Labcorp allows multi-select - they use AOE question for this, so add as comment with specific
need reference to thin prep (request new term with parent cytology specimen container (physical object) for liquid-based cytology container) - need to look up what the liquid is
adhesive tape prep (from Mike Miller’s book):
gummed surface pressed against the perianal region of the patient (after separating the buttocks)
procedure: currently transparent tape method for fungal identification - need to update that mapping; test is for pinworm eggs
nasal sinus fluid definition
surgical insertion site peritonealDialysisTunnelSite
surgical insertion site peritonealDialysisSite
Riki’s Follow up:
submit a code for formalin10
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
the specimen model does not include disorders, propose to send elsewhere in the message
specimen source identity can be physical object / physical force / morphologic abnormality / organism
in SNOMED disorder ‘due to’ is modeled as event for bites
outside of animals other causess for wounds are physical (heat, stabbing) or chemical
other aspects of wound already using SPM-5 to describe morphiology like deep or superficial wound, but it repeats, so could still use
All wound terms will be partial, as location of wound must be documented by the lab (even if it doesn’t neccessarily affect result interpretation, it can affect properly attribution of result, if more than one wound is being sampled at the same time)
sending elsewhere in the message = OBX under the Order = Ask at Order Entry (AOE) - is really at collection
AOEs are often defined by individual orgnaizations
for some tests there are stnadardized AOEs available (like pap smear) - we could provide these here along with the appropriate suggested extensible value set
we would need to find or request LOINC to encode cause of wound
We might want to create a few pre-coordinated specimen terms
to cover the wound causes as children under: 119365002 | Specimen from wound (specimen)
another child term for aspirate under 445611000124106 | Specimen from bite wound (specimen), since that is preferred over the existing swab
Modeling donor organs / parts
N
Outreach out to Jane Pollack (jpollack@nmdp.org) at NMDP. was successful - schedule call for this topic - waiting for answer on what date will work
Should we make pre-coordinated terms, or support use of type modifiers?
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
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:
Chat:
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