LRI+Vocabulary+WG+Meeting+Minutes+03-06-2012

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LRI Vocab WG Meeting Minutes
**Dial-In:**  **1-408-600-3600**
 * Meeting: Tuesday 03/06/12 **
 * Time: 10:00AM-11:00AM EDT **
 * WebEx Link: ** ** siframework2.webex.com **
 * Passcode: ** **662 503 811 **

**Meeting Agenda:**
[|CLSI Def Qn Ql SemiQl 2012-02-14.docx] ||= 10 Minutes ||= Cindy Johns || [|IG Ballot Reconciliation SPM21-24 Summary 03-02-12.docx] ||= 30 Minutes ||= Cindy Johns/ Riki Merrick ||
 * = **ID** ||= **Key Discussion Items** ||= **Duration** ||= **Presenter** ||
 * = 1 ||= Review Definitions for Quantitative, Qualitative, and Semi-quantitative
 * = 2 ||= Review Summary for SPM.21 - SPM.24

Ernest Grove, Freida Hall, Rob Hausam, Cindy Johns, Lester Keepper, Natalie Menser, Riki Merrick, Virginia Sturmfels, Sheryl Taylor, Shalina Wadhwani
 * Attendance**

Action Items

 * **#** || **Action** || **Owner** || **Status** || **Due Date** ||
 * 1 || Send SPM.21 - SPM.24 Proposal to IG Analysis WG || Natalie Menser ||  ||   ||

Meeting Notes

 * CLSI Definitions – Quantitative, Semiquantitative, Qualitative Results **
 * IG Analysis group wanted definitions for each of these
 * Vocab group wanted to reference a reputable source and would validate the descriptions for the IG Analysis group
 * All categories seem straight-forward
 * We will send these definitions to the IG WG and they will document it as they want
 * Freida Hall – add a footnote to the appropriate reference
 * Normally when outside definitions are used we have to send them the link
 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">Cindy Johns – they already have this information, because the IG analysis WG sent Vocab the link
 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">All of the definitions are agreeable to everyone
 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">IG Analysis should not plan on quoting the document
 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">Les Keepper– we should add the link to the bottom
 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">Cindy Johns – will keep the document on the references section of the website
 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">Motion to recommend the use of CLSI Definitions for Quantitative, Semiquantitative, Qualitative Results
 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">Rob Hausam moves, Riki Merrick seconds; 0 against, 0 abstain, 6 for


 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">No. 891 (SPM.21 – SPM.24) **


 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">SPM.21 Specimen Rejection Reason
 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">Riki Merrick and Megan had this discussion
 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">One of the comments in the ballot had to do with SPM.21-SPM.24 marked as optional in the guide but in the appendix they were listed as part of CLIA requirements
 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">The IG WG said Vocab should look at this item, but Austin Kreisler and Riki Merrick wanted to consider which should be RE
 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">When a test cannot be performed, you have to send out the disposition of the specimen
 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">They recommend SPM.21 should be RE, noting that some lab systems will not be able to fill this out, so it should then be indicated as non-compliant with the guide
 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">Virginia Sturmfels – does RE mean that we have to be able to support it, even though the field may be empty?
 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">Riki Merrick – yes. RE means that in the instance you need you use it, you have to use it
 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">Cindy Johns – if a lab system can’t parse the information, even though they can support the field, it can be populated in another area, like a result?
 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">Les Keepper – we’re talking about privacy and accuracy and finding a place for these relationships to be put in
 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">SPM.21 is the appropriate place to carry specimen rejection information
 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">Bob Yencha has standards language he’s been using for RE recommendations that Vocab could reuse
 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">There is also a best practices sections in the IG, which is where the group could recommend that a statement be included that as a path forward this field should be RE in the future
 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">Recommend SPM.21 be RE but due to the status of implementation at the time we make it O in the guide but later make it RE
 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">“Agreed that SPM.21 should be RE, nothing that many lab systems may not have the capability of parsing out specimen rejection reasons into a discrete field. For this reason, we recommend keeping this field as “O” in the current version of the guide”
 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">It would be helpful to send this document to the IG Analysis WG
 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">Riki Merrick – add a sentence on where to find the specimen rejections in the CLIA table
 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">“In CLIA requirements section of the IG, indicate that if SPM.21 is not used (since it is an Optional field), this information must be communicated using OBX and/or NTE segments
 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">SPM.22 Specimen Quality
 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">The group was not clear on what this field was intended to do and why it was included in HL7 2.5.1
 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">Riki Merrick – there is no value in having this field communicated in an HL7 message
 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">Suggest making the field “O” because it is not one of the CLIA requirements
 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">In the CLIA requirements section, we should remove the reference to SPM.22 as it is not a CLIA requirement to report this information
 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">SPM.23 Specimen Appropriateness
 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">One of the values in table HL70492 might be helpful to have
 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">Definitely more useful than SPM.22
 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">The group suggested that this field be kept as “O”
 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">SPM.24 Specimen Condition
 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">The group did not reach a decision on whether this field should be O or RE
 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">SPM.24 might be very useful for communicating specimen condition information that does not meet the laboratory’s standard for acceptable
 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">This is stated in MU phase 1 requirements, however, currently many labs communicate this information elsewhere in the record
 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">“Agreed that SPM.24 should be Re, noting that many lab systems may not have the capability of parsing out specimen condition into a discrete field. For this reason, we recommend keeping this field as “O” in the current version of the guide.”
 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">Motion to accept this document as a recommendation to the IG Analysis WG
 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">Freida Hall moves, Les Keepper seconds; 0 against, 0 abstain, 5 for

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