Workshop & Presentation Schedule

FHIR and FHIR tools for Forms, Flowsheets and Medical Record Retrievals

• Clem McDonald, MD
  U.S. National Library of Medicine

This presentation will describe the spectrum of requirements for use of LOINC in the US included the FHIR Core standard. We will also describe a number of Lister Hill-developed open source FHIR-support tools that take advantage of a LOINC scaffolding. These include 1) a implementation of FHIR Questionnaire and Structured data capture (also delivered by LOINC's FHIR Server) which generate web based input forms on the fly, form builder with which users can create new questionnaires, FHIRPath an X-path like FHIR data manipulator that includes mathematical expressions, and conditional logic, FHIR flowsheet that will display full or compressed views of medical record time series data and cross patient observation viewer for retrieval of observations from across many patients' medical records. All of these tools are written in JavaScript, supported as SMART on FHIR apps and depend upon LOINC to achieve their full potential. We will demonstrate these tools and provide download access to them.

Using LOINC and HL7 FHIR to Create Plug-and-play Interoperability

• Stanley M. Huff, MD, CMIO
  Intermountain Healthcare

This session will describe the use of LOINC in defining FHIR Resource Profiles as the basis for plug-and-play (semantic) interoperability. There will be a brief introduction to why semantic interoperability is important, followed by a description of what is needed at the technical level to achieve interoperability. The session will include a description of the work of the Clinical Information Modeling Initiative, as well as a brief outline of interoperability activities like the Argonauts, LIVD, and SHIELD.

LIVD and the Experience of an In Vitro Diagnostic Manufacturer

• Andrea Pitkus, PhD, MLS(ASCP)CM
  University of Wisconsin-Madison
• Xavier Gansel
  bioMérieux
• Stéphane Agay
  bioMérieux

Part 1: Learn about the recent LIVD Standard, designed to assist laboratory professionals with providing LOINC codes they can use to map to the laboratory test results corresponding to the IVD systems in their laboratories. Come walk through the standard features and review examples from IVD vendors demonstrating its use, scope, and benefits. We'll discuss the Excel and FHIR (Fast Healthcare Interoperability Resources) formats, and what's next for this valuable resource.

Part 2: bioMérieux, a world leader in microbiology in vitro diagnostic devices, will present its commitment to embrace the lab. data semantic interoperability challenge. In this respect, we will highlight key items of our interoperability vision, our involvement on LOINC, our LOINC and LIVD deliverables made available to our customers. We will also illustrate our implication on related standardization activities such as the US-SHIELD project, CLSI AUTO16 and future CLSI AUTO17 standards. We will also present some of the challenges found on the field.

Use of LOINC and UCUM in Clinical Research

• Jozef Aerts
  XML4Pharma

LOINC and UCUM have been neglected for a long time in clinical research. CDISC (Clinical Data Interchange Standards Consortium) even developed its own lists of lab tests and units for use in submissions to the FDA. The new FDA requirement to use LOINC coding in electronic submissions suddenly changed that. We will present the current status of LOINC and UCUM in clinical research, explain about pre- versus post-coordination approaches and explain how the LOINC to CDISC mapping bridges both worlds. We will also explain how important it is to already use LOINC in research protocols and in the CDISC "Therapeutic Area User Guides" (TAUGs).

UCUM usage for units remains a hot topic in clinical research. It is currently not allowed in submissions. We developed software for automated unit conversions using UCUM notation and implemented that in a RESTful web service which we made available to the NLM. Recently, we extended this RESTful web services to solve the "SI versus US Conventional Units" conversion problem, which is a huge problem in clinical research.

CTMAP coding tool and LOINC insights

• Gloria Gonzalez Gacio, PhD
  BITAC
• Mireia Rodríguez Naqué
  BITAC

CTMAP is a SAAS coding tool based on clinical standards with a Clinical lab standards module (LOINC, SNOMED CT, OMIM, HPO, et al).

This tool enable healthcare information systems to capture, integrate, and share complex accurate patient data, including genomic information along with phenotypic and clinical data.

Linking clinical outcomes to new research on genetic and other molecular variation is our scope, and this has two direct benefits: physicians can easily use clinical decision support tools and obtain data related to personalized diagnostics and treatments

Through a better understanding of the cycle of disease, all these structured data will be transferred into clinical applications, thereby improving the processes of early detection, diagnosis, and treatment enhancing precision medicine workflows.