PaLM Conf Minutes 2020-October-07
Attendees
| Name | |
|---|---|
| Gunter Haroske | haroske@icloud.com |
| Mary Kennedy | mkenned@cap.org |
| Francois Macary | francois.macary@phast.fr |
| Rikki Merrick | rikimerrick@gmail.com |
| Alessandro Sulis | Allesandro.sulis@crs4.it |
| Megumi Kondo | megumi.kondo.sakura.japan@gmail.com |
| Dan Rutz | drutz@epic.com |
| Kevin Schap | kschap@cap.org |
| David Beckman | dbeckman@epic.com |
| Raj Dash | r.dash@duke.edu |
| Francesca Vanzo | fvanzo@consorzioarsenal.it |
| Jim Harrison | james.harrison@virginia.edu |
| Ralf Herzog | ralf.herzog@roche.com |
| JD Nolen | jdlnolen@gmail.com |
| Francesca Frexia | Francesca.frexia@crs4.it |
| Sujith Nair | snair@acr.org |
| Sam Spencer | sspence@cap.org |
| George Birdsong | gbirdso@emory.edu |
| Ross Simpson | ross.w.simpson@healthpartners.com |
| Alex Goel | agoel@cap.org |
| Veronica Klepeis | vklepeis@mgh.harvard.edu |
| Brian Bialecki | bbialecki@acr.org |
| Markus Herrmann | mdherrmann@mgh.hardvard.edu |
| Peter O’Toole | peter.otoole@mtuitive.com |
| John Hargett | jhargett@epic.com |
| David Clunie | dclunie@dclunie.com |
| Peter Mello | peter.mello@mtuitive.com |
| Craig Sayers |
Next meeting: November 11, 2020
- Agenda Review
- New proposals
- Timeframe?
- Riki will send out the call for call for proposals – will give 1 month to submit and review on Nov and Dec calls
- Evidence Creation profile for digital pathology
- Looking for possible vendor support – who from the DICOM WG26 can we ask to help?
- Radiology / Pathology Concordance Reporting Proposal
- Proposal Link: https://drive.google.com/file/d/14-Xovvnbbh3_X-MYn3MidICYrBlcxlrP/view?usp=sharing
- PPT Link: https://drive.google.com/file/d/1hXxETo7GCEpwAiZkiUJVKUQHYWAXB0Mj/view?usp=sharing
- Discussion:
- Key use case was described
- Proposed profile is a new type of concordance workflow
- Raj agrees with the generalizable paradigm
- Surgery / biobanking reconciliation between research and clinical concordance is a good example
- Problems raised are that different reports are produced in silos – not good access between different reports
- Which data elements are fed to the concordance reporter?
- Discussed the sharing of the concordance scores, not the data / reports per se
- Example: specific images in radiology implies certain findings should be in a pathology report, but if that is not the case, there may have been something different going on (the pathology result should match what would be expected)
- Discussed the sharing of the concordance scores, not the data / reports per se
- Which data elements are fed to the concordance reporter?
- Where is the change in workflow that will be needed – how will that be addressed?
- Mammography report:
- Single number in radiology, but there is not that value in pathology – how do you get the scores to compare?
- This may require recommendations from professional organizations/specialty society as best practice to adjust to a new workflow
- This will take a long time and there will be pushback
- Mammography report:
- Recommend focusing on the use cases where we do not need workflow changes
- Biobanking
- Maybe in APSR create a score section (later)
- Best next step would be to identify use cases where we already have resonance with vendors
- Need to have concrete examples to get vendor buy-in
- Vendors needs to understand the value and what the gain is for their customers
- Need to have concrete examples to get vendor buy-in
- IHE PaLM would like to have the support for APSR included in the profile
- Proposed mechanisms:
- FHIR
- SDC format (captures the CAP’s electronic cancer data (eCC), but does not include anything else in a structured report) – there are some vendors implementing eCC SDC format)
- IHE SDC working group is working on that
- Using observation
- Storing the SDC form as docRef
- bundling into message or composition bundle
- want to leverage use of observation for this profile
- IHE SDC working group is working on that
- Translate APSR to FHIR – project ongoing in Germany (funded by the Ministry of Higher Education, not as part of HL7 Germany); all the activities are based on using APSR as the starting point – hope this will be the case that this is as generic as possible)
- HL7 has a to-do item to describe how to express structured reports like pathology and radiology reports
- CDA management group is discussing how to map CDA to FHIR later today
- We need to keep an eye on that as well
- The data transfer of the elements should be FHIR, but the content format should be kept out of this work
- Next steps:
- Overall decision vote could be in November
- Need to identify vendors and implementers that are interested in supporting this proposal
- Grady hospital in GA is interested in this for mammography
- Also Mass General Hospital is interested
- Pathologist/radiologist/vendors working on this:
- Pathologists: George Birdsong; Veronica Klepeis; Ross Simpson
- Radiologists:
- Vendors who have confirmed support: Nuance Communications; Voicebrook; mTuitive
- American College of Radiology and College of American Pathologists are leading the proposal
- Narrow down the proposal to what we can accomplish in 18 months
- Reach out to IHE Radiology as well before next call
- Also reach out to IHE QRPH since that is where the SDC work is ongoing
- Also may need to engage IHE ITI
- Timeframe?
- SET
- Updated document with comments to review for the next call / or close via email
- Then bring back the message structure CR to HL7 OO
- SET is being used to define a new FHIR resource in HL7 OO specimen project
- Digital Pathology White Paper
- Paper has been submitted
- Some comments have been sent to Raj and he will review them
- Revised document will still be shared later this week
- A conclusion has been added in the updated paper; please review
- Paper has been submitted
- Connectathon support for DPIA – not discussed