LOINC code standards

We talked before about HL7 and other health ethics and operation legislations but what interesting about LOINC that it is not only work standards of medical field but also code for analysis and work results.  In order to start the story from beginning we need first to know more and defined it in details. LOINC is a code standards for identifying medical laboratory measurements and observations, it differs than SNOMED CT because the last dealing with systematized nomenclature of medicine while LOINC adaptable to be analytical tool of laboratory observations and measurements. Moreover; more specified to deal with results and set the practical comparisons between them. Under excessive demands to get electronic database for clinical figures of laboratory measurements; LOINC first developed 1990 not only as a protocol and standards of laboratory results analysis but also exceeded to reach and set up integrated databases wrap most of clinical information inside one working code. Later approved by American Clinical Laboratory Association to extend the spectrum of data unites to include over laboratory measurements code of work nursing diagnosis, nursing intervention, outcome classifications and patient care data sets.

Logical Observation Identifiers Names and Codes (LOINC) applied as universal code of laboratory terms and measurements worked as related resource to HER. The core functions of LOINC basically to assist in the process of electronic exchange and gathering clinical results with deniable hands over diagnosis processes. Clinical results such as laboratory tests, clinical observations, researches figures with clinical results. I would like to mention here something really interesting about LOINC that it is not linear codes of work. It has two main part clinical and laboratory; clinical part of LOINC close to clinical reports and documents with clinical results analysis between them. This code system owns the ability to help medical workers and practitioners to get any information demanded over a period of time from many topographical areas with enough analysis and measurements whether in laboratory results or in clinical reports.  

Since 1994 LOINC became official standards of US Federal Government system for electronic exchange of clinical health information. LIONC facilitate the transferring data and medical in electronic form between departments and divisions with facility to get these data from different areas not only working or aimed one. Above academic and professional effects and benefits of LOINC code standards, it creates complete integrator of medical databases for electronic health record and also medical researcher authorities in future. The working clinical figures and reports became easier to be gotten and transfer among hospitals, clinics departments and even with regular feedbacks to medical authorities when demanded. By LOINC laboratory medical results conveyed to be integrated from different sources to form some available database help patients and research purposes. At present; LOINC became trade mark and icon of clinical and laboratory measurements with efficient laboratory standards of work. Full health J

Public Skepticism about Healthcare systems

Beside all of healthcare barriers and problems there are some other side about public opinions and discussions regarding medical system in regard. This point remind me some words belong to Henry Ford...’If I had been asked people what they wanted, they would asked horses to be faster’’. His defined the subconscious level of people thoughts and how they always refer the traditional solutions even for new problems. Many of us resist by nature the changes and when that changes touch our lives, the self resistance come out huge. For sure there some could overcome this feelings and tame self talks of suppressions.  But still there is a question why most of people resist the matter of change and how far their inner intestines play in front of any new. The simple answer about this question lied in both way how their raised and what their lifestyle is?!. When community citizens brought up to be independent and owned reasonable space of privacy and thinking way in which reflect later over their lives in form of likable feelings with adventure and new life experiences. But unfortunately not all people raised the same way that could prevent them to see every new as dangerous and every modified old even as new. Some could push self doubts about new life experience to face and find the courage to ask and try while others could not easily do in front of fast and tough life changes. For those who still waiting the answer why people afraid new and changes; people actually do not afraid but they in deep real sensual perception they afraid the unknown, that is really all. Unknown in which pushing most of people accept what they are never liked and accept what even have been imagined to happen. From their traditional horizon tunnel unknown is considered source of uncomfortable feelings of insecurity while for me is considered big source of opportunities that might be never realized before.

Hard to persuade people easily with modern healthcare systems especially when they do not use even all of capabilities and systems gates, but on other side easier somehow to gave them quick result to calm their insecurity that conform afterward with their level of safety life they looked for. Exactly people safety and security are the main door of public persuasion that serve the changes acceptance and build likable desire to live new time of trial. Public criticise excessive modern solutions of healthcare while others feel agreeable with. The point here whether you are with or against that should definitely well known. Every change point of people life needs some sort of acclimatization followed by regular habits came next to enjoyable feeling to try and take risk. These steps of human acclimatization phenomena form backbone of medical system lovers and acceptors. Enjoyable feelings of trying each new actually mask the underlying fear of unknown whatever this unknown is. It does not mean completely disappearance of self worries regarding the medical results but at least at the minimum surge of it.

It is really difficult to find setbacks of working system from beginning; it means most show out after real trials and long hours of work. Although people hardly care about technical issues in routine way of thinking but they prefer to link the results with strength of systems. we who admit setbacks but never admit stop improvement and development, once public trusted who standing behind the innovation could that lead to calm every doubts about it later. Full health J

Patient physician confidentiality

In the era of technologies and data sharing; the matter of patient data privacy went more out under light of doubts here and confirmation about nothing was wrong there. The real fact about the matter is seriously not that simple to know or even judge among jungles of data models and data processing methodologies. But at least after your finish this post somehow you would be able to identify and define where the crash points of data privacy are and also where the safe ones to deal calmly with. If we are talking about privacy and confidentiality should first know the difference and how it somewhat carries numerous effects on the way we see the whole issue. When we talk about matter of privacy in a way which close to legal rights of citizen that differ according to living place and legal system already followed over. Moreover; there are still some variances between provinces or states in some countries that differ with nature of needs and lifestyle of each state.

But anyway; matter of privacy more close to legal rights and if it invaded sometimes under certain conditions or legal demands to do some investigations that hard to be achieved without. Confidentiality is something completely different and far away in meaning and concept applications from privacy. In order to give you the meaning as been built in my mind let me first give you more hind about privacy and privacy invasion. When government and may be some authorized institutions related to government want to invade citizen privacy that must be under umbrella of civil laws of citizenship and with declared the mission to be performed with end of invasion in compliance with legal instructions. This invasion may be included everything someone doing daily and some calls and personal moves or meetings. This defined the picture of invasion to personal privacy of someone demanded by certain authorities to know more about his or her life. 

Confidentiality is sharing the personal data and critical information of someone to third parties without any notifications or announcements. Without determination of time; beginning or ending the mission and above all lack of intention regarding the purposes. Actually that makes confidentiality more risky that any invasion of personal privacy not defined over a period of time and for declared reasons. Lack of intentions make it open used tool for many who could not handle matter of responsibility toward some job capabilities particularly in medical field and with therapists. People by nature like to know what is hidden and enjoyable to reach what is hard to catch. That may with regular working data and fit more to be with funny matters than personal information with medication history of patients. As mentioned before that some psychologically individuals still not fit to occupy some sort of job titles and many end his/her career with disasters because they could not separate self-intentions away from work duties. Curiosity is considered the main promoter for them while showing the ability to do and invade others confidentiality became habits among work mates. Invasion of patient confidentiality still need more restraints in front of medical workers especially for those who take it easy matter when they dealing and process patient personal data. Full health J

Preventive medicine

If the traditional medicines are dealing with diseased individuals and provide them with proper care that in form of curative medication, the preventive medicine actually dealing with diseases free society members and try to push them far from disease spot and other factors that may affect their performance as a citizen in future. It has happened before to talk about preventive cares in modern healthcare systems and its consequences over community members but in this post talking about preventive medicine as a whole strategy of medication. In deed preventive cares and preventive received values are considered direct reflect to the preventives medicine fundamentals and working integrating principles. The time we realize how much preventive medicine valuable than professionally remedy to diseased patients, the same time we could minimize the risk of infections and pervasion of numerous epidemics. In regular circumstances; medicines and medicaments are dealing with intact society member owns already health problem whether infection or metabolic disorder.  But many of us do not know that getting preventive services and health promotional aspects, that perform and pour double fold benefits into healthcare systems which have been seen or not yet.

This talk might be not fit properly and meet happiness of therapeutic industries CEOs when they watch charts of daily sales. But on other hand there are vast kind of work and business segments could be served either. Many of medical firms and corporations they are working by sales oriented and sales leading work than market development strategies or raising customer needs. The first takes time as advantage while second taking whole future opportunities as a market cream. Discussion of preventive medicine from business perspective and work horizon orbits is more exciting to many and for me as well. How preventive medicine could open many segments and develop new markets for future than only dealing with existed patients who waited for perfect medicaments. It sounds a bit weird to know that dealing with intact society to protect them from disease invasions more profitable than just to introduce efficient medicines.

Along my journey with pharmaceutical industries and tracking their sales records for years found that; many of them could not overcome and eliminate seasonal variations of services. The real truth is no one could even do while preventive strategies such as; vaccinations, preventive medicines , awareness  and promotion campaigns enable a lot of stakeholders to get aimed plan records with massive effects over people and sound patients loyalty toward certain category of services. Preventive medicine and preventive regulations are the waves of services should be introduced when there are no acute diseases existed anymore. The real problem that most of medicines firms used to work with certain strategies and fortunately for some reasons they succeeded and for this reason they repeat them again and again for decades to get the same results awaited. Herbal trading companies make big revenues, vaccines manufacturers and distributors make huge profits, health and medical apps make also reasonable market shares. All of them they walk and run over preventive medicine frames with almost no chemical medicines to give. In gene therapy; epigenetic drugs working to use epigenome-influencing techniques particularly with chronic and inherited disordered diseases, the idea that there are substitutions serve society health welfare instead waiting for them to be diseased.

Eventually; this post take the topic slightly from straight academically definitions and terminology about preventive medicine but in the same time put our feet over new road of discoveries and innovations. Road not only touch the human being when they got diseased but also walk together in parallel steps in healthy mindset of exaggerate the health welfare parameters before the problem attacking us.  Full health J

Healthcare systems with children

The story of children with medical care is much more than this post but undoubtedly; they form a compact part of health care values receivers. The point here about children as a segment or market fragment that would forced by massive purchase power behind their needs and demands, these power make them continuous propeller of the medical markets and associated services for sure after women. Indeed; it would not be easily implanted in mind that their medical values are considered the fast and most movable part of healthcare markets.  What make their padding thicker and favourable propagated seasonal wave of their demands and medical requirements such as vaccination and seasonal illness. Children in our language is clear and defined for those who less than legal age and still in school times. But in healthcare market there are many of embedded sub-segments children healthcare market than our definitions.

Neonates and paediatrics medicine are completely different life of study while inside for each there are many specific specialities service the same ages of children. While kids and teenage are much similar to our ages and could clearly talk and describe what they are feeling and enumerate what have been happened. Moreover; there are some cases of medical treatment better and preferable to be served in synergism between them. Calm down!. We are not going to discuss medical issues here but just a hint about it and what are going on or how it works. The key here about children medical care and curing values that they are carefully watched by their families and in other words; many eyes focus and watch their health status from different angel of view. All of us remember how much we were under control and observation in childhood time by parents and relatives and even sometimes friends and neighbours. Whatever how good you were in life and how far you did well everything had been done was precisely watched and evaluated by them.  The times changed and life rush out fast than before but still the same family priceless assets are their own children____propably, that makes pushing forces of medical service toward children grew strongly to fit and accommodate their needs.

The core of medical services of children in modern healthcare systems started from vaccination and infectious remedies for infants till following up and medical check episodes which regularly carried out in schools from time to time. Almost become ever hard at all to figure out and identify diseased kid among crowds under shadow of modern scanning health techniques. The histories and life times under medical practitioner hand fingers might be help greatly to know the cause and reasons of illness. Some researchers defined the quality of healthcare systems depending mainly on how long the distance between children and health services they are. The quality of their own lives make them fit enough to overcome health needs and any transient weakness life along. Many also believe that quality of medical care lies in health welfare they have and enjoy.  

Although medical care of diseased child is must and society responsibilities still preventive medicine to prevent diseases is considered overall nation duty. In many situations preventive medicine work as a shelter for their health from any unexpected deviation may take some of their joy away. Fortunately, researchers still work on the best optimum model of preventive medicine that fit and keep children far from therapeutic care. Preventive medicine begins with their vaccination till health promotion and health promotional campaigns. In order to improve their and put them always over optimum of healthy life and performance. Full health J