LOINC conference: 10/17-10/20 = 10/19 - leave on calendar for Amy and Nancy
SNOMED Business meeting 10/21-10/25 and Expo 10/26-10/27 = cancel call on 10/26 - leave on calendar for Amy and whoever can make it
John OOO 10/5, 10/19 and 10/26
Pam OOO 10/19
Andrea OOO 10/19
Previous Action Items
Y
Modeling exposures on wounds (organ donors)
Have new contact
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
CMT one-pager was shared with Sandy Jones - also have them for SNOMED Expo
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
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
Need more info on retracting pus - most of the articles around pus are patient information -so far have not found articles that indicate that you cannot discern pus from necrosis without microscopy
emove the comment about biologic product - we are not yet addressing that yet
Heparin_gel tube
thsi si the container term: 767390000 |Evacuated blood collection tube with heparin lithium and gel separator (physical object)| - is not modeling the substances of the physical object, so we still need to submit for separatror gel (need to get a link to the manufacturer info) - inert acrylic gel; polymer gel = Nancy to email to Riki
Scotchtape prep
Nancy to get the definition for scoth tape swab from Mike Miller’s book
Scratchwound
exposure type solution - Riki to check with Jim, if he can join a LabMCoP call
Serum in silicone coated tube
chemistry
silicone is helping with clotting; could also be on the stopper
Serum_Clotactivator
use the same as the gel for heparin_gel tube
need substance for clotactivator, which seems to be silicone particles
applies to 2 domains
nasal sinus fluid definition
Nancy to provide
surgicalInsertionSite_Pacemaker
need to digest the other referenced articles for any more text needed for the definition or the comments
we also need a new term
in SCT there are only swabs for insertion sites (line, drain, chest tube, vascular catherther)
we should model it after 435971000124108 | Body fluid specimen from peritoneal dialysis insertion site (specimen)
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
Recording:
Action items
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