2023-06-29 Meeting notes

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)

X

Andrea Pitkus

UW

Kathy Walsh

Labcorp

Rob Hausam

Hausam Consulting

Doug Franklin

APHL

Pam Banning

3M

Upcoming OOO

Yes

APHL week: 7/17-21

Amy: 7/7-7/21

Previous Action Items

Yes

Will need to pull in - not sure what happened - make sure they show up next week

Riki’s SCT submissions - John will see, if he can have the user set up email be resend

Riki to reach out to OpenELIS about implementing SpecimenCMT

Riki to follwu up with John and Jim around how to model exposure (bite wound / animal)

Reporting Biomarkers to Cancer registries

 No

Lab Test Naming Conventions

Yes

Andrea planning this

• SHIELD call topic (maybe August or September)

  • TRUU Lab

  • LOINC

Specimen CMT - review of terms with questions

• EndotrachealAspirate - use the more specific one for all and map the different Hl7 codes to the same PHLIP_Preferred term

• SoftStool

  • different definitions - use the ASM one and keep that comment

• ThroatSwab

  • keep the definitions as already in the dB

• LungTissue

  • make SPM-9 nice to have and require SPM-7

• Discharge_Urethra

  • combine comments and request SPM-7

• VesicleFluid

  • combine comments and request SPM-7

• ConjunctivalSwab

  • use the one in dB - the other is a duplicate

• CornealScraping

  • coordination should be partial

• SkinCyst

  • require SPM-7 for micro

  • make SPM-7 nice to have

• Abscess_Submandibular

  • the HL7 term is submaxillary - these are synonyms - add that as comment

  • we are mapping the SPM-8 term just like the topography in the disorder for 17133001 - John will have that mapping reviewed - we will use whatever that review comes up with

  • From CHAT:

    • https://www.dictionary.com/browse/submaxillary-gland

    • Some of our terms: left submandibular salivary gland, left submandibular mass, submandibular mass, Other right level 2 submandibular gland.

• Blood_arterialLine

  • use catheter as grouper

• BloodyLiquidStool

  • need new definition @Nancy Cornish

• Bodyfluid

  • comment should say be more specific if you can, but must have SPM-8 and SPM-7

• Bonemarrow

  • should add the appropriate substance?

    • should not use the substance term here, as those are meant for stem cells - also this is a mixture of substances

  • SPM-7 - make nice to have

  • this is often then used to create a slew of derived specimen

• BronchialAspirte

  • update definition @ Nancy Cornish

• All CatheterTerms

  • Require SPM-10 (that would be the insertion site) and make SPM-8 and SPM-9 desired? - SPM-10 term would need to support pre-coordination of the commonly used sites in SCT, since there

• for blood drawn via the centralline - could we do this as more detailed collection method (SPM-7)?

  • blood cultures are usually drawn from the arms

  • For Blood Use SPM-5 to indicate the cathertertype in SPM-5

• Wound terms - need to figure out how to do exposure!

Specimen CMT - Hosting Options

 No

• How can we publish the content in the dB?

  • Allow access somehow to query the dB

  • as access or excel

  • Using FHIR conceptMap similar to https://build.fhir.org/conceptmap-example-specimen-type.html - based on this profile: https://build.fhir.org/conceptmap.html

  • @riki.merrick to ask Eric if he still has that or how he built it:

  • ANSWER FROM ERIC:

    • if you look in the xml source https://build.fhir.org/conceptmap-example-specimen-type.xml.html . you can see how it is mapped. 

    • 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 - 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 - updated some notes there

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