Handout - LOINC Italy - 2012 12
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Transcript Handout - LOINC Italy - 2012 12
National Research
Council of Italy
Laboratory LOINC
Committee Meeting
Regenstrief Institute,
Indianapolis
December 7, 2012
Institute for High
Performance Computing
and Networking
LOINC Italia News
Maria Teresa Chiaravalloti
Technologist at National Research
Council, Italy
PhD Student at University of Calabria,
Italy
Giovanna Sannino
Research fellow at National
Research Council, Italy
PhD Student at University of Naples
“Parthenope”, Italy
Where we left last time…
National Research
Council of Italy
Institute for High Performance
Computing and Networking
Mapping results: an example
2376 local lab tests
(Laboratorio Lamberti)
National Research
Council of Italy
89% mapped
VS
11% unmapped
Institute for High Performance
Computing and Networking
What we understood
It is strictly necessary a standardized mapping
procedure/guidelines
The chance to look at what other labs have
done is a key factor in mapping success
LOINC Mapping Repository
and RELMA “Community
Edition” Project
National Research
Council of Italy
Institute for High Performance
Computing and Networking
Where we left last time…
National Research
Council of Italy
Institute for High Performance
Computing and Networking
Governamental adoption of
LOINC
LOINC is one of the
standardized
vocabulary
recommended for
identifying single items in
clinical report
documents
National Research
Council of Italy
Institute for High Performance
Computing and Networking
Part translation updates
LOINC 2.34
RELMA 5.0
(Dec 2010)
LOINC 2.36
RELMA 5.3
(Jun 2011)
LOINC 2.37
RELMA 5.4
(Dec 2011)
LOINC 2.41
RELMA 5.9
(Dec 2012)
Translated
atomic parts
11,748
11,748
12,924
19,275
Synonyms
3,341
6,026
7,092
9,092
Translated full
term names
43,152
43,720
45,813
?
+ Clinical Parts
National Research
Council of Italy
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Computing and Networking
Mobile Health Monitoring
Systems
Aims:
This research activity aims at designing and realizing
an intelligent mobile system for clinical care and
remote patient monitoring, in particular for heart
monitoring of patients with chronic heart diseases.
Monitor parameters is not enough:
Example:
a system monitors Heart rate and Heart rate variability;
if (HR >= 120)
alarm
If the person under monitoring is running?
Intelligent context awareness
National Research
Council of Italy
Institute for High Performance
Computing and Networking
Mobile Health Monitoring
Systems
Idea:
Proposed approach aims at solving some m-Health
open issues about intrusiveness, technological limits,
reliability, interoperability and security in order to
guarantee :
Non-intrusive data capture by using wearable
monitoring devices
Intelligent data analysis for Medical aims or healthy
LifeStyle
Pervasive data transfer and access (e.g. Electronic
Health Record)
Interoperability between health services and devices
Reliability in communications
Security in terms of privacy and data Integrity
National Research
Council of Italy
Institute for High Performance
Computing and Networking
Mobile Health Monitoring
Systems
Results:
A prototype system has been designed and
realized in order to:
Guarantee an intelligent data analysis in terms of reliability
Assure a correct monitoring and warning system for
doctors and for patients reducing false positive alarms
The prototype is for Android Tablets and Smartphones and
for PC Desktop Windows based.
The proposed approach consists in:
Correlation of biomedical parameters with patient’s
context-aware information:
Biomedical information: HR, HRV, SpO2, Glycemia, Body
Temperature, Respiratory Rate, etc.
Physical activity: Posture, Movements, etc.
Use of knowledge technologies to build proper
applications
National Research
Council of Italy
e.g. Decision Support Systems
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Computing and Networking
Mobile Health Monitoring
Systems
More biomedical sensors are integrated in our system, like:
Zephyr BioHarness:
a physiological monitoring system. The subject wears a Smart Fabric chest strap
or shirt which incorporates sensors to monitor heart ECG signals, and respiration
rate. Attached to the strap is the BioHarness Module. This contains a
temperature sensor and a 3-axis accelerometer for monitoring attitude (subject
posture) and activity (acceleration).
Alive ECG Monitor:
a small device aimed at monitoring the user's ECG. The ECG signal can be
stored in an SD memory card placed on the device and/or transmitted via a
Bluetooth connection to a mobile phone, PDA, or PC for real-time display,
recording and analysis. It is a wearable system suitable for the screening,
diagnosis and management of cardiac chronic diseases. It is also able to
monitor movements and physical activities performed by the user by means of
an embedded accelerometer sensor.
National Research
Council of Italy
Institute for High Performance
Computing and Networking
Mobile Health Monitoring
Systems
The system was tested on:
Asus Eee Pad Transformer Prime
Android 4.0.3
Samsung Galaxy “gio”
Android 2.3
PC Desktop
Windows XP
National Research
Council of Italy
Institute for High Performance
Computing and Networking
Mobile Health Monitoring
Systems
What LOINC can do for us:
Terminology standard:
Communication with Electronic Health Record Systems (EHR)
LOINC coding system is used to identify all monitored parameters
Definition of Rules
(?m http://mH#heartRate ?hr), greaterThan(?hr,100) ->
newInstance(?abn, http://mH#abnormalCondition), (?abn
http://mH#conditionType 'Tachycardia'^^xsd:string), (?abn
http://mHealthOnto#dueTo ?m) ]
(?m http://mH#8867-4 ?hr), greaterThan(?hr,100) -> newInstance(?abn,
http://mH#abnormalCondition), (?abn http://mH#conditionType
'Tachycardia'^^xsd:string), (?abn http://mHealthOnto#dueTo ?m) ]
National Research
Council of Italy
Institute for High Performance
Computing and Networking
Mobile Health Monitoring
Systems
What we can do for LOINC
Contribute to upgrade the
database with new codes
related to parameters detected
by wearable sensors
“Sagittal plane body position” :
LOINC number 72282-7
National Research
Council of Italy
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Conclusions and future work
We would like to suggest to start thinking about the need of a
«translation control».
Could be challenging BUT it is LOINC content that goes all over the
world
LOINC is part of a third stage of the InFSE project (started July
1st 2012)
LOINC tutorial
LOINC online helpdesk
Clinical LOINC, especially Tumor Registry class, to be used in a
recently approved project by Pharmacy Department of the
University of Calabria
National Research
Council of Italy
Institute for High Performance
Computing and Networking
National Research
Council of Italy
Laboratory LOINC
Committee Meeting
Regenstrief Institute, Indianapolis
December 7, 2012
Institute for High
Performance Computing
and Networking
Thank you for your attention!
Maria Teresa Chiaravalloti
[email protected]
Giovanna Sannino
[email protected]