Phone: +1 770-657-9270, Passcode: 398652



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20170502_LOI_Notes

Phone: +1 770-657-9270, Passcode: 398652

Attendees: Riki, Kathy, Leanna, Freida, Carolyn, MariBeth, Cindy,

eDOS DSTU comment:

#1007: Added the additional AOE to the eDOS Appendix

#1066: http://www.hl7.org/dstucomments/showdetail_comment.cfm?commentid=1066

We ended up creating 4 questions:

Updating the answer list for this Ask at Order Entry question = Prior and/or current treatment relevant for Pap smear

Suggested Common Question Name = What type of treatment was previously or is currently received for an abnormal Pap test?

Suggested HL7 Data Type OBX response = CWE

Suggested answer list:

None


Laser Vaporization (LEEP)

Cryo Surgery

Conization

Pelvic Radiation

Colposcpy/Bioposy

Hysterectomy, Total

Hysterectomy, Partial (Supracervical)

Curretage (D and C)

Chemotherapy

AND update the Pap smear result answer list:

Ask at Order Entry question = Previous Cytology results for Pap Smear

Suggested Common Question Name = Previous Cytology results for Pap Smear or Biopsy

Suggested HL7 Data Type OBX response = CWE

Suggested answer list:

Unsatisfactory

Abnormal result, details unknown

Normal or NILM (negative for intraepithelial lesion or malignancy)

Abnormal Squamous :

LSIL (low-grade squamous intraepithelial lesion / mild dysplasia)

HSIL (high-grade squamous intraepithelial lesion / Moderate dysplasia, severe dysplasia, and/or squamous cell carcinoma in situ)

ASC-US (Atypical squamous cells of uncertain significance)

ASC-H (Atypical squamous cells cannot exclude HSIL)

squamous cell carcinoma

Abnormal glandular:

Atypical endocervical cells (NOS or specify in comments)

Atypical endometrial cells (NOS or specify in comments)

Atypical glandular cells (NOS or specify in comments)

Atypical endocervical cells, favor neoplastic

Atypical glandular cells, favor neoplastic

Endocervical adenocarcinoma in situ

Adenocarcinoma – endocervical

Adenocarcinoma – endometrial

Adenocarcinoma – extrauterine

Adenocarcinoma – not otherwise specified

Other malignant neoplasm

And add a new question = Previous GYN exam results

Suggested Common Question Name = What were the results of the prior GYN exam

Suggested HL7 Data Type OBX response = CWE

Suggested answer list:

Normal


Abnormal Pap

Mass


Ulceration

Visible lesion

HPV

Add another question to deal with the meta-data of prior Pap exam results:



Ask at Order Entry question = Prior Pap exam specimenID, testing location and date performed

Suggested Common Question Name = Provide the specimenID, testing location and date of prior abnormal Pap test

Suggested HL7 Data Type OBX response = free text

Request new code or use 19774-9 LOINC = cytology study comment?

Quest reviewed and was looking for HPV – part of GYN exam results? Yes could be (warts or use of acid test) – not the type and follow on testing could clarify

Carolyn has feedback pending from

Frieda will prep the edits for distribution to LabUS realm list

Vote on this one on May 16th

LOI Ballot recon:

LOI#131: Motion to refer typos to editor and bring back any that seem to be not just typos Frida Hall, Maribeth Gagnon, no further discussion, against: 0, abstain: 1, in favor: 5

Apply to all A-T

LOI#59: Find persuasive - Frieda Hall, Cindy Johns, no further discussion, against: 0, abstain: 1, in favor: 5

LOI#39: This is referring to the Value Set Companion Guide: Motion to find persuasive with mod - add name "At least one required for Sender / R for the receiver" – persuasive with mod – Kathy Walsh, Freida Hall, no further discussion, against: 0, abstain: 1, in favor: 5

LOI#84: Find persuasive- Kathy Walsh, Freida Hall, no further discussion, against: 0, abstain: 0, in favor: 5

LOI#85: Find persuasive- Kathy Walsh, MariBeth Gagnon, no further discussion, against: 0, abstain: 0, in favor: 5

LOI#29 = LOI#49; Motion to remove from list – persuasive with mod – Freida Hall, Carolyn Knapik, no further discussion, against: 0, abstain: 0, in favor: 5

LOI#30 = LOI#43: Motion to change the last sentence to: “Prior laboratory results should be encoded so as to conform to the LRI IG whenever possible; prior results should reflect the original coding.” – persuasive with mod – Freida Hall, Cindy Johns , no further discussion, against: 0, abstain: 0, in favor: 5

LOI#139: Motion to find persuasive with mod:usage C(R/RE) cardinality is 0..*, same CP – Freida Hall, MariBeth Gagnon , no further discussion, against: 0, abstain: 1, in favor: 4

LOI#130: Motion to find persuasive – Kathy Walsh, Freida Hall, no further discussion, against: 0, abstain: 0, in favor: 5

LOI#89: Motion to find persuasive – Freida Hall, Carolyn Knapik, no further discussion, against: 0, abstain: 0, in favor: 5

Motion to find persuasive for LOI#90, #91, #92, #93 – Freida Hall, Carolyn Knapik, no further discussion, against: 0, abstain: 0, in favor: 5

LOI#94: Motion to find persuasive – Carolyn Knapik, MariBeth Gagnon, no further discussion, against: 0, abstain: 0, in favor: 5



LOI#98 – withdrawn by submitter after review of value set

LOI#109: Motion to find persuasive with mod: “In this guide, the current definition of the PRT segment only takes into account use in support of Result Copies To as described in Section 6.11.1.1 (Result Handling and Result Copies To); any other use is beyond the scope of this guide, except by trading partner agreement. Users are encouraged to submit comments for other uses.” – Freida Hall, MariBeth Gagnon, no further discussion, against: 0, abstain: 0, in favor: 5

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