PaLM Conf Minutes 2020-June-10
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Attendees
| Name | |
|---|---|
| Gunter Haroske | haroske@icloud.com |
| Mary Kennedy | mkenned@cap.org |
| Raj Dash | r.dash@duke.edu |
| Rikki Merrick | rikimerrick@gmail.com |
| Alessandro Sulis | Allesandro.sulis@crs4.it |
| Ralf Herzog | Rafl.herzog@roche.com |
| Megumi Kondo | megumi.kondo.sakura.japan@gmail.com |
| Dan Rutz | drutz@epic.com |
| Kevin Schap | kschap@cap.org |
| David Beckman | dbeckman@epic.com |
| Francesca Frexia | Francesca.frexia@crs4.it |
| Francesca Vanzo | fvanzo@consorzioarsenal.it |
| Francois Macary | francois.macary@phast.fr |
| Jim Harrison | james.harrison@virginia.edu |
| Nick Haarselhorst | Nick.Haarselhorst@philips.com |
| Nick Jones | |
| Filip Migom | Filip.migom@mips.be |
| John Hargett | jhargett@epic.com |
Next call is July 8, 2020
- COVID – 19 updates
- In US
- HHS guidance:
- Will expand ELR, will not replace eCR
- Working on FAQ document with CDC (Riki)
- France
- Collecting COVID tests to the national – using LTW workflow inside hospitals
- MIPS is central role in France as repository for the result (Cyberlab)
- Using a QR code to scan that will tell you if you are close to someone who has been infected
- Belgium
- Created 3 new labs for VCOVID testing
- MIPS built order entry mechanism into cloud-based system
- Priority testing for elder living homes
- Now adding private and university labs – sent to the central data gathering
- Only using XML
- Netherlands
- Reused the HPV project platform
- Iceland
- Using order entry and result reporting using IHE LAB-1 and IHE LAB-3 – to national repository
- Japan
- Starting reporting/opening in small steps
- In US
- Digital Pathology
- DPIA version 1.1
- DICOM mapping to be referenced in Appendix B / wiki page
- Required transactions for image storage / commitment
- Wanted to have this required to support interoperability between the PACS and the image acquisition actors
- Do all actors have to set up RAD-10 / RAD-8
- Store is just short
- Commit is long term
- Can use the same transactions for both
- Display IDs – will continue to use SPM-31
- This should be part of the DICOM meta-data and not in the message transactions
- Goal was to be able to allow the pathologist to re-sort slides over the default sort order – how would that sort order be exchanged?
- That should not be part of these transactions
- David suggested to defer this to DICOM
- Make this optional will help international implementations to communicate display order where the ID creation rules differ – need an example to submit the
- Can use SPM-31 for this – these will be additional instances of the
- Example for specimen UID
- Do we need a DICOM style UID for this or also / only the LIS assigned Specimen ID; - Check with DICOM if this MUST be the DICOM format (Root and then extension)
- Scanners that are producing DICOM images will create DICOM format UIDs
- This must be unique for the specimen all the way to the order filler ID
- The assigning authority should make it globally unique, as long as the ID is unique within the organization (plus the assigning authority)
- Specimen data model work by Nick – any update?
- Need guidance on the images on patients from David Clunie
- Diagramming the workflow model for pathology
- Procedure steps on specimen
- Transforming a specimen (staining or removing parts) – have not looked at specimen event tracking (SET) – does that cover what happens to a specimen
- If you make a major change to the specimen
- Make a sub-specimen, which also change the original specimen
- We need to have a digital audit trail on how the slide was created, because the original specimen is changed with the creation of the slide
- Tissue processing is destructive in nature – so it cannot be redone; so you cannot go back to the step in the workflow performed earlier
- We need a DICOM pathology model – the full audit trail needs to be taken care of – for all the images created around this as well as how the specimen were processed – each part needs to be mapped to the gross image
- Each image needs to be mapped to the specimen it belongs to in the workflow
- Need to figure out how to deal with study ID
- We probably cannot use the series model in pathology
- Slide stained – slide unstained – slide re-stained: the first stained slide does not exist anymore, so you would need clear audit trails with the timeframe of when it was available for scanning / image creation (currently using the barcode label of the physical slide – currently no way to compare the scans and when they were done, and why re-scan (example re-scan to ensure a specific area is in focus) -
- Nick to reach out to Bruce Beckwith (CAP liaison to DICOM WG26)- send this to DICOM and bring this back to the profile if change is needed; take this out of DPIA
- Need to be able to describe the pathology workflow, images attached to the specimen that are being changed
- This will remain open issue
- Procedure steps on specimen
- Next step: Raj to send to Mary Yungers
- DPIA version 1.1
- SET
- Clean version has been shared with the group
- Open issues spreadsheet
- SET-8: tracking specimen processing (differentiate between change vs derived NEW specimen) – will the S50 message structure cover this one?
- SET-9: Will need to compare to S50 to see, if this issue can also be covered by that
- Making an event for each procedure step (succeeded or failed) = 1 message for each
- Do we need to track all the aliquots? – 1 message per child specimen
- We have a few simple attributes to track for each
- Create examples of the processing steps and create an example message representation to see, if it can be covered:
- Create unstained slide
- HE staining
- Aliquot
- Centrifuging
- Use the date-timestamp of the processing event to re-create the audit trail
- Making an event for each procedure step (succeeded or failed) = 1 message for each
- Open issues spreadsheet
- Raj to provide examples
- Wil share the open issue spreadsheet for review
- In next call should try to have all issues resolved
- Clean version has been shared with the group
- Next F2F in Ghent tentatively Sept 30 – Oct 2, 2020 – COVID-19 permitting
- That may not work for Dan
- Christmas markets in December?
Call adjourned at 10:16 AM CT