2023-03-30 LabMCoP Meeting notes

Date

Mar 30, 2023

Attendees

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

Discussion topics

Item	Notes
Upcoming OOO	John 3/31-4/6 Pam 3/31-4/7 Rob 3/31-4/6 Nancy 3/30 Riki will check if Nancy can make next week, if not we will cancel
Reporting Biomarkers to Cancer registries	not discussed
Lab Test Naming Conventions	not discussed SHIELD call topic (maybe June 13) TRUU Lab LOINC
Specimen CMT - review of terms with questions	https://app.smartsheet.com/sheets/h6JWqw5v9pwvrqWMq9r4g85CXjv9M8VvVqvHRwc1?view=grid PHLIPPreferredTerm construction: the first term is represented of how SPM-4 is coded - as pre-coordinated as possible; after the underscoare (one or more) are additional elemetns that need to be coded tonsil would this ever be a biopsy? most likely be submitted after resection is this kind of specimen submitted often for pathology? - ask Nancy if only 1 way to submit, then change the preferred name to include resection Nancy to look at definition for this Wound_superficial - this one is discouraged bcause commonly contaminated by skin flora also need more deinfitons for other wound terms CystFluid need to ask Nancy why this is discouraged Discharge - is probalby discouraged, because of non-sterile collection method - what other term would we encourage folks to use instead - probably the aspirate from the abscess or other location the discharge is coming from (maybe a swab, but for micro aspirate is preferred over swabs) applicable to the other discharge terms Fistula_swab and Fistula_aspirate need definitions for both indicating that we need source site swab is discouraged aspirate is the better speicmen collection method for micro domain GastricAspirate ask Nancy / Raj, if this should be a added as pathology domain term Aspirate_biol occurtd wice because there are 2 terms in HL70487 that map to it should combine the definitions preferred term Tissue_boil lesionSample is better lesions are usually types in the disorder or morphologic abnormality hierarchy none are source site specific - so all are partial, must have source site elements should add Lesion_sample_Boil - use the same definition and same mapping for the additonal elements Lavage_Colon not a good specimen for any domain may want to have more detail on where in the colon the lavage was started - so maybe indicate decendents of the colonic lumen structure need to check the spatial orientation terms revsit once we can check on available terms Firstvoid urine move definition content to collectio method and craft new definition
Specimen CMT - Hosting Options	Have Copyright statement - updated on the spreadsheet file uploaded on confluence - need to make sure folks using it assert they have license to use it Riki will forward to Pam Riki will also share the email written to CliniSys so folks can use as template for contacting
Specimen CMT - education	not discussed
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:
Specimen CMT - tracking implementation impact Setting baseline Define metrics	not discussed Setting baseline
Specimen CMT - Compare to NHS Medical Terminology testing	not discussed
Future projects for this call after CMT	not discussed 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 of the call:

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