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 turbinate (body structure)| - is that correct?
could we say Structure of middle region between hard palate and inferior nasal turbinate (body structure)?
we could add that as the definition?
Structure of inferior middle region below inferior nasal turbinate (body structure)|
Nancy will create the definition / text to explain this location a little better - may keep this in the US edition, if SNOMED International is not taking it - this will display as additional description on the concept (4 sentences max)
No updates from SNOMED International
we will update the LIVD file with the new SCT code, once assigned and then explain in the revision log why the change including a link to the collection image on CDC website
Modeling exposures on wounds (organ donors)
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” - Still no updates this week (9/7)
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.
444464007 |Recipient of biological material from subject (person)|
Ask Riki for input
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
CDC and has been meeting with CAP around USCDI and USCDI+ submissions for new concepts - Nancy and Maria Michaels (liaison between the different divisions at CDC)
Maria shared document with CAP (Helena Duncan) for their input
Difference between specimen ID and accession number - it is not a 1:1 relationship (accession number depends on the way the lab operates)
It could be the specimen ID
It could be the number of all specimen collected from the same patient on the same date/time (aka requisition number)
it could be the order number
Specimen Collection method
Specimen Collection date/time - promote from level 2
Laboratory Date/Time stamps - needs more detail - just as a meta-data element - should identify the minimum dates that MUST be collected:
specimen collection date/time
specimen received date/time
test result released date/time
Observation Date/time - needs clarification against others listed in USCDI
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
Quick decisions not requiring context or tracking
For quick, smaller decisions that do not require extra context or formal tracking, use the “Add a decision…” function here.
Decisions requiring context or tracking
For decisions that require more context (e.g., documentation of discussion, options considered) and/or tracking, use the decision template to capture more information.
