2023-03-09 LabMCoP Meeting notes

Date

Mar 9, 2023

Present	Name	Organization
x	Nancy Cornish	CDC
x	Manjula Gama-Ralalage	CDC
x	Riki Merrick	APHL
x	Christina Gallegos	APHL
x	Amy Lui	Inductive Health / APHL
x	Raj Dash	Duke / CAP
x	John Snyder	National Library of Medicine (SNOMED CT)
x	Andrea Pitkus	UW
x	Kathy Walsh	Labcorp
x	Rob Hausam	Hausam Consulting
x	Doug Franklin	APHL
x	Pam Banning	3M

Discussion topics

Item	Notes

Item	Notes
Upcoming OOO	Riki 3/21-3/24 John 3/31-4/6 Pam 3/31-4/7 Rob 3/31-4/6 Nancy 3/30
Presentation from National Cancer Surveillance Program at CDC to ONC	Process of updating slide deck and sending to ONC Nancy and Manjula were on this presentation last week Goal would be for ONC to understand more of this need and also to bring CMS into the discussion - CDC is working on adding more background to the slide deck to share it CMS is re-organizing, hopefully that will result in more support for interoperabilty - Nancy can share the paper: https://www.nejm.org/doi/full/10.1056/NEJMp2215539 Presentation idetified the need for data blob data to be turned into discrete data includes screening for cervical cancer 30% are using the electronic Cancer Checklist (eCCs) in the US, 90% in Canada - now called protocols used to be just pdf now has XML version so vendors can incoporate it into their system and can then send this electronically even if labs use eCC, it may not go across the interface into the EHR-s CAP does not mandate use of discrete data for clinical care - just requires the data elements be present Does this include the AOEs that are required for Pap smears? maybe on the cancer screening - as augmentation - this checklist is for the workflow after the specimen is received FHIR representation of the eCC’s being worked on specimen tracking is differnt in the EHR-s from the pathology result section - so need to watch for potential discrepancy between what the surgeon enters manually would need to define the source of truth for that could maybe pull this into the eCC from the EHR-s in the future? Has the eCC been evaluated for use of the LOINC LHC forms (survey panels)? Canada added the individual discrete readings back in 2006 example: 85905-8 They are also being represented in SCT models - working on solid tumors at Winter 2018 LOINC meeting this was a discussion item - agreement with CAP to have LOINCs created for the high volume, but then that contract was discontinued due to contractual / licensing restrictions - would be great if that could get resurrected, because MU requires LOINC the new LOINC/SNOMED agreement will need to review the interlectual property agreements LOINC has (for use in the SNOMED CT LOINC extension) have speicmen in clincial lab and pathology lab would be good to harmonize data elements around clinical genomics data as well need everything in a single code system? support for more code systems will require updates to the underlying EHR-s and LIS codes - often data dictionary an ony be mapped to a single code system goal would be to encode the most granular clincial context for the data International EHR-s and LIS vendors will have to support multiple code systems based on legislation and jurisdictional regulations Epic Cerner MediTech CliniSys / Mimps Is there a way we can help? Could make LOINC Committee aware of this topic
TRUU-Lab follow up Support for educational offerings SHIELD involvement	Dr. Sing will provide update on TRUU Lab for CLIAC April 12- update to this presentation from 2018 https://www.cdc.gov/cliac/docs/addenda/cliac0919/13_TRUU-LAB_Singh.pdf Also present to Clinical Lab Partners Forum - not scheduled yet SHIELD might put up a Test Naming topic call April 11 Some questions from SHIELD: Are TRUU Lab calls happening? - the time has changed - need to find out if calls are open Wednesdays Also a question on the website? Type your action, use '@' to assign to someone. Riki/Nancy to Follow up with Dr. Singh on getting this information out there to get added to the calls Regenstrief re-organized internally (LOINC & Health Data Standards LHDS covers UCUM as well) - invite them for that SHIELD call
Reporting Biomarkers to Cancer registries	No updates
Specimen CMT - Progress	44 more terms need to be added Many terms have not been finalized yet - discouraged, duplicates (with some differences), fields not finalized, 150 terms will need additional work (missing definition, term not decided, etc.) - may need to assign them Schema diagrams - John to request access from Riki to search the database to see what attributes are assigned to different concepts https://app.smartsheet.com/sheets/h6JWqw5v9pwvrqWMq9r4g85CXjv9M8VvVqvHRwc1?view=grid
Specimen CMT - Hosting Options	JTG Consulting (Jamel Giuma)- would be willing to host the CMT and TRUU Lab Contact info: Email: jamel@jtg.group Direct #: 1-786-598-2540, Mobile: 1-305-301-5074
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: https://aphlinformatics.atlassian.net/wiki/spaces/LMCOPL/pages/1863942201 Onepager: https://aphlinformatics.atlassian.net/wiki/download/attachments/1853947928/20200601_CBR_SCM_OnePager_v04_final_cleared.pdf?api=v2
Specimen CMT - tracking implementation impact Setting baseline Define metrics
Specimen CMT - Compare to NHS Medical Terminology testing
Specimen CMT - review of terms with questions
Future projects for this call after CMT

From Chat:

Action items

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Andrea will see, if she can use the Specimen CMT content in their cancer project and report back

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Raj to reach out to CAP to get contacts at vendors that we don’t have contact for - see here: https://aphlinformatics.atlassian.net/wiki/spaces/LMCOPL/pages/1863942201

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