Terminology Services to Reduce Avoidable CT Imaging F2F Meeting | 2015 10 14

Update on LOINC and RadLex

Unification
Daniel J. Vreeman, PT, DPT, MSc
Associate Research Professor, Indiana University School of Medicine
Associate Director for Terminology Services, Regenstrief Institute, Inc

2015 CC-BY-NC

Funding Support
Contract from National Institute of Biomedical
Imaging and Bioengineering
Phase 1: Computed Tomography
Started Oct 2013, Ended September 2015
Some changes published in LOINC v2.52
More to be published in Dec LOINC release

Phase 2: All remaining modalities

Funded by NIBIB effective 2015 10through 2017 09

Overall Goal:
Produce a single unified source of
names and codes for radiology
procedures with a cooperative
governance process.

Developing the Unified

Radiology Model

Main Deliverables
Developing a Unified Model for Radiology
Procedure Names
Mapping the attribute-values between each
terminology (i.e. LOINC Parts to RadLex RIDs)
Mapping between RadLex RPIDs and LOINC codes

Unified Model Attribute Groupings

Modality

LOINC-speak
Method

Anatomy

System

View

Component

Reason for Exam

Component

Guidance

Component

Pharmaceutical

Challenge*

Subject

Super System

* Currently no differentiation between chemical (contrast) and physical challenges

All part of the syntax used in creating the Component part name, but not labeled differently

A Users Guides for all

attributes will be published as
part of the LOINC Users Guide
(coming in Dec 2015).

Planned Accessory File Format

LOINC Number
LOINC Common Name
Part Number
Part Type Name
Part Name
Seq Order

RID
RID Name
RPID
RPID Name

Governance

Recently Signed Agreement

New joint LOINC/RadLex Committee to be
advisory body
LOINC codes as the primary identifier for
radiology procedures (e.g. the universal codes)
while linking to the RadLex attribute/values for
each term so that they can be used as meta-data
Meetings at least once per year (open to public)

Distribution Artifacts

Distribution Artifacts
LOINC Table, RELMA (Regenstrief)
As is today

LOINC RSNA Playbook Table (Regenstrief)

December 2015 LOINC release
Draft format as shown earlier

RadlLex Playbook Table (RSNA)

Format determined by RSNA
New format for Version 2 (learned a lot from LOINC)
Includes EXPORTED_TO_LOINC attribute that points people to
LOINC as we complete our work

A Few Summary Stats

RPIDs mapped to LOINC: 104
# with exact attribute mappings: 65
New LOINCs created: 39
Active CT LOINCs: 740
RID codes mapped to: 228
Over 700+ LOINC terms edited

Looking ahead

Rough Order of Work

Year 1
MRI
US
Nuclear medicine
Radiography
Fluoroscopy

Year 2
Mammography
Image-guided interventional radiology procedures