LRI+CIM+Vocab+WG+Meeting+Minutes+2011-06-07

include component="page" wikiName="siframework" page="LRI Header" **LRI Clinical Information Model/Vocab WG Meeting Minutes**
 * Date:** 06/07/2011
 * Time:** 10:00AM - 11:00AM EDT
 * Dial in:** Dial-in: 1-408-600-3600 | Participant: 667 359 725
 * Meeting Agenda:** LRI CIM Vocab WG Agenda 2011-06-07

Attendance
Tom Boal, Kathryn Calderone, Robert Coli, Freida Hall, Rob Hausam, Erin Holt, Cindy Johns, Russell Leftwich, Cheryl Liu, Natalie Menser, Riki Merrick, Senthil Nachimuthu, Bill Ormerod, Andrea Pitkus, Erik Pupo, John Roberts, Andriy Selivonenko, John Stinn, Virginia Sturmfels, Merideth Vida, Bob Yencha

Action Items

 * **#** || **Date Initiated** || **Action** ||< **Owner** || **Status** || **Date Closed** ||
 * 1 || 06/07/2011 || Comment on the Pros and Cons lists for UCUM and SNOMED ||< All || Open ||  ||
 * 2 || 06/07/2011 || Post a summary of the information gathered about the use of UCUM ||< Cindy Johns || Open ||  ||
 * 3 || 06/07/2011 || Develop a consensus statement that says UCUM is a viable option ||< Erik Pupo || Open ||  ||
 * 4 || 06/07/2011 || Speak with Dr. Mcdonald, the main lead in Canada working on UCUM, and Lori ||< Cindy Johns ||  ||   ||

Agenda Items
>
 * 1) Review comments on the Pros and Cons lists for UCUM and SNOMED
 * 2) Discuss and define the standards of UCUM and SNOMED
 * 3) Solicit additional agenda items for the June 14-15 F2F meeting

Meeting Notes
There are currently no identified issues with using UCUM for C32 reporting. Eventually, UCUM will also be used in support of Public Health. Erin Hope from Tennessee uses UCUM and shared with the group that ELR messages do in fact use UCUM for lab results reporting received from hospitals there. Their use of UCUM was adopted through an HL7 EIR Implementation Guide that Tennessee requested. UCUM was then used as a committed specification. Through their experience, there have not been problems with the coding surrounding UCUM.
 * The Use of UCUM**

Cindy Jones also spoke with Dr. McDonald and had the opportunity to speak with other LOINC users and UCUM users in Canada to get information. She will put together a summary of the information and post it on the Wiki.

Square brackets are an accepted universal transmission method, while Curled brackets are not universally accepted. Curled brackets = 1 is reporting standards in Europe and is included in the UCUM standard but is not required. Currently this does not seem to present itself as a problem; however, we need to make sure that transmission can in fact seamlessly occur. We will be asking for testing and feedback. An issue brought up is that the recommendations and interpretations of the UCUM document is very vague. The team must identify gaps in the UCUM document.
 * Pro's and Con's Discussion for UCUM**

We will need to develop a consensus statement that says UCUM is a viable option, but also develop a roadmap in order to prove it is a viable option and when and how it will be implemented.

The team seems to recommend SNOMED as a viable option and expressed that there are times that HL7 or other standards may allow for additional optionality. If this is the case, recommendations needs to specify when SNOMED is used and in what specific circumstances another specific standard can be used.
 * The Use of SNOMED**

Work is currently being done to cross-map HL7 terms to SNOMED. They're not 1-1 mappings because terms and settings are not always compatible. We will need to separate the following: specimen, site, and collection method, which is all on PH Connect. The link to PH Connect will be posted to Wiki. A recommendation is that there needs to be a process or system for correlating SNOMED and LOINC codes.

Next Meeting

 * S&I Face-to-Face meeting**
 * Date:** June 14-15, 2011
 * Dial-in:** Please see wiki page for dial-in and passcode information

Reference Materials

 * 1) UCUM Discussion
 * 2) SNOMED Discussion
 * 3) Face-to-Face meeting agenda items

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