LRI+Vocab+WG+Meeting+2011-6-28

include component="page" wikiName="siframework" page="LRI Header" =LRI Vocab WG Meeting Minutes=
 * Date:** 06/28/2011
 * Time:** 10:00AM – 11: 00AM EDT
 * Dial in:** 1-408-600-3600 **| Pass-code: ** 660 071 157
 * Meeting Agenda:**
 * 1) Review most recent additions to In-Scope Test List. Achieve consensus on final list.
 * Note that the ONC has published a bulletin regarding updating recommended versions of LOINC
 * 1) Achieve consensus on the Position and Strategy for use of SNOMED and UCUM
 * What further detail do we need to include for a pilot testing roadmap?
 * 1) Discuss tabulated HL7 documents that are to be included in the consensus document (Riki Merrick & Bill Ormerod)

Attendance
Tom Boal, Donna Carter, Neelima Chennamaraja, Robert Coli, Rob Hausam, Cindy Johns, Russell Leftwich, Natalie Menser, Riki Merrick, Emily Mitchell, Senthil Nachimuthu, Bill Ormerod, Andrea Pitkus, Scott Robertson, Jennifer Sisto, Virginia Sturmfels, Merideth Vida, Bob Yencha

Action Items

 * **#** || **Date Initiated** || **Action** || **Owner** || **Status** || **Date Closed** ||
 * 1 || 06/28/2011 || Contact HL7 authors regarding what is being used for AP and provide response to Cindy Johns by COB, Wednesday || Andrea Pitckus || In Progress ||  ||
 * 2 || 06/28/2011 || Check the SNOMED Statements to duplicate the appropriate wording for the Position and Strategy for SNOMED: Specimen Source in SPM.4 section || Cindy Johns || In Progress ||  ||
 * 3 || 06/28/2011 || Build a formal consensus page for Thursday’s meeting similar to Use Case consensus page
 * To include: Yes, Yes with Comments, No, No with Comments
 * If people respond ‘No’, they have to provide actionable feedback for how their vote could be changed from ‘No’ to ‘Yes.’ || Kathryn Calderone || In Progress ||  ||

Meeting Notes

 * **In Scope Test List Discussion **
 * Last week, the group added the eGFR (estimated <span style="color: black; font-family: 'Helvetica','sans-serif'; font-size: 13px;">Glomerular Filtration Rate) <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">, based on a request from the UCUM community, representing a calculated value; normally it is not part of the AMA (American Medical Association) panel, but it was advised to add to this list.
 * <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">For Cholesterol, it does not matter what type of cholesterol we are talking about, just how the information is reported.
 * <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">Billing and CPT Codes are not in our purview; we have tried to designate the necessary panels within the “Comment” column; a suggestion from the group is to ensure that we have the appropriate CMS panels documented; the tests we have listed are complete with regard to the AMA.
 * <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">The group also discussed the list of top 2,000 LOINC Codes for tests published by the Clinical Operations Workforce - National Library of Medicine (Dr. McDonald); The NLM is making recommendations for LOINC codes for most commonly ordered tests; this is based on their experience not necessarily all tests. The In-Scope test list SWG made use of the top 300 list that was the first version of the top 2,000 list. In theory, we have been able to thoroughly review what was in that list and include the important pieces.
 * <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">Review of comment under AP:
 * <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">LOINC not used as much in pathology reports? Dr. Harrison has mentioned, the question is whether AP is more complicated than what we were originally thinking, and should we remove it from this list? We originally were trying to test things that had more structure, and it looks like AP might be too complicated for our scope?
 * <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">If LOINC is not being used here, then we probably need to add a different vocabulary
 * <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">SNOMED CT?
 * <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">If LOINC codes are not being used in these tests, it sounds like it might not be appropriate to include it here. Let’s look at the profile for SNOMED, OBX3 and OBX5 to confirm whether or not it is appropriate- Andrea Pitkus to contact HL7 authors regarding what is being used for AP and provide response by COB, Wednesday.
 * <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">There was some discussion around the “Susceptibility” fields and whether or not they should have “and/or” or whether they should be numeric and or interpreted or A3 Format?
 * <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">Decided to keep it as is.
 * <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">Urinalysis
 * <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">A concern was expressed questioning whether everyone has all these components. We would not want this list to misconstrued as stating that there components HAVE to be present;
 * <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">Recommended re-wording:
 * <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">For macro- “usually ordered in a macroscopic panel”
 * <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">For micro- “typically ordered as part of urine microscopic”
 * **//<span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">Conclusion: All in agreement on the In-scope Test list //**
 * **<span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">LRI Strategy & Consensus Document **
 * <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">Incorporated paragraph by Merideth Vida into the document, per our discussion last week
 * <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">Position and Strategy for Lab In Scope Tests
 * <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">Remove point 4: reviewed the specific vocabulary variances identified by the LRI IG Analysis WG
 * <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">Does not belong in this paragraph; maybe put somewhere else
 * <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">If any discrepancies identified in vocabularies, Bob Yencha will bring them to this team
 * **<span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">CWE Data Types in OBX.5 **
 * <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">Bob Yencha to still work on this list
 * **<span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">Position and Strategy for SNOMED: Specimen Source in SPM.4 **
 * <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">Edits were made to this section
 * <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">Lab Community of Practice is the group doing the cross mapping between HL7 and SNOMED CT
 * **<span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">Next Meeting: THURSDAY 11:00-12:00 PM EDT **
 * <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">Still need to review the Strategy and Position on UCUM
 * <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">Discuss HL7 Table from Riki Merrick and Bill Ormerod
 * <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">We will have a consensus discussion
 * <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">Will have meeting next Tuesday at 10 AM to go through recommendations brought up during consensus

Next Meeting

 * Date:** <span style="font-family: 'Arial','sans-serif'; font-size: 13px;">06/30/11
 * Time:** <span style="font-family: 'Arial','sans-serif'; font-size: 13px;">11:00 AM- 12:00 PM
 * Dial in:** <span style="font-family: 'Arial','sans-serif'; font-size: 13px;">1-408-600-3600 **Passcode:** 664 837 657

Reference Materials

 * 1) ==<span style="font-family: 'Arial','sans-serif'; font-size: 13px;">Consensus Statement ==
 * 2) **<span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">In-Scope Test List **

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