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[Gnumed-devel] LOINC and decision support
From: |
Jim Busser |
Subject: |
[Gnumed-devel] LOINC and decision support |
Date: |
Thu, 25 Feb 2010 23:00:15 -0800 |
was: Re: French drug database in GNUmed
On 2010-02-25, at 3:13 PM, Jim Busser wrote:
> On 2010-02-15, at 4:05 AM, Karsten Hilbert wrote:
>
>> I can easily write a GNUmed - FreeDIAMS
>> connector for that.
In order to deliver a proper string to FD, GNUmed should have to query for
- a patient to have a Health Issue that has been coded to a renal failure code
(despite that GNUmed might contain no quatitative renal function measurement at
the time of calling FD, the user of GNUmed should perhaps be warned or maybe a
precaution string could be passed to future FD
- patient's creatinine or creatinine clearance... priority could be to use the
most recent among the two values
- GNUmed query likely needs to poll for suitable LOINCs. This can be done by
hand but we may as well be as smart as possible.
There exists a Regenstrief LOINC Mapping Assistant
http://loinc.org/relma
which is only multi-platform via internet Citrix session at
http://rgnfuse.regenstrief.org:8084/Citrix/RELMA/relma.htm
otherwise runs only on WIndows.
http://jamia.bmj.com/content/13/3/353.full.pdf
An automated mapping tool was developed to assign LOINC codes. At these sites,
they were able to map from 63% to 76% of the local active laboratory tests to
LOINC using the mapping tool. Eleven percent to 27% of the tests were mapped
manually. They could not assign LOINC codes to 6% to 19% of the laboratory
tests due to incomplete or incorrect information about these tests.
- the tool itself is unlikely practically available... it was written in MUMPS
For creatinine I also found
http://loinc.org/meetings/20040312/laboratory-loinc-meeting-03-12-2004/handout-h2.pdf
and elsewhere
2164-2 CREATININE RENAL CLEARANCE:VRAT:24H:UR:QN
35591-7 Creatinine renal clearance.predicted
35592-5 Creatinine renal clearance/1.73 sq M.predicted
50380-5 Creatinine renal clearance/1.73 sq M.predicted.female
50381-3 Creatinine renal clearance/1.73 sq M.predicted.male
50384-7 Glomerular filtration rate/1.73 sq M.predicted
33914-3 Glomerular filtration rate/1.73 sq M.predicted
48642-3 Glomerular filtration rate/1.73 sq M.predicted.non black
48643-1 Glomerular filtration rate/1.73 sq M.predicted.black
50044-7 Glomerular filtration rate/1.73. sq M.predicted.female
50210-4 Glomerular filtration rate/1.73 sq M.predicted