| Summary: | 碩士 === 臺北醫學大學 === 醫學資訊研究所 === 92 === The American Regenstrief Institute and the College of American Pathologists information committees gathered seven large clinic laboratories to formulate the Logical Observation Identifier Names and Codes (LOINC) coding system in 1995. The main purpose is to identify uniquely the name and code for laboratory tests and clinical observations for the convenience of the electronic medical recordmessage exchange.
Exchanging medical information by electronic means is one of the ways of reducing the strain on medical resources. However, if the standard code can be built for the clinic laboratory items between LOINC Code and Taiwan’s NHI standard code, we could save time on translation codes between different medical networks once over. Universal code could be used in Taiwan and abroad. Currently, the health insurance system of Taiwan is an insurance company-based system. For the medical laboratory insurance benefits, the Bureau of National Health Insurance（BNHI）in Taiwan had established the code of health insurance settlement standards for medical institutions to declare the healthcare payment. Therefore, if we can create a corresponding relation between the NHI standard code and LOINC code, we would not need to establish another standard code of laboratory item in our country. As long as we can tap into the LOINC code system to meet domestic needs, we can convert each local code inside hospitals to the LOINC code accurately. This would provide a consistent laboratory coding system for the convenience of clinic laboratory data in Taiwan and abroad. Therefore, there is no need to translate medical information manually.
The main purpose of this study use LOINC to NHI payment standard code to be the interface database, and correspond with the knowledge warehouse. Currently, each hospital has its own local code for the medical records, and that local code has a translation system to convert it to the NHI standard code. If the translation code between NHI standard codes and LOINC codes could be established. We hope that the LOINC code could be work with the translation between the local code of each medical institution or clinical lab fastly and accurately . We also hope that translated lab data can reach domestic and international institutions reliably.
The purpose of this research is to make use of Taiwan’s medical database and to make the data available to united health insurance payment standard to construct the TAIWAN LOINC of knowledge base. In this case, each hospital can easily convert its codes to Taiwan LOINC codes , and the Taiwan LOINC codes can also covert the special medical terms that are not covered by the existing LONIC code. This knowledge base of Taiwan-LOINC makes it is easier to organize the medical information. With this organized data, Taiwan will be able to exchange, and research the same medical issue with foreign experts easily. Another purpose is to make the conversion mechanism available of all exploitation health insurance payment standards with simple medical institution ability to should ascend the knowledge base of Taiwan- LOINC, then consult and deliberate the term of lab of each hospital and establish the LOINC code belonged to reach to examine the information in spite of at all can communicate and understand and use mutually between the different laboratory information system in all country.
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