APHL Week 5/22-5/26 - still hold call next week - Christina will run
Question from CLSI
Yes
Rikit
Reporting Biomarkers to Cancer registries
Lab Test Naming Conventions
Andrea planning this
SHIELD call topic (maybe June 13)
TRUU Lab
LOINC
Specimen CMT - review of terms with questions
5/11/2023:
FecalFluid - duplicate term
SPM-4 is the same but collection method is required for one of the terms
usually collected for C-diff testing - need to be passed per rectum not colonoscopy(as opposed to colonoscopy which includes saline fluid that flushes the colon - can lead to false positives = not a good specimen)
removed duplicate term for specimen collected from colonoscopy (row 213)
Washings_Tracheal - duplicate term (x3)
one preferred, two discouraged but definitions are the same
usually go through trach site for specimen with a suction device - not sterile as opposed to a needle in trachea (not done anymore) - most collections are done through an endoscope usually BAL - comment added
no real distinction between tracheal or pre-bronchial lavage
discourage term with pre-bronch HL7 code for description (row 374)
Nancy to look at the American Thoracic Society guidelines
Lavage - duplicate terms*
different HL7 table terms (Lavage-KELOI vs. Wash-WASH)
same source site requirement, SPM-9 requirement but one requires SPM-5 (specimen type modifier) - need to ask about this riki.merrick
specimen type (SPM-4) - should it be just ‘body fluid’ or should the ‘440674008 - specimen obtained by lavage (specimen)’ - specimen obtained by the procedure but procedure is already listed in SPM-7 - would be redundant to use this code.
Need to think more about this
Email discussion:
‘440674008 - specimen obtained by lavage (specimen)’ is the FSN and has a syn. of “Wash fluid sample”. However, “lavage fluid sample” wouldn’t become the FSN, but it could be added to 440674008 as a new synonym. -There may always be some confusion around the use of the concept.
Decision?: To use the existing term for SPM-4 (440674008) and the procedure term of ‘irrigation’ would be in SPM-7
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
No
Specimen CMT - potential pilot sites
Yes
Goal is to have some implementers lined up by April - so who to reach out to?
Specimen CMT - Compare to NHS Medical Terminology testing
No
Future projects for this call after CMT
No
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
Action items
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