LRI+IG+Analysis+WG+Meeting+2012-03-06

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LRI IG Analysis Meeting Minutes
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 * LRI IG Analysis Meeting Agenda **
 * __Tuesday 03/06 3:00PM ET-5:00PM ET __**

**Meeting Agenda**
[|Section-6-AdditionalImplemenationGuidance.doc] ||= 30 Minutes ||= Hans Buitendijk/ Austin Kreisler || [|CLSI Def Qn Ql SemiQn 03-06-12.docx] Comment No. #891: [|IG Ballot Reconciliation SPM21-24 Summary 03-06-12.docx] ||= 30 Minutes ||= Riki Merrick ||
 * = **ID** ||= **Key Discussion Items** ||= **Duration** ||= **Presenter** ||
 * = 1 ||= Parent/Child Proposal Discussion
 * = 2 ||= Vocab WG Update
 * = 3 ||= Ballot Reconciliation for All Red Comments ||= 60 Minutes ||= Hans Buitendijk ||
 * Discussion of OBR 28 with relation to comment # 962

Attendance
Hans Buitendijk, David Burgess, Norman Gayle, Ernest Grove, Freida Hall, Lester Keepper, Austin Kreisler, Cindy Levy, Ken McCaslin, Natalie Menser, Riki Merrick, Scott Robertson, Rob Snelick, Shalina Wadhwani, Bob Yencha

Action Items

 * **#** || **Action** || **Owner** || **Status** || **Due Date** ||
 * 1 || Add a Legend to the Parent/Child Proposal and Color-Code for Consistency || David Burgess/Austin Kreisler ||  ||   ||

Meeting Notes

 * Additional Implementation Guidance – Parent/Child Proposal **
 * This section is about the merger of David Burgess’ document with the examples that were included
 * First is the description of the parent/child linking
 * Followed by examples that were in the IG that have now been updated
 * Shows the 4 profile options and how they would be allowed in parent/child linking
 * Motion to include this document per above, with any updates to section numbers as needed to fit
 * Austin Kreisler moves, David Burgess seconds; 0 against, 1 abstain, 9 for
 * Amendment to add a legend for the various colors and make them consistent across the document – Accepted
 * Ken has a note he’ll forward to David Burgess for clarification
 * Amendment to accept that final sample messages may not be exactly the same as the snippets in these sections due to Message Maker variances; include a warning note to that end
 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">Need to clarify in the documentation that value CWE.9 should only be used for OBX.5
 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">Motion to add to CWE_CR.9 that it is condition based on the data type being used in OBX.5 per OBX.2
 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">Austin Kreisler moves, Riki Merrick seconds; 0 against, 1 abstain, 10 for


 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">No. 496
 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">Want to state that OBX.4 can be used if multiple OBX’s have the same OBX.3 value
 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">Motion to accept to Proposed wording as comment on OBX.4
 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">Austin Kreisler moves, Ken McCaslin seconds; 0 against, 1 abstain, 9 for


 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">Update from HL7 – Austin Kreisler **
 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">Talked to someone to see if they could incorporate the change request
 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">Was told it was within the scope from 2.7.1
 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">Still hasn’t received an official ruling – waiting on final confirmation


 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">Vocab WG Update – CLSI Definitions Quantitative, Semiquantitative, Qualitative **
 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">Ken McCaslin suggested we add definitions for each of these
 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">The Vocab WG summarized the definitions posted on the CLSI website
 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">Cindy Johns extracted the relevant verbage
 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">The Vocab WG approved the verbage from the CLSI website
 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">Will get the document to the co-chairs of OO
 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">Document will be sent to Bob Yencha and Natalie Menser to pass on
 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">Motion to endorse the Vocab WG recommendation to include the language above in the IG
 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">Ken McCaslin moves, Riki Merrick seconds; 0 against, 0 abstain, 11 for


 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">Vocab WG Update – SPM.21 – SPM.24 **
 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">In the CLIA requirements table in the appendix, the disposition of the specimen when a test cannot be performed is required to be transmitted to the submitter
 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">The Vocab WG agrees SPM.21 and SPM.24 should be RE, however there are currently so many lab systems that cannot populate the field because of the way reject reasons get communicated in the results
 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">Suggests leaving them “O”
 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">Motion to endorse Vocab’s recommendation to keep the fields as O and add clarifying text to the appropriate sections
 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">Ken McCaslin moves, Riki Merrick seconds; 1 against, 3 abstain, 6 for
 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">Discussion
 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">42 CFR 493.1291c bullet 7 indicates that under certain circumstances this data is required; shouldn’t it therefore be RE or C(a/b)
 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">Only SPM.21 and SPM.24 are related to CLIA
 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">Riki Merrick – this is not something we can make conditional at this time
 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">What should be the guidance for the use of OBX-5 and NTE with SPM-24
 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">Riki will determine the proposed best practices to use SPM.21 – SPM.24
 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">Motion to mark on SPM.21 and SPM.24 that for the Receiver they are RE and for the Sender O, the latter subject to future revision to RE as well. Create a best practice paragraph that focuses on SPM.21 and 24 that in a future version of this guide these will change from O to RE
 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">Riki Merrick moves, Lester Keepper seconds; 0 against, 0 abstain, 9 for


 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">Motion to change from RE to O:
 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">PID.6 Mothers Maiden Name
 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">Motion to change from RE to O for both Sender and Receiver
 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">Ken McCaslin moves, David Burgess seconds; 0 against, 0 abstain, 9 for
 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">PID.10 Race
 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">Motion to change from RE to O and clarify that if it is relevant to communicate the Race (LOINC 32624-9) according to which the abnormal ranges or other clinical interpretations are applied then the OBX should be sent as part of the OBR within which the observations that apply are made
 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">Norman Gayle moves, Les Keepper seconds; 0 against, 0 abstain, 9 for
 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">OBR.8 Observation End Date/Time
 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">Motion to change from RE to O for Sender, but not the Receiver, and state in the comments that this is expected to be adjusted to RE in a future version on the Sender
 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">David Burgess moves, Freida Hall seconds; 0 against, 0 abstain, 10 for
 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">SPM.22 Specimen Quality
 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">SPM.23 Specimen Appropriateness
 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">OBX.16 Responsible Observer
 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">OBX. 17 Observation Method


 * Next Week**
 * <span style="font-family: Arial,sans-serif; font-size: 9pt;"> Thursday will continue where we left off (finish other 4), Rob Snelick will ask example questions, Rob Snelick question on OBR.28, go through spreadsheet to make sure there are no negatives left without a vote
 * <span style="font-family: Arial,sans-serif; font-size: 9pt;">Hans – there’s no need for OO approval on the CLSI document, need awareness in the email Ken will forward that we can do it to know there aren’t incorrect attributions

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