建立健保碼與LOINC碼檢驗對應資料庫之研究

Building up a NHI-LOINC Laboratory Database for Mapping NHI Codes to LOINC

目前國內大部分醫療院所均使用自行定義的院內檢驗碼來開醫令單和報告檢驗結果。使用院內碼作為檢驗資料交換時，各個不同醫院的資訊系統將很難去了解和使用所交換的資料。因此，建立國內檢驗資料的標準，實在是刻不容緩。由於健保碼是國內醫療院所申報醫療費用的通用碼，本文乃提出健保碼與LOINC碼(NHI-LOINC)的對應方法，並建立NHI-LOINC檢驗對應資料庫。因為各院均已熟悉健保碼，也已經建立院內碼和健保碼起對應關係，因此，藉由NHI-LOINC檢驗對應資料庫，可以很簡單又快速的引進一個已經被國際廣泛採用的LOINC標準成為國內檢驗的標準代碼，不必自行制定新的檢驗標準。這樣不但符合國內檢驗資訊標準使用需求，又可符合國際標準，使國內醫療資訊向國際接軌邁出了一大步。

In Taiwan, most hospitals use local codes to report their laboratory data. Using the local codes for exchanging the laboratoiy data makes different systems unable to understand and reuse the exchanged data. It is critical to standardize the laboratory tests. Since the National Health Insurance (NHI) codes are used for insurance claim, they are adopted by most hospitals. For this reason, NHI codes are the best choice as an intermediate tool for mapping local codes into the LONIC ones. The authors of this paper developed a method for mapping NHI codes for laboratory tests into the corresponding LONIC codes, and have built up a NHI-LOINC mapping database. Since most professionals from a hospital are familiar with NHI codes, the database can be used for facilitating the mapping process in which the professionals map their hospital local codes into the corresponding LONIC codes through the NHI-LOINC mapping database. As such, the LOINC codes can be quickly adopted by the local hospitals and laboratory centers. Consequently the LOINC can become a standard of laboratory information in Taiwan.