2023-04-27 LabMCoP Meeting notes

X

Nancy Cornish

CDC

X

Manjula Gama-Ralalage

CDC

X

Riki Merrick

APHL

X

Christina Gallegos

APHL

-

Amy Liu

Inductive Health / APHL

Raj Dash

Duke / CAP

X

John Snyder

National Library of Medicine (SNOMED CT)

Andrea Pitkus

UW

X

Kathy Walsh

Labcorp

Rob Hausam

Hausam Consulting

Doug Franklin

APHL

Pam Banning

3M

Upcoming OOO

Yes

• Riki 5/4 - 5/12 - what about the call on 5/4 and 5/11 - leave on the books - Christina to run and record

• John 5/17 - 5/25

• Raj week of 5/15

Question from CLSI

Yes

Working on a document for proper collection of respiratory specimens for microbiology testing and one of our member shared the coding below with us. https://aphlinformatics.atlassian.net/wiki/download/attachments/1915519082/How-To-Collect-NMT-Specimen-for-COVID-19.pdf?api=v2; https://aphlinformatics.atlassian.net/wiki/download/attachments/1915519082/NMT-Specimen-Collection-Infographic.pdf?api=v2

She has a number of concerns about the coding, the tests and what we are calling the specimen collection. Here is the link for SNOMED Coding: https://browser.ihtsdotools.org/?perspective=full&conceptId1=181203001&edition=MAIN/2023-03-31&release=&languages=en

Example: Anterior nares (both anterior nares) which makes sense since both sides should be sampled. - add synonym for anterior nasal cavity swab

Example: middle turbinate instead of mid-turbinate - it is modeled to point to the middle turbinate - we need to update that to be a new term for the mid-section (on the anterior/posterior axis) of the cavity between hard palate and the inferior turbinate structure - it goes to the middle of it| Swab specmen from nasal mid-turbinate

We also have description for NP Swab (along the top of the ):

Anterior nose swab (squamous epithelial vs respiratory epithelial (which is what is getting infected): https://www.cdc.gov/coronavirus/2019-ncov/testing/How-To-Collect-Anterior-Nasal-Specimen-for-COVID-19.pdf

add synonym for anterior nasal cavity swab)So we ned to update the modeling

Reporting Biomarkers to Cancer registries

Lab Test Naming Conventions

Andrea planing this

• SHIELD call topic (maybe June 13)

  • TRUU Lab

  • LOINC

Specimen CMT - review of terms with questions

• Cystic nodule vs nodule

  • SNOMED has these concepts in morphologic abnormality hierarchy

    • 367643001 |Cyst (morphologic abnormality

    • 27925004 |Nodule (morphologic abnormality)| with a subtype

      • 16217341000119101 |Cystic nodule (morphologic abnormality)

    • Cysts are always fluid filled, so can aspirate also fluid AND wall tissue

    • Nodule is always a mass = tissue only

    • when it is a cystic mass, it may contain fluid

      • so might need to add 367643001 |Cyst (morphologic abnormality as a parent to 16217341000119101 |Cystic nodule (morphologic abnormality)

  • bring this up next week to see how/if that affects the CMT

Specimen CMT - Hosting Options

• 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

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

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