Rebecca Ettien

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  • in reply to: Call for Feedback on LOINC Groups #22472
    Rebecca Ettien
    Participant

    Hi Swapna,

    Thank you very much for your prompt and helpful reply.

    I was thinking that was probably the case about the GroupID.  I did notice they were the same for 2.63 – 2.64.  That document for 2.61 was such a great view of the Loinc groups.  I understand not having the resources or the need to create it for each release.

    I’m wondering what your response is to the second part of my inquiry about what is the best way to view and consume the data for clinical observables?   What, if any, of the downloadable content is the most useful for the clinical use case?

    Also, I was wondering why the decision was made to exclude challenge codes from the groups?  Or body site codes?  As a clinician, I would want to view and consume all of the codes for documenting of vital signs, say, for example, systolic blood pressure-sitting or Ulnar artery – left Systolic blood pressure.

    Is there an efficient way to view and aggregate clinical observations, specifically, physiologic (e.g. ejection fraction) and physical (e.g. measurements) observations?  I know that there are the Panels in RELMA but the codes are not viewable with that function.  Perhaps a component to filter on?  Being a nurse, I am not interested in the Lab codes.

    Again, thank you so much for your time and attention to my inquiry.

    Regards,

    Rebecca

    in reply to: Call for Feedback on LOINC Groups #22464
    Rebecca Ettien
    Participant

    Hello,

    Thank you for all you (the greater LOINC you) do.

    Here’s the good news.  When I discovered the LOINC_2.61_GroupFile_Alpha_1_grouped_with_counts download file with the Loinc Groups for nursing specific documentation, e.g. diastolic blood pressure, and body weight, I felt like I’d won the LOINC lottery.  For the first time I could see all the codes used in one place.  Although I had to filter out the lab Loinc Groups to only see the nursing specific content, it was worth the time.

    Now the bad news.  With the release of Loinc 2.64, 6/15/2018, not only do I not find a document labeled LOINC 2.64 GroupFile grouped with counts, as I would expect to find, so that I can see what I found with LOINC_2.61_GroupFile_Alpha_1_grouped_with_counts, but by the time I find the Loinc Groups located in a file named GroupLoincTerms, I discovered that the Loinc Group ID number had changed.  How did I find this out you are wondering?  When I searched on the GroupId column for LG10304-0, Body height|Len|Pt|^Patient (from the LOINC_2.61_GroupFile_Alpha_1_grouped_with_counts download file, there was no match.  However, when I searched on Body height, there they were, with a different GroupId.

    I am wondering why the Loinc Group Id changed from one version to the next?  I am seeking guidance on how a nurse, in the absence of consistent Loinc Group Ids, can efficiently utilize Loinc to view and consume clinical observation codes without an obvious LOINC provided way?  Loinc Panels are interesting to look at but do not provide a user friendly or consumable organization structure for observation codes used for clinical concepts.

    Thank you in advance for your time and attention to my inquiry.

    Rebecca

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