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-<center>'''IHE Anatomic Pathology Domain F2F Meeting'''</center>
-<center>'''August 5-6, 2013 Paris'''</center>
-'''Attending:'''
-{| class="prettytable"
-|-
-|
-'''Participants IHE AP'''
-|
-<center>'''August 5'''</center>
-|
-<center>'''August 6'''</center>
-|
-<center>'''Organization'''</center>
-|-
-|
-David Booker
-|
-<center>X</center>
-|
-<center>X</center>
-|
-College of American Pathologists/LabMedicine PC
-|-
-|
-Christel Daniel
-|
-<center>X</center>
-|
-<center>X</center>
-|
-CCS Domaine Patient - AP-HP - INSERM
-|-
-|
-Raj Dash
-|
-<center>X</center>
-|
-<center>X</center>
-|
-College of American Pathologists/Duke University
-|-
-|
-Gunter Haroske
-|
-<center>X</center>
-|
-<center>X</center>
-|
-Institute für Pathologie
-KH Dresden-Friedrichstadt
-HU Berlin Charite
-FH Brandenburg
-|-
-|
-Mary Kennedy
-|
-<center>X</center>
-|
-<center>X</center>
-|
-College of American Pathologists
-|-
-|
-Jacques Klossa
-|
-<center>X</center>
-|
-<center>X</center>
-|
-Telepathology2014
-|-
-|
-François Macary
-|
-<center>X</center>
-|
-<center>X</center>
-|
-ASIP Santé
-|-
-|
-Thomas Schrader
-|
-<center>X</center>
-|
-<center>X</center>
-|
-Institute für Pathologie
-KH Dresden-Friedrichstadt
-HU Berlin Charite
-FH Brandenburg
-|-
-|
-Riccardo Triunfo
-|
-<center>X</center>
-|
-<center>X</center>
-|
-CRS4
-|-
-|
-Gianluigi Zanetti
-|
-<center>X</center>
-|
-<center>X</center>
-|
-CRS4
-|}
-'''NOTE: Presentations referenced can be found on the IHE AP Domain wiki site: '''
-'''[http://wiki.ihe.net/index.php?title=Anatomic_Pathology http://wiki.ihe.net/index.php?title=Anatomic_Pathology''']
-'''Agenda Items'''
-* IHE Lab Overview
-* APSR release 2013
-* Change proposal modification to incorporate APSR
-* Incorporation of Molecular Pathology/Genomics Requirements
-* Strategy Session Initiation
-* Telepathology
-* Organization of Future Meetings
-'''Action Items'''
-{| class="prettytable"
-|-
-|
-'''<nowiki>#</nowiki>'''
-|
-'''Item'''
-|
-'''Responsible'''
-|
-'''Status'''
-|-
-|
-|
-Contact Chris Carr to determine if IHE has an IHTSDO namespace we could use
-|
-Mary
-|
-Open
-|-
-|
-|
-Determine if IHE needs permission from AJCC to use TNM terms in APSR
-|
-Mary
-|
-Open
-|-
-|
-|
-Create change proposal for APSR
-|
-Thomas / Gunter
-|
-Completed (see document)
-|-
-|
-|
-Request LOINC codes for Observation codes for APSR
-|
-TBD
-|
-Open
-|-
-|
-|
-Create a model for workflow use case
-|
-Gianluigi/Riccardo
-|
-November
-|-
-|
-|
-Create a use case for image reporting to be merged into CRS4 profile proposal
-|
-Jacques
-|
-November
-|-
-|
-|
-Send out call for new proposals
-|
-Co-chairs/Mary
-|
-November
-|-
-|
-|
-Update IHE Domain page
-(change Trial Implementation RePub Request to 2013-10-31,etc.)
-|
-Mary
-|
-November
-|-
-|
-|
-Creation of examples of cancer/non-cancer (eg, breast/prostate; fibroadenoma) to be developed by France/Germany/US
-|
-Christel/Thomas/Raj
-|
-November
-|-
-|
-|
-Write summary of discussion and contact Epic development
-|
-Raj
-|
-November
-|-
-|
-|
-Develop mapping of values based on text using Excel template (Christel will share prototype Excel File)
-|
-Christel
-|
-Completed
-|}
-'''Minutes'''
-# Welcome/Introductions
-## No domain sponsor announcements; however, the IHE AP meeting roster was updated.
-## Agenda reviewed and approved
-## Objectives of meeting:
-###  Enumerate current projects and statuses
-###  Lower barrier to incorporation of concepts into SNOMED CT
-### Identify ways to incorporate multinational vendor engagement
-# Overview of IHE Lab work (Francois)
-## ILW has a change proposal from Harry Solomon that could be used for AP
-### Telepathology consultation
-## Lab Code Set distribution profile (IPI domain?) (Francois to share?)
-### LOINC recommended (Japan incorporating LOINC)
-### JLAC-10 Japanese required coding system
-## Implementation of IHE Lab profiles in France
-### XD-LAB accepted as national framework for France
-#### Lab reports need to be conformant to XD-Lab to go into EHR
-#### LTW (APHP); LCSD and LTW deployed in France
-#### LOINC has been selected for France and has been partially translated in French (20,000 codes to date)
-# CRS4 presentation: Can/How do we put data intensive biology in the picture? (see presentation)(Riccardo/Gianluigi)
-## CRS4 is an interdisciplinary, not for profit research center focused on computational sciences
-## Focus on clinical domain interconnection and traceability; semantic and computable management of biomedical data; telemedicine and distributed medicine
-## Main IHE experience in the IHE Lab and ITI domains
-### Technical framework supplement for lab specimen barcode labeling
-### One CRS4 monitor at Connectathon 2013
-## Currently dealing with production, managing and analysis of data intensive biology outputs (NGS, proteomics, etc) and moving toward confluence with digital pathology
-### Support to large scale population studies
-### Genetic therapy quality control
-## Building a biobank system
-### To provide consistent computable platform
-### To support scalable error propagation/graph of dependency data model
-## Industrial consulting
-### Pre-analytic automation and clinical lab automation systems
-## Support to regional healthcare systems
-### HL7/IHE integration
-### Clinical processes modeling
-### Real time telemedicine systems
-## Reasons for approaching IHE AP domain WG:
-### Research interests and their intersection
-### Is there a basis for a new IHE profile for this?
-### New profile could fuse data intensive molecular biology with digital pathology using extensive automation of pathology lab (tissue transport; processing; imaging; NGS and mass spectrometry; archive and storage)
-### A new profile could also include ordering ancillary techniques and molecular biology (Review IHE Lab automation profile/LAW)
-## New profile needs to address the following
-### Ways to do referencing
-### Expressions to show that result is tied to a specific area of a specific specimen
-### How to deal with links
-### Reference implementation
-### Need for a model for workflow (Gianluigi/Riccardo to write use case)
-### Need for a use case to show integration with AP
-### Will need to review previous DICOM work on workflow
-### Develop a use case for image reporting that can be merged into the profile (Jacques)
-# APSR overview of current work (see presentation)(Francois/Christel)
-## APSR in a CDA format
-### Six 1st level sections
-### Only one mandatory and mandating structured data elements
-## Handling “none” in an observation of the &lt;entry&gt;
-### “None” and “None known” represent effective values which are part of the value sets attached to the observation
-## Handling missing information in an observation of the &lt;entry&gt;
-### These situations are handled with the nullFlavor attribute
-## Handling unexpected information in an observation of the &lt;entry&gt;
-### “Other, specify” – The actual value does not belong to the assigned value set and the author of the report provides this ''foreign value''
-### The value set is open to extensions
-### No code is available in any terminology for the value observed
-## New APSR templates
-### Ten new templates representing cancers
-# APSR change proposal discussion (see presentation)(Thomas/Gunter)
-## Background for German/Austrian proposal
-### HL7 background reviewed
-### HL7 Germany has solutions for reporting to cancer registries using generic TNM and ICD-O
-### Uses Detailed Clinical Models (DCM)
-### Recommend using a generic model of meaning vs perpetuated specific observations (DCM)
-### Organ specific templates well suited for data entry and communication but are not suited for system maintenance
-### Can be supported by CDA
-### PathLex is logical consequence of organ specific template approach but causes unnecessary multiplication of terms
-## Proposed changes to APSR by German/Austrian workgroup:
-### Create HL7 generic model value for concepts (eg, TNM; tumor descriptions; assessment scales;)
-### Open APSR 05 and replace by TNM/ICD-O German, with consecutive changes in PathLex
-### Cancel 4.1.2.2 organ-specific APSR document content modules with consecutive changes in PathLex
-### Create generic document modules and templates only and organ-specific templates are now part of the appendix to be used for example, as blueprints for data entry forms (checklist functionality)
-### Re-launch of an ontology based PathLex (for AP observations)
-### Need to differentiate between terminology models, specimen and problem organizers
-### Advantages to this approach are few, easy to implement generic templates that can be reused in other profiles (eg, QRPH-Ca; XDS-MS)
-### Separate validation using schematron can be used
-### Would need approximately 15 required elements in total
-## Discussion of new proposal/next steps
-### Acceptance of concept of a more generic model
-### Current APSR files will be used as examples
-### Thomas/Gunter to submit a change proposal (see document)
-### Determine if IHE needs agreement with AJCC to use TNM in a profile
-### Decision is to accept many proposed changes
-### A generic model for APSR will be created and the appendix will contain examples of specific malignant and benign conditions
-### The general structure of APSR will not change and follows the CDA hierarchical tree of section, entries, organizers
-### Need to correlate radiology/pathology diagnosis (Birads)(Tumor board templates within IHE France may serve as a model)
-### Examples of cancer/non-cancer (eg breast/prostate ca; fibroadenoma) will be developed by France/Germany/US (Chirstel/Thomas/Raj)
-### Share mapping of values based on text using Excel template (Christel will share prototype Excel file)(see spreadsheet)
-### Write summary of discussion and contact Epic development (Raj)
-Note: A change proposal was submitted by Thomas/Gunter post-meeting.  Christel reviewed and edited the CP.  (See document). Further discussion of the CP and final determination will occur on the next IHE AP conference call.
-# APSR/CDISC (Christel)
-## Possible collaboration with CDISC
-## Clinical Data Warehouse and i2B2
-## Unicare – clinical data warehouse
-## Uses IHE QRPH Exchange profile
-## Should we collaborate with CDISC SHARE OPEN project?
-## Christel will forward information of next IHE AP conference call
-# IHTSDO/SNOMED CT and AJCC
-## Discussion regarding APSR example concepts (eg, cancer staging)
-## PathLex developed as stop gap for concepts without SCT codes
-## Should we build an SCT extension for concepts not covered in SCT?
-### Determine if IHE has an IHTSDO namespace (Mary)
-### Draft proposal for assignment of extension namespace to IHE vs IHE AP or draft joint proposal with IPaLM SIG and submit from within the IHTSDO governance
-### Alternatively, use LOINC codes immediately for observation names until such time as a SNOMED CT option is available
-## AJCC / UICC discussion
-### Determine if an IP agreement is needed between staging organizations and IHE
-### Use LOINC codes until such time as IP agreement established
-## Further discussion is needed on next steps
-## Discussion of Procedure/Specimen Type
-### Review Marcial’s work (possibly have him present on next conference call)
-# 12th European Congress on Digital Pathology
-## Formerly “12th European Congress on Telepathology and 6th International Congress on Virtual Microscopy”
-## To be held in Paris 18-21 June 2014
-## Plan on a joint DICOM 26/IHE AP F2F
-## All are encouraged to attend (see brochure)
-# New business
-## Send out call for new proposals
-## Need to update the IHE Domain page (Trial Implementation RePub Request; Call for Proposals; Proposal Deadline; # of white papers)
-# Next IHE AP Meetings
-## Next conference call November 12 (9am Central US)??
-## F2F meeting planned for Paris around June 18-21, 2014
-## Proposed F2F to take place during 12th European Congress on Digital Pathology meeting

Difference between revisions of "Minutes"

Revision as of 12:59, 2 April 2015

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