2025-02-26 Vocabulary Working Group Meeting Notes
Agenda for today’s call
Intros / reconvening of Working Group
Discussion of high-priority initiatives for Vocab Working Group
Capture Action Items
JS - challenges in mapping and aggregating lab data in outpatient medicine
no terminology services
proprietary data, etc.
Opportunity - to align upstream and make things better
Russ - working on constructs to manage different terminologies / knowledge in the same model, LIDR device extensions to include specimens, methods, etc.
RH Challenges:
would receive specimens for different tests / different test results - it could be the same test and result but the data are different. get specimens to process and lab results to interpret. it would take time to understand what are we looking for. variation in data / lack of standards
MN
interest in molecular pathology
interest in genomics / genetics - we don’t use much coding (e.g., LOINC / SCT) as they don’t have granularity re genomics
UDI - in claims
spirit of USCDI - trying to use UDI makes sense but we need pathway or guidelines
DRG bundles don’t always fully capture additional tests / work-up that are provided to patients - capturing complexity is needed to find that one patient may have had 10 more procedures done than someone else
it is worth talking about how the failure of UDI in claims is a barrier to providing care, avoiding duplicates, in addition to price transparency.
at Mayo - lots of complex cases, how do you find a common denominator in routine vs complex cases. Costs may be higher than places that see less complex.