LRI+Vocabulary+WG+Meeting+Minutes+11-29-2011

include component="page" wikiName="siframework" page="LRI Header" LRI VOCAB WG Meeting 2011-11-29 **Date:** 11/29/2011 **Time:** 10:00PM – 11:00AM EDT **Dial-in:** 1-408-600-3600
 * LRI Vocab WG Meeting Minutes **

**Meeting Agenda:**

 * **ID ** ||  **Key Discussion Items **  ||  **Duration **  ||  **Presenter **  ||
 * 1  ||  [|SNOMED Draft Proposal v2 11-28-11.doc]   ||  15 Minutes   ||  Cindy Johns/Riki Merrick   ||
 * 2  ||  [|Vocabulary IG Reconciliation 11-22-11.xlsx]   ||  45 Minutes   ||  <span style="font-family: 'Arial','sans-serif'; font-size: 13px;">Cindy Johns   ||

Attendance
<span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">Pam Banning, Kathryn Calderone, Gokul Chandran, Robert Coli, MD, Ernest Grove, Freida Hall, Rob Hausam, Cindy Johns, Lester Keepper Jr, Debra Konicek, Ken McCaslin, Natalie Menser, Riki Merrick, Andrea Pitkus, Scott Robertson, Joel Ryba, Virginia Sturmfels, Sheryl Taylor, Aaron Zimmerman

Action Items

 * **#** || **Action** || **Owner** || **Status** || **Due Date** ||
 * 1 || Review section 3.3.12.1 in preparation for next week's meeting || All Members || In Progress ||  ||
 * 2 || Take a look at HL7 Tables || Ken McCaslin || In Progress ||  ||
 * 3 || Review SPM-4 before next week || All Members || In Progress ||  ||
 * 4 || Add example about organisms to SNOMED proposal || Riki Merrick || In Progress ||  ||

Meeting Notes

 * **<span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">LOINC DISCUSSION **
 * <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">No. 248/495 deal with same section in the Implementation Guide
 * <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">Table 3-11 in Implementation Guide; Row 3 Observation Identifier
 * <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">Original comment, No. 710, has verbiage around the use of LOINC/local coding that can be re-used as well
 * **<span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">No. 503 **
 * <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">3.3.12.1 Section
 * <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">Table 3.12 Observation Identifiers
 * <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">We need to discuss this and determine what is appropriate; it is making some assumptions that the group has not discussed (UCUM as unit of measure, for example)
 * <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">Questioning whether to drop this section all together.
 * <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">This group should assess how bad or fixable this is; If fixable, we can make changes; if not, remove it;
 * <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">Refer to Table 3.12
 * <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">Possible to remove
 * <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">Debate over the value; some say it is valuable others believe it is not helpful
 * <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">Virginia Sturmfels: helps to drive standardization; could provide value
 * <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">Overall Suggestion is to do some more work on this;
 * <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">Our first step is to determine where we will go with SNOMED; then we should come back and re-asses
 * **<span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">Homework: **<span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;"> everyone look at this section and think it over; another suggestion is to include this section as an appendix;
 * <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">We should take out the preferred ELR approach entirely.
 * <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">Need to look at other areas that impact this section;
 * <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">503/506/505- comments pertain to this section; if we keep this section, we will need to figure out how to resolve the comments that are related;
 * <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">Everyone will look at it and see how we can modify it for inclusion in the IG;
 * **<span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">SNOMED CT Vocab Requirements Proposal **
 * **<span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">OBX.5 **
 * <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">A. Remove ‘Note’ under A
 * <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">B. Organism-related substances from the SNOMED substance //(deleted findings)// hierarchy
 * <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">Should we have a note that states we are only interested in microbiology? – Virginia Strumfels:
 * <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">Not considered a requirement at this point for the other specialties?
 * <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">Added verbiage “It is not intended as a required vocabulary for any other specialty. If outside of this specialty, the use of SNOMED would need to be negotiated between trading partners.”
 * <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">This belongs in both the IG and Test Plan
 * <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">HL7 Messages look fine; Ken McCaslin to take a look.
 * <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">Make sure there is nothing here on clinical findings that was removed;
 * <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">Deb Konicek- SNOMED Expert
 * <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">Next session **
 * <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">Everyone to look at SPM-4 before next call.
 * <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">Then we will finalize UCUM, finalize SNOMED, and we may need 2 more meetings;
 * <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">Riki will add example on organisms before next call.

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