LRI+Vocab+WG+Meeting+2011-6-30

include component="page" wikiName="siframework" page="LRI Header" =LRI Vocab WG Meeting Minutes=
 * Date:** 06/30/2011
 * Time:** 11:00AM-12:00PM EDT
 * Dial in:** 1-408-600-3600 **Passcode:** 664 837 657


 * Meeting Agenda: LRI Vocab WG Agenda 2011-06-30**

Attendance
Kathryn Calderone, Robert Coli, Freida Hall, Rob Hausam, Cindy Johns, Diana Massey, Riki Merrick, Nam Nguyen, Bill Ormerod, Andrea Pitkus, Erik Pupo, Scott Robertson, Virginia Sturmfels, David Susanto, Merideth Vida, Bob Yencha

Action Items

 * **#** || **Date Initiated** || **Action** || **Owner** || **Status** || **Date Closed** ||
 * 1 || 06/30/2011 || Get TN state input (Erin Holt) for thoughts on pilot testing || Riki Merrick || Open ||  ||
 * 2 || 06/30/2011 || Add a paragraph to the in-scope test list to describe the usage of LOINC || Cindy Johns || Open ||  ||
 * 3 || 06/30.2011 || Review and provide input on Consensus Statement || All || Open ||  ||
 * 4 || 06/30/2011 || Review and provide input on HL7 table || All || Open ||  ||
 * 5 || 06/30/2011 || Brainstorm recommendations for anatomic pathology || All || Open ||  ||

Agenda Items
>
 * 1) Review Consensus Statement.
 * 2) Discuss tabulated HL7 documents that are to be included in the Consensus Statement.
 * 3) Discuss recommendations to come up with a resolution on handling anatomic pathology.

Meeting Notes
Position and strategy on UCUM
 * Want to focus on WG recommendations and make sure everyone will agree to it.
 * Do items 1-4 capture previous discussions? No disagreements.
 * Timeline for UCUM implementation is 12-24 months.
 * Add a paragraph to the in-scope test list to describe using LOINC – Frieda Hall and Virginia Sturmfels think it should be restated.
 * Position and Strategy for LOINC between message structure and in-scope tests.
 * Also include in Appendix A to make that information is available.

Review HL7 table (Riki and Bill)
 * PHIN VAD is a vocabulary access distribution system.
 * Collects code systems and puts them in value sets as they need to be used in HL7 message.
 * Doesn’t MU define that we have to use v2.5.1? – ELR guide already pre-adopted v2.7 for abnormal flags.
 * The interpretation was added in version v2.7 when "abnormal flag" was renamed "test interpretation" allowing to leave OBX.5 empty, when we don’t have a true result, but need to describe why it is empty using OBX.8.
 * OBX.8 can repeat, so you can send DET and A, if that is correct.
 * Commercial labs cannot leave OBX.5 empty due to billing.
 * OBX.8 is supplemental to OBX.5 – should not be redundant information.
 * Patient Class tab – need someone to review these codes.
 * Universal Service Class – new codes to identify certain things that need to be checked in a message; came from IG analysis group,
 * Will submit to HL7 for new table and add a new field in.
 * OBX – came out of ELINCS where they were using a less specific field
 * Add routine or clinical pathology or spell out Hemo, blood banking, chemistry, microculture? Change pathology to anatomic pathology?
 * Need to review these terms to make sure we have all terms needed for use case.
 * Consider using the threshold approach used in MU1 – minimum version, but can use later versions if wanted.

WG Recommendations included 4 items
 * The group agreed to all recommendations.

Successful Universal Services tab
 * Goal of these codes is to determine what kind of test you have so that you can write rules.
 * WG needs to look at all tabs and lists and look through it and determine if it encompasses everything we need to cover our use case. Review and give feed back to IG WG so that someone sees it and there are no glaring problems.
 * Anatomic Pathology should be removed due to difference in lab testing – don’t have enough time to come up with the proper codes. Virginia Sturmfels disagreed. She feels that this in-scope list will certify that are using valid LOINCs – we would not get clear picture of labs use of LOINC in anatomic pathology labs.
 * Need to review anatomic pathology. No one is comfortable in making a decision with anatomic pathology. Maybe come up with other recommendations with how we are going to handle anatomic pathology. No resolution at this point. Think about how we are going to decide AP because we will need to reach a consensus.

Next Meeting: Tuesday 10:00AM-11:00AM EDT
 * Need input by Tuesday regarding Consensus Statement.
 * Cindy Johns will incorporate changes to the Consensus statement.
 * Look at the HL7 table and provide feedback by Tuesday.

Next Meeting
 * Date:** 07/05/2011
 * Time:** 10:00AM-11:00AM EDT
 * Dial in:** 1-408-600-3600

Reference Materials

 * 1) Consensus Statement
 * 2) [|Vocab-Owned Tables_v4]

include component="page" wikiName="siframework" page="space.template.inc_contentleft_end"