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No lab is an island: universal coding of laboratory test names
The Journal of Veterinary Diagnostic Investigation ( IF 1.5 ) Pub Date : 2021-02-10 , DOI: 10.1177/1040638721994829
Michael K Martin 1
Affiliation  

The local laboratory with a local client-base, that never needs to exchange information with any outside entity, is a dying breed. As marketing channels, animal movement, and reporting requirements become increasingly national and international, the need to communicate about laboratory tests and results grows. Local and proprietary names of laboratory tests often fail to communicate enough detail to distinguish between similar tests. To avoid a lengthy description of each test, laboratories need the ability to assign codes that, although not sufficiently user-friendly for day-to-day use, contain enough information to translate between laboratories and even languages. The Logical Observation Identifiers Names and Codes (LOINC) standard provides such a universal coding system. Each test—each atomic observation—is evaluated on 6 attributes that establish its uniqueness at the level of clinical—or epidemiologic—significance. The analyte detected, analyte property, specimen, and result scale combine with the method of analysis and timing (for challenge and metabolic type tests) to define a unique LOINC code. Equipping laboratory results with such universal identifiers creates a world of opportunity for cross-institutional data exchange, aggregation, and analysis, and presents possibilities for data mining and artificial intelligence on a national and international scale. A few challenges, relatively unique to regulatory veterinary test protocols, require special handling.



中文翻译:

没有实验室是孤岛:实验室测试名称的通用编码

拥有本地客户群的本地实验室永远不需要与任何外部实体交换信息,这是一个垂死的品种。随着营销渠道、动物移动和报告要求变得越来越国内化和国际化,就实验室测试和结果进行交流的需求也在增长。实验室测试的本地名称和专有名称通常无法传达足够的细节来区分相似的测试。为了避免对每项测试进行冗长的描述,实验室需要能够分配代码,尽管对于日常使用来说不够友好,但包含足够的信息以在实验室甚至语言之间进行翻译。逻辑观察标识符名称和代码 (LOINC) 标准提供了这样一个通用编码系统。每个测试(每个原子观察)都根据 6 个属性进行评估,这些属性在临床或流行病学意义层面确定其独特性。检测到的分析物、分析物特性、样本和结果量表与分析方法和时间(用于挑战和代谢类型测试)相结合,定义了一个独特的 LOINC 代码。为实验室结果配备此类通用标识符为跨机构数据交换、聚合和分析创造了机会世界,并为国家和国际范围内的数据挖掘和人工智能提供了可能性。监管兽医测试协议相对独特的一些挑战需要特殊处理。结果标度与分析和计时方法(用于挑战和代谢型测试)相结合,定义了一个独特的 LOINC 代码。为实验室结果配备此类通用标识符为跨机构数据交换、聚合和分析创造了机会世界,并为国家和国际范围内的数据挖掘和人工智能提供了可能性。监管兽医测试协议相对独特的一些挑战需要特殊处理。结果标度与分析和计时方法(用于挑战和代谢型测试)相结合,定义了一个独特的 LOINC 代码。为实验室结果配备此类通用标识符为跨机构数据交换、聚合和分析创造了机会世界,并为国家和国际范围内的数据挖掘和人工智能提供了可能性。监管兽医测试协议相对独特的一些挑战需要特殊处理。并提出了在国家和国际范围内进行数据挖掘和人工智能的可能性。监管兽医测试协议相对独特的一些挑战需要特殊处理。并提出了在国家和国际范围内进行数据挖掘和人工智能的可能性。监管兽医测试协议相对独特的一些挑战需要特殊处理。

更新日期:2021-02-11
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