2024-01-11 LabMCoP Meeting Notes

Date

Jan 11, 2024

Attendees

Present	Name	Organization

Present	Name	Organization
	Jim Case	Snomed International
X	Nancy Cornish	CDC
X	Manjula Gama-Ralalage	CDC
-	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
	Pam Banning	3M

Discussion topics

Topic	Discussed?	Notes

Topic	Discussed?	Notes
Upcoming OOO	Y	Riki 1/16-1/18 FHIR Connectathon, Travel/vacation days: 1/15, 1/19, 1/22, HL7 WGM 1/29-2/2 1/15 MLK Day Feb 1 Continuing resolution money runs out John OOO: HL7 WGM 1/29-2/2 (maybe?) Raj OOO: 1/18, 1/25
Previous Action Items	Y	Nancy Follow up Can only have 1 bodysite in HL7, but these are from different sites - find out how often cervix + Fornix are collected together ComboCytologicalMaterialfromEndocervixEctocervixVaginalFornix ComboCytologicalMaterialfromEndocervixEctocervixVaginalFornixSlide 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 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 For wound modeling (see 2023-11-30 LabMCoP Meeting Notes ) 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 IDSA has a guidelines for wound cultures (deep and superficial - related to surgical wounds) - link sent to Amy 460621000124104 \|Superficial surgical incision wound (morphologic abnormality)\| - created in US extension in 2019. Is this needed? If so, then LabMCoP/APHL should promote it to SNOMED International to retain US SNOMED identifier. John will submit this to be promoted. SNOMED guidance related to morphological abnormality: https://confluence.ihtsdotools.org/display/DOCEG/Morphologic+Abnormalities+vs.+Findings Open homework EDTA Stopper top https://phlebotomygeeks.yolasite.com/resources/PRINT OUT COMMON TUBES.pdf but color is manufacturer dependent, whihc is why we named the tubes by the additives there are container types in SNOMED under 706049005 \|Blood tube (physical object)\| Need to check on completeness against the Anne/Nancy list Have a start here: https://aphlinformatics.atlassian.net/wiki/download/attachments/2018312270/ContainertypesListRikiEmailed20171013.xlsx?api=v2 K1 or K2 might be important to differentiate
Modeling donor organs / parts	Y	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 Nancy/Amy to reach out to Jane Pollack Another contact: Scott A. Brubaker Division of Human Tissues, Office of Cellular Therapy and Human Tissue CMC, Office of Therapeutic Products, Center for Biologics Evaluation and Research, Food and Drug Administration, Silver Spring, Maryland, USA Incomplete tissue product tracing during an investigation of a tissue-derived tuberculosis outbreak - ScienceDirect Should we make pre-coordinated terms, or support use of type modifiers?
Specimen CMT - review of terms with questions	Y	CatheterTip_IndwellingUrinary- discouraged, not appropriate for collection. Added new PHLIPPrefName https://medlineplus.gov/ency/article/003981.htm#:~:text=A%20Foley%20catheter%20is%20a,smallest%20catheter%20that%20is%20appropriate. Change SPM 5 (foley catheter (physical object) SNOMED code with 23973005\|Indwelling urinary catheter, device (physical object)\| Term “foley” is identified in different areas (description, definition, etc.) so they code may not need to have term “foley” in it. Ask Riki for her opinion (tie-breaker) Catheter Tip, Hemaquit
Specimen CMT pilot implementers		Review where we are: Vendor Connections
Specimen CMT - Hosting Options		How can we publish the content in the dB? Allow access somehow to query the dB as access or excel or csv Using FHIR conceptMap similar to Conceptmap-example-specimen-type - FHIR v6.0.0-cibuild - based on this profile: ConceptMap - FHIR v6.0.0-cibuild @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 Conceptmap-example-specimen-type.xml - FHIR v6.0.0-cibuild . 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 - tracking implementation impact Setting baseline Define metrics
Specimen CMT - Compare to NHS Medical Terminology testing
USCDI v5		United States Core Data for Interoperability (USCDI) Suggestions were due September 20, 2023, so anything new will be for V6 - but draft has not been published yet
LOINC to SNOMED CT mapping
Reporting Biomarkers to Cancer registries		National Program of Cancer Registries (NPCR) \| CDC Sandy will put together a one-pager
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

From Chat:

Recording:

https://www.aphlweb.org/aphl_departments/Strategic_Initiatives_and_Research/IPMG/ConfigMgt/LabMCoP/Meeting Notes/2024-01-11_LabMCoP Meeting Call.zip

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.