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Date

Attendees

Present

Name

Organization

X

Nancy Cornish

CDC

X

Manjula Gama-Ralalage

CDC

X

Riki Merrick

APHL

Christina Gallegos

APHL

X

Amy Liu

Inductive Health / APHL

X

Raj Dash

Duke / CAP

X

John Snyder

National Library of Medicine (SNOMED CT)

X

Andrea Pitkus

UW

Kathy Walsh

Labcorp

 

Rob Hausam

Hausam Consulting

 

Doug York

APHL

 

Pam Banning

 3M

 

Sandy Jones

CDC

Sheila Abner

CDC

...

Upcoming OOO

 Yes

NHSN Specimen terms

Previous Action Items

 

USCDI question from Andrea

  • Andrea - Cancer data sharing guide Home Page - Cancer Pathology Data Sharing v1.0.1 is going to be required in HTI-2 in FHIR - current methods/procedures for specimen collection on pre-analytical side flowing into LIS - is that information getting through?

  • Nancy - In the past, paper requisition was used for specimen collection and entered in computer manually. Not much has changed - there really is no way to communicate with surgical pathology and surgeons performing specimen collection. CAP has developed a guidance document (i.e., CAP cancer checklist, etc.) on how to collect specimen and analyze specimen, etc.

    yes

    Sheila wants to have a small group meeting - we will meet with them via teams for 12:30 PM next Thursday (8/22) - Nancy to set up the meeting.

    specimen condition and reject reason work

    yes

    OO is trying to define the starter list that would be appropriate for use in US Core; currently even the FHIR resource is using the V2 vocabulary, but that list is not complete

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

    CDC test directory has list of specimen they will not run for each test; Nancy will share, so we can reach out to contact = Test Order | Submitting Specimens to CDC | Infectious Diseases Laboratories | CDC ; and she can also reach out to Acting CLIA program director

    Previous Action Items

     

    Specimen CMT - review of terms with questions

     

    • not today

    Specimen CMT pilot implementers

     

    Specimen CMT - Hosting Options

     

    • 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 August 16th to discuss moving specimen CMT to Symedical

        • Manjula will take a look at the concept map

    Specimen CMT - education

     

     

    Specimen CMT - tracking implementation impact

    • Setting baseline

    • Define metrics

     

     

    Specimen CMT - Compare to NHS Medical Terminology testing

     

     

    LOINC to SNOMED CT mapping

     

     

    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

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

    Recording:

    https://aphl.zoom.us/rec/share/KG0fxurmctywxEJ8hIqkjWR1yHXR7TNSBlNy4LAFKnQezHVxyO3Aw3_xswGkFlrf.YzSFgRkGQGf7nBPH
    Passcode: #5@$X7=#

    Chat:

    Action items

    •  

    Quick decisions not requiring context or tracking

    ...