2023-11-30 LabMCoP Meeting Notes

X

Nancy Cornish

CDC

X

Manjula Gama-Ralalage

CDC

X

Riki Merrick

APHL

X

Christina Gallegos

APHL

X

Amy Liu

Inductive Health / APHL

X

Raj Dash

Duke / CAP

X

John Snyder

National Library of Medicine (SNOMED CT)

Andrea Pitkus

UW

Kathy Walsh

Labcorp

Rob Hausam

Hausam Consulting

Doug Franklin

APHL

Pam Banning

 3M

Upcoming OOO

Y

• Riki 12/20 - 12/22

• Amy 12/15-12/20 and 12/25-12/29

• Nancy 12/18 - 1/1

• APHL Closed 12/27 - 1/1 - will cancel the call for 12/28

Previous Action Items

Y

• Nancy Follow up

  • Modeling donor organs etc) - reach out to Jane Pollack (jpollack@nmdp.org) at NMDP. She is the SME for standard vocabularies and terminologies for stem cell transplantation.

  • ComboCytologicalMaterialfromEndocervixEctocervixVaginalFormix

  • ComboCytologicalMaterialfromEndocervixEctocervixVaginalFormixSlide

  • need reference to thin prep (request new term with parent cytology specimen container (physical object) for liquid-based cytology container)

  • Scotchtape prep (scoth tape swab from Mike Miller’s book)

  • nasal sinus fluid definition

  • surgical insertion site peritonealDialysisTunnelSite

  • surgical insertion site peritonealDialysisSite

• Riki’s Follow up:

  • modeling exposure (wounds) - check if Jim can join 11/20 or 12/7

  • work with John

    • new term for pacemaker insertion site sample

      • in SCT there are only swabs for insertion sites (line, drain, chest tube, vascular catheter) - this should be fixed

      • we should model it after 435971000124108 | Body fluid specimen from peritoneal dialysis insertion site (specimen) and require method, which should be aspirate

  • 2 Stamey procedures in SCT - 2 glass (midstream / post-massage = https://emedicine.medscape.com/article/1948091-technique?form=fpf#c3 ) and 4 glass (dirty catch = first void / mid-stream / prostatic massage fluid / post-prosthetic massage urine = https://emedicine.medscape.com/article/1948091-technique?form=fpf#c2 ) - Do we want to have SCT codes for type that say ‘stamey’?

    • inactivate the urin specimen for stamey (445383006) once we have requested the new SCT code for post-prosthetic massage urine

  • submit a code for formalin10

• Open homework EDTA Stopper top

  • https://phlebotomygeeks.yolasite.com/resources/PRINT OUT COMMON TUBES.pdf

    • but color is manufacturer dependent, whihc is why we named the tubes by the additives

    • there are container types in SNOMED under 706049005 |Blood tube (physical object)|

    • Need to check on completeness against the Anne/Nancy list

    • Have a start here: https://aphlinformatics.atlassian.net/wiki/download/attachments/2018312270/ContainertypesListRikiEmailed20171013.xlsx?api=v2

    • K1 or K2 might be important to differentiate

Modeling exposure

Y

How to indicate the inflictor of a wound / exposure?

Modeling donor organs / parts

Y

Should we make pre-coordinated terms, or support use of type modifiers?

LOINC to SNOMED CT mapping

USCDI v5 comments

 N

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

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

• Review where we are: Vendor Connections

Specimen CMT - Hosting Options

 N

• 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.

Specimen CMT - education

 N

Specimen CMT - tracking implementation impact

• Setting baseline

• Define metrics

 N

Specimen CMT - Compare to NHS Medical Terminology testing

N

Future projects for this call after CMT

 N

• 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