2023-05-25 LabMCoP Meeting notes

Date

May 25, 2023

Attendees

Present	Name	Organization
X	Nancy Cornish	CDC
X	Manjula Gama-Ralalage	CDC
-	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
X	Kathy Walsh	Labcorp
-	Rob Hausam	Hausam Consulting
-	Doug Franklin	APHL
X	Pam Banning	3M

Discussion topics

Topic	Discussed?	Notes
Upcoming OOO	Yes	Nancy: 6/8, 6/15, 6/29
Previous Action Items	Yes	Link at the bottom of meeting notes Nancy to Follow up with Dr. Singh on getting the TRUU LAB call information out there to get added to the calls Ask Riki about this and TRUU Lab Meeting (planned for sometime in June - not scheduled yet) @Nancy Cornish: Report on review of the specimen attributes in the Medical Microbiology Testing in Primary Care Struthers et al. United Kingdom and NHS Manson publishing - (we wanted SNOMED to host this and we were concerned that they were international – would it apply) Nancy - UK is standardized so SNOMED coding would work there and maybe Canada Nancy to read the book for each submission to see if their Specimen CMT would be comparable (likely), but need more work to determine @Nancy Cornish: Update on CDC train connection and what is needed for topic outline - for both specimen and general lab medicine education (TRUU-Lab) Need to discuss action items on the next call: SNOMED request for Mid-turbinate Riki to submit the requests discussed on 5/11 - still to do -- had to request a new CRS account – not available before leaving for APHL week There was push back from FDA – will need to discuss this with FDA Raj to reach out to CAP to get contacts at vendors that we don’t have contact for - see here: Vendor Connections Andrea will see, if she can use the Specimen CMT content in their cancer project and report back
Question from CLSI	Yes	Nancy - Just Published: CLSI AUTO17-Ed1 AUTO17 provides guidance on achieving semantic interoperability for IVD test results. SNOMED requst for Mid-turbinate specimen (see action items) Nancy did research on adverse events of mid-turbinate swabs: Fractured mid turbinate CSF leak 50% of mid turbinate specimens were incorrectly performed (study done by ENT) SNOMED codes need to be updated and everyone should follow CDC guidelines
Reporting Biomarkers to Cancer registries	No
Lab Test Naming Conventions	No	Andrea planning this SHIELD call topic (maybe June 13) TRUU Lab LOINC
Specimen CMT - review of terms with questions	Yes	Skin biopsy Selected term with where SPM 8 (source site), SPM 7 (collection method), and SPM 9 (spatial orientation) are required Specimen issue - multiple descriptions We can add multiple codes to same HL7 table to same PHLIP pref term Amy to test this out to see if it comes across
Specimen CMT - Hosting Options		How can we publish the content in the dB? Allow access somehow to query the dB as access or excel Using FHIR conceptMap similar to https://build.fhir.org/conceptmap-example-specimen-type.html - based on this profile: https://build.fhir.org/conceptmap.html @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 https://build.fhir.org/conceptmap-example-specimen-type.xml.html . 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	No
Specimen CMT - potential pilot sites	No	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 - updated some notes there
Specimen CMT - tracking implementation impact Setting baseline Define metrics	No	Setting baseline
Specimen CMT - Compare to NHS Medical Terminology testing	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

Recording:

Action items

https://aphlinformatics.atlassian.net/wiki/spaces/LMCOPL/pages/1853816849/Meeting+notes#Incomplete-tasks-from-meetings

Type your action, use '@' to assign to someone.

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.

Add a decision…

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.

从模板创建