Pathology and Laboratory Medicine (PaLM)
Origin
The Pathology and Laboratory Medicine (PaLM) domain of IHE becomes active as of January 2016. This domain merges and supersedes the two prior domains Laboratory (LAB) and Anatomic Pathology (AP) respectively launched in 2003 and 2006. The main reason for this merger was the recognition of a significant amount of similarities of the two prior domains scopes, and a long practice of reuse of assets (content modules, transactions) and common thinking from one another. The decision for this merger has been prepared collectively along year 2015 by the LAB and AP leaderships, common secretariat and memberships, and was approved by the Board of IHE International on November 12, 2015.
Scope
The PaLM domain covers:
- the representation and exchange of digital structured data, digital documents, digital images related to ordering, scheduling, performing and reporting diagnostic observations on in-vitro specimens collected from a patient or a non-living subject ;
- the representation and exchange of digital structured data related to specimen management (preparation, transportation, handoff, aliquoting, storage, retrieval)
- the secondary use and exchange of the observation results
- the diagnostic storage and reuse of specimens in bio banks
when a pathology laboratory is involved and in charge of the production of the observation report following the diagnostic/prognostic/screening tests, this laboratory having at least one of the specialties listed below:
| Laboratory specialty | Sub-specialties |
|---|---|
| anatomic pathology specialties | surgical pathology, autopsy, cytopathology, image cytometry, immunohistochemistry |
| clinical pathology specialties | clinical chemistry, hematology, coagulation, blood gas, microbiology, immunology (allergy, auto-immunity, serology), transfusion medicine (blood bank testing), transplant compatibility testing (HLA), fertility, assisted medical procreation, cytogenetic (karyotype, molecular cytogenetic), drug monitoring and toxicology, flow cytometry |
| molecular pathology specialties | gene mutations detection in tumor cells, genetic identification and characterization of infectious agents, diagnostic of genetic disorders |
As of 2017, the scope of the PaLM domain also covers the transfusion medicine workflows.
Sponsorship
The current sponsors of the PaLM domain are:
In their first years of existence the prior domains LAB and/or AP were also sponsored by GMSIH, ADICAP,SEIS, SEAP, SFIL and IHE Japan, ASIP Santé.
Current leadership
- Planning co-chairs: Raj Dash, MD - FCAP ; Riki Merrick - Vernetz
- Technical co-chairs: Alesandro Sulis (CRS4) ; Kenichi Takahashi - Hitachi Hightech
- Secretary and Board representative: Mary Kennedy - CAP
Quick links
- PaLM Planning Committee
- PaLM Technical Committee
- PaLM 2022 Meeting Roster
- PaLM Profiles
- PaLM Technical Framework
- IHE PaLM Google Group
- PaLM Board Report
Overview of the PaLM profiles
[Brief descriptions of the PaLM profiles]
IT Systems that can leverage PaLM profiles
Non-comprehensive list:
- EHR-S in hospital and ambulatory care settings.
- clinical and/or anatomic pathology laboratory information systems (LIS)
- public health information systems and public health lab information systems
- transfusion medicine systems
- electronic healthcare record shared infrastructures (PHR, HIE …)
- robotic specimen container distributers
- barcode labelers
- robotic specimen transportation systems
- robotic peri-analytical devices in the laboratory work area
- IVD analyzers in laboratory or on the point of care
- middleware systems handling a set of analyzers and/or of peri-analytical devices, in laboratory or on the point of care.
- imaging modalities
- PACS and digital archive systems
- biobank management systems
Guidance material and tools
Timeline: 2022 Planning and Development Cycle
Overall publication schedule: See the 2021 development cycle for PaLM
The following table outlines the activities of the domain planned for the 2021 year. THIS ALL NEEDS TO BE UPDATED!!!!!!
| Timeframe | Activity | Scheduled | Location |
|---|---|---|---|
| Production of new items | |||
| October 1, 2021 | Proposals of new work items | Start of period for submission of new item proposals | email to palm@ihe.net |
| December 15 2021 | Proposals of new work items | Closing of period for submission of new item proposals | |
| April 1 | Digital Pathology - Aid for Telemedicine | Request for publication of Digital Pathology Aid for Telemedicine (DP-AT) supplement for public comment | email to Mary Jungers |
| May 2 | Digital Pathology - Aid for Telemedicine | End of public comment period for Digital Pathology - Ordering & Reporting (DPOR) supplement for public comment | email to Mary Jungers |
| June 1 | Request for publication of Digital Pathology - Ordering & Reporting (DPOR) supplement for Trial Implementation | email to Mary Jungers | |
| June 15 | Technical Framework | Request for publication of Techincal Framework to accommodate Change Requests | email to Mary Jungers |
| July 15 | LCC supplement | Request for publication of Laboratory Clinical Communications (LCC) supplement for Trial Implementation to accommodate Change Requests | email to Mary Jungers |
| July 15 | DP-IA supplement | Request for publication of Digital Pathology - Image Acquisition (DPIA) supplement for Trial Implementation to accommodate Change Requests | email to Mary Jungers |
| Maintenance of PaLM TF | |||
| Year long | Change proposal process | email to Mary Jungers | |
| Testing | |||
| Digital Series | NA Connectathon | https://www.iheusa.org/story/update-2022-ihe-north-american-connectathon-upcoming-digital-series | Virtual |
| Sep 12 - 16 | EU Connectathon | https://connectathon.ihe-europe.net/connectathon-2022 | Monterux, Switzerland |
| October 17-21 | Japan Connectathon | Virtual, Japan | |
| Meetings | |||
| Year long | Conference calls | 2nd Wednesday of each month 8-10 am (CET), 1st hour: planning & mgmt, 2nd hour: technical | conf calls + gotoMeeting |
| May 2 - 4 (COVID permitting) | PaLM Committee Face to face | Hosted by MIPS | Gent, Belgium |
Timeline: 2021 Planning and Development Cycle
Overall publication schedule: See the 2021 development cycle for PaLM
The following table outlines the activities of the domain planned for the 2021 year. THIS ALL NEEDS TO BE UPDATED!!!!!!
| Timeframe | Activity | Scheduled | Location |
|---|---|---|---|
| Production of new items | |||
| Dec 1, 2020 | Proposals of new work items | Start of period for submission of new item proposals | email to palm@ihe.net |
| Dec 13 2020 | DIA supplement | Request for new publication of Digital Pathology - Image Acquistition (DIA) supplement for public comment | email to Mary Jungers |
| Jan 31 | DIA supplement | End of public comment period for the Digital Pathology - Image Acquistition (DIA) supplement | email to palm@ihe.net |
| Jan 31 | Proposals of new work items | Closing of period for submission of new item proposals | |
| Jan 31 | Digital Pathology | Request for publication of Digital Pathology White Paper | email to Mary Jungers |
| Feb 14 | DPW-IA supplement | Request for publication of Digital Pathology - Image Acquisition (DPW-IA) supplement for trial implementation | email to Mary Jungers |
| September 14 | RPC supplement | Request for publication of Radiology Pathology Concordance (RPC) supplement for public comment | email to Mary Jungers |
| November 1 | RPC supplements | End of public comment period | email to palm@ihe.net |
| November 10 | RPC supplement | Request for publication of Digital Pathology Workflow Image Acquisition (DPW-IA) supplement for trial implementation | email to Mary Jungers |
| November 10 | SET supplement | Request for publication of Specimen Event Tracking (SET) supplement for trial implementation | email to Mary Jungers |
| Postponed | LSH supplement | Request for publication of Laboratory Specimen Handoff (LSH) supplement for trial implementation | email to Mary Jungers |
| Maintenance of PaLM TF | |||
| Year long | Change proposal process | email to Mary Jungers | |
| Testing | |||
| Mar 1 - 5 | NA Connectathon | https://www.iheusa.org/2021-ihe-north-american-connectathon-overview | Virtual |
| Jun 14 - 18 | EU Connectathon | https://connectathon.ihe-europe.net/ihe-europe-connectathon-week-2021-0 | Virtual |
| October 25-29 | Japan Connectathon | Asakusa, Japan | |
| Meetings | |||
| Year long | Conference calls | 2nd Wednesday of each month 8-10 am (CET), 1st hour: planning & mgmt, 2nd hour: technical | conf calls + gotoMeeting |
| NONE in 2021 due to COVID | PaLM Committee Face to face | Hosted by MIPS | Gent, Belgium |
Timeline: 2020 Planning and Development Cycle
Overall publication schedule: See the 2019 development cycle for PaLM
The following table outlines the activities of the domain planned for the 2020 year.
| Timeframe | Activity | Scheduled | Location |
|---|---|---|---|
| Production of new items | |||
| Dec 11 2019 | Proposals of new work items | Start of period for submission of new item proposals | email to palm@ihe.net |
| Dec 13 2019 | DIA supplement | Request for new publication of Digital Pathology - Image Acquistition (DIA) supplement for public comment | email to Mary Jungers |
| Jan 31 | DIA supplement | End of public comment period for the Digital Pathology - Image Acquistition (DIA) supplement | email to palm@ihe.net |
| Jan 31 | Proposals of new work items | Closing of period for submission of new item proposals | |
| Jan 31 | Digital Pathology | Request for publication of Digital Pathology White Paper | email to Mary Jungers |
| Feb 14 | DPW-IA supplement | Request for publication of Digital Pathology - Image Acquisition (DPW-IA) supplement for trial implementation | email to Mary Jungers |
| March 14 | DPW-OR supplement | Request for publication of Digital Pathology - Ordering & Reporting (DPW-OR) supplement for public comment | email to Mary Jungers |
| March 14 | SET supplement | Request for publication of Specimen Event Tracking (SET) supplement for public comment | email to Mary Jungers |
| March 14 | LSH supplement | Request for publication of Laboratory Specimen Handoff (LSH) supplement for public comment | email to Mary Jungers |
| May 17 | 4 supplements | End of public comment period for the 3 supplements DOR, SET, LSH | email to palm@ihe.net |
| June 3 | DPW-OR supplement | Request for publication of Digital Pathology Workflow Ordering & Reporting (DPW-OR) supplement for trial implementation | email to Mary Jungers |
| June 3 | SET supplement | Request for publication of Specimen Event Tracking (SET) supplement for trial implementation | email to Mary Jungers |
| June 3 | LSH supplement | Request for publication of Laboratory Specimen Handoff (LSH) supplement for trial implementation | email to Mary Jungers |
| Maintenance of PaLM TF | |||
| Year long | Change proposal process | July 1, 2020: Publication of PaLM TF 11.0 (request sent to MJ on June 17) | email to Mary Jungers |
| Testing | |||
| Jan 20-24 | NA Connectathon | https://www.iheusa.org/events | Cleveland, USA |
| March 23 - 27 | EU Connectathon | https://connectathon.ihe-europe.net/ | Brussles, Belgium |
| October ??? | Japan Connectathon | ???, Japan | |
| Meetings | |||
| Year long | Conference calls | 2nd Wednesday of each month 8-10 am (CET), 1st hour: planning & mgmt, 2nd hour: technical | conf calls + gotoMeeting |
| May 11-13 | PaLM Committee Face to face | Hosted by MIPS | Gent, Belgium |
Timeline: 2019 Planning and Development Cycle
Overall publication schedule: See the 2019 development cycle for PaLM
The following table outlines the activities of the domain planned for the 2019 year.
| Timeframe | Activity | Scheduled | Location |
|---|---|---|---|
| Production of new items | |||
| Nov 16 2018 | Proposals of new work items | Start of period for submission of new item proposals | email to palm@ihe.net |
| Dec 17 2018 | LCC supplement | Request for new publication of Laboratory Clinical Communication (LCC) supplement for public comment | email to Mary Jungers |
| Dec 20 2018 | TMA supplement | Request for publication of Transfusion Medicine Administration (TMA) supplement for trial implementation | email to Mary Jungers |
| Jan 3 | Proposals of new work items | Closing of period for submission of new item proposals | |
| Jan 31 | Digital Pathology | Request for publication of Digital Pathology White Paper | email to Mary Jungers |
| March 14 | DPW-IA supplement | Request for publication of Digital Pathology - Image Acquisition (DPW-IA) supplement for public comment | email to Mary Jungers |
| March 14 | DPW-OR supplement | Request for publication of Digital Pathology - Ordering & Reporting (DPW-OR) supplement for public comment | email to Mary Jungers |
| March 14 | SET supplement | Request for publication of Specimen Event Tracking (SET) supplement for public comment | email to Mary Jungers |
| March 14 | LSH supplement | Request for publication of Laboratory Specimen Handoff (LSH) supplement for public comment | email to Mary Jungers |
| May 17 | 4 supplements | End of public comment period for the 4 supplements PIA, POR, SET, LSH | email to palm@ihe.net |
| June 3 | DPW-IA supplement | Request for publication of Digital Pathology Workflow - Image Acquisition (DPW-IA) supplement for trial implementation | email to Mary Jungers |
| June 3 | DPW-OR supplement | Request for publication of Digital Pathology Workflow Ordering & Reporting (DPW-OR) supplement for trial implementation | email to Mary Jungers |
| June 3 | SET supplement | Request for publication of Specimen Event Tracking (SET) supplement for trial implementation | email to Mary Jungers |
| June 3 | LSH supplement | Request for publication of Laboratory Specimen Handoff (LSH) supplement for trial implementation | email to Mary Jungers |
| June 3 | LCC supplement | Request for publication of Laboratory Clinical Communication (LCC) supplement for trial implementation | email to Mary Jungers |
| Maintenance of PaLM TF | |||
| Year long | Change proposal process | July 1, 2019: Publication of PaLM TF 10.0 (request sent to MJ on June 17) | email to Mary Jungers |
| Testing | |||
| Jan 21-25 | NA Connectathon | Cleveland, USA | |
| April 8-12 | EU Connectathon | Rennes, France | |
| October 7-11 | Japan Connectathon | Yokohama, Japan | |
| Meetings | |||
| Year long | Conference calls | 2nd Wednesday of each month 8-10 am (CET), 1st hour: planning & mgmt, 2nd hour: technical | conf calls + gotoMeeting |
| May 27-29 | PaLM Committee Face to face | Hosted by JAHIS | Tokyo, Japan |
Current Activity
- Digital Pathology (DP) Profiles - Providing interoperability for solutions in support of a digital pathology workflow.
- IHE PALM's Digital Pathology vision is captured in this article: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8240547/
- Digital Pathology Image Acquisition Profile: https://www.ihe.net/uploadedFiles/Documents/PaLM/IHE_PaLM_Suppl_DPIA.pdf
- Radiology Pathology Correlation (RPC) Profile - Providing linkages between radiology reports and pathology reports
- [Radiology Pathology Correlation (RPC) profile description|http://wiki.ihe.net/index.php/Radiology_Pathology_Correlation]
- Digital Pathology Aid for Telemedicine (DP-AT) Profile - Sharing digital assests during consultation using telemedicine
- [Digital Pathology Aid for Telemedicine (DP-AT) profile description|http://wiki.ihe.net/index.php/Digital_Pathology_Aid_for_Telemedicine_Profile ]
- Laboratory Specimen Handoff (LSH)
- Specimen Event Tracking (SET) Profile - changes to specimen during processing at all steps from collection, receipt in the lab to storage, including derived material (e.g. slides created from specimen)
- Anatomic Pathology Workflow in an Era of Digital Medicine (APW-EDM):
- Upgrade APW to Digital Pathology i.e. the storage and retrieval of images created from pathology slides - in collaboration with DICOM WG 26
- Digital Pathology initial proposal
- The wiki collaborative space used to prepare the white paper
- Representation of laboratory results in patient summaries using both HL7 CDA and FHIR, LOINC, UCUM and SNOMED CT - collaborations with IHTSDO, Regenstrief and HL7
- Lab result in patient summaries brief proposal
- [http://wiki.hl7.org/index.php?title=International_Patient_Summary_(IPS) International Patient Summary (IPS) project of HL7 International
- IPS CDA R2 IG
- IPS FHIR IG
- International Patient Summary of the Trillium II project funded by Europe EC + US ONC
- Digital Pathology and Structured Reporting (SR) Profile for Clinical Data Capture/Reporting across Multiple Domains
- Current APSR, using CDA standard, is focused on anatomic pathology, so broaden content; this will be a white paper to explore the current state around data element definitions (SDC, DEX) and how these can be integrated into clinical pathways using business rules, without relying on a specific standard for exchange - requires cross domain collaboration (DCC notified)
- SR brief proposal
Published Profile links:
- DPIA
- Laboratory Analytical Workflow (LAW) has reached final text status after a session of intensive testing at the January 2016 NA connectathon. This integration profile, which has been built in a joint project between IHE and the IVD Industry Connectivity Consortium (IICC), will also be published in 2019 as the new standard “AUTO16” for analyzers interfaces by the Clinical Laboratory Standards Institute (CLSI).
- Laboratory Clinical Communication (LCC) profile: standardizing how to indicate suggested replacement orders from the filler side and requesting follow up work by the placer.
- Anatomic Pathology Structured Report release 2.1 (APSR 2.1)
- APSR 2.1 published for Trial Implementation
- ART-DECOR
- example report case 1 (press right click and download)
- example report case 3 (press right click and download)
- example preliminary report version 1 (press right click and download)
- example final report version 2 replacing version 1 (press right click and download)
- the CDA xsl to put in the same folder to view the examples in a web browser (press right click and download)
- IHE Profile to US Realm Lab Guide Gap Analysis
How to Participate
As a Laboratorian, Pathologist, or Advocate
Get involved in the planning committee. This is where the clinical problems are discussed and prioritized. The planning committee is an open group and is interested in having your input. Bring us your interoperability problems. You can also help by participating in the HIMSS showcase scenario definitions.
You can do this by:
- Becoming a IHE Member Organization
- Request to join our IHE PaLM Google Group
- Attend telephone conferences and face to face meetings
- Submit new profile proposals
As a Health IT Implementer
Get involved in the technical committee. Help make sure profiles are feasible and will work for you. Implement the profile, and come experience the IHE Connectathon event. 2011 Connectathon video clip
As a Health IT Buyer
In addition to getting involved in the planning committee, hold your vendors accountable. Put a statement in your RFP that indicates you want the vendor to support the actor in the profile you desire.
Demonstrations & Presentations
The following are recent and upcoming public presentations and demonstrations about IHE Lab. Email our IHE PaLM Google Group about presentations or demonstrations you know about.
| Date | Location | Event | Details |
|---|
Standards Organization - Professional Meetings/Conferences
| Date | Organization | Location | More Information |
|---|---|---|---|
| Feb 2 - 7, 2020 | HL7 WGM | Sydney, Australia | http://hl7.org/events/working_group_meeting/2020/02/ |
| Mar 24 - 26, 2020 | Lab LOINC Conference | Indianapolis, IN, USA | https://loinc.org/meetings/ |
| Apr 5 - 8, 2020 | SNOMED CT Business Meeting | London, UK | https://www.snomed.org/news-and-events/events/business-meeting |
| May 13 - 15, 2020 | European Congress on Digital Pathology (ECDP 2020) | Porto, Spain | http://ecdp2020.org/ |
| May 16 - 22, 2020 | HL7 WGM | San Antonio, TX, USA | http://hl7.org/events/working_group_meeting/2020/05/ |
| Sep 19 - 25, 2020 | HL7 WGM | Baltimore, MD, USA | http://hl7.org/events/working_group_meeting/2020/09/ |
See Also
Milestones for all IHE domains
Standard Organizations Link List
This page is based on the Domain Template.