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Martin Dugas, Sylvia Thun, Thomas Frankewitsch, and Kai U Heitmann (2009)

LOINC(R) Codes for Hospital Information Systems Documents: A Case Study.

J Am Med Inform Assoc 16(3):400-3.

Hospital Information Systems (HIS) handle a large number of different types of documents. Exchange and analysis of data from different HIS is facilitated by the use of standardized codes to identify document types. HL7's Clinical Document Architecture (CDA) uses LOINC (logical observation identifiers names and Codes) codes for clinical documents. The authors assessed the coverage of LOINC codes for document types in a German HIS. The authors analyzed document types that occurred more than 10 times in approximately 1.3 million documents in a commercial HIS at a major German University Hospital. Document types were mappedmanually to LOINC using the Regenstrief LOINC Mapping Assistant (RELMA). Each document type was coded by two physicians. In case of discrepancies a third expert was consulted to reach consensus. For 76 of 86 document categories a LOINC code was identified, but for 38 of these categories, the LOINC code was not specific as deemed necessary. More than 93% of our local HIS documents had localdocument types that could be assigned a LOINC code.
 
by Daniel Vreeman last modified 2009-05-26 06:31
Current Versions
LOINC 2.38
Released: 2011-12-30

RELMA 5.6
Released: 2012-01-30


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