FHIR Chat · Safety & LOINC for inter-organizational interoperability? · terminology

Stream: terminology

Topic: Safety & LOINC for inter-organizational interoperability?


view this post on Zulip Bob Milius (Aug 19 2021 at 18:54):

I recently came across this Lancet paper
Use of LOINC for interoperability between organisations poses a risk to safety

which was a response to this paper:
Effective coding is key to the development and use of the WHO Essential Diagnostics List

The original authors replied with
Use of LOINC for interoperability between organisations poses a risk to safety - Authors' reply

So, what do you think? Does the use of LOINC between organizations pose a risk to safety?

view this post on Zulip Grahame Grieve (Aug 19 2021 at 20:06):

any communication between organizations poses a risk to safety. If it's not done right.

view this post on Zulip Peter Jordan (Aug 19 2021 at 22:21):

Absolutely and free text is obviously more risky that structured, coded data. From a communications (and implementer) viewpoint, the authors themselves fail to make a clear distinction between the coding of the observation type and the result(s) of that observation.

view this post on Zulip Bob Milius (Aug 24 2021 at 13:36):

The point of the paper is that LOINC in particular poses a greater risk to safety when used for interoperability between organizations -- greater risk than other standards such as SNOMED and ICD-10. I don't think I agree with this, and until there's a good publicly available alternative it's what we have.


Last updated: Apr 12 2022 at 19:14 UTC