Page Comparison

Upcoming OOO

Y

• Riki OOO 9/29; 10/6; 10/20-11/5

• LOINC conference: 10/17-10/20 - cancel call on 10/19?

• SNOMED Business meeting 10/21-10/25 and Expo 10/26-10/27 = cancel call on 10/26?

• Christina OOO: 9/28

• John OOO 10/19 and 10/26

• Pam OOO 10/19

• Nancy - government shutdown

Previous Action Items

• Mid-turbinate Nasal swab:

  • new body structure will be added SNOMED to describe the replacement concept for Mid-turbinate. It is:

    1290369003 | Structure of middle region of inferior nasal meatus (body structure)

    • which references: 78155005 |Structure of inferior nasal meatus (body structure)

    • Background info: Nasal Mid-turbinate (also known as deep nasal) swab placement location:

      The tapered swab is inserted through the anterior nasal aperture (one or sequentially both right and left) and is pushed along the floor of the nasal cavity through the inferior meatus which is the space between the inferior turbinate (also called concha )

      and the floor of the nasal cavity until resistance is met at the mid-point of the inferior meatus due to the size of the larger size of the swab tip or the length of the handle which stops further progress.

       Just to describe location; The mid-point between anterior nasal cavity and the posterior nasal cavity (nasopharynx ) of the inferior meatus, which is the space between the inferior turbinate (also called concha )and the floor of the nasal cavity,

       

      

       

      ENT surgeons are using them in their surgical reports. See link here The Nasal Cavity - Structure - Vasculature - Innervation - TeachMeAnatomy

• Modeling exposures on wounds (organ donors)

  • Nancy reached out to Bob Milius and Joel Schneider - no answer also reached out to UNOS - Maya Webber - have sent explanatory email - Nancy will forward email to Riki and Andrea - she mentions “we collect laboratory data per OPTN specifications”

  • Nancy to follow-up one more time with Bob and Joel

    • Need SCT for liver, kidney potential transplant biopsies - sometimes it is wedge biopsy

    • Do we need SCT code that delineates donor before transplant is in the recipient?

    • There is allowance for donor in pre-coordinated concept in SNOMED

    • Identify donor organs that are transplanted (identify the donor organ before it is transplanted)

      • “Organs that have been successfully transplanted include the heart, kidneys, liver, lungs, pancreas, intestine, thymus and uterus. Tissues include bones, tendons (both referred to as musculoskeletal grafts), cornea, skin, heart valves, nerves and veins” including bone marrow

      • will need additional information, reference material, use case, etc.

      • 444464007 |Recipient of biological material from subject (person)|

      • Ask Riki for input105455006 | Donor for medical or surgical procedure (person) - or a descendant that is more appropriate for the speicmen type could be used in SPM-5 as a specimen type modifier when creating a prototype, since we cannot account for every possible organ or tissue type (would have to figure out how to represent that in the CMT)

      • or use specimen hierarchy term that is for the type of donated material - blood / organ / tissue and then require SPM-8?

      • Riki to write up a few examples and bring back next week

• Share CMT one-pager with Sandy Jones - Manjula to do, once we have the updated version (will also have it for the SCT Expo) - she will need to have it before Oct 6

• EyeTissue_Lamella - we will need to create a SCT for anterior and posterior - who?update the definition to be specific for “mycobacteria” for mycobacterial isolate - Nancy to send to Amy

• definition for nasal aspirate and nasal wash - Nancy to send to Amy

USCDI v5 comments are due Sep 22!

United States Core Data for Interoperability (USCDI)

• Riki submitted several comments - do we need to review here?did a brief review

• Nancy will connect Riki with Maria Michaels

Reporting Biomarkers to Cancer registries

N

National Program of Cancer Registries (NPCR) | CDC

Sandy will put together a one-pager

Specimen CMT - review of terms with questions

• Open homework EDTA Stopper top

  • https://phlebotomygeeks.yolasite.com/resources/PRINT OUT COMMON TUBES.pdf

    • but color is manufacturer dependent, whihc is why we named the tubes by the additives

    • there are container types in SNOMED under 706049005 |Blood tube (physical object)|

    • Need to check on completeness against the Anne/Nancy list

    • Have a start here: https://aphlinformatics.atlassian.net/wiki/download/attachments/2018312270/ContainertypesListRikiEmailed20171013.xlsx?api=v2

    • K1 or K2 might be important to differentiate

Specimen CMT pilot implementers

• Review where we are: Vendor Connections - nothing new since last week

Specimen CMT - Hosting Options

• How can we publish the content in the dB?

  • Allow access somehow to query the dB

  • as access or excel or csv

  • Using FHIR conceptMap similar to Conceptmap-example-specimen-type - FHIR v6.0.0-cibuild - based on this profile: ConceptMap - FHIR v6.0.0-cibuild

  • riki.merrick to ask Eric if he still has that or how he built it:

  • ANSWER FROM ERIC:

    • if you look in the xml source Conceptmap-example-specimen-type.xml - FHIR v6.0.0-cibuild . you can see how it is mapped. 

    • I am not sure if you mean the table rendering or creating the concept map from a spreadsheet or CSV file.  The FHIR build tool did the table rendering for that mapping, I think I entered the data by hand, or Grahame did it. It would not be hard to create a script to create a concept map from an excel or csv file if needed.  The table needs to be large enough to make it worthwhile though. you could even create formula cells in the spreadsheet to generate the XML or json for each item. and then copy to a text editor and append to the Metadata fields.

Specimen CMT - education

Specimen CMT - tracking implementation impact

• Setting baseline

• Define metrics

Specimen CMT - Compare to NHS Medical Terminology testing

Future projects for this call after CMT

• In general the call is intended as a forum for ANY messaging related issues to work out.

• In the past we have

  • reviewed containers re-vive that - and how does that interact with devices (UDI identification?)

  • review code systems around additives (HL70371 and SCT substance and product hierarchies)

  • started work on cross-mapping between HL7 method codes and SNOMED CT procedure / technique concepts

    • American College of Surgeons is working on procedure protocol and synoptic data elements / surgical synoptic reports - we could work with them together on that