Issues

Problem

There is no place to Canadianize the part display name or the term’s display name in English or French.

Examples of part names LOINC vs. Canada:

• Ambulance vs. Emergency Health Service
• Recovery Room vs. Post-Anesthesia Care Unit
• Goals, preferences, and priorities for care experience vs. Goals of Care

Note: This is considering ALL values of ALL axis.

Options

Option 1

For each Axis, add "Canadian Part Display Name, English" and "Canadian Part Display Name, French". 

Column	Example
LOINC Code	68486-0
LOINC Display Name	Cardiology Medical Student Hospital Consult Note
Canadian Display Name English	Cardiology Medical Student Hospital Consult
Canadian Display Name French	Note de consultation hospitalière en cardiologie – étudiant en médecine
Setting Part Number	LP173065-6
Setting Part Name	Hospital
Setting Part Display Name	Hospital
Canadian Setting Part Display Name English	Hospital
Canadian Setting Part Display Name French	Hôpital
...

Option 2

For each Axis, replace LOINC Display Name with "Canadian Part Display Name, English" and add "Canadian Part Display Name, French".

Column	Example
LOINC Code	68486-0
Canadian Display Name English	Cardiology Medical Student Hospital Consult
Canadian Display Name French	Note de consultation hospitalière en cardiologie – étudiant en médecine
Setting Part Number	LP173065-6
Setting Part Name	Hospital
Canadian Setting Part Display Name English	Hospital
Canadian Setting Part Display Name French	Hôpital
...

Discussion

• LOINC has accommodation for country-language display names.   
• pCLOCD does not have LOINC Part Names - they have been replaced with the English (pan-Canadian) part display name.  

Decision

• Dan Simic - Option 2 (Fully support)
• Dennis Lee - Option 2 (Fully support)
• Mukesh Kashyap - Option 2 (Fully support)
• Natalie Schweizer - Option 2 (Fully support)
• Tetyana Maniuk - Option 2 (Fully support)

Guideline

For each Axis, replace LOINC Display Name with "Canadian Part Display Name, English" and add "Canadian Part Display Name, French".

Problem

LOINC uses SMD = Pulmonary. Canada has a synonymous term = Respirology.

Clinical Need/Principle to apply

• Use only SMD that are valid specialties in Canada
• Follow Canadian College of Physician and Surgeons names of specialties
• Make concepts interoperable between systems
• Follow the international LOINC standard

Caution: Respiratory therapy ≠ respirology (separate SMD).

Options

Discussion

• See Options Table
• Propose synonyms for LOINC Part labels (if/when supported).
• Follow CIHI lead

Decision

• Quorum: achieved (required: 50% + 1 of 11 categories = 7 categories.; got 10).
• Consensus was reachedtes counted: 10 of 11 categories voted (Infoway abstained).
• By category: 5: 8 Option 1: Change Display name and part display name
• Date: November 3rd, 2025
• Vote:
• Category vocategory-votes; 4: 2 category-votes

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Problem

LOINC uses { partname } for the Display Name and Part Name of unspecified axis.

Clinical Need/Principle to apply

• Clarify to users that some characteristics of the document is unclear/unspecified in this case I.e.
  • This document could have been written by a nurse or a physician; we don't know
• Make concepts interoperable between systems
• Follow the international LOINC standard

Options

Discussion

Decision

No decision was made yet.

Nov 3 ,DEFER DECISION. Further discussion is required to weigh the benefits of clarity against the risk of over-engineering. Proposed Path Forward: Formally propose replacing curly brackets with the term "Unspecified" in Pan-Canadian part display names and vote on this specific change at the next meeting. (PENDING)

Date: Nov 3rd, 2025

Vote:

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