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National Research Council of Italy. 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 - PowerPoint PPT Presentation
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LOINC Italia News
Maria Teresa ChiaravallotiTechnologist at National Research
Council, ItalyPhD Student at University of Calabria,
Italy
Giovanna SanninoResearch fellow at National
Research Council, ItalyPhD Student at University of Naples “Parthenope”, Italy
Laboratory LOINC Committee Meeting
Regenstrief Institute, Indianapolis
December 7, 2012Institute for High Performance Computing
and Networking
National Research Council of Italy
Where we left last time…
Institute for High Performance Computing and Networking
National Research Council of Italy
Mapping results: an example
Institute for High Performance Computing and Networking
National Research Council of Italy
2376 local lab tests(Laboratorio Lamberti)
89% mappedVS
11% unmapped
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
Institute for High Performance Computing and Networking
National Research Council of Italy
What we understood
LOINC Mapping Repository and RELMA “Community
Edition” Project
Where we left last time…
Institute for High Performance Computing and Networking
National Research Council of Italy
Governamental adoption of LOINC
Institute for High Performance Computing and Networking
National Research Council of Italy
LOINC is one of the standardized vocabulary
recommended for identifying single items
in clinical report documents
Part translation updates
Institute for High Performance Computing and Networking
National Research Council of Italy
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 9,092Translated full
term names 43,152 43,720 45,813 ?
+ Clinical Parts
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
Institute for High Performance Computing and Networking
National Research Council of Italy
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
Mobile Health Monitoring Systems
Institute for High Performance Computing and Networking
National Research Council of Italy
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 e.g. Decision Support Systems
Mobile Health Monitoring Systems
Institute for High Performance Computing and Networking
National Research Council of Italy
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.
Mobile Health Monitoring Systems
Institute for High Performance Computing and Networking
National Research Council of Italy
The system was tested on: Asus Eee Pad Transformer Prime
Android 4.0.3
Samsung Galaxy “gio” Android 2.3
PC Desktop Windows XP
Mobile Health Monitoring Systems
Institute for High Performance Computing and Networking
National Research Council of Italy
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) ]
Mobile Health Monitoring Systems
Institute for High Performance Computing and Networking
National Research Council of Italy
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
Mobile Health Monitoring Systems
Institute for High Performance Computing and Networking
National Research Council of Italy
Conclusions and future work
Institute for High Performance Computing and Networking
National Research Council of Italy
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 worldLOINC is part of a third stage of the InFSE project (started
July 1st 2012)LOINC tutorialLOINC online helpdeskClinical LOINC, especially Tumor Registry class, to be used in
a recently approved project by Pharmacy Department of the University of Calabria
Thank you for your attention!
Maria Teresa [email protected]
Giovanna [email protected]
Laboratory LOINC Committee Meeting
Regenstrief Institute, Indianapolis
December 7, 2012Institute for High
Performance Computing and Networking
National Research Council of Italy