PaLM Conf Minutes 2017-Mar-15

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The recording for this meeting can be downloaded HERE


Francois Macary, Co-Chair Phast
Raj Dash, Co-Chair CAP
Riki Merrick, Co-Chair APHL
Carolyn Knapik CAP, secretariat
Mary Kennedy CAP, secretariat
Alessandro Sulis CRS4
Dan Rutz Epic
Daniel Nebot
Francesca Frexia CRS4
Francesca Vanzo Arsenal IT
Gunter Haroske IHE Germany
JD Nolen Cerner
Jurgen De Decker MIPS
Ken Takahashi JAHIS
Megumi Kondo Sakura Finetek Japan
Ross Simpson CAP


  • 1st hour
    • Agenda review
    • Feedback on APSR example and specimen section
      • Some rendering issues with the example – Riki to send her feedback to Francois and Gunter
      • Use eCC as a means to create content to promote the adoption of APSR 2.0
      • Add example to the wiki page
      • Looking for feedback from vendors on starting to test
        • Outreach to vendors in Germany
        • Interoperability Council in Germany meeting is tomorrow
        • French vendors are smaller companies
      • Would be good to use APSR 2.0 as a basis for re-design of Pathology LIS


    • Agenda items for May F2F
        • SET
        • LCC
        • LSH
        • APSR 2.0
        • White paper
        • New release of TF based on CRs (just a few) – to be published in June 2017
        • Digital Pathology workflow – Raj will reach out to at least get a status update
        • Transfusion medicine workflow
        • Remote participation will be provided by JAHIS


    • SNOMED CT candidate concepts for the IHE free subset for free use in the standard for publication
        • Example DICOM has MOU for 7,300 terms that systems can use
        • Also being discussed for HL7 International
        • Also with IHE International – reactivated now, so
        • for PaLM Francois started collecting list of concepts
          • needs to be a flat list (no relationships / hierarchies can be used)
          • Have these areas covered:
            • blood group results
            • laterality of anatomic site
            • qualitative lab results
            • some descriptors about type of diagnosis / type of tests
            • Micro is too big to add (>55k)
            • Clinical information that pathologists expect as part of orders
              • Pregnancy status, chronic diseases, travel, treatment…
          • Suggested new domains:
            • Scott Campbell’s list harmonized for dealing with genomic related – these will be in NM ref set – are currently using the University of Nebraska namespace – keep this for the later version UNTIL they are in the core release of SNOMED CT
            • Specimen terms (at least the ones we have crossmapped from HL70487 – check with HTA if they are working on it ; start with these codes (there is some that still have to be updated / added  will add those after – still reviewing that) see:


    • In 2009 we published a paper – "Standards to Support Information Systems Integration in Anatomic Pathology" – It can be found HERE
      • See Raj’s slides
      • Support digital AP workflow into the LIS
      • Review the diagram and
      • Invite European vendors involved in digital pathology and participate at F2F in May
      • Aspects of imaging – glass slide / gross pathology
      • Include meta data etc
      • Have great examples in Sweden’s set up


    • 2nd hour:
      • SET update (Alessandro): Alessandro will broadcast the new draft next week.


    Next meeting: 12 April 2017 at 0800 (central time zone)