Pathology and Laboratory Medicine (PaLM)

From IHE Wiki
Jump to navigation Jump to search

Origin

The Pathology and Laboratory Medicine (PaLM) domain of IHE becomes active as of January 2016. This domain merges and supersedes the two prior domains Laboratory (LAB) and Anatomic Pathology (AP) respectively launched in 2003 and 2006. The main reason for this merger was the recognition of a significant amount of similarities of the two prior domains scopes, and a long practice of reuse of assets (content modules, transactions) and common thinking from one another. The decision for this merger has been prepared collectively along year 2015 by the LAB and AP leaderships, common secretariat and memberships, and was approved by the Board of IHE International on November 12, 2015.

Scope

The PaLM domain covers:

  • the representation and exchange of digital structured data, digital documents, digital images related to ordering, scheduling, performing and reporting diagnostic observations on in-vitro specimens collected from a patient or a non-living subject ;
  • the representation and exchange of digital structured data related to specimen management (preparation, transportation, handoff, aliquoting, storage, retrieval)
  • the secondary use and exchange of the observation results
  • the diagnostic storage and reuse of specimens in bio banks

when a pathology laboratory is involved and in charge of the production of the observation report following the diagnostic/prognostic/screening tests, this laboratory having at least one of the specialties listed below:

Laboratory specialty Sub-specialties
anatomic pathology specialties surgical pathology, autopsy, cytopathology, image cytometry, immunohistochemistry
clinical pathology specialties clinical chemistry, hematology, coagulation, blood gas, microbiology, immunology (allergy, auto-immunity, serology), transfusion medicine (blood bank testing), transplant compatibility testing (HLA), fertility, assisted medical procreation, cytogenetic (karyotype, molecular cytogenetic), drug monitoring and toxicology, flow cytometry
molecular pathology specialties gene mutations detection in tumor cells, genetic identification and characterization of infectious agents, diagnostic of genetic disorders


As of 2017, the scope of the PaLM domain also covers the transfusion medicine workflows.

Sponsorship

The current sponsors of the PaLM domain are:

In their first years of existence the prior domains LAB and/or AP were also sponsored by GMSIH, ADICAP,SEIS, SEAP, SFIL and IHE Japan, ASIP Santé.

Current leadership

  • Planning co-chairs: Raj Dash, MD - FCAP ; Riki Merrick - Vernetzt
  • Technical co-chairs: Alesandro Sulis (CRS4) ; Kenichi Takahashi - Hitachi Hightech
  • Secretary and Board representative: Kevin Schap - CAP

Quick links

Overview of the PaLM profiles

IHEPaLMProfiles2024.png

[Brief descriptions of the PaLM profiles]

IT Systems that can leverage PaLM profiles

Non-comprehensive list:

  • EHR-S in hospital and ambulatory care settings.
  • clinical and/or anatomic pathology laboratory information systems (LIS)
  • public health information systems and public health lab information systems
  • transfusion medicine systems
  • electronic healthcare record shared infrastructures (PHR, HIE …)
  • robotic specimen container distributers
  • barcode labelers
  • robotic specimen transportation systems
  • robotic peri-analytical devices in the laboratory work area
  • IVD analyzers in laboratory or on the point of care
  • middleware systems handling a set of analyzers and/or of peri-analytical devices, in laboratory or on the point of care.
  • imaging modalities
  • PACS and digital archive systems
  • biobank management systems


Guidance material and tools


Timeline: 2024 Planning and Development Cycle

Overall publication schedule: See the 2024 development cycle for PaLM
The following table outlines the activities of the domain planned for the 2023 year.

Timeframe Activity Scheduled Location
Production of new items
November 10 2023 Proposals of new work items Start of period for submission of new item proposals email to palm@ihe.net
December 10 2023 Proposals of new work items Closing of period for submission of new item proposals
January 10 2024 Decision for proposals of new work items finalized on call
April 1 Technical Framework Request for publication of Techincal Framework to accommodate Change Requests email to Mary Jungers
Aug 2 Digital Pathology - Internal Ordering (DPIO) End of public comment period for Digital Pathology - Ordering & Reporting (DPOR) supplement for public comment email to Mary Jungers
Oct 1 Proficiency Reporting (PT?) Request for publication of Digital Pathology - Ordering & Reporting (DPOR) supplement for Trial Implementation email to Mary Jungers
TBD
Maintenance of PaLM TF
Year long Change proposal process email to Mary Jungers
Testing
February 19-23, 2024 NA Connectathon https://www.iheusa.org/ihe-na-connectathon/system-registration-2023 Oak Brook, Illinois
June 3-7, 2024 EU Connectathon https://connectathon.ihe-europe.net/ihe-europe-connectathon-week-2024 Trieste, Italy
TBD Japan Connectathon UPDATE LINK UPDATE LOCATION, Japan
TBD Joint DICOM Connectathon UPDATE LINK UPDATE LOCATION
Meetings
Year long Conference calls 2nd Wednesday of each month 8-10 am (CET), 1st hour: planning & mgmt, 2nd hour: technical conf calls + Zoom
April 17 - 19, 2024 PaLM Committee Face to face Location Porto, Portugal


Current Activity

  • Digital Pathology (DP) Profiles - Providing interoperability for solutions in support of a digital pathology workflow.
    • IHE PALM's Digital Pathology vision is captured in this article: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8240547/
    • Digital Pathology Image Acquisition Profile (DPIA): <add wiki page from template> - Provides guidance on exchanging data between the Acquisition manager, the scanner and the image manager/archive (PACS)
    • Digital Pathology Order Workflow (DPOW) Profile: <add wiki page from template> - Provides guidance for communication of Whole Slide Image related metadata between Image Manager/Archive (PACS) and Order Filler (LIS), also covers communication with Evidence Creator on the order side
    • Digital Pathology Evidence Creation (DPEC) Profile: <add wiki page from template> - Providing guidance on reporting AI reuslts of Whole Slide Image analysis by AI (or other systems)
    • Digital Pathology Ordering & Reporting (DPOR) Profile: <add wiki page from template> - Providing order and result reporting between AP lab and provider (this is only needed if LTW does not fullfill all AP needs)
  • Performance Monitoring Workflow (PMW) Profile: Guidance for exchanging Proficiency Testing results and other performance monitoring data electronically.
  • Radiology Pathology Correlation (RPC) Profile - Providing linkages between radiology reports and pathology reports
  • Digital Pathology Aid for Telemedicine (DP-AT) Profile - Sharing digital assests during consultation using telemedicine
  • Laboratory Specimen Handoff (LSH)
  • Specimen Event Tracking (SET) Profile - changes to specimen during processing at all steps from collection, receipt in the lab to storage, including derived material (e.g. slides created from specimen)
  • Anatomic Pathology Workflow in an Era of Digital Medicine (APW-EDM):
  • Representation of laboratory results in patient summaries using both HL7 CDA and FHIR, LOINC, UCUM and SNOMED CT - collaborations with IHTSDO, Regenstrief and HL7
  • Digital Pathology and Structured Reporting (SR) Profile for Clinical Data Capture/Reporting across Multiple Domains
    • Current APSR, using CDA standard, is focused on anatomic pathology, so broaden content; this will be a white paper to explore the current state around data element definitions (SDC, DEX) and how these can be integrated into clinical pathways using business rules, without relying on a specific standard for exchange - requires cross domain collaboration (DCC notified)
    • SR brief proposal

Published Profile links:

How to Participate

As a Laboratorian, Pathologist, or Advocate

Get involved in the planning committee. This is where the clinical problems are discussed and prioritized. The planning committee is an open group and is interested in having your input. Bring us your interoperability problems. You can also help by participating in the HIMSS showcase scenario definitions.

You can do this by:

  1. Becoming a IHE Member Organization
  2. Request to join our IHE PaLM Google Group
  3. Attend telephone conferences and face to face meetings
  4. Submit new profile proposals

As a Health IT Implementer

Get involved in the technical committee. Help make sure profiles are feasible and will work for you. Implement the profile, and come experience the IHE Connectathon event. 2011 Connectathon video clip


As a Health IT Buyer

In addition to getting involved in the planning committee, hold your vendors accountable. Put a statement in your RFP that indicates you want the vendor to support the actor in the profile you desire.



Demonstrations & Presentations

The following are recent and upcoming public presentations and demonstrations about IHE Lab. Email our IHE PaLM Google Group about presentations or demonstrations you know about.

Date Location Event Details



Standards Organization - Professional Meetings/Conferences

Date Organization Location More Information
Jan 15-19, 2024 HL7 Europe WGM and FHIR Marathon Athens, Greece https://www.hl7.eu/wgm2024/ataglance.html
Jan 29 - Feb 2, 2024 HL7 WGM Virtual on GMT https://www.hl7.org/events/workgroupmeetings.cfm?ref=nav
April XXX, 2024 SNOMED CT Business Meeting Atlanta, Georgia, USA (and online) https://www.snomed.org/news-and-events/events
May 18-24, 2024 FHIR Connectathon and HL7 WGM Dallas, TX https://www.hl7.org/events/workgroupmeetings.cfm?ref=nav
June 3-7, 2024 IHE European Connectathon Trieste, Italy https://connectathon.ihe-europe.net/connectathon-week-2024
June 5-8, 2024 European Congress on Digital Pathology (ECDP 2023) Vilnius, Lithuania https://www.ecdp2024.org/
Sep 21-27, 2024 FHIR Connectathon and HL7 WGM Atlanta, GA https://www.hl7.org/events/workgroupmeetings.cfm?ref=nav
October XXX SNOMED CT Business Meeting Atlanta, Georgia, USA (and online) https://www.snomed.org/news-and-events/events
October 24-25, 2024 SNOMED CT Expo Seoul, Korea (and online) https://www.snomed.org/snomedct-expo
October XXX PathVisons Orlando, Florida, USA (and online) https://digitalpathologyassociation.org/pathology-visions-conference
TBD LOINC Conference TBD https://loinc.org/



See Also

Committees

Mailing Lists

Milestones for all IHE domains

Standard Organizations Link List

This page is based on the Domain Template.

Retrieved from "http://wiki.ihe.net/index.php?title=Pathology_and_Laboratory_Medicine_(PaLM)&oldid=132638"