French Work group «Microbiology lab reporting : structuring guideline proposal» IHE Lab - France
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1 Frech Work group «Microbiology lab reportig : structurig guidelie proposal»
2 Objectives & Ageda Objectives Frech Work group : curret proposal Feedback from IHTSDO «Microbiology reportig project» Ageda Frech Cotext Work group missio & curret proposal Update o IHTSDO «Microbiology reportig project» 2
3 Frech Cotext US R. Merrick Update o the US Meaigful Use program EU cotext Directive 2011/24/EU : Patiets' rights i cross-border healthcare Project - epsos, SematicHealthNet, - ehealth iteroperability ( Horizo 2020 ) => SNOMED-CT cetric Fr cotext DMP (Frech atioal EHR/PHR) - CI-SIS: Natioal iteroperability framework ; icludes laboratory results reportig Termiologies - bioloic (Frech traslatio of the subset of LOINC for lab tests, maaged by ASIP Saté, with a cosortium AP-HP, SFIL, Modeca, Vidal) - SNOMED v3.5 publicly available i Frech Lab IS accreditatio Macary Update o the Frech program for labelig hospital applicatios 3
4 Frech Work Group missios Missios Guide implemetatio reportig microbiology - Tests request & results descriptio i, - Structure reportig i Erich ASIP CI-SIS (Health IS Iteroperability guidace) Expected deliverables Guidace documet (i Frech) Traslatio ito Eglish Geeralizatio & cotributio to Lab - iteratioal 4
5 Frech Work Curret proposal HIS / CIS Automatio maager Aalyzer Observatio requests Aalysis Proposals - Specime descriptio - Code selectio Aalyzer 5
6 Frech Work Curret proposal HIS / CIS Automatio maager Aalyzer Observatio requests Aalysis Aalyzer Key items for microbiology Specime targeted for a observatio Observatio requested o that specime Bacterial idetificatio i Urie Campilobacter idetificatio i Blood culture Observatio LOINC - Fie grai descriptio Elemets Specime LOINC - Poor specime descriptio HL7 - Fie grai descriptio SPM to be curated & adapted to microbiological aalysis SPM-4 (type) SPM-6 (additives) SPM-7 (collectio method) SPM-8 (source site) SPM-9 (source site modifier) 6
7 Frech Work Curret proposal HIS / CIS Automatio maager Aalyzer Observatio requests Proposal : specime descriptio Aalyzer Elemets Specime HL7 Specime descriptio SPM segmets Refie SPM cotet to fit microbiology eeds Alig cotet o a referece termiology (HL7 vocabulary, SNOMED) 7
8 Frech Work Curret proposal HIS / CIS Automatio maager Aalyzer Observatio requests Proposal : code selectio Aalyzer LOINC Reuse observatio code to ecode observatio requests Defie rules to select observatio codes Propose a subset of codes accordigly 600-7, Bacteria idetified I Blood by Culture , Streptococcus sp idetified i Uspecified specime by Orgaism specific culture Elemets & rules Observatio Specime Select a limited list correspodig Observatio ordered by physicia Select geeric or high level descriptio from SPM4 8
9 Frech Work Curret proposal Public Health CIS Automatio maager Aalyser Aalyser Observatio Reportig 9
10 Frech Work Curret proposal Public Health CIS Automatio maager Aalyser Aalyser Observatio Reportig Icluded / excluded from stadadizatio Observatio descriptio Observatio results 10
11 Frech Work Curret proposal Public Health CIS Automatio maager Aalyser Aalyser Observatio Reportig Icluded / excluded from stadadizatio Icluded (reported) Macroscopic exams Microscopic exams (fresh & colored) Culture results, icludig specific targeted orgaisms if specify i Obs. Request Cout results Atibio suceptibility testig Excluded (ot reported) Details o culture media used Details o orietatio tests 11
12 Frech Work Curret proposal Public Health CIS Automatio maager Aalyser Aalyser Observatio Reportig Observatio descriptio What Else? 12
13 Frech Work Curret proposal Public Health CIS Automatio maager Aalyser Aalyser Observatio Reportig Observatio results - Orgaisms ames - Bacteria - Fugi, yeasts - parasites - AST results - MIC / diameter -> Uit - Pheotype iterpretatio (S, I, R, IE, - ) - Resistace Mechaisms 13
14 Frech Work Curret proposal Public Health CIS Automatio maager Aalyser Aalyser Observatio Reportig Uderstood eeds for bacteria amig - Uiq ID - Follow ICSP - Keep track of ame history evolutio - Exhaustivity for medical eeds - Maiteace, sustaiability - Stadard - Ope to collaboratio - Licece cost What? - DSMZ, WHO, LPSN - SNOMED 3.5, SNOMED-CT - NamesForLife, 14
15 Frech Work Curret proposal Public Health CIS Automatio maager Aalyser Aalyser Observatio Reportig Observatio results - Orgaisms ames - Bacteria - Fugi, yeasts - parasites - AST results - MIC / diameter -> Uit - Pheotype iterpretatio (S, I, R, IE, - ) - Resistace Mechaisms 15
16 IHTSDO «Microbiology reportig» May ogoig projects to maitai the termiology Orgaism & Ifectious Disease Model Project Microbiology Reportig Project - «Establish subset(s) to be used for microorgaism related results reportig. These subsets will be draw from SNOMED CT cotet, ad ew cocepts will be added to the SNOMED CT Iteratioal Release to meet the requiremets. Microbiology Reportig project - Why is it of importace? Fix existig microorgaism related cotet issues Add required cotet to SNOMED CT hierarchies icludig - Orgaism, Cliical Fidig, Observatio Results, Substace Idetify ad categorize cocept patters icludig : - Orgaisms classes ad patters for modifyig classes - Patters of reportig of results from microbiological examiatios. Most of these are values that would ormally be paired with laboratory tests Idetify editorial guidelies for descriptios ad relatioships for the cocept patters Develop Value Set(s) 16
17 IHTSDO «Microbiology reportig» Orgaism & Ifectious Disease Model Project Taxoomy modelig effort Coectios to laboratory fidigs ew observables model Decisio support Better support for bacterial taxoomies 17
18 IHTSDO «Microbiology reportig» Microbiology Reportig project Fix existig microorgaism related cotet issues - orgaism X / orgaism Y?? - orgaism X species?? - Orgaisme X like?? - Rework / Add required cotet to SNOMED CT hierarchies icludig - Orgaism - Cliical Fidig - Observatio Procedure - method=evaluatio actio - Observatio Results - Artifacts as output of observatio procedures 18
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