Topic | Discussed? | Notes |
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Upcoming OOO | Y | Riki OOO 9/29; 10/6; 10/20-11/5 LOINC conference: 10/17-10/20 = 10/19 - leave on calendar for Amy and Nancy SNOMED Business meeting 10/21-10/25 and Expo 10/26-10/27 = cancel call on 10/26 - leave on calendar for Amy and whoever can make it John OOO 10/12, 10/19 and 10/26 Pam OOO 10/19 Andrea OOO 10/19Nancy - government shutdown Amy 10/12 Nancy 10/12, will cancel 10/12
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Previous Action Items
| Y | Modeling exposures on wounds (organ donors) Nancy reached out to Bob Milius and Joel Schneider - no answer also reached out to UNOS - Maya Webber - have sent explanatory email - Nancy will forward email to Riki and Andrea - she mentions “we collect laboratory data per OPTN specifications” Nancy to follow-up one more time with Bob and Joel Need SCT for liver, kidney potential transplant biopsies - sometimes it is wedge biopsy Do we need SCT code that delineates donor before transplant is in the recipient? There is allowance for donor in pre-coordinated concept in SNOMED Identify donor organs that are transplanted (identify the donor organ before it is transplanted) “Organs that have been successfully transplanted include the heart, kidneys, liver, lungs, pancreas, intestine, thymus and uterus. Tissues include bones, tendons (both referred to as musculoskeletal grafts), cornea, skin, heart valves, nerves and veins” including bone marrow will need additional information, reference material, use case, etc. 105455006 | Donor for medical or surgical procedure (person) - or a descendant that is more appropriate for the speicmen type could be used in SPM-5 as a specimen type modifier when creating a prototype, since we cannot account for every possible organ or tissue type (would have to figure out how to represent that in the CMT) or use specimen hierarchy term that is for the type of donated material - blood / organ / tissue and then require SPM-8? Riki to write up a few examples and bring back next week
CMT one-pager was shared with Sandy Jones - also have them for SNOMED Expo  ComboCytologicalMaterialfromEndocervixEctocervixVaginalFormix ComboCytologicalMaterialfromEndocervixEctocervixVaginalFormixSlide Pap Testing Liquid Sample need reference to thin prep donor organs etc) Nancy Follow up Serum separator tube: Serum-separating tubes, also known as serum separator tubes or SSTs, are test tubes used in clinical chemistry tests requiring blood serum. SSTs are sometimes called "marble-top tubes", "tiger-tops", or "gold-topped tubes", referring to the stoppers which are either gold, red with a gold ring on top, or marbled red and grey. The stopper of SPS (sodium polyanethol sulfonate) tubes have a paler yellow colour, sometimes causing confusion; these are known as "yellow tops" not "gold". Trademarked versions of the SST include Covidien "Corvac" tubes. The tubes have micronized silica particles which help clot the blood before centrifugation, and a gel at the bottom which separates whole blood cells from serum.[1] Silica nanoparticles induce coagulation through contact activation of coagulation factor XII (Hageman factor).[2] The silica particles are desiccants, which adsorb and hold water vapor.[3] This is used in the tubes so the blood adheres to the surface of the tiny silica particles and begins to clot. After the blood sample is centrifuged, the clear serum should be removed for testing.[4][5] These tubes should be used with care when measuring drug or hormone levels because the drug or hormone may diffuse from the serum into the gel, causing a reduction in measured level. The gel in SST II tubes (which appears slightly less opaque) is supposed[weasel words] to have less effect on drug levels in serum.[citation needed]
ComboCytologicalMaterialfromEndocervixEctocervixVaginalFormix ComboCytologicalMaterialfromEndocervixEctocervixVaginalFormixSlide need reference to thin prep (request new term with parent cytology specimen container (physical object) for liquid-based cytology container --Nancy to look this up and ask the new cytologist at CDC
Pericardium tissue_biopsy this has a different definition than the term above added definition micro domain check to see if it is in the path domain submit as tissue from pericardium, for specimen type comment
- Need more - most of the articles around pus are patient information -so far have not found articles that indicate that you cannot discern pus from necrosis without microscopy
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USCDI v5 comments | Y | United States Core Data for Interoperability (USCDI) |
Reporting Biomarkers to Cancer registries | N | National Program of Cancer Registries (NPCR) | CDC Sandy will put together a one-pager |
Specimen CMT - review of terms with questions | | Plasma Heparin_gel tube thsi si the container term: 767390000 |Evacuated blood collection tube with heparin lithium and gel separator (physical object)| - is not modeling the substances of the physical object, so we still need to submit for separatror gel (need to get a link to the manufacturer info) - inert acrylic gel; polymer gel = Nancy to email to Riki
Scotchtape prep Scratchwound Serum in silicone coated tube Serum_Clotactivator use the same as the gel for heparin_gel tube need substance for clotactivator, which seems to be silicone particles applies to 2 domains
nasal sinus fluid definition surgicalInsertionSite_Pacemaker Riki’s Follow up: Open homework EDTA Stopper top
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USCDI v5 comments | Y | United States Core Data for Interoperability (USCDI) Had call with Maria Michaels, Nancy and Manjula - working on better coordination within CDC and with partners - will set up recurring calls well prior to next comment period Nancy talked to leadership and we have experienced scientist available (understands lab workflows and what issues exist with LIS and EHR-s)- may pull her into the Data Standardization Lab subgroup; USCDI is one of the topics; currently working on minimum data set for surveillance Desiree is running this there is also the CSTE work: (https://cste.sharepoint.com/:x:/g/EQdpo_BqId1Ih6EE0C1vKYIB0tkA4elCABwDA8Rn47xluQ?rtime=QO7JLK7F20g ) this might re-org as part of the CDC re-organization - so might be a hiatus until all figured out
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Reporting Biomarkers to Cancer registries | N | National Program of Cancer Registries (NPCR) | CDC Sandy will put together a one-pager |
Specimen CMT - review of terms with questions | | |
Specimen CMT pilot implementers | N | |
Specimen CMT - Hosting Options | N | |
Specimen CMT - education | N | | Y | surgical insertion site peritonealDialysisTunnelSite Nancy to review definitions apply the modeling similar to the pacemaker insertion site tunneling should help prevent infection we do have concept for morphologic abnormality = 433861000124108 |Peritoneal dialysis catheter tunnel (morphologic abnormality, will use that
surgical insertion site peritonealDialysisSite Aspirate_Tracheostomy this would be an aspirate from the area around the opening usually this will heal over, but fluid procution is often seen and misinterpreted asinfection and submit for culture, which they shouldn’t be sent, hence the designation of discouraged added defintion - ready to publish
Prostatic fluid for stamey test use this SCT code, as it is speicfic for Stamey difference between UTI, Cystitis, Prostatitis
post prostatemassage urine
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Specimen CMT - tracking implementation impact Setting baseline Define metrics
| N | |
Specimen CMT - Compare to NHS Medical Terminology testing | NN | |
Future projects for this call after CMT | N | |