Tuesday, April 16, 2024

Finland Updates Nomenclature for Laboratory Tests

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The Finnish Institute for Health and Welfare (THL) published an updated version of the laboratory test nomenclature, set to be implemented on January 1, 2024. This nomenclature, managed by the Association of Local and Regional Authorities, plays a crucial role in standardizing laboratory procedures across Finland. It encompasses various tests in various medical specialties including clinical chemistry, clinical physiology, clinical microbiology, clinical neurophysiology, genetics, pathology, and functional diagnostic tests such as spirometry or ECG. Additionally, it is integral in coding laboratory tests in both public and private healthcare settings, with the latter often covered by the national public payer, KELA.

Finland’s Nomenclature Update Introduces 60 New Codes in Key Health Fields

The latest update to the laboratory test nomenclature marks a significant expansion and modernization of the system. It introduced sixty new codes, reflecting advancements and evolving needs in the fields of in-vitro diagnostics and functional diagnostic tests, particularly in cardiology, pulmonology, and gastroenterology. These new codes represent a broad spectrum of procedures and tests that are crucial for accurate diagnosis and patient care. Some notable examples of the newly introduced codes include:

  1. 6781 ECG, long-term registration (48 h), connection, analysis without consultation: This code refers to an extended electrocardiogram recording, an essential tool in cardiac monitoring.
  2. 6788 Esophagus and cardia pH measurement without consultation: This test measures the pH levels in the esophagus and cardia, providing vital data for gastroenterological diagnoses.
  3. 6804 F-Enterovirus, nucleic acid (qual): A diagnostic code for qualitative analysis of enteroviruses in fecal samples, important in identifying infections.
  4. 6808 S-C-reactive protein, a sensitive method: This test measures C-reactive protein levels in serum, an important marker for inflammation.
  5. 6769 Oscillometric respiratory impedance and bronchodilation test without consultation: This respiratory test assesses lung function and response to bronchodilators.
  6. 6800 Spirometry serial measurements, exposure, or stress: These tests evaluate lung function under various conditions, crucial in pulmonology.
  7. 6766 Impedance pneumography during sleep, long-term registration, consultation: This test monitors respiratory function during sleep, which is important in diagnosing sleep-related breathing disorders.

The introduction of these codes is a testament to the evolving landscape of medical diagnostics. For in-vitro diagnostic tests, the nomenclature includes specific prefixes indicating the sample type: ‘S’ for serum and ‘F’ for feces. This distinction is key in ensuring clarity and precision in laboratory testing and reporting.

The implementation of this updated nomenclature is a significant stride towards enhancing the efficiency and accuracy of laboratory testing in Finland. By providing a standardized coding system, it ensures uniformity and consistency in lab testing across various healthcare settings. This, in turn, facilitates better communication among healthcare providers, accurate billing, and efficient data management.


Adapting to Medical Advancements for Enhanced Patient Care

Moreover, the update reflects Finland’s commitment to keeping pace with the rapid advancements in medical science and technology. By incorporating new tests and procedures, the Finnish healthcare system demonstrates its dedication to providing comprehensive, up-to-date medical care to its citizens. This commitment is crucial in improving patient outcomes, advancing public health, and ensuring that the healthcare system remains responsive to the population’s changing needs.

In summary, the updated laboratory test nomenclature in Finland represents a significant advancement in the country’s healthcare system. Standardizing laboratory procedures and incorporating the latest in medical diagnostics, enhances the quality of healthcare delivery, aids in accurate diagnosis and treatment, and streamlines the process for healthcare professionals and patients alike. This update is a clear indication of Finland’s dedication to innovation and excellence in healthcare.


Resource: Med Tech Reimbursement Consulting, January 05, 2023

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