LOI+Vocabulary+WG+Meeting+Minutes+2012-11-20

**Meeting Agenda:**
||= 60 Minutes ||= WG Leads ||
 * = **ID** ||= **Key Discussion Items** ||= **Duration** ||= **Presenter** ||
 * = 1 ||= AOE Questions

Attendance
Arlen, Dominik, Cindy Johns, Freida Hall, Jonathan Tadese, Ken McCaslin, Pam Banning, Riki Merrick Saunya Williams, Scott Robertson, Virginia Sturmfels

Action Items
//No action items at this time.//

Meeting Notes

 * AOE Questions**
 * Ask at Order Entry questions:
 * Do have a LOINC for fasting status:
 * 49541-6 Fasting status [Presence] - ReportedFasting status [Presence] – Reported
 * Spreadsheet with example LOINCs for AOE:
 * 24 hour urine collection with beginning time, end time of collection (this can be sent in SPM-17 and SPM-18)
 * Also consider genetic testing – questions about familial history
 * Pam talked to Dr. McDonald about changing class designation so LOINC codes could be used with other class testing. Per Dr. McDonald, usage does not need to be restricted by class, but he may consider the method of survey.
 * Need to give feedback to Regenstrief on ethnicity and race LOINC codes – They created new LOINC codes for specific surverys that appear to be duplicates of the existing race and ethnicity LOINC codes. Why was this done?
 * Adult lead tab:
 * On bottom also added other LOINCs possibly of interest for other tests needing AOE, included specimen source and reason for referral
 * Mayo Clinic form for child lead was reviewed. Need more information as to specific requirements for AOE.
 * Child: Specific guardian information – use NK1 for that; waiting for information from CDC program (should get tomorrow)
 * Could include guidance as to where else AOE information can be placed in HL7 messages.
 * For eDOS – Currently you can associate the AOE to the test, but we do not know yet how to communicate the answers in eDOS – would be good to have the expected answers to use as examples. Currently, the answer set defined in the LOINC database for an AOE that belongs to a specific survey are considered as the only options for answers. For clinical LOINC codes, the answer sets are considered as example answers.
 * For maternal screens they will want the specific answers – lab gives them the choices for the answers in drop downs right now.
 * Vocab WG supports use of LOINC for AOE and will provide the LOINC codes gathered so far to the LOI IG Analysis WG. Did the LOI IG Analysis workgroup agree to require or recommend LOINC codes for AOE? Per Freida, their idea is to require it, if a LOINC code is available.
 * Motion to require LOINC for AOE, if there is a LOINC available – use same language as for OBX-3 in LRI.
 * Riki Merrick moves, Pam Banning seconds; 0 against, 2 abstain, 4 in favor
 * Fasting status:
 * Fasting status will be communicated in OBR-13 in HL7 v2.7.1
 * If fasting moves to a discrete field, is that going to be a problem for other AOEs?
 * Will discuss at next week's meeting