LRI+CIM+&+Vocab+WG+Meeting+Minutes+2011-5-31

include component="page" wikiName="siframework" page="LRI Header" =LRI Clinical Information Model/Vocab WG Meeting Minutes=
 * Date:** 05/31/2011
 * 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 2011-5-31

Attendance
Jitin Asnaani, Robin Barnes, Tom Boal, Robert Coli, Freida Hall, Cindy Johns, Russell Leftwich, Cheryl Liu, Ken McCaslin, Riki Merrick, Bill Ormerod, Andrea Pitkus, Erik Pupo, Virginia Sturmfels, Jonathan Tadese, Serafina Versaggi, Merideth Vida, Steven Wagner, Bob Yencha

Action Items

 * **#** || **Date Initiated** || **Action** || **Owner** || **Status** || **Date Closed** ||
 * 1 || 05/31/2011 || Comment on the Pros and Cons lists for UCUM and SNOMED || All || Open ||  ||
 * 2 || 05/31/2011 || Draft a statement that determines SNOMED standards for next discussion ||  || Open ||   ||
 * 3 || 05/31/2011 || Jitin Asnaani will speak with John Halamka at Beth Israel || Jitin Asnaani ||  ||   ||
 * 4 || 05/31/2011 || Cindy Johns will talk to LabLinks || Cindy Johns ||  ||   ||

Agenda Items

 * 1) Review comments regarding the use of UCUM as a recommended vocabulary
 * 2) Review comments regarding the use of SNOMED CT as a recommended vocabulary
 * 3) Solicit additional agenda items for the June 14-15 face-to-face meeting

Meeting Notes
There appears to be no other alternative to UCUM. Therefore, there needs to be a pilot so that the users of the data are able to see what the problems are, in order to address these issues. We will need to adopt to UCUM, and must be diligent in the process. A suggestion for improvement of the process includes implementing a "UCUM 2.0".

One thing to note is that the CDA is required to use UCUM as one of its units, and that is one place to look to gain more information. One suggestion is to perform a pilot testing and see where UCUM goes in order to mitigate risks. Another suggestion is to determine where UCUM is being used, and find out what their experience has been with other companies, such as Kaiser, who has implemented UCUM.

The use of SNOMED is very pertinent in Public Health. Some Public Health have SNOMED in their system, although it is not in the routine interface. A note is that on the clinical vendor support side, no systems have been using SNOMED natively. However, if SNOMED had been used natively, there would have been more efficiency.

The team is trying to define standards instead of leaving it optional. Concerns about timing and implementation should be expressed in order to come to a conclusion and closed decision of UCUM and SNOMED.

An important point brought up by Ken McCaslin regarding the use of UCUM can be found on the UCUM Discussion thread. Ken expressed that it is difficult to endorse vocabulary that has not been vetted by the target domain of healthcare. His opinion is that the best way to determine the if UCUM can truly function with the laboratory environment is to have a pilot project that engages the users of lab services as well as several laboratories.

Next Meeting

 * Date:** 06/07/2011
 * Time:** 10:00AM-11:00AM EDT
 * Dial in:** 1-408-600-3600

Reference Materials

 * 1) UCUM Discussion
 * 2) SNOMED Discussion

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