title: Assessing the performance of LOINC® and RadLex for coverage of CT scans across three sites in a health information exchange.
abstract: We evaluated the performance of LOINC® and RadLex standard terminologies for covering CT test names from three sites in a health information exchange (HIE) with the eventual goal of building an HIE-based clinical decision support system to alert providers of prior duplicate CTs. Given the goal, the most important parameter to assess was coverage for high frequency exams that were most likely to be repeated. We showed that both LOINC® and RadLex provided sufficient coverage for our use case through calculations of (a) high coverage of 90% and 94%, respectively for the subset of CTs accounting for 99% of exams performed and (b) high concept token coverage (total percentage of exams performed that map to terminologies) of 92% and 95%, respectively. With trends toward greater interoperability, this work may provide a framework for those wishing to map radiology site codes to a standard nomenclature for purposes of tracking resource utilization.
authors.affiliation: Department of Radiology, Wyckoff Heights Medical Center, Brooklyn, NY.
authors.forename: Anton Oscar
authors.initials: AO
authors.lastname: Beitia
authors.affiliation: Department of Biomedical Informatics, Columbia University, New York, NY. ; New York Presbyterian Hospital, New York, NY.
authors.forename: Gilad
authors.initials: G
authors.lastname: Kuperman
authors.affiliation: Department of Radiology, Icahn School of Medicine at Mount Sinai, New York, NY.
authors.forename: Bradley N
authors.initials: BN
authors.lastname: Delman
authors.affiliation: Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai, New York, NY.
authors.forename: Jason S
authors.initials: JS
authors.lastname: Shapiro
mesh_terms: D059019:Clinical Coding; D057286:Electronic Health Records; D063025:Health Information Management; D063005:Health Information Systems / Q000458:organization & administration; D006801:Humans; D033181:Information Dissemination; D039703:Logical Observation Identifiers Names and Codes; D008498:Medical Record Linkage; D011871:Radiology / Q000145:classification*; D014057:Tomography, X-Ray Computed; D018875:Vocabulary, Controlled