Académique Documents
Professionnel Documents
Culture Documents
John Hook 1
Steven Wagers1
James Agnew2
Swapna Abhyankar, MD 1
1. Regenstrief Institute, Inc
2. Smile CDR
Funding Support
This work was supported by the National Center for Advancing Translational Sciences grant TR000006, the U.S. National Library of Medicine
contract HHSN276201400008C, and the Office of the National Coordinator for Health Information Technology grant 90AX0021/01-00.
Disclosure
I’m President of Blue Sky Premise, LLC which published the book
LOINC Essentials.
This material contains content from LOINC® (http://loinc.org). The LOINC Table, LOINC Table Core, LOINC
Panels and Forms File, LOINC Answer File, LOINC Part File, LOINC Group File, LOINC Document Ontology
File, LOINC Hierarchies, LOINC Linguistic Variants File, LOINC/RSNA Radiology Playbook, and LOINC/IEEE
Medical Device Code Mapping Table are copyright © 1995-2018, Regenstrief Institute, Inc. and the
Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the
license at http://loinc.org/license.
High Level Outline
📷 Vernio77 © cc-by-sa
Slides and Demo Exercises
https://danielvreeman.com/fhir/
Note: access to the API requires a free loinc.org user account
What FHIR?
FHIR
FHIR® is the latest data exchange standard published by HL7®
Rules for how to exchange data across systems with any major
interoperability paradigm: REST, Documents, Messages, Service
8462-4 Diastolic blood pressure 63736-3 Materials to which you were exposed in your
work or daily life
24725-4 Head CT
63805-6 How long did you handle paints or solvents
57021-8 CBC W Auto Differential panel - Blood yourself?
📷 glasgowamateur © cc-by-sa
📷 unamid-photo © cc-by-nd
Overview of the LOINC FHIR API
Terminology Services
CodeSystem
ValueSet
ConceptMap
Questionnaire
First made available in September 2018 (LOINC 2.64)
https://loinc.org/fhir
LOINC as a CodeSystem
Resource
LOINC as a CodeSystem
https://www.hl7.org/fhir/loinc.html
Codes
21176-3
LOINC Codes
LP31755-9
LOINC Parts
LOINC Answer Lists LL715-4
STATUS
CLASS
CLASSTYPE 1=Lab; 2=Clinical; 3=Claims Attachments; 4=Surveys
VersionLastChanged
Other LOINC Properties
answer-list
HL7_ATTACHMENT_STRUCTURE
ValidHL7AttachmentRequest
PanelType
Radiology Properties
rad-modality-modality-type
rad-anatomic-location-region-imaged
…
$validate-code
Check if the supplied term is a member of the specified ValueSet
ValueSet: Collections of LOINCs
LOINC Document Ontology
LOINC/RSNA Radiology Playbook
LOINC/RSNA Radiology Playbook Core
LOINC Top 2000+ Lab Observations - US
LOINC Top 2000+ Lab Observations - SI
Valid HL7 Attachment Requests
Valid HL7 Attachment Responses
Valid HL7 Attachment Responses - Implementation Guide Exists
Valid HL7 Attachment Responses - No Implementation Guide Exists
Deprecated LOINC Terms
LOINC subsets available as
ValueSets
Get the LOINC/RSNA Radiology Playbook
[base]/ValueSet/?url=http://loinc.org/vs/loinc-
rsna-radiology-playbook
Note: $expand on large ValueSets is borked on prod server now.
It works on Dev, and will be fixed with December release.
Every Answer List is a ValueSet
Canonical URI pattern:
http://loinc.org/vs/{LOINC List id}
[base]/ValueSet/$expand?url=http://loinc.org/vs/
LG7967-5
Exclude:
None
Include:
Children of LP378037-8
HIV 1 RNA | Serum or Plasma | Microbiology
Exclude:
None
LOINC ConceptMap
Resources
ConceptMap
A statement of relationships from one set of concepts to one or more other
concepts
1,000,000
1,500,000
2,000,000
2,500,000
20
0
500,000
18
O
ct
20
18
N
ov
20
18
D
ec
20
18
Ja
n
20
19
Fe
b
20
19
M
ar
20
19
Ap
r2
01
M 9
API Requests
ay
20
19
Ju
n
20
19
Ju
l2
01
Au 9
g
20
19
Se
p
20
19
O
ct
20
19
Uptime
Usage Notes
99% of API calls are to the CodeSystem resource