Pathology and Laboratory Medicine (PaLM): Difference between revisions

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* the representation and exchange of digital structured data related to specimen management (preparation, transportation, handoff, aliquoting, storage, retrieval)  
* 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 secondary use and exchange of the observation results
* the diagnostic storage and reuse of specimens in bio banks
* the storage and reuse of diagnostic specimens in bio banks
* transfusion medicine workflows
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:
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:
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As of 2017, the scope of the PaLM domain also covers the transfusion medicine workflows.


==Sponsorship==  
==Sponsorship==  
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* [http://www.cap.org College of American Pathologists (CAP)]
* [http://www.cap.org College of American Pathologists (CAP)]
* [http://www.jahis.jp JAHIS]
* [http://www.jahis.jp JAHIS]
* [http://phast.fr PHAST]


In their first years of existence the prior domains LAB and/or AP were also sponsored by GMSIH, ADICAP,[http://www.seis.es/ SEIS], [http://www.seap.es/ SEAP], [http://www.sfil.asso.fr SFIL] and [http://www.ihe-j.org IHE Japan], [http://esante.gouv.fr ASIP Santé].
Prior sponsors of PalM, and the prior domains LAB and/or AP: GMSIH, ADICAP,[http://www.seis.es/ SEIS], [http://www.seap.es/ SEAP], [http://www.sfil.asso.fr SFIL] and [http://www.ihe-j.org IHE Japan], [http://esante.gouv.fr ASIP Santé] and [http://phast.fr PHAST].


==Current leadership==
==Current leadership==
* Planning co-chairs: Raj Dash, MD - FCAP ; Riki Merrick - Vernetz
* Planning co-chairs: Raj Dash, MD - FCAP ; Riki Merrick - Vernetzt
* Technical co-chairs: François Macary - Phast ; Yoshimi Hirasawa - Techno Medica
* Technical co-chairs: Alesandro Sulis (CRS4) ; Kenichi Takahashi - Hitachi Hightech
* Secretary and Board representative: Mary Kennedy - CAP
* Secretary and Board representative: Kevin Schap - CAP


==Quick links==
==Quick links==
* [[PaLM Planning Committee]]
* [[PaLM Planning Committee]]
* [[PaLM Technical Committee]]
* [[PaLM Technical Committee]]
* [[PaLM Meeting Roster]] (2016)
* [https://docs.google.com/spreadsheets/d/11Ukibo_zURuAFmRA-0p7ZVJ4jUC5ds4c3XXToEzWVFc/edit?usp=sharing PaLM 2024 Meeting Roster]
* [https://docs.google.com/spreadsheets/d/1_QJRgUazbrpJK_vc351d2VBWompR2Saik1ISLk14zkA/edit?usp=sharing PaLM 2017 Meeting Roster]
* [[https://wiki.ihe.net/index.php/Profiles#IHE_Pathology_and_Laboratory_Medicine_Profiles Published PaLM Profiles]]
* [https://docs.google.com/spreadsheets/d/1NPjOVBLV09TCblOFvSUFYCC7VfcPozHI9fCsT44EN_Q/edit#gid=0 PaLM 2018 Meeting Roster]
* [[Profiles#IHE_Pathology_and_Laboratory_Medicine_.28PaLM.29_Profiles | PaLM Profiles]]
* [http://www.ihe.net/Technical_Frameworks/#palm PaLM Technical Framework]
* [http://www.ihe.net/Technical_Frameworks/#palm PaLM Technical Framework]
* [https://groups.google.com/a/ihe.net/forum/#!forum/palm IHE PaLM Google Group]
* [https://groups.google.com/a/ihe.net/forum/#!forum/palm IHE PaLM Google Group]
* [https://docs.google.com/document/d/1ciifYKaV53zEduILX91qgJN9wjdmjfE3M3BF9_UWA0k/edit PaLM Board Report]
* [ PaLM Board Report]


==Overview of the PaLM profiles==
==Overview of the PaLM profiles==
[[Image:PaLM_profiles_usage.png|600px]]
[[Image:IHEPaLMProfiles2024.png|600px]]


[[http://wiki.ihe.net/index.php/Profiles#IHE_Pathology_and_Laboratory_Medicine_.28PaLM.29_Profiles Brief descriptions of the PaLM profiles]]
[[https://wiki.ihe.net/index.php/Profiles#IHE_Pathology_and_Laboratory_Medicine_Profiles Brief descriptions of the published PaLM profiles]]


==IT Systems that can leverage PaLM profiles==
==IT Systems that can leverage PaLM profiles==
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<br/>
<br/>
 
==Timeline: 2025 Planning and Development Cycle==
==Timeline: 2019 Planning and Development Cycle==
'''Overall publication schedule:''' See the '''[https://wiki.ihe.net/index.php/Domain_Milestone_Dates#2021_Cycle 2024 development cycle for PaLM]'''
'''Overall publication schedule:''' See the '''[https://wiki.ihe.net/index.php/Domain_Milestone_Dates#2019_Cycle 2019 development cycle for PaLM]'''
<br/>
<br/>
The following table outlines the activities of the domain planned for the 2019 year.
The following table outlines the activities of the domain planned for the 2025 year.


{| style="width:100%" border="1" cellpadding="3"
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| colspan="4" align="center" style="background:#dddddd" | '''Production of new items'''
| colspan="4" align="center" style="background:#dddddd" | '''Production of new items'''
|-
|-
| Nov 16 2018
| November 3 2024
| Proposals of new work items
| Proposals of new work items
| Start of period for submission of new item proposals
| Start of period for submission of new item proposals
| email to palm@ihe.net
| email to palm@ihe.net
|-
|-
| Dec 17 2018
| December 8 2024
| LCC supplement
| Request for new publication of Laboratory Clinical Communication (LCC) supplement for public comment
| email to Mary Jungers
|-
| Dec 20 2018
| TMA supplement
| Request for publication of Transfusion Medicine Administration (TMA) supplement for trial implementation
| email to Mary Jungers
|-
| Jan 3
| Proposals of new work items
| Proposals of new work items
| Closing of period for submission of new item proposals
| Closing of period for submission of new item proposals
|  
|
|-
|-
| Jan 31
| December 11 2024
| Digital Pathology
| Decision for proposals of new work items finalized on call
| Request for publication of Digital Pathology White Paper
|
| email to Mary Jungers
|
|-
|-
| March 14
| August 2, 2025
| DPW-IA supplement
| Digital Pathology - Order Workflow (DPOW)
| Request for publication of Digital Pathology - Image Acquisition (DPW-IA) supplement for public comment
| Request for publication of Digital Pathology - Order Workflow (DPOW) Supplement for Public Comment (open for at least 2 months)
| email to Mary Jungers
| email to Mary Jungers
|-
|-
| March 14
| October 1, 2025
| DPW-OR supplement
| Performance Monitoring Workflow (PMW)
| Request for publication of Digital Pathology - Ordering & Reporting (DPW-OR) supplement for public comment
| Request for publication of Performance Monitoring Workflow (PMW) Supplement for Public Comment (open for at least 2 months)
| email to Mary Jungers
| email to Mary Jungers
|-
|-
| March 14
| November 2, 2025
| SET supplement
| Digital Pathology - Order Workflow (DPOW)
| Request for publication of Specimen Event Tracking (SET) supplement for public comment
| Request Digital Pathology - Order Workflow (DPOW) Supplement for Trial Implementation
| email to Mary Jungers
| email to Mary Jungers
|-
|-
| March 14
| TBD
| LSH supplement
| Technical Framework
| Request for publication of Laboratory Specimen Handoff (LSH) supplement for public comment
| Request for publication of Techincal Framework to accommodate Change Requests, if needed
| email to Mary Jungers
| email to Mary Jungers
|-
|-
| May 17
|  
| 4 supplements
|  
| End of public comment period for the 4 supplements PIA, POR, SET, LSH
| email to palm@ihe.net
|-
| June 3
| DPW-IA supplement
| Request for publication of Digital Pathology Workflow - Image Acquisition (DPW-IA) supplement for trial implementation
| email to Mary Jungers
|-
| June 3
| DPW-OR supplement
| Request for publication of Digital Pathology Workflow Ordering & Reporting (DPW-OR) supplement for trial implementation
| email to Mary Jungers
|-
| June 3
| SET supplement
| Request for publication of Specimen Event Tracking (SET) supplement for trial implementation
| email to Mary Jungers
|-
| June 3
| LSH supplement
| Request for publication of Laboratory Specimen Handoff (LSH) supplement for trial implementation
| email to Mary Jungers
|-
| June 3
| LCC supplement
| Request for publication of Laboratory Clinical Communication (LCC) supplement for trial implementation
| email to Mary Jungers
|-
|-
| colspan="4" align="center" style="background:#dddddd" | '''Maintenance of PaLM TF'''
| colspan="4" align="center" style="background:#dddddd" | '''Maintenance of PaLM TF'''
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|Year long
|Year long
|Change proposal process
|Change proposal process
|July 1, 2019: Publication of PaLM TF 10.0 (request sent to MJ on June 17)
|
|email to Mary Jungers
|email to Mary Jungers
|-
|-
| colspan="4" align="center" style="background:#dddddd" | '''Testing'''
| colspan="4" align="center" style="background:#dddddd" | '''Testing'''
|-
|-
| Jan 21-25
| February 3-7, 2025
| NA Connectathon
| NA Connectathon
|
| https://www.iheusa.org/ihe-north-america-connectathon-week-2025
| Cleveland, USA
| Toronto, Canada
|-
|-
| April 8-12
| June 23-27, 2025
| EU Connectathon
| EU Connectathon
|
| https://connectathon.ihe-europe.net/connectathon-week-2025
| Rennes, France
| Vienna, Austria
|-
|-
| October 7-11
| TBD
| Japan Connectathon
| Japan Connectathon
|
| UPDATE LINK
| Yokohama, Japan
| UPDATE LOCATION, Japan
|-
| TBD
| Joint DICOM Connectathon
| UPDATE LINK
| UPDATE LOCATION
|-
|-
| colspan="4" align="center" style="background:#dddddd" | '''Meetings'''
| colspan="4" align="center" style="background:#dddddd" | '''Meetings'''
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| Conference calls
| Conference calls
| 2nd Wednesday of each month 8-10 am (CET), 1st hour: planning & mgmt, 2nd hour: technical
| 2nd Wednesday of each month 8-10 am (CET), 1st hour: planning & mgmt, 2nd hour: technical
| conf calls + gotoMeeting
| conf calls + Zoom
|-
|-
| May 27-29
| June 23 - 24
| PaLM Committee Face to Face and Joint meeting with DICOM WG 26 at ECDP
| Barcelona, Spain
|
|-
| Fall 2025 - date TBD
| PaLM Committee Face to face
| PaLM Committee Face to face
| Hosted by JAHIS
| Location CAP Headquarters, Northfield, IL
| Tokyo, Japan
|
|}
|}
<br/>
<br/>
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== Current Activity ==
== Current Activity ==


*'''Laboratory Analytical Workflow (LAW)''' has reached final text status after a session of intensive testing at the January 2016 NA connectathon. This integration profile, which has been built in a joint project between IHE and the [http://ivdconnectivity.org IVD Industry Connectivity Consortium (IICC)], will also be published in 2019 as the new standard “AUTO16” for analyzers interfaces by the [http://clsi.org/ Clinical Laboratory Standards Institute (CLSI)].
*'''Digital Pathology (DP)''' Profiles - Providing interoperability for solutions in support of a digital pathology workflow.
**[[Laboratory Analytical Workflow|The wiki working space that was used along the process]]
**IHE PALM's Digital Pathology vision is captured in this article: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8240547/
*'''Laboratory Clinical Communication (LCC)''' profile: standardizing how to indicate suggested replacement orders from the filler side and requesting follow up work by the placer.  
**Digital Pathology Image Acquisition Profile (DPIA): https://wiki.ihe.net/index.php/Digital_Pathology_Workflow_-_Image_Acquisition - Provides guidance on exchanging data between the Acquisition manager, the scanner and the image manager/archive (PACS)
**[[LCC Long Proposal - wiki|Laboratory-Clinical Communications(LCC) initial proposal]]
**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
**[https://ihe.net/uploadedFiles/Documents/PaLM/IHE_PaLM_Suppl_LCC_Rev1.0_2017-11-29.pdf release for public comment]
**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.
**[https://wiki.ihe.net/index.php/Performance_Monitoring_Workflow PMW profile description]
*'''Radiology Pathology Correlation (RPC)''' Profile - Providing linkages between radiology reports and pathology reports
**[Radiology Pathology Correlation (RPC) profile description|http://wiki.ihe.net/index.php/Radiology_Pathology_Correlation]
*'''Digital Pathology Aid for Telemedicine (DP-AT)''' Profile - Sharing digital assests during consultation using telemedicine
**[Digital Pathology Aid for Telemedicine (DP-AT) profile description|http://wiki.ihe.net/index.php/Digital_Pathology_Aid_for_Telemedicine_Profile ]
*[[Laboratory_Specimen_Handoff|Laboratory Specimen Handoff (LSH)]]
*[[Laboratory_Specimen_Handoff|Laboratory Specimen Handoff (LSH)]]
*[[IHE-SNI Lab Harmonization|IHE Profile to US Realm Lab Guide Gap Analysis]]
*'''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)
*'''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)
**[http://wiki.ihe.net/index.php/Specimen_Event_Tracking SET profile description]
**[http://wiki.ihe.net/index.php/Specimen_Event_Tracking SET profile description]
*'''Anatomic Pathology Structured Report release 2.1 (APSR 2.1)'''
**[https://pubswiki.ihe.net/index.php/APSR APSR 2.1 published for Trial Implementation] 
**[https://art-decor.org/art-decor/decor-project--psr- ART-DECOR]
**[ftp://ftp.ihe.net/PaLM/Examples/APSR_breastCancer_Case1gen_CP_170705.xml example report case 1 (press right click and download)]
**[ftp://ftp.ihe.net/PaLM/Examples/APSR_breastCancer_Case3gen_CP1_170704.xml example report case 3 (press right click and download)]
**[ftp://ftp.ihe.net/PaLM/Examples/APSR_breastCancer_Case1_171205.xml example preliminary report version 1 (press right click and download)]
**[ftp://ftp.ihe.net/PaLM/Examples/APSR_breastCancer_Case1_171205_Update.xml example final report version 2 replacing version 1 (press right click and download)]
**[ftp://ftp.ihe.net/PaLM/Examples/cda.xsl the CDA xsl to put in the same folder to view the examples in a web browser (press right click and download)]
*'''Anatomic Pathology Workflow in an Era of Digital Medicine (APW-EDM)''':
*'''Anatomic Pathology Workflow in an Era of Digital Medicine (APW-EDM)''':
**Upgrade APW to Digital Pathology i.e. the storage and retrieval of images created from pathology slides - in collaboration with DICOM WG 26  
**Upgrade APW to Digital Pathology i.e. the storage and retrieval of images created from pathology slides - in collaboration with DICOM WG 26  
**[ftp://ftp.ihe.net/PaLM/iheyr1_2016/Brief_Proposals/Retrieve_multi-frame_image_David.docx Digital Pathology initial proposal]
**[ftp://ftp.ihe.net/PaLM/iheyr1_2016/Brief_Proposals/Retrieve_multi-frame_image_David.docx Digital Pathology initial proposal]
**[[APW-EDM White Paper|The wiki collaborative space used to prepare the white paper]]
**[[APW-EDM White Paper|The wiki collaborative space used to prepare the white paper]]
**[[APW Image Acquisition|The wiki collaborative space used to prepare the content for the profile]]
*'''Representation of laboratory results in patient summaries''' using both HL7 CDA and FHIR, LOINC, UCUM and SNOMED CT - collaborations with IHTSDO, Regenstrief and HL7
*'''Representation of laboratory results in patient summaries''' using both HL7 CDA and FHIR, LOINC, UCUM and SNOMED CT - collaborations with IHTSDO, Regenstrief and HL7
**[ftp://ftp.ihe.net/PaLM/iheyr1_2016/Brief_Proposals/Representing_lab_results_in_patient_summaries_Francois.docx Lab result in patient summaries brief proposal]
**[ftp://ftp.ihe.net/PaLM/iheyr1_2016/Brief_Proposals/Representing_lab_results_in_patient_summaries_Francois.docx Lab result in patient summaries brief proposal]
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**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)  
**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)  
**[ftp://ftp.ihe.net/PaLM/iheyr1_2016/Brief_Proposals/Structured_clinical_data_capture_and SR brief proposal]
**[ftp://ftp.ihe.net/PaLM/iheyr1_2016/Brief_Proposals/Structured_clinical_data_capture_and SR brief proposal]
Published Profile links:
*'''DPIA'''
**[[APW Image Acquisition|https://www.ihe.net/uploadedFiles/Documents/PaLM/IHE_PaLM_Suppl_DPIA.pdf]]
*'''Laboratory Analytical Workflow (LAW)''' has reached final text status after a session of intensive testing at the January 2016 NA connectathon. This integration profile, which has been built in a joint project between IHE and the [http://ivdconnectivity.org IVD Industry Connectivity Consortium (IICC)], will also be published in 2019 as the new standard “AUTO16” for analyzers interfaces by the [http://clsi.org/ Clinical Laboratory Standards Institute (CLSI)].
**[[Laboratory Analytical Workflow|The wiki working space that was used along the process]]
*'''Laboratory Clinical Communication (LCC)''' profile: standardizing how to indicate suggested replacement orders from the filler side and requesting follow up work by the placer.
**[[LCC Long Proposal - wiki|Laboratory-Clinical Communications(LCC) initial proposal]]
**[https://ihe.net/uploadedFiles/Documents/PaLM/IHE_PaLM_Suppl_LCC_Rev1.0_2017-11-29.pdf release for public comment]
*'''Anatomic Pathology Structured Report release 2.1 (APSR 2.1)'''
**[https://pubswiki.ihe.net/index.php/APSR APSR 2.1 published for Trial Implementation] 
**[https://art-decor.org/art-decor/decor-project--psr- ART-DECOR]
**[ftp://ftp.ihe.net/PaLM/Examples/APSR_breastCancer_Case1gen_CP_170705.xml example report case 1 (press right click and download)]
**[ftp://ftp.ihe.net/PaLM/Examples/APSR_breastCancer_Case3gen_CP1_170704.xml example report case 3 (press right click and download)]
**[ftp://ftp.ihe.net/PaLM/Examples/APSR_breastCancer_Case1_171205.xml example preliminary report version 1 (press right click and download)]
**[ftp://ftp.ihe.net/PaLM/Examples/APSR_breastCancer_Case1_171205_Update.xml example final report version 2 replacing version 1 (press right click and download)]
**[ftp://ftp.ihe.net/PaLM/Examples/cda.xsl the CDA xsl to put in the same folder to view the examples in a web browser (press right click and download)]
*[[IHE-SNI Lab Harmonization|IHE Profile to US Realm Lab Guide Gap Analysis]]


== How to Participate ==
== How to Participate ==
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{| style="width:95%" border="1" cellpadding="1"   
{| style="width:95%" border="1" cellpadding="1"   
!Date!!Organization!!Location!!More Information
!Date!!Organization!!Location!!More Information
|-
| Feb 10-14, 2025
| HL7 Europe WGM and FHIR Marathon
| Lisbon, Portugal
| https://www.hl7europe.eu/hl7-working-group-meeting-2025/
|-
| Jan 27 - Jan 30, 2025
| HL7 WGM
| Virtual on ET
| https://www.hl7.org/events/workgroupmeetings.cfm?ref=nav
|-
| April 6-10, 2025
| SNOMED CT Business Meeting
| Oslo, Norway (and online)
| https://www.snomed.org/business-meetings
|-
| May 10-16, 2025
| FHIR Connectathon and HL7 WGM
| Madrid, Spain
| https://www.hl7.org/events/workgroupmeetings.cfm?ref=nav
|-
| June 8-12, 2025
| American Society for Clinical Laboratory Science (ASCLS) Annual Meeting
| Sacramento, CA
| https://ascls.org/annual-meeting/
|-
| June 25-28, 2025
| European Congress on Digital Pathology (ECDP 2025)
| Barcelona, Spain
| https://www.ecdp2025.org/
|-
| July 27-31, 2025
| Association for Diagnostics and Laboratody Medicine (ADLM)
| Chicago, IL
| https://meeting.myadlm.org/
|-
| Sep 13-16, 2025
| College of American Pathologist (CAP) Annual Meeting
| Orlando, FL
| https://events.cap.org/event/ccc369a5-b120-45b3-bc78-b67c8da5a774/home
|-
| Sep 13-19, 2025
| FHIR Connectathon and HL7 WGM
| Pittsburgh, PA
| https://www.hl7.org/events/workgroupmeetings.cfm?ref=nav
|-
| October 5-7, 2025
| PathVisons
| San Diego, CA
| https://digitalpathologyassociation.org/pathology-visions-conference
|-
| October 7-10, 2025
| LOINC Conference
| Montreal, Canada
| https://loinc.org/conference/montreal-2025/
|-
| October 18-22, 2025
| SNOMED CT Business Meeting
| Antwerp, Belgium (and online)
| https://www.snomed.org/business-meetings
|-
| October 23-25, 2025
| SNOMED CT Expo
| Antwerp, Belgium (and online)
| https://www.snomed.org/snomedct-expo
|-
|}
|}
<br/><br/>
<br/><br/>


Latest revision as of 10:53, 30 October 2025

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 storage and reuse of diagnostic specimens in bio banks
  • transfusion medicine workflows

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


Sponsorship

The current sponsors of the PaLM domain are:

Prior sponsors of PalM, and the prior domains LAB and/or AP: GMSIH, ADICAP,SEIS, SEAP, SFIL and IHE Japan, ASIP Santé and PHAST.

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

[Brief descriptions of the published 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: 2025 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 2025 year.

Timeframe Activity Scheduled Location
Production of new items
November 3 2024 Proposals of new work items Start of period for submission of new item proposals email to palm@ihe.net
December 8 2024 Proposals of new work items Closing of period for submission of new item proposals
December 11 2024 Decision for proposals of new work items finalized on call
August 2, 2025 Digital Pathology - Order Workflow (DPOW) Request for publication of Digital Pathology - Order Workflow (DPOW) Supplement for Public Comment (open for at least 2 months) email to Mary Jungers
October 1, 2025 Performance Monitoring Workflow (PMW) Request for publication of Performance Monitoring Workflow (PMW) Supplement for Public Comment (open for at least 2 months) email to Mary Jungers
November 2, 2025 Digital Pathology - Order Workflow (DPOW) Request Digital Pathology - Order Workflow (DPOW) Supplement for Trial Implementation email to Mary Jungers
TBD Technical Framework Request for publication of Techincal Framework to accommodate Change Requests, if needed email to Mary Jungers
Maintenance of PaLM TF
Year long Change proposal process email to Mary Jungers
Testing
February 3-7, 2025 NA Connectathon https://www.iheusa.org/ihe-north-america-connectathon-week-2025 Toronto, Canada
June 23-27, 2025 EU Connectathon https://connectathon.ihe-europe.net/connectathon-week-2025 Vienna, Austria
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
June 23 - 24 PaLM Committee Face to Face and Joint meeting with DICOM WG 26 at ECDP Barcelona, Spain
Fall 2025 - date TBD PaLM Committee Face to face Location CAP Headquarters, Northfield, IL


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): https://wiki.ihe.net/index.php/Digital_Pathology_Workflow_-_Image_Acquisition - 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
Feb 10-14, 2025 HL7 Europe WGM and FHIR Marathon Lisbon, Portugal https://www.hl7europe.eu/hl7-working-group-meeting-2025/
Jan 27 - Jan 30, 2025 HL7 WGM Virtual on ET https://www.hl7.org/events/workgroupmeetings.cfm?ref=nav
April 6-10, 2025 SNOMED CT Business Meeting Oslo, Norway (and online) https://www.snomed.org/business-meetings
May 10-16, 2025 FHIR Connectathon and HL7 WGM Madrid, Spain https://www.hl7.org/events/workgroupmeetings.cfm?ref=nav
June 8-12, 2025 American Society for Clinical Laboratory Science (ASCLS) Annual Meeting Sacramento, CA https://ascls.org/annual-meeting/
June 25-28, 2025 European Congress on Digital Pathology (ECDP 2025) Barcelona, Spain https://www.ecdp2025.org/
July 27-31, 2025 Association for Diagnostics and Laboratody Medicine (ADLM) Chicago, IL https://meeting.myadlm.org/
Sep 13-16, 2025 College of American Pathologist (CAP) Annual Meeting Orlando, FL https://events.cap.org/event/ccc369a5-b120-45b3-bc78-b67c8da5a774/home
Sep 13-19, 2025 FHIR Connectathon and HL7 WGM Pittsburgh, PA https://www.hl7.org/events/workgroupmeetings.cfm?ref=nav
October 5-7, 2025 PathVisons San Diego, CA https://digitalpathologyassociation.org/pathology-visions-conference
October 7-10, 2025 LOINC Conference Montreal, Canada https://loinc.org/conference/montreal-2025/
October 18-22, 2025 SNOMED CT Business Meeting Antwerp, Belgium (and online) https://www.snomed.org/business-meetings
October 23-25, 2025 SNOMED CT Expo Antwerp, Belgium (and online) https://www.snomed.org/snomedct-expo



See Also

Committees

Mailing Lists

Milestones for all IHE domains

Standard Organizations Link List

This page is based on the Domain Template.

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