7. 7
TESTCODE DESCRIPTION UNITS SYSTEM METHOD NHI
CODE
SCALE REFERENCE
VALUE
A001 Anti-HCV Ab Blood EIA 14051C Ord <1.0
LOINC COMPONENT PROPERTY TIME SYSTEM SCALE METHOD
13955-0 Hepatitis C virus Ab ACnc Pt Ser/Plas Ord EIA
LOINC Mapping
11. 11
TESTCODE DESCRIPTION UNITS SYSTEM METHOD NHI
CODE
SCALE REFERENCE
VALUE
B001 AFS+Culture Sputum Culture 13013C Nom Not found
LOINC COMPONENT PROPERTY TIME SYSTEM SCALE METHOD
539-7
Mycobacterium sp
Identified
Prid Pt Sputum Nom Organism specific culture
LOINC Mapping
15. 15
TESTCODE DESCRIPTION UNITS SYSTEM METHOD NHI
CODE
SCALE REFERENCE
VALUE
C001 Group B
Streptococcus
Screening
Vaginal
Discharge
Culture 66 Strep.
agalactiae
Negative
LOINC COMPONENT PROPERTY TIME SYSTEM SCALE METHOD
72607-5
Streptococcus
agalactiae
Pr Pt Vag+Rectum Ord Organism specific culture
LOINC Mapping
18. 18
欄位英文名稱 欄位中文名稱 是否必填 第4筆(原始) 第4筆(轉換後)
INSPECTION_ITEM 檢驗項目名稱 必填
Influenza A+B Rapid
Screening Test
Influv100
SAMPLE_RECEIVETIME 檢體收件日期時間 必填 20150822210849 201508222108
NHI_CODE 健保批價碼 必填 14065B 14065B
SAMPLE_TYPE 檢體種類 必填 Nose T066
INSPECTION_METHOD 檢驗方法 必填 M050 M050
UNITS 測量單位 必填 99 99
INSPECTION_REPORTTIME 檢驗報告日期時間 必填 201508222108 201508222108
INSPECTION_RESULT 檢驗結果 必填
Positive for Influenza virus
type A
Positive for Influenza virus
type A
INSPECTION_RESULT_1 抗藥性檢測結果
INSPECTION_REF 檢驗參考值 Negative Negative
INTERPRETATION_RESULT 判讀後的檢驗結果 必填 01 01
MEMO 備註
LOINC_TIME LOINC檢驗時間屬性 必填 T01 T01
LOINC_MEASURE LOINC測量單位屬性 必填 P14 P14
LOINC_SCALE LOINC檢驗單位屬性 必填 S02 S02
LOINC LOINC代碼 72367-6 72367-6
LOINC Component:
Influenza virus A+B Ag
LOINC System:
Nose
LOINC Method:
EIA.rapid
LOINC Time: Pt
LOINC Property:
Pr
LOINC Scale: Ord
LOINC Code
19. 19
TESTCODE DESCRIPTION UNITS SYSTEM METHOD NHI
CODE
SCALE REFERENCE
VALUE
D001 Influenza A+B
Rapid
Screening
Test
Nose Rapid
Screening
Test
14065B/
14066B
Ord Influ A. /
Influ. B
Negative
LOINC COMPONENT PROPERTY TIME SYSTEM SCALE METHOD
72367-6
Influenza virus
A+B Ag
Pr Pt Nose Ord EIA.rapid
LOINC Mapping
23. 23
TESTCODE DESCRIPTION UNITS SYSTEM METHOD NHI
CODE
SCALE REFERENCE
VALUE
E001 ID+DS Intesti. STOOL Culture 13007C Nom Not found
LOINC COMPONENT PROPERTY TIME SYSTEM SCALE METHOD
625-4
Bacteria
identified
Prid Pt Stool Nom Culture
LOINC Mapping
24. 24
TESTCODE DESCRIPTION UNITS SYSTEM METHOD NHI
CODE
SCALE REFERENCE
VALUE
A001 Anti-HCV Ab Blood EIA 14051C Ord <1.0
B001 AFS+Culture Sputum Culture 13013C Nom Not found
C001 Group B
Streptococcus
Screening
Vaginal
Discharg
e
Culture 66 Strep.
agalactiae
Negative
D001 Influenza A+B
Rapid
Screening
Test
Nose Rapid
Screening
Test
14065B/
14066B
Ord Influ A. /
Influ. B
Negative
E001 ID+DS Intesti. STOOL Culture 13007C Nom Not found
⋮
院內檢驗資料欄位
34. 輸出對應結果
34
TEST
CODE
DESCRIPTION UNITS SYSTEM METHOD NHI
CODE
SCALE REFEREN
CE
VALUE
LOINC
CODE
A001 Anti-HCV Ab Blood EIA 14051C Ord <1.0 13955-0
B001 AFS+Culture Sputum Culture 13013C Nom Not found 539-7
C001 Group B
Streptococcus
Screening
Vaginal
Discharge
Culture 66 Strep.
agalactiae
Negative
72607-5
D001 Influenza A+B
Rapid Screening
Test
Nose Rapid
Screening
Test
14065B/
14066B
Ord Influ A. /
Influ. B
Negative
72367-6
E001 ID+DS Intesti. STOOL Culture 13007C Nom Not found 625-4
⋮
36. 結核分枝桿菌群(TB)
• 常見檢驗項目
36
醫院
A) Acid fast stain / 抗酸菌鑑定檢查
B) Mycobacteria culture / TB Culture
鑑定或培養的結核菌是否存在
C) Mycobacteria culture / TB Culture
結核菌檢驗呈現陰性或陽性
D) TB PCR / 結核菌定量擴增試驗
37. Acid fast stain
• 結核分枝桿菌群抗酸菌鑑定檢查
LOINC ID COMPONENTPROPERTY
TIME
_ASPCT
SYSTEM
SCALE
_TYP
METHOD_TYP
72357-7
Microscopic
observation
Pr Pt XXX Ord Acid fast stain
11477-7
Microscopic
observation
Prid Pt Sputum Nom Acid fast stain
647-8
Microscopic
observation
Prid Pt Sputum Nom
Acid fast stain.Ziehl-
Neelsen
656-9
Microscopic
observation
Prid Pt XXX Nom
Acid fast stain.Ziehl-
Neelsen
645-2
Microscopic
observation
Prid Pt Sputum Nom Acid fast stain.Kinyoun
37
檢驗結果:
(+++) Positive for AFB
38. TB Culture
• 鑑定或培養的結核菌是否存在
• 鑑定結核菌檢驗呈現陰性/陽性
LOINC ID COMPONENT PROPERTY
TIME
_ASPCT
SYSTEM
SCALE
_TYP
METHOD_TYP
539-7
Mycobacterium
sp identified
Prid Pt Sputum Nom
Organism specific
culture
543-9
Mycobacterium sp
identified
Prid Pt XXX Nom
Organism specific
culture
LOINC ID COMPONENT PROPERTY
TIME
_ASPCT
SYSTEM
SCALE
_TYP
METHOD_TYP
50941-4
Mycobacterium
sp
ACnc Pt XXX Ord
Organism specific
culture
64412-0
Mycobacterium
sp
ACnc Pt Bld Ord
Organism specific
culture
38
檢驗結果:
Mycobacterium
tuberculosis complex
39. TB PCR
• 結核菌定量擴增試驗
LOINC ID COMPONENT PROPERTY
TIME
_ASPCT
SYSTEM
SCALE
_TYP
METHOD
_TYP
14972-4
Mycobacterium
sp DNA
ACnc Pt CSF Ord
Probe.amp.
tar
14973-2
Mycobacterium
sp DNA
ACnc Pt Sputum Ord
Probe.amp.
tar
14974-0
Mycobacterium
sp DNA
ACnc Pt XXX Ord
Probe.amp.
tar
21405-6
Mycobacterium
sp DNA
ACnc Pt Bronchial Ord
Probe.amp.
tar
39
40. 對應異常範例
40
LOINC ID COMPONENT PROPERTY
TIME_
ASPCT
SYSTEM
SCALE
_TYP
METHOD_TYP
640-3
Microscopic
observation
Prid Pt Sputum Nom Culture
640-3
Microscopic
observation
Prid Pt Gast fld Nom
Acid fast
stain.Kinyoun
72357-7
Microscopic
observation
Pr Pt XXX Ord Acid fast stain
請醫院確認抗酸菌染色檢驗的檢驗方法是屬於
Acid fast stain.Kinyoun / Acid fast stain.Kinyoun modified /
Acid fast stain.Ziehl-Neelsen / Acid fast stain?
如是Acid fast stain.Kinyoun ,建議調整檢驗方法為Acid fast
stain.Kinyoun (M003);測量單位屬性通報Pr (P14);檢驗單位屬性通
報Ord (S02);LOINC 代碼可免填。
41. 對應異常範例
41
LOINC ID COMPONENT PROPERTY
TIME_
ASPCT
SYSTEM
SCALE
_TYP
METHOD_TYP
539-7
Mycobacterium
sp identified
Prid Pt Sputum Nom Culture
539-7
Mycobacterium
sp identified
Prid Pt Sputum Nom
Organism
specific
culture
建議調整檢驗方法為Organism specific culture (M113)
43. 沙門菌和志賀氏菌鑑定
• 沙門菌和志賀氏菌鑑定
LOINC ID COMPONENT
PROPE
RTY
TIME
_ASP
CT
SYSTE
M
SCALE_
TYP
METHOD_TYP
42255-0
Salmonella sp &or
Shigella sp identified
Prid Pt XXX Nom
Organism
specific
culture
43371-4
Salmonella sp &or
Shigella sp identified
Prid Pt Stool Nom
Organism
specific
culture
43
檢驗結果:
Salmonella sp.
44. 血液培養
• 血液培養發現存在沙門氏桿菌
LOINC ID COMPONENT
PROPERT
Y
TIME_ASP
CT
SYSTE
M
SCALE_TY
P
METHOD_TY
P
17928-3
Bacteria
identified
Prid Pt Bld Nom
Aerobic
culture
17934-1
Bacteria
identified
Prid Pt Bld Nom
Anaerobic
culture
600-7
Bacteria
identified
Prid Pt Bld Nom Culture
44
檢驗結果:
Salmonella group D
45. Widal Test
• 傷寒凝集試驗
LOINC ID COMPONENT
PROPER
TY
TIME_ASP
CT
SYSTE
M
SCALE_T
YP
METHOD_
TYP
11603-8 Salmonella sp Ab ACnc Pt Ser Qn
17562-0 Salmonella sp Ab ACnc Pt Ser Ord
22527-6 Salmonella sp Ab Titr Pt Ser Qn
5338-9 Salmonella sp Ab Titr Pt Ser Qn LA
45
檢驗結果:
S. typhi OH< 1:20
46. 對應異常範例
46
LOINC ID COMPONENT PROPERTY
TIME_
ASPCT
SYSTEM
SCALE
_TYP
METHOD_TYP
20955-1
Salmonella sp
identified
Prid Pt Stool Nom Culture
625-4
Bacteria
identified
Prid Pt Stool Nom Culture
建議調整檢驗項目名稱為Bacteria identified (代碼Bacidf001);LOINC
代碼可對應至625-4
48. GBS Ag
• B 群鏈球菌抗原檢驗
LOINC ID COMPONENT
PROPER
TY
TIME_ASP
CT
SYSTE
M
SCALE_T
YP
METHOD_
TYP
11266-4
Streptococcus
agalactiae Ag
ACnc Pt XXX Ord
20459-4
Streptococcus
agalactiae Ag
ACnc Pt XXX Ord LA
24020-0
Streptococcus
agalactiae Ag
ACnc Pt Urine Ord
40784-1
Streptococcus
agalactiae Ag
ACnc Pt Vag Ord
48
49. 細菌培養
• 需氧菌培養發現存在B 型鏈球菌
• B 型鏈球菌培養(孕婦產檢)
LOINC ID COMPONENT
PROPERT
Y
TIME_ASP
CT
SYSTE
M
SCALE_TY
P
METHOD_TY
P
11261-5
Bacteria
identified
Prid Pt Vag Nom
Aerobic
culture
LOINC ID COMPONENT
PROPER
TY
TIME_ASP
CT
SYSTE
M
SCALE_T
YP
METHOD_TYP
72607-5
Streptococcus
agalactiae
Pr Pt
Vag+
Rectum
Ord
Organism
specific culture
49
檢驗結果:
Sterp. Group B
51. 肺炎鏈球菌
• 尿液肺炎鏈球菌抗原檢驗
• 尿液培養發現存在肺炎鏈球菌
LOINC ID COMPONENT
PROPER
TY
TIME_AS
PCT
SYSTE
M
SCALE_T
YP
METHOD_
TYP
24027-5
Streptococcus
pneumoniae Ag
ACnc Pt Urine Ord
LOINC ID COMPONENT
PROPERT
Y
TIME_ASP
CT
SYSTE
M
SCALE_TY
P
METHOD_TY
P
630-4
Bacteria
identified
Prid Pt Urine Nom Culture
51
檢驗結果:
Sterp. pneumoniae
53. A 群鏈球菌抗原檢驗
• A 群鏈球菌抗原檢驗
LOINC ID COMPONENT
PROPER
TY
TIME_ASP
CT
SYSTE
M
SCALE_T
YP
METHOD_
TYP
18481-2
Streptococcus
pyogenes Ag
ACnc Pt Thrt Ord
31970-7
Streptococcus
pyogenes Ag
ACnc Pt Ser Ord
31971-5
Streptococcus
pyogenes Ag
ACnc Pt XXX Ord
6556-5
Streptococcus
pyogenes Ag
ACnc Pt Thrt Ord EIA
6558-1
Streptococcus
pyogenes Ag
ACnc Pt XXX Ord EIA
53
54. 細菌培養
• 細菌培養發現存在化膿性鏈球菌
LOINC ID COMPONENT PROPERTY
TIME_
ASPCT
SYSTEM SCALE_TYP METHOD_TYP
600-7
Bacteria
identified
Prid Pt Bld Nom Culture
17934-1
Bacteria
identified
Prid Pt Bld Nom Anaerobic culture
6462-6
Bacteria
identified
Prid Pt Wound Nom Culture
633-8
Bacteria
identified
Prid Pt Wound Nom Anaerobic culture
6463-4
Bacteria
identified
Prid Pt XXX Nom Culture
635-3
Bacteria
identified
Prid Pt XXX Nom Anaerobic culture
21020-3
Bacteria
identified
Prid Pt XXX Nom
Anaerobic+Aerobic
culture 54
檢驗結果:
Sterp. Group A
55. Antistreptolysin O Test (ASOT)
• 抗鏈球菌溶血素O試驗(Antistreptolysin O
Test, ASOT)
LOINC ID COMPONENT
PROPERT
Y
TIME_ASP
CT
SYSTE
M
SCALE_TY
P
METHOD_T
YP
22568-0
Streptolysin
O Ab
Titr Pt Ser Qn
25788-1
Streptolysin
O Ab
ACnc Pt Ser Qn LA
45228-4
Streptolysin
O Ab
MCnc Pt Ser Qn
5370-2
Streptolysin
O Ab
ACnc Pt
Ser/Pla
s
Qn
5371-0
Streptolysin
O Ab
Titr Pt Ser Qn LA
9788-1
Streptolysin
O Ab
ACnc Pt Ser Ord 55
60. A 型肝炎病毒
• 常見檢驗項目
60
醫院
A) Anti-HAV / A 型肝炎抗體
B) Anti-HAV IgM / A 型肝炎抗體免疫球蛋白M 檢查
C) Anti-HAV IgG / A 型肝炎抗體免疫球蛋白G 檢查
D) A 肝定量/定性擴增試驗
61. Anti-HAV
• A 型肝炎抗體檢驗
LOINC ID COMPONENT
PROPERT
Y
TIME_ASP
CT
SYSTE
M
SCALE_TY
P
METHOD_T
YP
13951-9
Hepatitis A
virus Ab
ACnc Pt Ser Ord EIA
20575-7
Hepatitis A
virus Ab
ACnc Pt Ser Ord
61
62. Anti-HAV IgM / Anti-HAV IgG
• Anti-HAV IgM檢驗
• Anti-HAV IgG檢驗
LOINC ID COMPONENT
PROPER
TY
TIME_ASP
CT
SYSTE
M
SCALE_T
YP
METHOD_T
YP
13950-1
Hepatitis A virus
Ab.IgM
ACnc Pt
Ser/Pl
as
Ord EIA
22314-9
Hepatitis A virus
Ab.IgM
ACnc Pt Ser Ord
LOINC ID COMPONENT
PROPER
TY
TIME_ASP
CT
SYSTE
M
SCALE_T
YP
METHOD_T
YP
32018-4
Hepatitis A virus
Ab.IgG
ACnc Pt Ser Ord
40724-7
Hepatitis A virus
Ab.IgG
ACnc Pt Ser Ord EIA
62
63. A 肝定量/定性擴增試驗
• A 肝定性擴增試驗
LOINC ID COMPONENT
PROPER
TY
TIME_ASP
CT
SYSTE
M
SCALE_T
YP
METHOD_T
YP
7904-6
Hepatitis A virus
RNA
ACnc Pt Ser Ord
Probe.amp
.tar
63
64. B 型肝炎病毒
• 常見檢驗項目
64
醫院
A) Anti-HBs / B 型肝炎表面抗體
B) Anti-HBs IgG / B 型肝炎表面抗體免疫球蛋白G 檢查
C) HBs Ag / B 型肝炎表面抗原
D) Anti-HBc / B 型肝炎核心抗體
E) Anti-HBc IgM / B 型肝炎核心抗體免疫球蛋白M 檢查
F) Anti-HBc IgG / B 型肝炎核心抗體免疫球蛋白G 檢查
G) Anti-HBe / B 型肝炎e 抗體
H) Anti-HBe IgG / B 型肝炎e 抗體免疫球蛋白G 檢查
I) HBe Ag / B 型肝炎e 抗原
J) B 肝定量/ 定性擴增試驗
65. Anti-HBs / Anti-HBs IgG
• Anti-HBs檢驗
• Anti-HBs IgG檢驗
LOINC ID COMPONENT
PROPER
TY
TIME_ASP
CT
SYSTE
M
SCALE_T
YP
METHOD_
TYP
10900-9
Hepatitis B virus
surface Ab
ACnc Pt Ser Ord EIA
22322-2
Hepatitis B virus
surface Ab
ACnc Pt Ser Ord
LOINC ID COMPONENT
PROPER
TY
TIME_AS
PCT
SYSTE
M
SCALE_T
YP
METHOD_
TYP
48070-7
Hepatitis B virus
surface Ab.IgG
ACnc Pt Ser Ord EIA
49177-9
Hepatitis B virus
surface Ab.IgG
ACnc Pt Ser Ord
65
66. HBs Ag
• HBs Ag檢驗
LOINC ID COMPONENT
PROPER
TY
TIME_ASP
CT
SYSTE
M
SCALE_T
YP
METHOD_T
YP
5195-3
Hepatitis B virus
surface Ag
ACnc Pt Ser Ord
5196-1
Hepatitis B virus
surface Ag
ACnc Pt
Ser/Pl
as
Ord EIA
66
67. Anti-HBc / Anti-HBc IgM / Anti-HBc IgG
• Anti-HBc檢驗
• Anti-HBc IgM檢驗
• Anti-HBc IgG檢驗
LOINC ID COMPONENT PROPERTY
TIME_ASPC
T
SYSTEM SCALE_TYP
METHOD_TY
P
13952-7 Hepatitis B virus core Ab ACnc Pt Ser/Plas Ord EIA
16933-4 Hepatitis B virus core Ab ACnc Pt Ser Ord
LOINC ID COMPONENT
PROPERT
Y
TIME_AS
PCT
SYSTEM
SCALE_TY
P
METHOD_T
YP
24113-3 Hepatitis B virus core Ab.IgM ACnc Pt Ser/Plas Ord EIA
31204-1 Hepatitis B virus core Ab.IgM ACnc Pt Ser Ord
LOINC ID COMPONENT
PROPERT
Y
TIME_ASPC
T
SYSTE
M
SCALE_TY
P
METHOD_TY
P
32685-0 Hepatitis B virus core Ab.IgG ACnc Pt Ser Ord
40725-4 Hepatitis B virus core Ab.IgG ACnc Pt Ser Ord EIA 67
68. Anti-HBe / Anti-HBe IgG
• Anti-HBe檢驗
• Anti-HBe IgG檢驗
LOINC ID COMPONENT
PROPER
TY
TIME_ASP
CT
SYSTE
M
SCALE_T
YP
METHOD_T
YP
13953-5
Hepatitis B virus
little e Ab
ACnc Pt Ser Ord EIA
22320-6
Hepatitis B virus
little e Ab
ACnc Pt Ser Ord
LOINC ID COMPONENT
PROPER
TY
TIME_AS
PCT
SYSTE
M
SCALE_T
YP
METHOD_
TYP
33463-1
Hepatitis B virus
little e Ab.IgG
ACnc Pt Ser Ord EIA
41151-2
Hepatitis B virus
little e Ab.IgG
ACnc Pt Ser Ord
68
69. HBe Ag
• HBe Ag檢驗
LOINC ID COMPONENT
PROPER
TY
TIME_ASP
CT
SYSTE
M
SCALE_T
YP
METHOD_T
YP
13954-3
Hepatitis B virus
little e Ag
ACnc Pt Ser Ord EIA
31844-4
Hepatitis B virus
little e Ag
ACnc Pt Ser Ord
5192-0
Hepatitis B virus
little e Ag
ACnc Pt Ser Ord RIA
69
70. B 肝定量/ 定性擴增試驗
• B 肝定性擴增試驗
LOINC ID COMPONENT
PROPER
TY
TIME_ASP
CT
SYSTE
M
SCALE_TY
P
METHOD_T
YP
29610-3
Hepatitis B virus
DNA
ACnc Pt
Ser/Pla
s
Ord
Probe.amp.
tar
5007-0
Hepatitis B virus
DNA
ACnc Pt Bld Ord
Probe.amp.
tar
70
72. Anti-HCV / Anti-HCV IgM
• C 型肝炎抗體檢驗
• Anti-HCV IgM檢驗
LOINC ID COMPONENT
PROPERT
Y
TIME_ASP
CT
SYSTE
M
SCALE_TY
P
METHOD_T
YP
13955-0
Hepatitis C
virus Ab
ACnc Pt
Ser/Pla
s
Ord EIA
16128-1
Hepatitis C
virus Ab
ACnc Pt Ser Ord
LOINC ID COMPONENT
PROPER
TY
TIME_ASP
CT
SYSTE
M
SCALE_T
YP
METHOD_T
YP
51824-1
Hepatitis C virus
Ab.IgM
ACnc Pt Ser Qn EIA
53376-0
Hepatitis C virus
Ab.IgM
ACnc Pt Ser Qn
72
73. C 肝定量/定性擴增試驗
• C 肝定性擴增試驗
LOINC ID COMPONENT
PROPER
TY
TIME_ASP
CT
SYSTE
M
SCALE_T
YP
METHOD_T
YP
11259-9
Hepatitis C virus
RNA
ACnc Pt
Ser/Pl
as
Ord
Probe.amp
.tar
5010-4
Hepatitis C virus
RNA
ACnc Pt Bld Ord
Probe.amp.
tar
73
74. 流行性感冒病毒
• 流行性感冒病毒
74
醫院
A) 流感病毒抗原快速篩檢 / Influenza A/B Screening test
B) 流感A 型病毒抗體 / Influenza A Ab
C) 流感B 型病毒抗體 / Influenza B Ab
D) 流感病毒分生檢測 / Influenza virus RNA
E) 病毒分離及鑑定 / Virus culture
75. Influenza A/B Screening test
• 流感病毒抗原快速篩檢
LOINC ID COMPONENT
PROPER
TY
TIME_ASP
CT
SYSTE
M
SCALE_T
YP
METHOD_T
YP
24015-0 Influenza virus A+B Ag ACnc Pt XXX Ord
31860-0 Influenza virus A+B Ag ACnc Pt Thrt Ord
33535-6 Influenza virus A+B Ag ACnc Pt Nph Ord
44566-8 Influenza virus A+B Ag ACnc Pt
Bronc
hial
Ord
44567-6 Influenza virus A+B Ag ACnc Pt Nose Ord
6435-2 Influenza virus A+B Ag ACnc Pt Thrt Ord EIA
6437-8 Influenza virus A+B Ag ACnc Pt XXX Ord EIA
72367-6 Influenza virus A+B Ag Pr Pt Nose Ord EIA.rapid
75
檢驗結果:
Influ. A positive
Influ. B positive
76. 流感病毒分生檢測
• Influenza virus RNA試驗
LOINC ID COMPONENT
PROPER
TY
TIME_ASP
CT
SYSTE
M
SCALE_T
YP
METHOD_T
YP
48509-4
Influenza virus
A+B RNA
Prid Pt XXX Nom
Probe.amp.
tar
49537-4
Influenza virus
A+B RNA
Prid Pt Isolate Nom
Probe.amp.
tar
62462-7
Influenza virus
A+B RNA
ACnc Pt XXX Ord
Probe.amp
.tar
76
檢驗結果:
Influ. A positive
Influ. B positive
77. 病毒分離及鑑定 / Virus culture
• 呼吸道病毒培養發現存在流行性感冒病毒
LOINC ID
COMPONEN
T
PROPERTY TIME_ASPCT SYSTEM SCALE_TYP METHOD_TYP
14454-3
Virus
identified
Prid Pt Nose Nom Culture
14458-4
Virus
identified
Prid Pt Sputum Nom Culture
6584-7
Virus
identified
Prid Pt XXX Nom Culture
72373-4
Virus
identified
Prid Pt Nph Nom Culture
77
檢驗結果:
Influ. A / Influ. B
78. 對應異常範例
78
LOINC ID COMPONENT
PROPER
TY
TIME_ASP
CT
SYSTE
M
SCALE_T
YP
METHOD_T
YP
NULL Influenza virus A Ag Pr Pt Thrt Ord EIA.rapid
NULL Influenza virus B Ag Pr Pt Thrt Ord EIA.rapid
72367-6 Influenza virus A+B Ag Pr Pt Nose Ord EIA.rapid
請醫院確認實際使用的是流感快篩試劑是否為合併Type A 和Type B 的試劑?
1. 如是,建議調整LOINC 檢驗項目名稱調整為Influenza virus A+B Ag
(Influv100);LOINC 代碼可免填。
2. 如否,是有區分Influ. A 或Influ. B 的不同快篩試劑,則無需調整。
79. 對應異常範例
79
LOINC ID COMPONENT PROPERTY
TIME_
ASPCT
SYSTEM
SCALE
_TYP
METHOD
_TYP
NULL Influenza virus A+B Ag ACnc Pt Thrt Ord EIA.rapid
NULL Influenza virus A+B Ag ACnc Pt Nph Ord EIA.rapid
72367-6 Influenza virus A+B Ag Pr Pt Nose Ord EIA.rapid
建議調整測量單位屬性(PROPERTY)為Pr (代碼P14)
80. 對應異常範例
80
LOINC ID COMPONENT PROPERTY
TIME_
ASPCT
SYSTEM
SCALE
_TYP
METHOD_TYP
NULL
Influenza virus
A RNA
ACnc Pt Nph Ord Probe.amp.tar
76078-5
Influenza virus
A RNA
Threshold Pt Nph Ord Probe.amp.tar
NULL
Influenza virus
B RNA
ACnc Pt Nph Ord Probe.amp.tar
76080-1
Influenza virus
B RNA
Threshold Pt Nph Ord Probe.amp.tar
建議Influenza virus A RNA 調整測量單位屬性(PROPERTY)為Threshold (代碼P20);
LOINC 代碼可更改對應至76078-5
建議Influenza virus B RNA 調整測量單位屬性(PROPERTY)為Threshold (代碼P20);
LOINC 代碼可更改對應至76080-1
82. Parainfluenza virus Ag
• 副流行性感冒病毒抗原檢測
LOINC ID COMPONENT
PROPERT
Y
TIME_ASPC
T
SYSTE
M
SCALE_TY
P
METHOD_TY
P
38395-0 Parainfluenza virus 1 Ag ACnc Pt Nph Ord IF
38396-8 Parainfluenza virus 1 Ag ACnc Pt Nose Ord IF
5871-9 Parainfluenza virus 2 Ag ACnc Pt XXX Ord IF
5868-5 Parainfluenza virus 1 Ag ACnc Pt Thrt Ord IF
5869-3 Parainfluenza virus 1 Ag ACnc Pt XXX Ord IF
5870-1 Parainfluenza virus 2 Ag ACnc Pt Thrt Ord IF
5872-7 Parainfluenza virus 3 Ag ACnc Pt Thrt Ord IF
5873-5 Parainfluenza virus 3 Ag ACnc Pt XXX Ord IF
13327-2 Parainfluenza virus Ag ACnc Pt XXX Ord IF
17414-4
Parainfluenza virus
1+2+3 Ag
ACnc Pt XXX Ord
82
83. Parainfluenza virus culture
• 副流行性感冒病毒培養
LOINC ID COMPONENT
PROPE
RTY
TIME_AS
PCT
SYSTE
M
SCALE_T
YP
METHOD_TYP
21442-9
Parainfluenza
virus identified
Prid Pt Nose Nom
Organism
specific culture
40436-8
Parainfluenza
virus identified
Prid Pt XXX Nom
Organism
specific culture
83
84. Virus culture
• 呼吸道病毒培養發現存在副流行性感冒病毒
LOINC ID
COMPONE
NT
PROPERT
Y
TIME_ASPC
T
SYSTEM
SCALE_TY
P
METHOD_T
YP
14454-3
Virus
identified
Prid Pt Nose Nom Culture
14458-4
Virus
identified
Prid Pt Sputum Nom Culture
6584-7
Virus
identified
Prid Pt XXX Nom Culture
72373-4
Virus
identified
Prid Pt Nph Nom Culture
84
檢驗結果:
Parainflu. 1 / Parainflu. 2 / Parainflu. 3
86. RSV Ab
• 呼吸道融合病毒抗體檢驗
LOINC ID COMPONENT
PROPER
TY
TIME_AS
PCT
SYSTE
M
SCALE_T
YP
METHOD_
TYP
22466-7
Respiratory
syncytial virus Ab
Titr Pt Ser Qn
33390-6
Respiratory
syncytial virus Ab
ACnc Pt Ser Ord
5295-1
Respiratory
syncytial virus Ab
Titr Pt Ser Qn IF
7990-5
Respiratory
syncytial virus Ab
ACnc Pt Ser Qn
86
87. RSV Ag
• 呼吸道融合病毒抗原檢測
LOINC ID COMPONENT
PROPER
TY
TIME_AS
PCT
SYSTE
M
SCALE_T
YP
METHOD_
TYP
5877-6
Respiratory
syncytial virus Ag
ACnc Pt XXX Ord IF
31950-9
Respiratory
syncytial virus Ag
ACnc Pt XXX Ord
32040-8
Respiratory
syncytial virus Ag
ACnc Pt Nose Ord IF
33045-6
Respiratory
syncytial virus Ag
ACnc Pt Nose Ord
87
88. Virus culture
• 呼吸道病毒培養發現存在RSV
LOINC ID
COMPONE
NT
PROPERT
Y
TIME_ASPC
T
SYSTE
M
SCALE_TY
P
METHOD_T
YP
14454-3
Virus
identified
Prid Pt Nose Nom Culture
14458-4
Virus
identified
Prid Pt
Sputu
m
Nom Culture
6584-7
Virus
identified
Prid Pt XXX Nom Culture
72373-4
Virus
identified
Prid Pt Nph Nom Culture
88
檢驗結果:
Respiratory syncytial virus
90. HSV IgG
• 單純皰疹病毒抗體免疫球蛋白G檢查
LOINC ID COMPONENT
PROPER
TY
TIME_AS
PCT
SYSTE
M
SCALE_T
YP
METHOD_
TYP
19106-4
Herpes simplex virus
Ab.IgG
ACnc Pt Ser Ord
17850-9
Herpes simplex virus
1 Ab.IgG
ACnc Pt Ser Ord
17851-7
Herpes simplex virus
2 Ab.IgG
ACnc Pt Ser Ord
36921-5
Herpes simplex virus
1+2 Ab.IgG
ACnc Pt Ser Ord
40728-8
Herpes simplex virus
Ab.IgG
ACnc Pt Ser Ord EIA
90
檢驗結果:
HSV-1 positive
HSV-2 positive
91. HSV IgM
• 單純皰疹病毒抗體免疫球蛋白M檢查
LOINC ID COMPONENT
PROPER
TY
TIME_AS
PCT
SYSTE
M
SCALE_T
YP
METHOD_
TYP
25435-9
Herpes simplex virus
Ab.IgM
ACnc Pt Ser Ord
32687-6
Herpes simplex virus
1 Ab.IgM
ACnc Pt Ser Ord
32688-4
Herpes simplex virus
2 Ab.IgM
ACnc Pt Ser Ord
44494-3
Herpes simplex virus
2 Ab.IgM
ACnc Pt Ser Ord EIA
41149-6
Herpes simplex virus
1+2 Ab.IgM
ACnc Pt Ser Ord
40729-6
Herpes simplex virus
Ab.IgM
ACnc Pt Ser Ord EIA 91
檢驗結果:
HSV-1 positive
HSV-2 positive
92. HSV Ag
• HSV Ag檢驗
LOINC ID COMPONENT
PROPER
TY
TIME_AS
PCT
SYSTE
M
SCALE_T
YP
METHOD_
TYP
31854-3 Herpes simplex virus Ag ACnc Pt Skin Ord
31847-7 Herpes simplex virus 1 Ag ACnc Pt Skin Ord
31850-1 Herpes simplex virus 2 Ag ACnc Pt Skin Ord
44475-2 Herpes simplex virus 1 Ag ACnc Pt Tiss Ord
44502-3 Herpes simplex virus 2 Ag ACnc Pt Tiss Ord
5853-7 Herpes simplex virus Ag ACnc Pt Skin Ord IF
5845-3 Herpes simplex virus 1 Ag ACnc Pt Skin Ord IF
5848-7 Herpes simplex virus 2 Ag ACnc Pt Skin Ord IF
48400-6 Herpes simplex virus 1+2 Ag ACnc Pt Tiss Ord IF
92
檢驗結果:
HSV-1 positive
HSV-2 positive
93. HSV PCR
• HSV PCR檢驗
LOINC ID COMPONENT
PROPER
TY
TIME_ASP
CT
SYSTE
M
SCALE_T
YP
METHOD_
TYP
5013-8
Herpes simplex virus
DNA
ACnc Pt CSF Ord
Probe.amp
.tar
32141-4
Herpes simplex virus
1+2 DNA
ACnc Pt CSF Ord
Probe.amp
.tar
5014-6
Herpes simplex virus
DNA
ACnc Pt XXX Ord
Probe.amp
.tar
20444-6
Herpes simplex virus
1+2 DNA
ACnc Pt XXX Ord
Probe.amp
.tar
93
檢驗結果:
HSV-1 positive
HSV-2 positive
94. Virus culture
• 病毒培養發現存在HSV-1/2
LOINC ID
COMPONE
NT
PROPERT
Y
TIME_ASPC
T
SYSTE
M
SCALE_TY
P
METHOD_T
YP
5887-5
Virus
identified
Prid Pt Thrt Nom Culture
6584-7
Virus
identified
Prid Pt XXX Nom Culture
94
檢驗結果:
HSV-1
HSV-2
95. 腸病毒
• 常見檢驗項目
95
醫院
A) EV71 Ab-IgM Rapid test / 腸病毒71型-IgM抗體檢驗
B) Coxsackievirus Ab / 科沙奇病毒抗體
C) Enterovirus culture / 腸病毒培養
D) 病毒分離及鑑定 / Virus culture
E) Enterovirus 71 RNA / 腸病毒 71 RNA 偵測
96. 腸病毒71型-IgM /科沙奇病毒抗體
• 腸病毒71型-IgM抗體檢驗
• 科沙奇病毒抗體檢驗
LOINC ID COMPONENT PROPERTY
TIME_
ASPCT
SYSTEM
SCALE_
TYP
METHOD_TY
P
70009-6
Enterovirus
Ab.IgM
Threshold Pt Ser/Plas Ord EIA
LOINC
ID
COMPONENT
PROPE
RTY
TIME_
ASPCT
SYSTEM
SCALE_
TYP
METHOD
_TYP
50691-5
Coxsackievirus
A9+B1+B2+B3+B4+B5+B6
Ab
Titr Pt Ser Qn Comp fix
96
檢驗結果:
Coxsackievirus B1 1:256
97. 腸病毒培養 / 病毒培養
• 腸病毒培養檢驗
• 病毒培養發現存在腸病毒
LOINC ID COMPONENT
PROPER
TY
TIME_AS
PCT
SYSTE
M
SCALE_T
YP
METHOD_TYP
5839-6
Enterovirus
identified
Prid Pt CSF Nom
Organism
specific culture
5842-0
Enterovirus
identified
Prid Pt Stool Nom
Organism
specific culture
5843-8
Enterovirus
identified
Prid Pt XXX Nom
Organism
specific culture
LOINC ID
COMPONE
NT
PROPERT
Y
TIME_ASPC
T
SYSTE
M
SCALE_TY
P
METHOD_T
YP
5887-5
Virus
identified
Prid Pt Thrt Nom Culture
6584-7
Virus
identified
Prid Pt XXX Nom Culture 97
檢驗結果:Enterovirus
98. 腸病毒 71 RNA
• 腸病毒 71 RNA 偵測檢驗
LOINC ID COMPONENT
PROPERT
Y
TIME_ASP
CT
SYSTE
M
SCALE_TY
P
METHOD_T
YP
60429-8
Enterovirus 71
RNA
ACnc Pt Isolate Ord
Probe.amp.
tar
62861-0
Enterovirus 71
RNA
ACnc Pt XXX Ord
Probe.amp.
tar
98
99. 醫院
A) Norovirus Ag / 諾羅病毒抗原檢測
B) Norovirus RNA / 諾羅病毒 RNA 鑑定
其他需通報病毒
• 輪狀病毒
• 腺病毒
• 諾羅病毒
99
醫院
Rotavirus Ag / 輪狀病毒抗原檢測
醫院
A) Adenovirus Ag / 腺病毒抗原檢測
B) 病毒分離及鑑定 / Virus culture
100. Rotavirus Ag
• 輪狀病毒抗原檢測
LOINC ID COMPONENT
PROPERT
Y
TIME_ASPC
T
SYSTE
M
SCALE_TY
P
METHOD_T
YP
17547-1 Rotavirus Ag ACnc Pt Stool Ord
5880-0 Rotavirus Ag ACnc Pt Stool Ord EIA
100
101. Adenovirus
• 腺病毒抗原檢測
• 病毒培養發現存在腺病毒
LOINC ID COMPONENT PROPERTY TIME_ASPCT SYSTEM SCALE_TYP METHOD_TYP
31712-3 Adenovirus Ag ACnc Pt Thrt Ord
5828-9 Adenovirus Ag ACnc Pt Thrt Ord IF
31714-9 Adenovirus Ag ACnc Pt XXX Ord
5834-7 Adenovirus Ag ACnc Pt XXX Ord IF
LOINC ID COMPONENT PROPERTY TIME_ASPCT SYSTEM SCALE_TYP METHOD_TYP
5887-5 Virus identified Prid Pt Thrt Nom Culture
6584-7 Virus identified Prid Pt XXX Nom Culture
101
檢驗結果:
Adenovirus