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Daniel J. Vreeman, PT, DPT, MSc Associate Research Professor, Indiana University School of Medicine
Associate Director for Terminology Services, Regenstrief Institute, Inc
@djvreeman
© 2016
Updates on LOINC
Laboratory LOINC Workshop - Indianapolis, IN USA
Overview
1. Growth and adoption
2. Key publications and presentations
3. Highlights and discussion of recent US Federal initiatives
photo via Vernio77
44,100+ registered users in 171 countries
LOINC Codes Over Time by Release
1700+ new terms in upcoming release
0
10,000
20,000
30,000
40,000
50,000
60,000
70,000
80,000
90,000
4/24/1
995 | 1.0
5/24/1
995 | 1.0
a
6/23/1
995 | 1.0
b
6/28/1
995 | 1.0
c
7/14/1
995 | 1.0
d
9/15/1
995 | 1.0
e
12/21/1
995 | 1.0
f
4/28/1
996 | 1.0
g
8/29/1
996 | 1.0
h(2)
12/3/1
996 | 1.0
h(3)
1/8/1
9997 | 1.0
i
10/9/1
997 | 1.0
j-a
5/1/1
998 | 1.0
k
2/12/1
999 | 1.0
l
7/23/1
999 | 1.0
m
8/6/1
999 | 1.0
ma
2/4/2
000 | 1.0
n
6/13/2
000 | 1.0
0
1/1/2
001 | 2.0
0
1/31/2
001 | 2.0
1
7/1/2
001 | 2.0
3
1/1/2
002 | 2.0
4
2/1/2
002 | 2.0
5
2/19/2
002 | 2.0
6
8/1/2
002 | 2.0
7
9/1/2
002 | 2.0
8
5/1/2
003 | 2.0
9
10/1/2
003 | 2.1
0
1/1/2
004 | 2.1
1
2/1/2
004 | 2.1
2
12/1/2
004 | 2.1
3
12/1/2
004 | 2.1
4
6/1/2
005 | 2.1
5
12/1/2
005 | 2.1
6
6/1/2
006 | 2.1
7
12/21/2
006|2.1
9
6/21/2
007|2.2
1
12/03/2
007|2.2
2
7/10/2
008|2.2
4
1/10/2
009|2.2
6
07/06/2
009|2.2
7
12/30/2
009|2.2
9
2/26/2
010|2.3
0
6/15/2
010|2.3
2
12/29/2
010|2.3
4
06/30/2
011|2.3
6
12/30/2
011|2.3
8
6/30/2
012|2.4
0
12/30/2
012|2.4
2
06/29/2
013|2.4
4
12/26/2
013|2.4
6
06/26/2
014|2.4
8
12/22/2
014|2.5
0
06/29/2
015|2.5
2
12/21/2
015|2.5
4
LOINC Codes
Only Lab LOINC Codes
laboratory terms only
loinc.org registered users
0
5,000
10,000
15,000
20,000
25,000
30,000
35,000
40,000
45,000
6/1/08
12/1/
086/1
/09
12/1/
096/1
/10
12/1/
106/1
/11
12/1/
116/1
/12
12/1/
126/1
/13
12/1/
136/1
/14
12/1/
146/1
/15
12/1/
156/1
/16
6,000 new users per year
LOINC Downloads By Release
5600+ downloads of 2.54 so far
0
2,000
4,000
6,000
8,000
10,000
12,0002.23
2.25
2.27
2.29
2.32
2.34
2.36
2.38
2.40
2.42
2.44
2.46
2.48
2.50
2.54
search.loinc.org unique visitors
0
1000
2000
3000
4000
5000
6000
7000
Jul-10
Jan-11
Jul-11
Jan-12
Jul-12
Jan-13
Jul-13
Jan-14
Jul-14
Jan-15
Jul-15
Jan-16
A note about this past development cycle
Special welcome and introduction of our newest LOINC team members
Tim Briscoe
Katie Allen
Mary Zabriskie
Sara Armson (transition to content development)
Support for a larger team the result of increased external funding success
Content development team has done a remarkable job tackling our backlog of term requests
Our target is processing all requests received 3 months out of a release date
We have a large body of pending work in non-lab areas
We’re Hiring!We have a systems engineer positions available and an entry-level content developer position open.
If you know people who’d be great LOINCers, send them my way!
loinc.org/jobs
Key Publications and Presentations
PCORnet Best Practices Webinar
Top 10 Tips for Mapping to LOINC Daniel J. Vreeman
Extended recommendations available: https://danielvreeman.com/top-10-tips-for-mapping-to-loinc/
NCVHS
Recommendations on Attachment Standards Daniel J. Vreeman
My comments / recommendations available: https://danielvreeman.com/recommendations-to-ncvhs-on-attachment-standards/
FDA Adoption and Promotion of LOINCJanuary 27, 2015
May 14, 2015
September 28, 2015
Stay tuned for follow-up meeting this Fall November
ONC 2016 Interoperability Standards Advisory
My Take
Additional characteristics about maturity and adoption are nice
Fails to acknowledge the common question/answer paradigm of much data
There are other domain areas with clear interoperability needs and mature vocabulary standards available
The CDSIC additions are bizarre and would be disruptive
Clem, Susan Matney, and myself are on the HITSC ISA 2017 Task Force
Meaningful Use Stage 3
87 mentions of LOINC.
Social, Psychological, and Behavioral Data
Financial resource strain
Education
Stress
Depression
Physical activity
Alcohol use
Social connection and isolation
Exposure to violence
All have specific LOINC codes identified
Work in behavioral/mental health data standards is percolating New HL7 WG being discussed, recent Health Affairs paper
French LOINC Adoption
French law mandating LOINC for identifying lab tests via IHE XD-LAB profile
We are breaking for lunch until 1pm
