2023-04-20 LabMCoP Meeting notes

X

Nancy Cornish

CDC

X

Manjula Gama-Ralalage

CDC

X

Riki Merrick

APHL

X

Christina Gallegos

APHL

X

Amy Liu

Inductive Health / APHL

X

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

 X

Pam Banning

3M

Upcoming OOO

• Riki 5/4 - 5/12

• John 5/17 - 5/25

• Raj week of 5/15

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

• Tonsil:

  • why is this a discouraged term?

    • if a normal looking tonsil would not be cut, just a gross, but can be sent for cnacer - change to preferred

• Wound_superficial / _deep / _postSurgical

  • looking for John Bartlet book from VIckie Baselski or Nancy - Riki to check her old computer

  • there also is an old IDSA guideline on this, but this has not changed

  • why is superficial discouraged?

    • culturing superficial wounds is expected to have some form of growth

    • woud not consider culturing post-surgical wounds right after surgery, but after a set number of days, then it is important, becasue this is tracked as part of an NHSN measure on HAI

  • another problems are with decubitus and diabetes related wounds - those should also not be cultured

  • need to tease out what needs to be in the terminology, vs what needs to be in the comments for education

• CycstFluid_Nodule and CystTissue_Nodule

  • why is this discouraged?

    • Thyroid cycsts fall into this

    • it would make sense to differntiate, since often the lab would like to get both

    • currently listing NoduleTissue and Cyst are as preferred - swtich, since the other way aligns better

    • how do we have a nodular cuyst or cystic nodule - this is a subtype of nodule, but does not go up to cyst - John will check how bet to model this in SCT and will request review - both came from the READ codes

• Gastric Aspirate

  • mostly for micro which we have - term from chemistry related are kept as ‘preferred’ and pathology-related is discouraged.

  • replaced original link with mayo clinic link

• FallopianTubeCytologicMaterial & FetalCytologicMaterial

  • FallopianTubeCytologicMaterial should be in micro domain (change made)

  • FetalCytologicMaterial should also be in micro domain (change made)

• Peritoneal Fluid - duplicates

  • descriptions are different

  • Amy to follow up with Manjula regarding which description to use

  • want cytology and micro domain

  • NHSN descriptions are not specific to the domain so not included in the db

  • will need to pick one description for each domain

  • can combine all descriptions into one and add clarification

  • to add: cytology, chemistry, and molecular domains for term.

Specimen CMT - Hosting Options

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