Lab AP F2F MinutesAgenda 2015-Oct-19-21
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Minutes of IHE Lab and IHE Anatomic Pathology meeting
October 19 - 21, 2015
Tokyo, Japan
Attendees
Name | Company | Oct. 19 | Oct. 20 | Oct. 21 |
Raj Dash | CAP, planning co-chair | X | X | X |
Gunter Haroske | IHE Germany | X(tc) | ||
Ed Heierman | Abbott | X | X | X |
Naomi Ishii | JAHIS / Hitachi Hightech | X | X | X |
John Hopson | Abbott | X | X | X |
Mary Kennedy | CAP, board representative | X | X | X |
Carolyn Knapik | CAP, secretary | X | X | X |
Megumi Kondo | Sakura Finetek Japan | X | X | X |
Laurent Lardin | bioMerieux | X | X | X |
Daisuke Aso | Hitachi, Ltd. | X | ||
Francois Macary | ASIP Sante, technical co-chair | X | X | X |
Nobuyuki Chiba | A&T Corp. | X | X | X |
Riki Merrick | APHL, planning co-chair | X (tc) | X (tc) | X (tc) |
Filip Migom | MIPS | X | X | X |
Cornelia Felder | DPIT-Roche | X(pm)(tc) | ||
Nozomi Hanada | Claro, Inc. | X | ||
Yoshimi Hirasawa | Techno Medica, technical co-chair | X (tc) | X | X |
Mika Watanabe | Tohoku University Hospital | X | ||
Yasunari Shiokawa | IHE-Japan/Toshiba | X |
(tc) = Teleconference
Action Items/Wrap-Up
Meeting wrap-up:
Topic | Actions | Responsibility | Due Date | |
1 | LAW | CP ready for approval: assume this added in to LAW 1.4 will be the FINAL text of LAW (to be Vol 2b in Lab TF 7.0) for sending to Charles for conformance testing project | Ed Heierman | December, 2015 |
2 | LAW | Upload to FTP and send out vote | Francois Macary | November, 2015 |
3 | LAW | Test case updates to send to Anne Gaelle –more detail to be discussed on 2nd hour of Nov Lab-AP call – finalize after the December call | Laurent Lardin | November, 2015 |
4 | LAW | Publish LAW in Vol 2b and move the current content to new volume 2c. As part of creation of PaLM TF Release 7.0 | François Macary | May, 2016 |
5 | AP + LAB teleconference | Monthly calls move to 2nd Wednesday of each month, 8am – 10am Central | Carolyn Knapik | To start in November, 2015 |
6 | Merge Activities | Name of the new domain approved: Pathology and Laboratory Medicine (PaLM) | Mary Kennedy (approval during f2f meeting) | October 2015 (done) |
7 | Merge Activities | 1st draft of spreadsheet checklist for merge activities to be used for tracking actions | Francois Macary | October, 2015 (done) |
8 | Merge Activities | Create domain merge proposal document for vote by IHE Board in November 2015 | Mary | October, 2015 |
9 | Merge Activities | Create the PaLM domain wiki page | Mary, Carolyn, François | December 1, 2015 |
10 | Merge Activities | Create the other wiki pages, the GoogleGroup, the ftp branch (use checklist created by Francois) | Mary, Carolyn | December 1, 2015 |
11 | Merge Activities | Fire Call for proposals for new supplement projects to the merged PaLM domain | Riki Merrick & Raj Dash | January 4, 2016 |
12 | Merge Activities | Create PaLM TF 7.0 with all final text profiles (including LAW 1.4 + CPs), and including CPs resulting from harmonization with S&I framework. Transactions prefix shall be “LAB-“ (approved in face to face meeting) | François | May 2016 |
13 | LTW | Harmonization with S&I framework | Riki, François | March 2016 |
14 | LCC | IHE PaLM resource to complete the change requests for the evolution of the base standard (HL7 2.9, which will balloted in May 2016) | Raj to follow up with Jim H.? | November, 2015 |
15 | LCC | Need at the minimum two vendor companies (1 LIS and 1 CIS/EMR) involved in writing the vol 2 part, and willing to implement it in their solutions, and to bring these solutions to the same connectathon | Raj to follow up with Jim H. | ? |
16 | LSH | New draft with discussed changes to be distributed at least a week before the December IHE AP + Lab teleconference | John Hopson | December 1, 2015 |
17 | APSR release 2 in Art Décor | Document value propositions for content, identify gaps, recruit stakeholders and vendors, and then, based on that, the committee will decide go/no go. 1st step is for the German team to report their concrete plans of implementation of this content, during one of our calls | Gunter and ? | December 2015 for the 1st step (German team’s concrete plans exposure)
March 2016 for the second step |
18 | IHE QRPH | Contact IHE QRPH and set up a conference call to discuss potential synergies between the Structured Data Capture (SDC) profile and the coming project of Pathology Structured Reporting (PSR) | Raj Dash | November, 2015 |
19 | F2F 2016 | Contact Gunther regarding securing a room in Berlin in May 2016 for next F2F | Mary Kennedy | November, 2015 |
20 | F2F 2016 / QRPH | Coordinate with QRPH F2F with PaLM October 2016 F2F | Mary Kennedy | November, 2015 |
Minutes
All slide presentations, spreadsheets, and Riki’s notes for the meeting are located at: https://drive.google.com/folderview?id=0B65C8s0Ix0wBUDJXa1FCdmwySzA&usp=sharing
Monday, 19 October 2015
- Introductions all around were given
- Francois Macary proposed a motion to shorten the meeting minutes to contain only decision points and action items-approved
- Agenda reviewed for October 19 - agenda adjusted accordingly
- Merger Vote update (Mary Kennedy) – merger APPROVED. Will get JAHIS input on October 20
- IHE Member Dues starting July 1, 2015 – and enforcement starting Oct 1: Have to make sure your organization is a current IHE member and they have paid the annual fee, or:
- you will not be allowed to participate in more than 2 meetings in a row
- you cannot vote on decisions
- Google group access and document access will remain open regardless of membership
- Refinement of Scope of merged domains (PaLM) (François)
- Identify scope statement for display on the new merged domain website
- Reach out to and coordinate with other IHE domains and review their profiles (including outside organizations like DICOM)
- Next steps in merging process - prepare document with details of proposal, the why, and the vote results
- Submit to IHE board for November meeting
- LSH Discussion - simplified use case #1
- Removed 1.2 based on Roche’s withdrawal
- Keeping 1.1
- LAW Discussion and updates
- FDA/CDC/NLM Workshop on Promoting Semantic Interoperability of Laboratory Data (9/28/2015) website link:
<a href="http://www.fda.gov/MedicalDevices/NewsEvents/WorkshopsConferences/ucm453897.htm">http://www.fda.gov/MedicalDevices/NewsEvents/WorkshopsConferences/ucm453897.htm</a>
- FDA/CDC/NLM Workshop on Promoting Semantic Interoperability of Laboratory Data whitepaper link: <a href="http://www.fda.gov/downloads/MedicalDevices/NewsEvents/WorkshopsConferences/UCM462818.pdf">http://www.fda.gov/downloads/MedicalDevices/NewsEvents/WorkshopsConferences/UCM462818.pdf</a>
- AUTO 16(named by CLSI) – based on LAW – no changes
- CLSI has regular review of documents to keep up with changes in underlying standard
Tuesday, 20 October 2015
- IHE Japan Updates
- Japan will keep AP and Laboratory as separate deployment committees in their country
- Both will report up and collaborate to PaLM international planning/technical committee.
- Europe and France Updates
- No decision yet in France on use of SNOMED CT but the investigation is on its way.
- France is building a new framework for community lab order . If this work is successful it will be brought to PaLM through a “new supplement proposal”.
- Link to top LOINC Order Codes from S&I Framework a LOINC Order Code Initiative (see Appendix C) <a href="http://wiki.siframework.org/file/view/aLOINC+Final+Report+Appendices.pdf">http://wiki.siframework.org/file/view/aLOINC+Final+Report+Appendices.pdf</a>
- Regenstrief has lists of LOINC codes for most common orders and results:
<a href="http://loinc.org/usage">http://loinc.org/usage</a>
- S. Updates
- NA connectahon is planned for Jan 2016 – featuring LAW and XD-LAB
- Had virtual connectathon for LAW in July 2015
- Harmonization of LAB TF and US Implementation Guides
- On HL7 side - The following lab related standards have been published:
- HL7 V2.8.2: <a href="http://www.hl7.org/implement/standards/product_brief.cfm?product_id=403">http://www.hl7.org/implement/standards/product_brief.cfm?product_id=403</a>
- LRI Release 1, DSTU R2: <a href="http://www.hl7.org/implement/standards/product_brief.cfm?product_id=279">http://www.hl7.org/implement/standards/product_brief.cfm?product_id=279</a>
- On HL7 side - The following lab related standards have been published:
- EDOS Release 2, DSTU R2: <a href="http://www.hl7.org/implement/standards/product_brief.cfm?product_id=151">http://www.hl7.org/implement/standards/product_brief.cfm?product_id=151</a>
- Valueset companion document for all Lab guides – can be updated asynchronously from the specification – following the value set definition requirements document: <a href="http://www.hl7.org/implement/standards/product_brief.cfm?product_id=413">http://www.hl7.org/implement/standards/product_brief.cfm?product_id=413</a>
- V2.9 is scheduled for May 2016 ballot
- Meaningful Use update: No Lab profiles named in MU stage 3, except ELR R1 (Public Health reporting)
- IHE – HL7 guide harmonization update:
- The PSS for this project is ready for Technical Steering Committee (TSC) at HL7, so project can officially start – no analytical progress yet
- Structured Data Capture (SDC) Profile Discussion
- Why not use the SDC to combine the XD-LAB and the APSR to collect the data?
- It is possible
- SDC has a large backing in the US
- Why not use the SDC to combine the XD-LAB and the APSR to collect the data?
- SDC is building in FHIR and IHE based RDF
- Need to look at QRPH as a first step
- Hold a joint call (Raj will lead) – how can PaLM domain utilize SDC?
- QRPH meets in Oak Brook, Illinois-can we tie this into IHE PaLM October 2016 F2F?
- Merger: Detailed Operations
- Need to create new wiki page of the merged domains once approved by the IHE Board
- Old domains will still be kept with a “sticker” deprecated and superseded by PaLM
- Create a new google group for the new domain - folks will have to re-apply to join the new PaLM google group
- Will keep “LAB“ for transaction naming
- Francois will create spreadsheet of tasks (checklist) and hand over to Mary and Carolyn
- LAW CPs-review of options
- Drop option declaration out of the MSH-21
- Have to pick one of the 4 query types – every query would be bidirectional - rename LAW_BIDIR to LAW_QUERY_WOS
- Reengineering of APSR with Art Décor Discussion
- Art Décor has data dictionary – Vocabulary and templates
- Value sets currently only supports HL7 codes as well as TNM values
- Conditional usage can be created but has to be done at the time of design – bundle observations into the organizer
- Need to create a new governance group to create the PSR for the PaLM domain – in order to create this as a new project
- At this time Art Décor is still very CDA based – will need to investigate if Art Décor can support the rules around data elements
Wednesday, 21 October 2015
- Merger Wrap-up
- Name of new merged domain to be PaLM (Pathology and Laboratory Medicine). Approved unanimously on October 21.
- Prefix to be used for all transactions will remain “LAB”. Approved unanimously on October 20.
- Go-live date for new domain is 1 January 2016 (04 January 2016 is the following Monday)
- IHE AP + Lab teleconference call date change - will now be held on the 2nd Wednesday of every month from 0800 -1000 (central time zone)(changed from Tuesday)
- First hour = group discussions
- Second hour = technical discussions
- Next F2F is tentative for Berlin, Germany
- May 23-25, 2016
- Providing they can accommodate a room for PaLM (20 people not counting joint session)
- May 25 – May 28 is the Pathologist Conference (PaLM joint session with DICOM for at least 1.5 hours)
- Alternate locations: Belgium or Sausalito
- Chicago in the fall – check the dates when QRPH is meeting (QRPH planning seems to meet in October, technical in November)
- LCC Updates
- Conceptually this profile is completed, but base standard modifications have not been created
- Informatics Committee hopes to have funds to hire consultant to get documentation finished
- Jim has worked with representatives with Cerner and Epic – Raj will get contacts from Jim
- HL7 v2.9 will be balloted in May 2016, so CRs should be in ASAP (final text of the base standard is needed by March 27)
- Update on Harmonization between IHE LTW and LCSD and Lab US realm guides (EDOS, LOI LRI, ELR)
- Ideally have the US Lab guides be more constraint profiles of the IHE profiles
- Should be approved by HL7 as a gap analysis projectnext week
- Riki working on this - François will help with the analysis in 2016
- Art Décor Discussion
- APSR publication of release 2 documentation has been migrated into Art Décor by Gunter (in German)
- ELGA is using Art Décor for schematron development as is the French XD-Lab report (DMP)
- IHE needs to show benefit of this profile to get vendor involvement – describe the first use case: cancer registry reporting, clinical trials
- Create a collaboration with SDC to avoid creating many versions of the same template
- LAW CPs #241 - #245
- OG datatype is from v2.8.2 – need to add that as a note
- Change OG.4 to RE or make X – need to have a vendor to provide a use case for OG.4
- Seems duplicative info in SAC-29 and TCD-4 – remove SAC-29, since we want to support TCD - TCD allows specification of “already diluted in TCD-4” as well as to be diluted in TCD-2. Confirm with Dmytro or Cornelia (Roche)
- PV1-3 update to show that PV1-3.1 is X and we are using PV1-3.2
- OBX-2 is still using HL70125 in published version of v2.8.2, so need to update LAW respectively
- LSH Discussion - formatting of the figures in the LSH supplement
- Terminology to use to describe the steps in LSH – events
- LSH Actor diagram – remove the up-arrow on the command response step
- In 3.4.x describe what the profile actually does: it supports the interactions between the specimen transport system and specimen processing devices (includes analyzer – will be in the glossary) to enable the handoff between the actors in support of fully automated laboratory processes
- Update the transaction numbers to LAB and start with 40 etc. LSH-1 = LAB-40, LSH-2 = LAB-41, LSH-3 = LAB-42
- Discuss on technical call in December after at least 1 week time for group to review