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Loinc_2.67_License_4.0.txt
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Loinc_2.67_License_4.0.txt
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LOINC and RELMA Terms of Use
Copyright Notice and License
"LOINC" means the work of clinical nomenclature called Logical Observation
Identifiers Names and Codes (LOINC) that provides a universal code system for
identifying laboratory and clinical observations and related content.
The LOINC(r) codes, LOINC(r) Table (regardless of format), LOINC(r) Table Core,
and LOINC(r) Changes File (collectively, the "Group 1 Artifacts"), and the
LOINC(r) Release Notes and LOINC(r) Users' Guide (collectively, the "Group 1
Documents"), are copyright (c) 1995-2019, Regenstrief Institute, Inc. and the
Logical Observation Identifiers Names and Codes (LOINC) Committee. All rights
reserved.
The RELMA(r) program, RELMA(r) database and associated search index files
(subject to the copyright above with respect to the LOINC(r) codes and LOINC(r)
Table included therein), RELMA(r) Community Mapping Feature Database
(collectively, the "Group 2 Artifacts"), and the RELMA(r) Release Notes and
RELMA(r) Users' Manual (collectively, the "Group 2 Documents"), are copyright
(c) 1995-2019, Regenstrief Institute, Inc. All rights reserved.
The LOINC(r) Panels and Forms File, LOINC(r) Answer File, LOINC(r) Part File,
LOINC(r) Group File, LOINC(r) Document Ontology File, LOINC(r) Document Ontology
OWL File, LOINC(r) Hierarchies, LOINC(r) Linguistic Variants Files, LOINC/RSNA
Radiology Playbook, LOINC/IEEE Medical Device Code Mapping Table,
LOINC Consumer Name File, and LOINC Change Snapshot File (collectively, the
"Group 3 Artifacts" and all subject to the copyright above with respect to the
LOINC(r) codes and LOINC(r) Table to the extent included therein), are
copyright (c) 1995-2019, Regenstrief Institute, Inc. All rights reserved.
LOINC(r) and RELMA(r) are registered United States trademarks of Regenstrief
Institute, Inc.
Permission is hereby granted in perpetuity, without payment of license fees or
royalties, to use, copy, or distribute the Group 1 Artifacts, Group 1 Documents,
Group 2 Artifacts, Group 2 Documents, and Group 3 Artifacts (collectively, the
"Licensed Materials") for any commercial or non-commercial purpose, subject to
the following terms and conditions:
1. To prevent the dilution of the purpose of the LOINC codes and LOINC Table of
providing a definitive standard for identifying clinical information in
electronic reports, users shall not use any of the Licensed Materials for the
purpose of developing or promulgating a different standard for identifying
patient observations, such as laboratory test results; other diagnostic service
test results; clinical observations and measurements; reports produced by
clinicians and diagnostic services about patients; panels, forms, and
collections that define aggregations of these observations; and orders for these
entities in electronic reports and messages.
2. If the user elects to use the RELMA program, users receive the full RELMA
database and associated search index files with the RELMA program, including the
LOINC Table and other database tables comprising the RELMA database. In addition
to its use with the RELMA program, users may use the LOINC Table by itself and
may modify the LOINC Table as permitted herein. Users may not use or modify the
other database tables from the RELMA database or the associated search index
files except in conjunction with their authorized use of the RELMA program,
unless prior written permission is granted by the Regenstrief Institute, Inc. To
request written permission, please contact [email protected]. The RELMA program
also provides access to certain internet-based content copyrighted by
Regenstrief Institute, Inc. No additional permission to modify or distribute
this internet-based content is granted through the user's use of the RELMA
program.
3. The RELMA program also includes the RELMA Community Mappings feature and
access to the RELMA Community Mappings feature database. The accuracy and
completeness of the information in the RELMA Community Mappings feature is not
verified by Regenstrief Institute, Inc. or the LOINC Committee. Access to the
RELMA Community Mappings feature is enabled by a user authentication from the
RELMA login screen. If a user wishes to opt out of the RELMA Community Mappings
feature, they can simply use RELMA without logging in.
a. By using the RELMA Community Mappings feature, users agree as follows:
i. Users may not copy, distribute, or share access to the information
provided by the RELMA Community Mappings feature.
ii. Users accept the risk of using the information provided by the RELMA
Community Mappings feature, recognize that such information is submitted
by other users, and understand that neither Regenstrief Institute, Inc.
nor the LOINC Committee are liable for the information provided by the
RELMA Community Mappings feature.
iii. Regenstrief Institute, Inc. may contact users regarding:
1. Use of the RELMA Community Mappings feature;
2. Submission requests for additional information; and
3. Any mapping submissions that the user makes to the RELMA
Community Mappings feature database;
iv. Others may contact user about submissions made to the RELMA
Community Mappings feature database;
v. User will make reasonable efforts to submit user's mappings back to
the RELMA Community Mappings feature database, which may contain the
following information (as applicable):
1. Local battery/panel/test code
2. Local battery/panel/test name/description
3. Units of Measure
4. LOINC code to which it is mapped
5. Date of mapping
6. Language of test names
7. Version of LOINC used to do the mapping
8. Contact information;
vi. If a user submits mappings on behalf of an organization, the user
represents that the user has the authority to submit the mappings and to
agree to these terms on behalf of the user's organization.
vii. If a user submits mappings back to the RELMA Community Mappings
feature database, then the user hereby grants, on behalf of themselves
and the user's organization, Regenstrief Institute, Inc. a non-exclusive
license without payment or fees to submitted mappings in perpetuity for
purposes related to LOINC, RELMA, and Regenstrief Institute Inc.'s
mission, including, but not limited to:
1. Modifying the information;
2. Making information publicly available;
3. Performing aggregate analysis;
4. Conducting and publishing research that does not identify user or
user's organization by name;
5. Developing and enhancing LOINC and associated software tools.
4. Users shall not change the meaning of any of the LOINC codes. Users shall not
change the name of, or any contents of, any fields in the Group 1 Artifacts.
Users may add new fields to the LOINC Table and LOINC Table Core File to attach
additional information to existing LOINC records. Users shall not change the
content or structure of the Group 3 Artifacts, but may notify the Regenstrief
Institute, Inc. of any potential inconsistencies or corrections needed by
contacting [email protected].
5. Users shall not use the LOINC parts or LOINC part hierarchies in any manner
except as they are presented in the Licensed Materials (and/or in other formats
of distribution approved by Regenstrief Institute, Inc.) to organize or be
constituents of LOINC terms. LOINC parts and LOINC part hierarchies shall
neither be used as a "standalone" terminology nor apart from LOINC terms. User
understands that LOINC parts and LOINC part hierarchies are subject to change,
addition, modification, or deletion, and are not strictly managed under the same
policies as LOINC terms.
6. A user may delete records from the LOINC Table or LOINC Table Core to deal
with the user's local requirements. A user also may add new records to the LOINC
Table and LOINC Table Core to deal with the users' local requirements, provided
that if new records are added, any new entry in the LOINC_NUM field of such new
records must contain a leading alphabetic "X" so that the new codes and records
cannot be confused with existing LOINC codes or new LOINC codes as they are
defined in later releases. Records deleted or added by users to deal with local
requirements are not reflected in the official LOINC Table and LOINC Table Core
maintained by the Regenstrief Institute, Inc. Users must also make reasonable
efforts to submit requests to LOINC for new records to cover observations that
are not found in the LOINC Table (and LOINC Table Core) in order to minimize the
need for X-codes.
7. LOINC codes and other information from the LOINC Table (and LOINC Table Core)
may be used in electronic messages for laboratory test results and clinical
observations such as HL7 ORU messages, without the need to include this
Copyright Notice and License or a reference thereto in the message (and without
the need to include all fields required by Section 9 hereof). When the LOINC
code (from the LOINC_NUM field) is included in the message, users are
encouraged, but not required, to include the corresponding LOINC short name
(from the SHORTNAME field), the LOINC long common name (from the
LONG_COMMON_NAME field), or for laboratory terms, the LOINC Display name (from the
DisplayName field) in the message if the message provides a place for a
text name representation of the code.
8. Users may make and distribute an unlimited number of copies of the Licensed
Materials. Each copy thereof must include this Copyright Notice and License, and
must include the appropriate version number of the Licensed Materials if the
Licensed Materials have a version number, or the release date if the Licensed
Materials do not have a version number. This Copyright Notice and License must
appear on every printed copy of the LOINC Table (and LOINC Table Core). Where
the Licensed Materials are distributed on a fixed storage medium (such as
CD-ROM), a printed copy of this Copyright Notice and License must be included on
or with the storage medium, and a text file containing this information also
must be stored on the storage medium in a file called "license.txt". Where the
Licensed Materials are distributed via the Internet, this Copyright Notice and
License must be accessible on the same Internet page from which the Licensed
Materials are available for download. This Copyright Notice and License must
appear verbatim on every electronic or printed copy of the RELMA Users' Manual
and the LOINC Users' Guide. The RELMA Users' Manual and the LOINC Users' Guide
may not be modified, nor may derivative works of the RELMA Users' Manual or
LOINC Users' Guide be created, without the prior written permission of the
Regenstrief Institute, Inc. To request written permission, please contact
[email protected]. The Regenstrief Institute retains the right to approve any
modification to, or derivative work of, the RELMA Users' Manual or the LOINC
Users' Guide.
9. Subject to Section 1 and the other restrictions hereof, users may incorporate
portions of the Group 1 Artifacts or Group 3 Artifacts into another master term
dictionary (e.g. laboratory test definition database), or software program for
distribution outside of the user's corporation or organization, provided that
any such master term dictionary or software program includes the following
fields reproduced in their entirety from the LOINC Table (or LOINC Table Core):
LOINC_NUM, COMPONENT, PROPERTY, TIME_ASPCT, SYSTEM, SCALE_TYP, METHOD_TYP,
STATUS, and SHORTNAME. Users are also required to either: (1) include the
EXTERNAL_COPYRIGHT_NOTICE or (2) delete the rows that include third party
copyrighted content (e.g., third party survey instruments and answers). If third
party content is included, users are required to comply with any such
third-party copyright license terms. Users are encouraged, but not required, to
also include the RelatedNames2 and the LONG_COMMON_NAME in any such database.
Further description of these fields is provided in Appendix A of the LOINC
Users' Guide. Every copy of the Group 1 Artifacts or Group 3 Artifacts
incorporated into or distributed in conjunction with another database or
software program must include the following notice:
"This product includes all, or a portion of, or is derived from content from
LOINC that is subject to a license from Regenstrief Institute, Inc. Your use of
LOINC content also is subject to this license, a copy of which is available
https://loinc.org/license/. The current complete LOINC distribution is available
for download at http://loinc.org. The LOINC Table and LOINC codes are copyright
(c) 1995-2019, Regenstrief Institute, Inc. and the Logical Observation
Identifiers Names and Codes (LOINC) Committee. The LOINC Table, LOINC Table
Core, LOINC Panels and Forms File, LOINC Answer File, LOINC Part File, LOINC
Group File, LOINC Document Ontology File, LOINC Document Ontology OWL File,
LOINC Hierarchies, LOINC Linguistic Variants File, LOINC/RSNA Radiology Playbook,
LOINC/IEEE Medical Device Code Mapping Table, LOINC Consumer Name File, and LOINC
Change Snapshot File are copyright (c) 1995-2019, Regenstrief Institute, Inc.
All rights reserved. THE LOINC TABLE (IN ALL FORMATS), LOINC TABLE CORE, LOINC
PANELS AND FORMS FILE, LOINC ANSWER FILE, LOINC PART FILE, LOINC GROUP FILE,
LOINC DOCUMENT ONTOLOGY FILE, LOINC DOCUMENT ONTOLOGY OWL FILE, LOINC HIERARCHIES,
LOINC LINGUISTIC VARIANTS FILE, LOINC/RSNA RADIOLOGY PLAYBOOK, LOINC/IEEE MEDICAL
DEVICE CODE MAPPING TABLE, LOINC CONSUMER NAME FILE, AND LOINC CHANGE SNAPSHOT
FILE ARE PROVIDED "AS IS." ANY EXPRESS OR IMPLIED WARRANTIES ARE DISCLAIMED,
INCLUDING, BUT NOT LIMITED TO, THE IMPLIED WARRANTIES OF MERCHANTABILITY AND
FITNESS FOR A PARTICULAR PURPOSE. LOINC(r) is a registered United States
trademark of Regenstrief Institute, Inc. A small portion of LOINC content may
include content (e.g., survey instruments) that is subject to copyrights owned
by third parties. Such content has been mapped to LOINC terms under applicable
copyright and terms of use. Notice of such third-party copyright and license
terms would need to be included if such content is included."
If the master term dictionary or software program containing Group 1 Artifacts
or Group 3 Artifacts is distributed with a printed license, this statement must
appear in the printed license. Where the master term dictionary or software
program containing the Group 1 Artifacts or Group 3 Artifacts is distributed on
a fixed storage medium, a text file containing this information also must be
stored on the storage medium in a file called "LOINC_short_license.txt". Where
the master term dictionary or software program containing the Group 1 Artifacts
or Group 3 Artifacts is distributed via the Internet, this information must be
accessible on the same Internet page from which the product is available for
download.
10. Subject to Section 1 and the other restrictions hereof, users may
incorporate portions of the Group 1 Artifacts or Group 3 Artifacts into
another document (e.g., an implementation guide or other technical
specification) for distribution outside of the user's corporation or
organization, subject to these terms:
a. Every copy of the document that contains portions of the Group 1
Artifacts or Group 3 Artifacts must include the following notice:
"This material contains content from LOINC(r) (http://loinc.org).
LOINC is copyright (c) 1995-2019, Regenstrief Institute, Inc. and the
Logical Observation Identifiers Names and Codes (LOINC) Committee and
is available at no cost under the license at
http://loinc.org/terms-of-use."
Every document (including, but not limited to, a webpage) containing
portions of the licensed material that is made available by a website or
mobile device application must contain the notice set forth above.
b. Users are strongly encouraged, but not required, to indicate the
appropriate version number of the Licensed Material used.
c. Any information in the document that is extracted from the Licensed
Material must always be associated with the corresponding identifier from
LOINC (e.g. LOINC code, LOINC Answer List ID, LOINC Answer String ID, LOINC
Part Number, or LOINC Group ID).
d. When identifiers from LOINC are incorporated into a document, users are
required to include a corresponding LOINC name as follows:
i. For LOINC codes incorporated into a document, users are required to
include one of the following names from the LOINC
Table, LOINC Table Core, or the LOINC Linguistic Variants File (as
available):
1. The fully-specified name, which includes the information from the
COMPONENT, PROPERTY, TIME_ASPCT, SYSTEM, SCALE_TYP, and METHOD_TYP
fields;
2. The LOINC short name (from the SHORTNAME field);
3. The LOINC long common name (from the LONG_COMMON_NAME field); or
4. The LOINC Display name (from the DisplayName field).
ii. For LOINC identifiers except LOINC codes, users are required to
include the primary corresponding display name (e.g. LOINC Answer List
Name, LOINC Answer String Display Text, LOINC Part Name, LOINC Group
Name)
e. When LOINC codes are incorporated into a document, users are also
required to either:
i. Include the EXTERNAL_COPYRIGHT_NOTICE, or
ii. Exclude the rows that
include third party copyrighted content (e.g., third party survey
instruments and answers). If third party content is included, users are
required to comply with any such third party copyright license terms.
11. Use and distribution of the Licensed Materials in ways that are not
specifically discussed herein shall always be accompanied by the notice provided
in Section 9 hereof. The guidelines for providing the notice that are contained
in the last paragraph of Section 9 also shall apply. If a user has a question
about whether a particular use of any of the Licensed Materials is permissible,
the user is invited to contact the Regenstrief Institute, Inc. by e-mail at
12. If the user desires to translate any of the Licensed Materials into a
language other than English, then user shall notify Regenstrief Institute, Inc.
via email at [email protected]. Any such translation is a derivative work, and the
user agrees and does hereby assign all right, title and interest in and to such
derivative work: (1) to Regenstrief Institute, Inc. and the LOINC Committee if
the translation is a derivative of Group 1 Artifacts or Group 1 Documents, and
(2) to Regenstrief Institute, Inc. if the translation is a derivative work of
the Group 2 Artifacts, Group 2 Documents, or Group 3 Artifacts. Further, user
shall fully cooperate with Regenstrief Institute, Inc. in the filing and
reviewing of any copyright applications or other legal documents, and signing
any documents (such as declarations, assignments, affidavits, and the like) that
are reasonably necessary to the preparation of any such copyright application.
The assignment granted by this paragraph extends to all proprietary rights both
in the United States, and in all foreign countries. No other right to create a
derivative work of any of the Licensed Materials is hereby granted (except the
right to translate into a language other than English granted in this Section),
and Regenstrief Institute, Inc. and the LOINC Committee respectively reserve all
other rights not specifically granted herein. All such translations shall be
electronically transmitted to Regenstrief Institute, Inc., and such translations
shall be made available and are subject to the same license rights and
restrictions contained herein. Regenstrief Institute, Inc. will give credit on
the LOINC website (and on screens in RELMA) to the user and/or entity that did
the translation. Accuracy of each translation is not verified by Regenstrief
Institute, Inc. or the LOINC Committee.
13. The Regenstrief Institute, Inc. and the LOINC Committee welcome requests for
new LOINC content (terms, codes, or associated material such as text
descriptions and synonyms) and suggestions about revisions to existing content
within the Licensed Materials. Any content submitted in conjunction with such a
request is subject to the LOINC Submissions Policy, which is available at
http://loinc.org/submissions-policy.
14. The names "Regenstrief," "Regenstrief Foundation," "Regenstrief Institute,
Inc.," and "LOINC Committee" may not be used in a way which could be interpreted
as an endorsement or a promotion of any product or service without prior written
permission of the Regenstrief Institute, Inc. Further, no right to use the
trademarks of Regenstrief Institute, Inc. is licensed hereunder. To request
written permission, please contact [email protected].
15. DISCLAIMER: REGENSTRIEF INSTITUTE, INC. AND THE LOINC COMMITTEE, AS WELL AS
ANY CONTRIBUTORS WHO HAVE PROVIDED TRANSLATIONS OF THE LICENSED MATERIALS, DO
NOT ACCEPT LIABILITY FOR ANY OMISSIONS OR ERRORS IN THE LICENSED MATERIALS OR
ANY OTHER MATERIALS OBTAINED FROM REGENSTRIEF INSTITUTE, INC. AND/OR THE LOINC
COMMITTEE. THE LICENSED MATERIALS AND ALL OTHER MATERIALS OBTAINED FROM
REGENSTRIEF INSTITUTE, INC. AND/OR THE LOINC COMMITTEE ARE PROVIDED "AS IS,"
WITHOUT WARRANTY OF ANY KIND. ANY EXPRESSED OR IMPLIED WARRANTIES ARE HEREBY
DISCLAIMED, INCLUDING, BUT NOT LIMITED TO, THE IMPLIED WARRANTIES OF TITLE,
NON-INFRINGEMENT, MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE AND
WARRANTIES ARISING FROM A COURSE OF DEALING, TRADE USAGE, OR TRADE PRACTICE.
FURTHER, NO WARRANTY OR REPRESENTATION IS MADE CONCERNING THE ACCURACY,
COMPLETENESS, SEQUENCE, TIMELINESS OR AVAILABILITY OF THE LICENSED MATERIALS OR
ANY OTHER MATERIALS OBTAINED FROM REGENSTRIEF INSTITUTE, INC. AND/OR THE LOINC
COMMITTEE, OR ANY TRANSLATIONS OR DERIVATIVE WORKS OF ANY OF THE FOREGOING. IN
NO EVENT SHALL REGENSTRIEF INSTITUTE, INC. OR THE LOINC COMMITTEE OR ITS
CONTRIBUTORS BE LIABLE FOR ANY DIRECT, INDIRECT, INCIDENTAL, SPECIAL, EXEMPLARY,
RELIANCE, OR CONSEQUENTIAL DAMAGES OR ATTORNEYS' FEES (INCLUDING, BUT NOT
LIMITED TO, PROCUREMENT OF SUBSTITUTE GOODS OR SERVICES; OPPORTUNITY COSTS; LOSS
OF USE, DATA, SAVINGS OR PROFITS; OR BUSINESS INTERRUPTION) HOWEVER CAUSED AND
ON ANY THEORY OF LIABILITY WHETHER IN CONTRACT, STRICT LIABILITY, OR TORT
(INCLUDING NEGLIGENCE OR OTHERWISE) ARISING IN ANY WAY OUT OF THE USE OF THE
LICENSED MATERIALS OR ANY OTHER MATERIALS OBTAINED FROM REGENSTRIEF INSTITUTE,
INC. AND/OR THE LOINC COMMITTEE, EVEN IF ADVISED OF THE POSSIBILITY OF SUCH
DAMAGE OR IF SUCH DAMAGES WERE FORESEEABLE. SOME JURISDICTIONS DO NOT ALLOW THE
LIMITATION OR EXCLUSION OF CERTAIN WARRANTIES OR CONDITIONS, SO SOME OF THE
FOREGOING MAY NOT APPLY TO YOU.
16. This license shall be construed and interpreted in accordance with the laws
of the State of Indiana, United States of America, excluding its conflicts of
law rules.
17. Regenstrief Institute, Inc. may collect information about User including,
but not limited to:
a. Device specific information such as hardware model, operating system, and
version;
b. Internet Protocol address;
c. How the User used the Licensed Materials (such as search queries run and
about which LOINC code terms accessory information was reviewed);
d. Contact information (e.g. name, email, and organization) provided by the
User via RELMA or the loinc.org website;
e. Date and time of access, download, or use, and duration of use.
f. Regenstrief Institute, Inc. may associate this information with a user's
account on loinc.org;
Information collected about users shall only be used by the Regenstrief
Institute, Inc. and/or the LOINC Committee for non-profit and development
purposes, and shall not be provided to third parties.
Notice of Third Party Content and Copyright Terms
A small portion of the content of the Licensed Material consists of content
subject to copyright from third parties. This third party content is either used
with permission or under the applicable terms of use. In all such cases, we have
included the copyright notice. The copyright of the LOINC codes per se remain
owned by Regenstrief Institute, Inc. and the LOINC Committee and subject to the
LOINC Copyright Notice and License.
Some included third party content requires attribution specific to a particular
LOINC code or codes. Such third party content is identified in the LOINC Table
and LOINC Table Core by the applicable copyright notice (up to 250 characters)
stored in the EXTERNAL_COPYRIGHT_NOTICE field. In RELMA and our web-based search
application (http://search.loinc.org), the third party content is highlighted as
follows: When such content appears in a search result grid, the programs will
display a field with a link to a page containing the copyright notice and terms
of use for that content. The programs may also visually highlight the rows of
these LOINC codes.
We have included third party content that allows use and distribution at least
for clinical, administrative, and research purposes. The third party copyright
owners generally ask for attribution of the source, allow the free use of the
content for treatment, health care management, and research purposes. They
generally forbid alteration of their content (e.g., survey questions and/or
answers) and use for commercial purpose, which usually means the direct sale of
the survey instruments. They often do allow use of their content in commercial
software, medical record and other clinical database systems, and the messaging
of patient information collected through the use of these instruments.
Required Attributions for Third Party Content not identified as such in the
EXTERNAL_COPYRIGHT_NOTICE field:
A. The LOINC Part File, LOINC/SNOMED CT Expression Association and Map Sets
File, RELMA database and associated search index files include SNOMED
Clinical Terms (SNOMED CT(r)) which is used by permission of the
International Health Terminology Standards Development Organisation (IHTSDO)
under license. All rights are reserved. SNOMED CT(r) was originally created
by The College of American Pathologists. "SNOMED" and "SNOMED CT" are
registered trademarks of the IHTSDO. Use of SNOMED CT content is subject
to the terms and conditions set forth in the SNOMED CT Affiliate License
Agreement. It is the responsibility of those implementing this product to
ensure they are appropriately licensed and for more information on the
license, including how to register as an Affiliate Licensee, please refer to
http://www.snomed.org/snomed-ct/get-snomed-ct or [email protected]. Under the
terms of the Affiliate License, use of SNOMED CT in countries that are not
IHTSDO Members is subject to reporting and fee payment obligations. However,
IHTSDO agrees to waive the requirements to report and pay fees for use of
SNOMED CT content included in the LOINC Part Mapping and LOINC Term
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