PaLM Conf Minutes 2017-Jan-11
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Recording
The recording for this meeting can be downloaded here:
Attendees
Francois Macary, Co-Chair | Phast |
Raj Dash, Co-Chair | CAP |
Riki Merrick, Co-Chair | APHL |
Carolyn Knapik | CAP, secretariat |
Mary Kennedy | CAP, secretariat |
Alessandro Sulis | CRS4 |
Dan Rutz | Epic |
David de Mena | SAS |
Filip Migom | MIPS |
Francesca Frexia | CRS4 |
Francesca Vanzo | Arsenal IT |
Gunter Haroske | IHE Germany |
James Harrison | CAP |
JD Nolen | Cerner |
Jurgen De Decker | MIPS |
Laurent Lardin | bioMerieux |
Megumi Kondo | Sakura Finetek Japan |
Ross Simpson | CAP |
Minutes
Agenda Review
1st hour
- Housekeeping: Validation of PaLM report at next Board call (Mary, François)
- Have presented the PaLM report on the DCC call, is on agenda for tomorrow’s Board meeting – Raj presenting, Mary also attending, mention expansion of the PaLM domain as we accepted that new proposal
- https://docs.google.com/spreadsheets/d/1vjX0lYn4xVEVynpoelvLRe_TzXD5KJ2EyDEQ6WIY0w0/edit#gid=1920926816 General publication schedule for 2017 (François)
- The 4 supplements in this schedule are:
- LCC profile
- SET profile
- LSH profile
- APSR 2.0
- The 4 supplements in this schedule are:
- Review of new profile "Blood Product Coordination" proposal for the 2017-2018 cycle (Riki + Dan)
- Joint effort at EPIC and MIPS and Duke
- Parts of the blood transfusion workflow, coordination clinical LIS, blood bank LIS and clinical EMR:
- for account number matching
- messages to use for status progression from the blood bank
- messages for corrections and when to issue those
- Duke just put a paper with use cases together that can be used as basis (e.g. rare AB in patients for example)
- For Netherlands focus on:
- final step when blood bank product is sent from lab to transfusion location
- Product administration = transfusion has been started or blood bag returned to lab (status codes; have transfusion completed and in progress, but not a begin or hold; also share end time)
- Product management – a lot of blood bank software can electronically dispense into remote refrigerator and then it needs to get picked up and then be able to do electronic crossmatch between the LIS – refrigerator and handheld at time of dispense
- Exclude clear supply transactions (how much units vs patient specific units) – may be anything eligible for crossmatching and dispensing
- Important to emphasize is notion of communication of statuses and event and allergies (rare blood type, difficult blood matching expected) – similar to the genetic tests that affect medication dispense = pharmacogenetics – so these are stable lab results that should stay accessible to the docs
- For the first pass focus on the administration and status piece to get market support
- External communication for blood product for a specific patient and what happened to it once dispensed
- Prefer starting with use case 2 – 4 and then go to 1, if we want to at a later time
- Supplement development – all into the same profile or into different profiles – review the use cases and make decision based on each one
- Items 3 and 4 are one use case – both from admin system to blood bank
- Item 2 flesh out with auto dispense (not inventory and re-ordering supply)
- Item 1 separately as well
- How does medical staff know how many units are available and when that availability expires – covered by 1a
- This will affect the scope of our domain and so we will need to update that – it has been mentioned to the DCC and will bring up as part of the report to the IHE board
- Motion to accept this proposal and Francois, JD, further discussion: would it be worthwhile to communicate that we are working on this to seek out more experts – yes will need to get Haemonetics, Mediware, and another European and Asian company (Raj can reach out to Haemonetics) will reach out to transfusion medical folks know – yes that is important, prepare communication to go out based on this proposal, once proposal is on the website against: 0, abstain: 0, all in favor
- Parts of the blood transfusion workflow, coordination clinical LIS, blood bank LIS and clinical EMR:
- Joint effort at EPIC and MIPS and Duke
- APSR 2.0 update (Gunter)
- See slides
- Slide 4 – if you are grossing a specimen and cut them into smaller pieces and then create derivatives form each of the - would we ever need to have one producer ties to multiple specimen – that is covered by creating separate instances – all will have the same performer - the specific participant PRD = child specimen after the preparation; participant CSM = consumable (for additive; e.g. 10% buffered formalin)
- Do we need more than one parent specimen for a child – yes
- For Raj’s example Francois and Gunter came up with 2 valid versions of the representation
- First pass had a lot of errors and those have ALL been corrected
- Will need more examples – have receives breast and lymph node excision example from Raj – working through that
- Proposal of a digital pathology session during EU Connectathon in Venice (Francesca)
2nd hour
- LCC review (Riki, Jim)
- Describe the new OBX and then express that the rest follows vol 2.x to avoid duplication of specification – this also applies to the ORC and other segments
- Will have updated version sent out for more detailed review on the February call
- Microbiology guide: Update on comments (Laurent)
- Riki sent comments back
- Some are directed to the content of the guide to be more international
- Laurent reviewed the LRI content and noticed some differences and so shared this with Riki for submission to LRI ballot which has been done – will wait for reconciliation, which is the last one of the lab guides to be done (LRI has about 700 comments, LOI about 200, eDOS about 80 – we are 64% done with those already)
- Will see what LRI will accept and we may want to have a CP to harmonize the TF as well as the micro guide – will have to see if this works, even if it is not exactly what the French version is doing; can also bring this back to France for implementation consideration
- Make the English version the international version based on the French guide
- Any other comments, please send to Laurent
- SET update – Alessandro
- Working on the blood banking use case and will share the Vol 1 document on the google group and bring back up for approval on Feb call – plan 30 min minimum for this
- First draft for Vol 2 also for Feb call with options of message types to use, so we can decide the message type
Next call is 2/8 - will plan on 2 hours