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Date

Attendees

Present

Name

Organization

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

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

Item

Notes

Upcoming OOO

  • Riki 5/4 - 5/12

  • John 5/17 - 5/25

  • Raj week of 5/15

Reporting Biomarkers to Cancer registries

 

Lab Test Naming Conventions

Andrea planing this

  • SHIELD call topic (maybe June 13)

    • TRUU Lab

    • LOINC

Specimen CMT - review of terms with questions

  • Tonsil:

    • why is this a discouraged term?

      • if a normal looking tonsil would not be cut, just a gross, but can be sent for cnacer - change to preferred

  • Wound_superficial / _deep / _postSurgical

    • looking for John Bartlet book from VIckie Baselski or Nancy - Riki to check her old computer

    • there also is an old IDSA guideline on this, but this has not changed

    • why is superficial discouraged?

      • culturing superficial wounds is expected to have some form of growth

      • woud not consider culturing post-surgical wounds right after surgery, but after a set number of days, then it is important, becasue this is tracked as part of an NHSN measure on HAI

    • another problems are with decubitus and diabetes related wounds - those should also not be cultured

    • need to tease out what needs to be in the terminology, vs what needs to be in the comments for education

  • CycstFluid_Nodule and CystTissue_Nodule

    • why is this discouraged?

      • Thyroid cycsts fall into this

      • it would make sense to differntiate, since often the lab would like to get both

      • currently listing NoduleTissue and Cyst are as preferred - swtich, since the other way aligns better

      • how do we have a nodular cuyst or cystic nodule - this is a subtype of nodule, but does not go up to cyst - John will check how bet to model this in SCT and will request review - both came from the READ codes

Specimen CMT - Hosting Options

Specimen CMT - education

Specimen CMT - potential pilot sites

  • Goal is to have some implementers lined up by April - so who to reach out to?

Specimen CMT - tracking implementation impact

  • Setting baseline

  • Define metrics

  • Setting baseline

Specimen CMT - Compare to NHS Medical Terminology testing

 

Future projects for this call after CMT

  • 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

FROM CHAT:

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