2024-02-12 Vocabulary WG Meeting Notes

Raj Dash

College of American Pathologists (CAP)

Chair

Steering Committee member

Scott Campbell

UNMC

Steering Committee member

Dan Rutz

Epic

Steering Committee member

Muktha Natrajan

CDC

Sandy Jones (Secondary)

CDC Cancer Surveillance

Anne Peruski (Secondary)

CDC

Andrea Pitkus

University of Wisconsin-Madison

Steering Committee member

Xavier Gansel

bioMérieux

Steering Committee member

Stan Huff

Graphite Health

Steering Committee member

John Snyder

NLM

Steering Committee member

Rob Hausam

Hausam Consulting

Marjorie Rollins

Regenstrief

Steering Committee member

Amy McCormick (secondary)

Epic

Nanguneri Nirmala

Tufts Medical Center

Steering Committee member

Mehdi Nassiri

Indiana University/Indiana University Health/Association for Molecular Pathology

Steering Committee member

Eza Hafeza

Regenstrief

Steering Committee member

Jim Case

Snomed International

Steering Committee member

Mary Kennedy

CAP

Review: Identify tangible activities for this working group

1. Find a co-chair for this group!

2. Move all attachments to the reference documents and attachments page. Done!

3. Pull specification for LRI and post with the thought to examine if all data necessary for proper interpretation have been accounted for (e.g. B6 supplement for accurate AST resulting, interferences, hemolysis, etc). Today

4. Use that specification to explore standards for each of the data elements for D-Dimer, AST to start with

5. Create a googlesheet with LRI data elements for easier review by this group. Starting with LRI in Excel

6. Identify gaps in spec, data elements, and content standards

7.  

8. This workgroup is slated to comment on the roadmap’s approach to addressing educational / training gaps in the use of standards such as LOINC. Will address at next meeting!

Use case review

LRI review

Went through LRI spec and identified the following elements as most relevant. We will work through the standard used to encode each one and identify recommendations for change, if any:

Administrative Sex
Race
Interpretation Codes
Observation Result Status Codes Interpretation
Result Status
Value Type
Specimen Type
Specimen Reject Reason
Specimen Condition
Relevant Clinical Information
Device Type
LOINC
SNOMED CT
UCUM

Next steps

1. No meeting due to President’s Day. Next meeting is March 4th 2024.

2. This workgroup is slated to comment on the roadmap’s approach to addressing educational / training gaps in the use of standards such as LOINC. Will address at next meeting!