Topic | Discussed? | Notes |
---|
Upcoming OOO | Y | Riki 1/16-1/18 FHIR Connectathon, Travel/vacation days: 1/15, 1/19, 1/22 1/15 MLK Day Feb 1 Continuing resolution money runs out 😮
|
Previous Action Items
| Y | Nancy Follow up Can only have 1 bodysite in HL7, but these are from different sites - find out how often cervix + Fornix are collected together ComboCytologicalMaterialfromEndocervixEctocervixVaginalFornix ComboCytologicalMaterialfromEndocervixEctocervixVaginalFornixSlide Labcorp allows multi-select - they use AOE question for this, so add as comment with specific
need reference to thin prep (request new term with parent cytology specimen container (physical object) for liquid-based cytology container) - need to look up what the liquid is adhesive tape prep (from Mike Miller’s book): gummed surface pressed against the perianal region of the patient (after separating the buttocks) procedure: currently transparent tape method for fungal identification - need to update that mapping; test is for pinworm eggs
nasal sinus fluid definition surgical insertion site peritonealDialysisTunnelSite surgical insertion site peritonealDialysisSite defintion for deep wound definition for superficial wound
Riki’s Follow up: Open homework EDTA Stopper top | Modeling wound causation | Y | In SNOMED bites are modeled as disorders the specimen model does not include disorders, propose to send elsewhere in the message specimen source identity can be physical object / physical force / morphologic abnormality / organism in SNOMED disorder ‘due to’ is modeled as event for bites outside of animals other causess for wounds are physical (heat, stabbing) or chemical other aspects of wound already using SPM-5 to describe morphiology like deep or superficial wound, but it repeats, so could still use All wound terms will be partial, as location of wound must be documented by the lab (even if it doesn’t neccessarily affect result interpretation, it can affect properly attribution of result, if more than one wound is being sampled at the same time) sending elsewhere in the message = OBX under the Order = Ask at Order Entry (AOE) - is really at collection AOEs are often defined by individual orgnaizations for some tests there are stnadardized AOEs available (like pap smear) - we could provide these here along with the appropriate suggested extensible value set we would need to find or request LOINC to encode cause of wound
We might want to create a few pre-coordinated specimen terms
|
Modeling donor organs / parts | NY | Outreach out to Jane Pollack (jpollack@nmdp.org) at NMDP. was successful - schedule call for this topic - waiting for answer on what date will work Should we make pre-coordinated terms, or support use of type modifiers?
|
Specimen CMT - review of terms with questions | N | | Y | Wound terms - Cat bite as example: Specimen from bite AOE for Cat bite - use https://loinc.org/11373-8/ - their example answer list is https://loinc.org/LL4936-2/ - but we can use SCT from event hierarchy for more detail - for this one use: For description of cat scratch wound aspirate - PHLIPPreferred does not include cat - add description to use AOE to indicate wound etiology
Toe joint synovial fluid - use pre-coordinated existing term Vaginal and rectal swab combo - SPM-8 does not repeat, so unsure how to represent that in the table - add a note that in this case SPM-8 is NOT included in the CMT - add a similar note to any term with mulitple body sites Deep wound and superficial wound need definitions (superficial = Raj thinks limited to cuntaneous layers) superficial wound is discouraged term, because often can have contamination from skin flora AbcessAspirate copy definition from other entry - description is wound abscess - thsi mapping does not take wound into account, but adds the aspirate, since that is the preferred collection method we have both the pre-coordinated and the post-coordinated mapping listed as preferred - leave this way for now - long term we want to encourage use of post-coorinated approach updated collection method reference: https://www.aruplab.com/Specimen-Handling/resources/pdf/InfectiousDisease.pdf
fistula_swab needs definition: https://www.pennmedicine.org/for-patients-and-visitors/patient-information/conditions-treated-a-to-z/fistula fully coordinated for spermaticCord and VasDeference, SpermaticCordBiopsy, SpermaticCordFineNeedleBiopsy Pipel specimen - same as EndometriumTissueByBiopsy - no need to be so detailed on what type of biopsy Angio catheter - is a venous catheter used for individuals needing multiple IV deliveries and can be used for angiogram - map to peripheralVenousCatheterTip - refernece for catherters: https://www.ciamedical.com/angiocatheters#How%20Does%20An%20Angiocatheter%20Work? HL7 table terms for Hickman and CVT - don’t use the more specific mappings to the common access veins and map as partial, add note that MUST have SPM-10 to denote the vessel it is placed in: https://www.ncbi.nlm.nih.gov/books/NBK557614/ |
Specimen CMT pilot implementers | N | |
Specimen CMT - Hosting Options | N | |
Specimen CMT - education | N | |
Specimen CMT - tracking implementation impact Setting baseline Define metrics
| N | |
Specimen CMT - Compare to NHS Medical Terminology testing | N | |
USCDI v5 comments | N | United States Core Data for Interoperability (USCDI) |
LOINC to SNOMED CT mapping | N | |
Reporting Biomarkers to Cancer registries | N | National Program of Cancer Registries (NPCR) | CDC Sandy will put together a one-pager |
Future projects for this call after CMT | N | |