2024-01-04 LabMCoP Meeting Notes

Date

Jan 4, 2024

Attendees

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

Discussion topics

Topic	Discussed?	Notes
Upcoming OOO	Y	Riki 1/16-1/18 FHIR Connectathon, Travel/vacation days: 1/15, 1/19, 1/22 1/15 MLK Day Feb 1 Continuing resolution money runs out
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 defintion for deep wound definition for superficial wound 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 https://aphlinformatics.atlassian.net/wiki/spaces/LMCOPL/pages/2129362995 ) 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 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 Should we make pre-coordinated terms, or support use of type modifiers?
Specimen CMT - review of terms with questions	Y	Wound terms - Cat bite as example: Specimen from bite AOE for Cat bite - use https://loinc.org/11373-8/ - their example answer list is https://loinc.org/LL4936-2/ - but we can use SCT from event hierarchy for more detail - for this one use: For description of cat scratch wound aspirate - PHLIPPreferred does not include cat - add description to use AOE to indicate wound etiology Toe joint synovial fluid - use pre-coordinated existing term Vaginal and rectal swab combo - SPM-8 does not repeat, so unsure how to represent that in the table - add a note that in this case SPM-8 is NOT included in the CMT - add a similar note to any term with mulitple body sites Deep wound and superficial wound need definitions (superficial = Raj thinks limited to cuntaneous layers) superficial wound is discouraged term, because often can have contamination from skin flora AbcessAspirate copy definition from other entry - description is wound abscess - thsi mapping does not take wound into account, but adds the aspirate, since that is the preferred collection method we have both the pre-coordinated and the post-coordinated mapping listed as preferred - leave this way for now - long term we want to encourage use of post-coorinated approach updated collection method reference: https://www.aruplab.com/Specimen-Handling/resources/pdf/InfectiousDisease.pdf fistula_swab needs definition: https://www.pennmedicine.org/for-patients-and-visitors/patient-information/conditions-treated-a-to-z/fistula fully coordinated for spermaticCord and VasDeference, SpermaticCordBiopsy, SpermaticCordFineNeedleBiopsy Pipel specimen - same as EndometriumTissueByBiopsy - no need to be so detailed on what type of biopsy Angio catheter - is a venous catheter used for individuals needing multiple IV deliveries and can be used for angiogram - map to peripheralVenousCatheterTip - refernece for catherters: https://www.ciamedical.com/angiocatheters#How%20Does%20An%20Angiocatheter%20Work? HL7 table terms for Hickman and CVT - don’t use the more specific mappings to the common access veins and map as partial, add note that MUST have SPM-10 to denote the vessel it is placed in: https://www.ncbi.nlm.nih.gov/books/NBK557614/
Specimen CMT pilot implementers	N	Review where we are: Vendor Connections
Specimen CMT - Hosting Options	N	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	N
Specimen CMT - tracking implementation impact Setting baseline Define metrics	N
Specimen CMT - Compare to NHS Medical Terminology testing	N
USCDI v5 comments	N	United States Core Data for Interoperability (USCDI)
LOINC to SNOMED CT mapping	N
Reporting Biomarkers to Cancer registries	N	National Program of Cancer Registries (NPCR) \| CDC Sandy will put together a one-pager
Future projects for this call after CMT	N	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:

https://www.aphlweb.org/aphl_departments/Strategic_Initiatives_and_Research/IPMG/ConfigMgt/LabMCoP/Meeting Notes/2024-01-04 LabMCoP Meeting Call.zip

Chat:

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