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Date

Attendees

Pesent

Name

Organization

regrets

Nancy Cornish

CDC

X

Manjula Gama-Ralalage

CDC

X

Riki Merrick

APHL

regrets

Christina Gallegos

APHL

X

Amy Liu

Inductive Health / APHL

 regrets

X

Raj Dash

Duke / CAP

regrets

John Snyder

National Library of Medicine (SNOMED CT)

Andrea Pitkus

UW

X

Kathy Walsh

Labcorp

Rob Hausam

Hausam Consulting

Doug York

APHL

Pam Banning

 3M

Sandy Jones

CDC

...

Discussion topics

Upcoming OOO

 

 Yes

Previous Action Items

 

Chat:

  • Kathy: le·sion/ˈlēZH(ə)n/nounMEDICINEa region in an organ or tissue which has suffered damage through injury or disease, such as a wound, ulcer, abscess, or tumor.

  • John: Transjugular intrahepatic portosystemic shunt (TIPS)

  • Christina: Successful Surgical Removal of an Infected Transjugular Intrahepatic Portosystemic Shunt

  • Nancy: Ventriculoperitoneal Shunt - StatPearls - NCBI Bookshelf (nih.gov)

     No

    Specimen CMT - review of terms with questions

     

  • Next Step- Amy to review and update the dB and identify any other outstanding items and bring it to the group

  • SkinLesionSwab

    • need a definition, usage type

    • sometimes a preferred specimen type, can be a scraping, etc.

  • ShuntTip - delete term

    • non specific

    • not certain if you would culture the shunt tip - if infected, then you would pull the whole shunt out. You would culture the CSF, not the tip

    • Search is coming up with TIPS (see below)

    • Not a preferred term - preferred specimen is CSF (for culture, cell count, glucose, gram stain, DIFF, etc.)

  •  Yes

    • Remove wound_postsurgical - duplicate to wound_Surgical

    • Adding NHSN terms

      • adiposeTissue

        • use domain micro, since NHSN

        • partial - must have body site, nice to have laterality

        • also add to pathology domain

      • adrenal gland specimen

        • not sure why this is an NHSN term - usually only collected for neoplasm detection

        • fine needle biopsy with source site should cover

      • artery specimen

        • not sure why this is here for NHSN - maybe we shoudl get the current list to ensure we are only consdiering what is current

    • Amy is reviewing

    ADJOURNED

    Yes

    12:27 PM ET

    Specimen CMT pilot implementers

     

     No

    Specimen CMT - Hosting Options

     

     No

    • 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.

        • There will be a call Clinical Architecture on May 3rd to discuss moving specimen CMT to Symedical

        • Manjula will take a look at the concept map

    Specimen CMT - education

     

     No

     

    Specimen CMT - tracking implementation impact

    • Setting baseline

    • Define metrics

     

     No

     

    Specimen CMT - Compare to NHS Medical Terminology testing

     

     No

     

    LOINC to SNOMED CT mapping

     

     No

     

    Future projects for this call after CMT

     

     No

    • 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

      • Look at other HL7 tables that we would want to migrate SCT (i.e., Specimen Condition table, etc.)

    Chat:

    Recording:

    Action items

    ...