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Upcoming OOO

 

Specimen CMT - review of terms with questions

specimen condition and reject reason work

 No

Here is the confluence page where OO is tracking this project: https://confluence.hl7.org/display/OO/Specimen+Condition+and+Specimen+Reject+Reason+Vocabulary

 #2 international standard for biobanking: the ISO 20387:2018 - is anyone member and has access?

  • Annex A lists some requirements regarding documented information during sample acquisition (see A.2 Acquisition)

  • Annex B gives a list of examples for the respective requirements mentioned in Annex A (see B.2 Acquisition). Based on the acceptance criteria 'reject reasons' can be deduced.

    Missing SCT codes for these condition concepts - any help needed?

    Sample not received on dry ice

    Sample  container broken

    Sample identification mismatched to order

    Sample without test requisition (order)

    Patient name misspelling

    Missing collector ID

    Sample label unreadable

    Sample missing patient identification

    Limited evaluation due to broken container

    Limited evaluation due to broken slide

    Limited evaluation due to leaking container

    Specimen CMT - review of terms with questions

    Previous Action Items

     

    Specimen CMT pilot implementers

     No

    Specimen CMT - Hosting Options

     Yes

    • How can we publish the content in the dB?

    • How do we decide what format to share this in - get input from EHR-s and LIS vendors.

    • Write letter of mulitple stakeholders to request EHR-s and LIS vendors to implement

      • indicating that this is a patient safety issue, as incorrect Abx treatment will contribute to multi-drug resistance (use CTSI findings to provide background)

        • focus on blood, urine, wound cultures (get data from NHSN, too)

      • Nancy is talking to DHQP about the linkage with specimen collection

      • While we have HIT certification that is for the EHR-s there is currently no enforcement for implementation at the organizations

      • need C-suite buy-in

      • Professional organizations - like CAP and ACOS and AJCC get them to write the synoptic reports (better structuring of data) - for surgical aspects - similar to what CAP has done for Cancer (though they do not have the SCT codes included in the past - may be including SNOMED CT starting in 2025, but they are also using the SCT codes for observables) https://www.facs.org/for-medical-professionals/news-publications/news-and-articles/bulletin/2021/12/synoptic-reporting-for-cancer-surgery-current-requirements-and-future-state/: The four CoC accreditation standards that include synoptic operative reporting requirements apply to sentinel lymph node biopsy for breast cancer (Standard 5.3), axillary lymph node dissection for breast cancer (Standard 5.4), wide local excision for primary cutaneous melanoma (Standard 5.5), and colonic resection for colon cancer (Standard 5.6). These accreditation standards were developed from the evidence-based recommendations for cancer surgery detailed in the Operative Standards for Cancer Surgery manuals.7,8

      • try to get AMA support to get providers to adopt this

      • Reach out to IDSA, too

    Specimen CMT - education

     Yes

    •  Need education for providers and IT folks that helps with set up of the EHR-S / LIS configuration

    • if we have a use case of how a patient is impacted on their journey through the healthcare system - CAP created a nice video that showed how patient care was affected by incorrect data https://infobeta.cap.org/shield/

    Specimen CMT - tracking implementation impact

    • Setting baseline

    • Define metrics

    No

     

    Specimen CMT - Compare to NHS Medical Terminology testing

     No

     Will get updated vocab at a later date

    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.)

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