QH+C2C+RELMA+Pres

=Objectives=
 * Overview of LOINC and RELMA - Very Brief!
 * Demonstrate the concept mapping functionality in RELMA

=Disclaimer=
 * Contractor to ONC to support S&I Framework (Standards Development support team Informatics Lead)
 * Any opinions are my own and not those of ONC, Accenture, etc.

=For More Information=
 * [|LOINC.org]
 * The Current Lab [|LOINC Tutorial]

=Background=
 * LOINC - Logical Observation Identifiers Names and Codes
 * Use to code questions in healthcare
 * Lab Questions (e.g., "What is my patient's hemoglobin?" -- 718-7)
 * Clinical Questions (e.g., "How far can my patient walk in 6 minutes?" -- 64098-7)
 * Answers are represented using other standards
 * Value + UCUM
 * SNOMED
 * etc.

=RELMA Overview=
 * Tool distributed with LOINC
 * Same free use (see license)
 * Provides manual and automated mapping functions
 * User creates file of local term/names and codes
 * RELMA tools help assign a LOINC term to local test/battery code
 * Features
 * "Common Tests" subset
 * "Google-Like" search functions

=Four Ways to Present Local Codes=
 * 1) Direct entry into LMOF from within RELMA (painful)
 * 2) Create an access table that mimics LMOF structure (less painful but tedious)
 * 3) Create a delimited ASCII file from your local test catalog (good)
 * 4) Load directly from HL7 v2.x messages (best)
 * Pulls data from OBR and OBX segments
 * Stores NTE segment data

=Demonstration=
 * Run LOINC
 * Load LMOF
 * One or two manual searches
 * Help file
 * Auto mapper and conflict reconciliation

=Tips for Improving Mapping Success=
 * Expand Abbreviations
 * Standardize Colloquial Terms ("ABG" for arterial blood gas)
 * Ignore "Administrative" Terms
 * Standardize Time References
 * RELMA has built in tools for these