LRI+Vocabulary+WG+Meeting+Minutes+11-15-2011

include component="page" wikiName="siframework" page="LRI Header" LRI IGs Analysis/VOCAB WG Meeting 2011-11-15 **Date:** 11/15/2011 **Time:** 10:00PM – 11:00AM EDT **Dial-in:** 1-408-600-3600
 * LRI IGs Analysis WG Meeting Minutes **

Pam Banning, Kathryn Calderone, Jim Carlson, Freida Hall, Rob Hausam, Cindy Johns, Russell Leftwich, Ken McCaslin, Natalie Menser, Riki Merrick, Andrea Pitkus, Zeshan Rajput, Scott Robertson, Virginia Sturmfels, Sheryl Taylor, Bob Yencha
 * Attendance **


 * Agenda **


 * 1) Roll call
 * 2) Call to order
 * 3) Review questions from the IG Analysis WG ballot reconciliation discussions (Riki Merrick)
 * LOINC Comments (see summary spreadsheet)
 * SNOMED Comments (see summary spreadsheet and draft of proposed clarification)
 * UCUM Comments (see summary spreadsheet)
 * HL7 Table 0487
 * Pre-adopt HL7 v2.7 instead of referencing v2.5.1
 * <span style="font-family: 'Arial','sans-serif'; font-size: 13px;">Need to compare for content (Riki Merrick)
 * 1) <span style="font-family: 'Arial','sans-serif'; font-size: 13px;">Request from LRI Validation WG to review list of HL7 tables
 * <span style="font-family: 'Arial','sans-serif'; font-size: 13px;">First pass will be off-line review (see summary spreadsheet and <span style="font-family: 'Arial','sans-serif'; font-size: 13px;">[|IG Vocab Variance Analysis] <span style="font-family: 'Arial','sans-serif'; font-size: 13px;">document)
 * <span style="font-family: 'Arial','sans-serif'; font-size: 13px;">Any tables not already reviewed by IG or Vocabulary WGs will need to be addressed
 * 1) <span style="font-family: 'Arial','sans-serif'; font-size: 13px;">Review of <span style="font-family: 'Arial','sans-serif'; font-size: 13px;">[|LRI Pilots LOINC, SNOMED, and UCUM summary]
 * <span style="font-family: 'Arial','sans-serif'; font-size: 13px;">Also review LRI Pilots Baseline Summary document and post comments on the Wiki
 * 1) <span style="font-family: 'Arial','sans-serif'; font-size: 13px;">Update on discussion with CDC regarding CLIA/CAP compliance for use of standard vocabulary descriptions on patient reports
 * <span style="font-family: 'Arial','sans-serif'; font-size: 13px;">Summary of email communications with Megan Sawchuk (see summary document)
 * <span style="font-family: 'Arial','sans-serif'; font-size: 13px;">[|CMS Memorandum on CLIA 88] <span style="font-family: 'Arial','sans-serif'; font-size: 13px;"> Issuance of Revised Survey Procedures and Interpretive Guidelines for Laboratories and Laboratory Services to Facilitate the Electronic Exchange of Laboratory Information (issued March 2010)
 * 1) <span style="font-family: 'Arial','sans-serif'; font-size: 13px;">Discuss next steps and future meetings
 * <span style="font-family: 'Arial','sans-serif'; font-size: 13px;">Tuesday 11/22
 * <span style="font-family: 'Arial','sans-serif'; font-size: 13px;">Tuesday 11/29

<span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">**<span style="font-family: 'Arial','sans-serif';">Reference Documents: **


 * 1)  <span style="font-family: 'Arial','sans-serif'; font-size: 13px;">[|CLIA Compliance Implications for Use of Standard Vocabularies 11-15-11.docx]
 * 2)  <span style="font-family: 'Arial','sans-serif'; font-size: 13px;">[|CMS CLIA Guidelines Memo Mar2010.pdf]
 * 3)  <span style="font-family: 'Arial','sans-serif'; font-size: 13px;">[|LRI Pilots SNOMED LOINC OID UCUM Summary.docx]
 * 4)  <span style="font-family: 'Arial','sans-serif'; font-size: 13px;">[|LRIVocabularyAnalysis_HL7Tables-11072011-v1.0.2.xlsx]
 * 5)  <span style="font-family: 'Arial','sans-serif'; font-size: 13px;">[|Vocabulary IG Reconciliation 11-15-11.xlsx]
 * 6)  <span style="font-family: 'Arial','sans-serif'; font-size: 13px;">[|SNOMED OBX5 Proposal 11-15-11.doc]


 * <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">Action Items **
 * 1) **<span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">Review Reference Documents- ALL MEMBERS **
 * <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">Meeting Minutes **
 * **<span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">Reviewed List of Comments pertaining to Vocab recommendations **
 * **<span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">Vocab and Ballot Reconciliation **
 * <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">No. 263
 * <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">LOINC vs. Local Code discussion
 * <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">Need to allow for transmission of Local Code
 * <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">Ken- we may have situations where we have a code that is requested
 * <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">We still want them to use new code, even its it not published yet
 * <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">If not in LOINC database, but still legitimate code.
 * <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">Looking at Proposed wording in 702
 * <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">Referring to Proposed wording in 703
 * <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">Motion to add sentence to IG Introduction to discuss order information that may result in the reflected result message: “Recognizing that standardization for order is underway, we defer to current practice for all fields that echo back order information”
 * <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">Ken McCaslin and Riki Merrick
 * <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">No. 704 is also resolved;
 * <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">Will be developed as best practices
 * <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">Comments that the IG will need a value set?
 * <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">Ken- want to make sure that we can take out all the TBDs
 * <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">OK to take out the value sets from the individual tables; the TBDs are left over from the ELR Guide
 * <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">Referring to table 4.1 (printed page 89)
 * <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">They were TBD in the ELR Guide, and we used the ELR guide as our base.
 * <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">We were also going to remove the PHINVADS section
 * <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">(will be taking out paragraph 4.1)
 * **<span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">Workgroup to review the documents **
 * <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">Asked to agree with pre-adoption of 2.7
 * <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">Requested to look at HL7 tables; between the IG and Vocab group
 * <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">Validation suite asked us to look again
 * <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">Pilots have some stuff on SNOMED, LOINC, UCUM documents
 * <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">CDC/CMS documents regarding accreditation issues if standard vocabularies are used;
 * <span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">Need to clarify SNOMED- more critical; need to develop clarification proposal or document to say when SNOMED should be used
 * **<span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">Ken McCaslin- **<span style="color: black; font-family: 'Arial','sans-serif'; font-size: 13px;">People would like to scope SNOMED; Scope it to a specific specialty.

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