2024-06-13 LabMCoP Meeting Notes

Date

Jun 13, 2024

Attendees

Present

Name

Organization

Present

Name

Organization

 

Nancy Cornish

CDC

 

Manjula Gama-Ralalage

CDC

regrets

Riki Merrick

APHL

X

Christina Gallegos

APHL

X

Amy Liu

Inductive Health / APHL

 

Raj Dash

Duke / CAP

X

John Snyder

National Library of Medicine (SNOMED CT)

 

Andrea Pitkus

UW

 

Kathy Walsh

Labcorp

 

Rob Hausam

Hausam Consulting

 

Doug York

APHL

 

Pam Banning

 3M

 

Sandy Jones

CDC

Did not have full attendance/quorum. Ended the call early.

Discussion topics

Upcoming OOO

 Yes

Previous Action Items

 No

Specimen CMT - review of terms with questions

 Yes

  • Update from Amy (6/13)

    • Amy is reviewing the other buckets/discussion/notes as needed and will bring back questions to the group

    • Remaining of the Specimen X mapping are NHSN terms (need Nancy on the call as well)

  • 5/30 reviewed the following terms:

  • Remove wound_postsurgical - duplicate to wound_Surgical

  • Adding NHSN terms

    • adiposeTissue

      • use domain micro, since NHSN

      • partial - must have body site, nice to have laterality

      • also add to pathology domain

    • adrenal gland specimen

      • not sure why this is an NHSN term - usually only collected for neoplasm detection

      • fine needle biopsy with source site should cover

    • artery specimen

      • not sure why this is here for NHSN - maybe we should get the current list to ensure we are only considering what is current

  •  

ADJOURNED

Yes

12:13pm ET

Specimen CMT pilot implementers

 No

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 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.

      • There will be a call Clinical Architecture on May 3rd to discuss moving specimen CMT to Symedical

      • Manjula will take a look at the concept map

Specimen CMT - education

 No

 

Specimen CMT - tracking implementation impact

  • Setting baseline

  • Define metrics

 No

 

Specimen CMT - Compare to NHS Medical Terminology testing

 No

 

LOINC to SNOMED CT mapping

 No

 

Future projects for this call after CMT

 No

  • 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

    • Look at other HL7 tables that we would want to migrate SCT (i.e., Specimen Condition table, etc.)

Chat:

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.