PaLM Conf Minutes 2021-January-13

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Name Email
Francois Macary
Rikki Merrick
Alessandro Sulis
Dan Rutz
Kevin Schap
Raj Dash
Francesca Vanzo
Filip Migom
Jim Harrison
Ralf Herzog
JD Nolen
Francesca Frexia
Brian Bialecki
Craig Sayers NHS
Nick Haarselhorst
Mary Kennedy
Gunter Haroske
Alex Goel
Kenichi Takahashi
Megumi Kondo
Gregorio Canal Arsenal.IT
Gianluca Pavan Arsenal.IT
David Beckman

Next meeting: February 10, 2021

  • Reminder to vote for co-chair election – open till Jan 22, 2021
  • PaLM Board Report
  • TF CP – Please review the CP we will vote on it next call
    • FTP server replaced by Google Drive
    • Francois will move the CP to Google
    • At the next meeting, we will vote to approve 266 CP – allow supplemental results in transaction LAB-32 as proposed by Ralf
  • Status updates:
    • SET:
      • Presented the CR to HL7 OO group and reminded them of the suggested new message structures
      • Will include the changes in the process to new publication of V2 (is in ballot now V2+)
      • Also changing the process of how new CRs are done (using Jira)
      • Final discussion is planned for Q1 on Monday 1/25 at the WGM = 12- 1:30 PM ET = 6 – 7:30 PM CET
    • Radiology-Pathology Concordance Reporting:
      • Began mapping between data elements ACR guidelines and CAP guidelines for breast and prostate use case
      • Aligning the IHE profiles
      • Meetings will be scheduled for this year: please let Alex know that you are interested:
      • Topic at HL7 WGM around Pathology reporting is on the agenda for Monday Q2
      • HL7 WGM OO agenda LINK:
    • Digital Pathology in Telemedicine:
      • IHE Google DOC link – (Francesca Vanzo to provide)
      • First draft created
      • XDS and DPIA profile merger for the first use case
      • Where does APSR fit into this workflow?
      • How do we reconcile this with XDS?
        • XDS is a series of envelopes that expects CDA or other kinds of documents
        • Need to define what is in the CDX envelopes:
        • Images / full report?
      • For SDC we used MDH on FHIR – will need to look at how MDH works with images.
      • SDC does not cover the send out lab reports and additional narrative reports, but that is what we need
      • DICOM WG26 is working on DI result sharing, so it is not yet implemented in image producers
      • The expert opinion and diagnosis MUST make it back to the patient’s EHR-s along with the discrete data elements – as it is the FINAL actionable diagnosis and that needs to be standardized
      • Do we need to consider other parts of the workflow –like orders from less experienced actors / systems on the patient care side (that is use case 2) – that will use the XRR for external reporting
      • For telemedicine transaction is text, by it would be ideal to also include images with annotation, that can highlight the areas of interest and explanations – that is not currently done in the physical world, but it should be possible in the digital imaging work
      • Next Steps:
        • Check on MDH profile feasibility
        • Coordinate with work of DICOM WG-26