Topic | Discussed? | Notes | |
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Upcoming OOO | Yes | APHL Week 5/22-5/26 - still hold call next week - Christina will run | |
Question from CLSI | YesRikit | Riki to submit the requests discussed on 5/11 - still to do | |
Reporting Biomarkers to Cancer registries | | | |
Lab Test Naming Conventions | | Andrea planning this | |
Specimen CMT - review of terms with questions | | 5/11/2023: FecalFluid - duplicate term SPM-4 is the same but collection method is required for one of the terms usually collected for C-diff testing - need to be passed per rectum not colonoscopy(as opposed to colonoscopy which includes saline fluid that flushes the colon - can lead to false positives = not a good specimen) removed duplicate term for specimen collected from colonoscopy (row 213)
Washings_Tracheal - duplicate term (x3) one preferred, two discouraged but definitions are the same usually go through trach site for specimen with a suction device - not sterile as opposed to a needle in trachea (not done anymore) - most collections are done through an endoscope usually BAL - comment added no real distinction between tracheal or pre-bronchial lavage discourage term with pre-bronch HL7 code for description (row 374) Nancy to look at the American Thoracic Society guidelines
Lavage - duplicate terms* different HL7 table terms (Lavage-KELOI vs. Wash-WASH) same source site requirement, SPM-9 requirement but one requires SPM-5 (specimen type modifier) - need to ask about this riki.merrick specimen type (SPM-4) - should it be just ‘body fluid’ or should the ‘440674008 - specimen obtained by lavage (specimen)’ - specimen obtained by the procedure but procedure is already listed in SPM-7 - would be redundant to use this code. Need to think more about this Email discussion: ‘440674008 - specimen obtained by lavage (specimen)’ is the FSN and has a syn. of “Wash fluid sample”. However, “lavage fluid sample” wouldn’t become the FSN, but it could be added to 440674008 as a new synonym. -There may always be some confusion around the use of the concept. Decision?: To use the existing term for SPM-4 (440674008) and the procedure term of ‘irrigation’ would be in SPM-7saliva has duplicate terms description can be different for same PHLIP prefrerred term have separate field for HL70487 codes we don't need to worry muhch about grouper, but grouper can be mulitple in the dB Cannot have 2 different definitions for the same PHLIPprefreered name oral mucosal transudate sems to be differnee from saliva - need to research how this is collected - the link is broken there is a term in SCTso let’s map it to that saliva can be collected a number of different ways have it in micro - this is serology - should we make a serology domain?
Scab nasal fluid midturbinate swab SeminalFluid Serum
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Specimen CMT - Hosting Options | | | |
Specimen CMT - education | No | | |
Specimen CMT - potential pilot sites | Yes | | |
Specimen CMT - tracking implementation impact Setting baseline Define metrics
| No | | |
Specimen CMT - Compare to NHS Medical Terminology testing | No | | |
Future projects for this call after CMT | No | | |