Meditech EMR ID (HUB.ITEM) map to LOINC

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  • #270865
    Joel Otto
    Participant

    Hello,

    Does anyone have a master map between Meditech EMR ID’s and LOINC codes?

    I have written a simple NPR repot to download the entire EMR ID list from Meditech and I imported it into Excel.

    #270869
    Pam Banning
    Participant

    Hi Joel,

    I personally haven’t heard of a Meditech master map; if you would like to share examples perhaps we can help guide you. Are these clinical templates as well as laboratory observations? Do you feel the NPR report has enough information to work through the attributes LOINC is founded on?

    I’m not sure if the Forum allows file upload; but we can converse here initially, and figure out what next steps are.

    Sincerely,

    Pam Banning

    co-chair, Lab LOINC committee

    #270875
    Joel Otto
    Participant

    Hello,

    Thank you for replying to my post.  Below is a small example of the list of EMR IDs.  Meditech has 41,878 EMR ID’s for Laboratory and Microbiology, the two departments that I’m tasked with finding EMR ID’s based on LOINC codes.

    We use less than 5,000 of these EMR IDs and not the complete 41,878.  I can email the complete list should you want it.  The column below named “ITEM” is the Meditech EMR ID which we would like to find LOINC codes for.  The other column “CATEGORY” indicates whether it belongs to Laboratory or Microbiology.  A map of LOINC codes associated with Meditech’s EMR ID’s would be so helpful to every Meditech and LOINC customer.

    CATEGORY     ITEM
    MICRO             14-3-3 Protein Assay (CJD)
    LAB IMM         14-3-3 eta Protein
    MICRO             AFB Blood Culture
    MICRO             AFB Broth Culture
    MICRO             Adrenal Antibody
    LAB MISC       Adrenal Leukodystrophy
    LAB CHEM     Adrenal Stress Profile (Afternoon)
    LAB CHEM     Adrenal Stress Profile (Midnight)
    LAB CHEM     Adrenal Stress Profile (Morning)
    LAB CHEM     Adrenal Stress Profile (Noon)

    Thank you for your assistance and time,

    Joel Otto

     

    • This reply was modified 6 months, 2 weeks ago by Joel Otto. Reason: the table copied from Excel did not post correctly so I posted again as plain text
    #270877
    Pam Banning
    Participant

    Hi Joel,

    This is very interesting. I suppose being a template, there isn’t a constraint to only being reported the same way (positive vs negative, or a titer, or a measurement in mg/dL, etc). It only goes by the analyte or study.  Is it necessary to identify ONE LOINC for each, or could a group of LOINCs qualify for use? I’m asking because more organizations are finding use cases for rolling up a variety of LOINCs to serve as a collator of multiple result level LOINCs under it. Are you aware of that arena? Section 9.6 of the LOINC User’s Guide introduces it.

    When dealing with a laboratory information system, we ask for an extract that includes collection label information, transport information to the lab, result format (alpha vs numeric, etc), units of measure where appropriate and sometimes workstation/instrument information can assist in the method attribute determination. If I was to take one example from your list above it might look like this:

    CODE       DISPLAY                            SPECIMEN   RST FORMAT    UNIT MEASURE

    ADA          Adrenal Antibody                  Serum               Alpha                  [Null]

    ADAT      Adrenal Antibody Titer          Serum              Numeric

    As you can imagine, with five LOINC codes available for adrenal antibody, there would need to be additional information to constrain the Meditech template. And I would imagine the vendor would not want to dictate all of their clients to only use one particular assay or reporting style for every lab offering. Looking forward to your thoughts!

    Pam

    pdbanning@mmm.com

    #270895
    Joel Otto
    Participant

    Hello,

    Yes, I believe a single Meditech EMR ID could have many possible LOINC codes.  What would be really helpful is if you had your complete LOINC list with the EMR ID’s mapped to each LOINC.  This would likely display the same EMR ID multiple times on that list as the EMR ID’s are mostly generic and not very specific.

    I will email you the complete list of EMR IDs so that you can take a look.

     

    Joel

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