Ruby Nash: update on Cancer Pathology work. 6 profiles have been created. Viewable on the Cancer Pathology FHIR IG page. Getting aligned with MedMorph. Connectathon report out - https://build.fhir.org/ig/HL7/cancer-reporting/ ; https://build.fhir.org/ig/HL7/ihe-sdc-ecc-on-fhir/
Upcoming work will be on the parser, and the two bundles that were used in the connectathon will need more work and retested at the Sept connectathon. The IG will be published in the fall - aligned with MedMorph. Will continue to be inline with the MedMorph work.
Chris Melo - ICHOM: breast cancer IG. https://build.fhir.org/ig/HL7/fhir-ichom-breast-cancer-ig/index.html Since January have gotten the PSS approved. work on IG commenced. meets every 2nd and 4th Wednesday of the month 10 AM ET on the CIC Listserv. Targeting to participate in the Sept connectathon and hope to have all the modeling done before then.
Kurt Allen: Breast Imaging: completed STU1 balloting and published, http://hl7.org/fhir/us/breast-radiology/2020May/ could be used, but work continues. Hope to ballot in Sept 2022. Name changed from Breast Radiology to Breast Imaging. Working on standardizing the terminology. All local codes are used in version one, now want to standardize that. Working with ACR to create codes to replace the local codes. have mapped all to draft ACR codes.. getting feedback from radiologists on that mapping. Hoping to have all complete by Sept. ballot. will have some tools in place b y Sept. Plan to work on things with ICHOM. working to get this recognized at HL7 like LOINC and SnoMed.. https://www.radelement.org/about
Notes from Kurt re: Breast Radiology Report:
- The Breast Radiology IG has completed STU 1 balloting.
- Continuing work for a planned September ballot.
- Renamed to Breast Imaging IG because of non-radiological modalities that we are planning on adding in future ballots.
- Working with ICHOM to share common value sets.
- The current goal is to standardize and formalize the terminology used in the Breast IG. STU 1 is predominately using local codes only.
- We are working with the ACR (American Clinic of Radiology) to create RadElement terminology codes to replace the local codes defined in the STU 1 IG.
- Brian Bialecki of the ACR is driving the ACR’s involvement.
- Brian has already created a set of draft RadElements that cover most of the terminology items in the Breast IG.
- He is forming a team of Radiologists who will vet these terminology items for correctness, and we will modify the terminology at needed.
- This team will also provide another set of eyes on the structural elements of the IG and will provide feedback on that as well.
- Out goal is still to have this task completed and ready for balloting at the September Working Group Meeting.
Notes from Brian Bialacki
RadElements is a collaboration between RSNA and ACR creating Common Data Elements for Radiology. There is a documented API.
Common data elements (CDEs) define the attributes and allowable values of a unit of information, so that information can be collected and stored uniformly across institutions and studies.
CDEs are defined in a data dictionary, which specifies attributes such as:
- the item's name,
- the way the item is collected,
- valid values and coding, and
- data type (e.g., number or text)
CDEs make biomedical data interoperable for a variety of applications, including:
- clinical radiology reports,
- computer-assisted reporting systems,
- structured image annotations,
- case report forms for clinical research, and
- radiology case collections ("teaching files")
More information can be obtained here:
Mark Kramer: mCode - not planning on another ballot at this time unless it becomes neccessary. Things seem stable at the moment. Doing case studies with Codex accelerator. Codex is where all the action is right now - lots of members, users, acceptance. working on some derived IGs, - radio-therapy (treatment directed). Birds of a Feather tomorrow afternoon will deep dive in to the case studies. launching Cardex (cardilogy domain), and in the domain of genomes - G-Nex. therapeutic approaches for these. There is some international interest in mCode - still evaluating the amount of support. they are looking at how to inform others how stable their IG items are... so looking at how to apply maturity numbers using the FHIR maturity model to their profiles. Currently it is being applied more by domians or groupings more then individual items. Regarding September Connectathon - heard the request to consider working with ICHOM on a connectathon in Sept.