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Discussion topics

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Notes

 

Topic	Discussed?	Notes
Upcoming OOO	Yes	APHL week: 7/17-21 Amy: 7/7-7/21
Previous Action Items	Yes	Will need to pull in - not sure what happened - make sure they show up next week Riki’s SCT submissions - John will see, if he can have the user set up email be resend Riki to reach out to OpenELIS about implementing SpecimenCMT Riki to follwu up with John and Jim around how to model exposure (bite wound / animal)
Reporting Biomarkers to Cancer registries	No
Lab Test Naming Conventions	Yes	Andrea planning this SHIELD call topic (maybe June 13August or September) TRUU Lab LOINC
Specimen CMT - review of terms with questions		EndotrachealAspirate - use the more specific one for all and map the different Hl7 codes to the same PHLIP_Preferred term SoftStool different definitions - use the ASM one and keep that comment ThroatSwab keep the definitions as already in the dB LungTissue make SPM-9 nice to have and require SPM-7 Discharge_Urethra combine comments and request SPM-7 VesicleFluid combine comments and request SPM-7 ConjunctivalSwab use the one in dB - the other is a duplicate CornealScraping coordination should be partial SkinCyst require SPM-7 for micro make SPM-7 nice to have Abscess_Submandibular the HL7 term is submaxillary - these are synonyms - add that as comment we are mapping the SPM-8 term just like the topography in the disorder for 17133001 - John will have that mapping reviewed - we will use whatever that review comes up with From CHAT: https://www.dictionary.com/browse/submaxillary-gland Some of our terms: left submandibular salivary gland, left submandibular mass, submandibular mass, Other right level 2 submandibular gland. Blood_arterialLine use catheter as grouper BloodyLiquidStool need new definition @Nancy Cornish Bodyfluid comment should say be more specific if you can, but must have SPM-8 and SPM-7 Bonemarrow should add the appropriate substance? should not use the substance term here, as those are meant for stem cells - also this is a mixture of substances SPM-7 - make nice to have this is often then used to create a slew of derived specimen BronchialAspirte update definition @ Nancy Cornish All CatheterTerms Require SPM-10 (that would be the insertion site) and make SPM-8 and SPM-9 desired? - SPM-10 term would need to support pre-coordination of the commonly used sites in SCT, since there for blood drawn via the centralline - could we do this as more detailed collection method (SPM-7)? blood cultures are usually drawn from the arms For Blood Use SPM-5 to indicate the cathertertype in SPM-5 Wound terms - need to figure out how to do exposure!
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 Using FHIR conceptMap similar to https://build.fhir.org/conceptmap-example-specimen-type.html - based on this profile: https://build.fhir.org/conceptmap.html 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 https://build.fhir.org/conceptmap-example-specimen-type.xml.html . 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 - potential pilot sites		Goal is to have some implementers lined up by April - so who to reach out to? Review where we are: Vendor Connections - updated some notes there
Specimen CMT - tracking implementation impact Setting baseline Define metrics		Setting baseline
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

Recording:

Action items

Quick decisions not requiring context or tracking

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