LOINC Maintenance in Cerner

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  • #18717
    Sam McCash
    Participant

    Hello,
    I am checking to see if there is anyone in the forum who is maintaining LOINC within Cerner who could give me advice on forming a maintenance process.

    Thank you,
    Sam

    #466974
    Rachel Perez
    Participant

    Hello,

    Were you able to form a maintenance process?

    #466983
    Sam McCash
    Participant

    Unfortunately, we have not.  Cerner does provide LOINC updates that coincide with the biannual LOINC updates, but applying those requires a full update to our system which requires a full validation.  In the scheme of things it has been difficult to justify the full validation just for a code update which may or may not have any effect on our current LOINC reporting.  We are investigating some possibilities where the updates wouldn’t become such a burden, but nothing has panned out as of yet.

    #466985
    Pam Banning
    Moderator

    I did hear back from Cerner, where the representative stated “Clients take packages for releases of new terminology in order to update their nomenclature table and have the latest codes available.” I understand Sam’s comment too, that a software change (even for just content) needs to have system validation (most cumbersome).

    I had written a tip agnostic of vendors that may help if you are familiar with Microsoft Office or Oracle tools. This will surface possible assays to audit more closely. “Three Easy Steps to a LOINC update” can be found at https://www.hddaccess.com/tips/three-easy-steps-to-perform-a-loinc-update

    Similarly, if you have such a local file of all your mappings, the RELMA tool menu has an option to ‘Find local codes mapped to Deprecated/Discouraged LOINCs’.  It’s a bare minimum of a version check. RELMA is expected to be retired in 2022; we hope Regenstrief has accounted for all its functionality in the new offering.

    Let me know if further assistance is needed.

     

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