LOINC conference: 10/17-10/20 - cancel call on 10/19?
SNOMED Business meeting 10/21-10/25 and Expo 10/26-10/27 = cancel call on 10/26?
Christina OOO: 9/28
John OOO 10/19 and 10/26
Pam OOO 10/19
Nancy - government shutdown
Previous Action Items
Mid-turbinate Nasal swab:
new body structure will be added SNOMED to describe the replacement concept for Mid-turbinate. It is:
1290369003 | Structure of middle region of inferior nasal meatus (body structure)
which references: 78155005 |Structure of inferior nasal meatus (body structure)
Background info: Nasal Mid-turbinate (also known as deep nasal) swab placement location:
The tapered swab is inserted through the anterior nasal aperture (one or sequentially both right and left) and is pushed along the floor of the nasal cavity through the inferior meatus which is the space between the inferior turbinate (also called concha )
and the floor of the nasal cavity until resistance is met at the mid-point of the inferior meatus due to the size of the larger size of the swab tip or the length of the handle which stops further progress.
Just to describe location; The mid-point between anterior nasal cavity and the posterior nasal cavity (nasopharynx ) of the inferior meatus, which is the space between the inferior turbinate (also called concha )and the floor of the nasal cavity,
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
Share CMT one-pager with Sandy Jones - Manjula to do, once we have the updated version (will also have it for the SCT Expo) - she will need to have it before Oct 6
EyeTissue_Lamella - we will need to create a SCT for anterior and posterior - Nancy
definition for nasal aspirate and nasal wash - Nancy to send to Amy
for SPM-5 should we be using cervical cytology microscopy slide or microscope slide?
use the microscope slide - since that doesn’t really change or is there something special about the slide? - Nancy to review
come back to review body site
Pap Testing Liquid Sample
need reference to thin prep
need to 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
Pap Testing Liquid Sample - different domain with same questions as above
Pericardial effusion
need a path domain for the term
Pericardium tissue_biopsy
added definition
micro domain
remove ‘biopsy’ from the term
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
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
Specimen CMT - tracking implementation impact
Setting baseline
Define metrics
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
Recording:
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