proc. 2003 p 890.
23 Khan AN, Griffith SP, Moore C, Russell D, Rosario AC, Bertolli J. Standardizing Laboratory Data by Mapping to LOINC. Journal of the American Medical Informatics Association: JAMIA 2006; 13: 353-355.
24 Kim H, El-Kareh R, Goel A, Vineet FNU, Chapman WW. An Approach to Improve LOINC Mapping through Augmentation of Local Test Names. Journal of biomedical informatics 2012; 45: 651-657.
25 Dugas M, Thun S, Frankewitsch T, Heitmann KU. LOINC codes for hospital information systems documents: a case study. J Am Med Inform Assoc 2009; 16: 400-403.
26 Nagy M, Hanzlicek P, Preckova P, Riha A, Dioszegi M, Seidl L, Zvarova J. Semantic interoperability in Czech healthcare environment supported by HL7 version 3. Methods Inf Med 2010; 49: 186-195.
27 Lee KN, Yoon JH, Min WK, Lim HS, Song J, Chae SL, Jang S, Ki CS, Bae SY, Kim JS. et al. Standardization of terminology in laboratory medicine II. J Korean Med Sci 2008; 23: 711-713.