OK, good to see progress.

Now that discussion has moved from "what does it mean to lead a domain?" to lab 
hierarchy details, it'll be easier to find with a more relevant subject.

--
Dan

________________________________
From: Campbell, Walter S [wcamp...@unmc.edu]
Sent: Tuesday, October 07, 2014 2:21 PM
To: Dan Connolly; Campbell, James R; Hickman, Hubert B
Cc: gpc-dev@listserv.kumc.edu
Subject: RE: 10 Sites x N Domains and the GPC Interoperable Standardization 
Measurement Framework

Hi Jim and Dan,
I am proposing the following lab data hierarchy and am working with Hubert to 
create sample data for comment by other sites.

Proposed hierarchy:

1.       Labs by department (e.g., chemistry, hematology, micro, etc)

2.       Lab panel groupings by department

3.       Similar lab test groupings (eg., A1C’s by different methods)

W. Scott Campbell, MBA, PhD
Assistant Professor
Director of Public Health Laboratory Informatics and
Pathology Laboratory Informatics
Department of Pathology/Microbiology
University of Nebraska Medical Center
985900 Nebraska Medical Center
Omaha NE  68198-5900
402-559-9593 (office)
402-350-7851 (mobile)


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From: Dan Connolly [mailto:dconno...@kumc.edu]
Sent: Tuesday, October 07, 2014 2:03 PM
To: Campbell, James R; Campbell, Walter S; Hickman, Hubert B
Cc: gpc-dev@listserv.kumc.edu
Subject: RE: 10 Sites x N Domains and the GPC Interoperable Standardization 
Measurement Framework

I had UMN and CMH as the other lead sites on labs, not Marshfield. But the more 
the merrier. Please do include CMH in early stages of discussion of labs.

--
Dan
________________________________
From: Campbell, James R [campb...@unmc.edu]
Sent: Tuesday, October 07, 2014 1:52 PM
To: Dan Connolly; Campbell, Walter S; Hickman, Hubert B
Cc: gpc-dev@listserv.kumc.edu<mailto:gpc-dev@listserv.kumc.edu>
Subject: Re: 10 Sites x N Domains and the GPC Interoperable Standardization 
Measurement Framework
Dan
I agree that we need a more usable hierarchy for aggregating common lab data 
and Scott is working on a prototype for UNMC employing all LOINC coded lab.  We 
plan to share with UMN and Marshfield for their thoughts on the organization 
and then distribute a common path to GPC-DEV.

I agree that we should be having our ETL managers researching the depth of 
LOINC coding at each of our sites now and Hubert and Scott can share the 
Clarity procedures to check this out with each of our Epic sites.

James R. Campbell MD
campb...@unmc.edu<mailto:campb...@unmc.edu>
Office: 402-559-7505
Secretary: 402-559-7299
Pager: 402-888-1230

On Oct 7, 2014, at 3:42 PM, "Dan Connolly" 
<dconno...@kumc.edu<mailto:dconno...@kumc.edu>> wrote:
Nathan (of CMH, not KUMC) asked me what it means to lead on labs.

My current expectation is two things:

  1.  Set the standard for lab metadata in babel, especially the concept paths. 
Deliver both a metadata CSV file and details on how it's built (from LOINC 
materials) and where to get the data for these terms (which workflows and 
perhaps i2b2 modifiers, which Epic clarity tables, etc.) Ideally work with 
cohort leads to develop queries that exercise labs. Work out any essential 
details around units etc. For bonus points, supply test data that we can put on 
babel.
  2.  Help other sites match this standard so that, for example, babel can show 
aggregate counts at each level of the hierarchy across all sites.
We had agreed on a standard for lab metadata 
(#68<https://informatics.gpcnetwork.org/trac/Project/ticket/68>) but now we're 
trying to find something with better usability (#158).

Currently diagnoses, vitals, and cancer cases are resolved and the others have 
details pending:

  *   GPC Demographics 
(#67<https://informatics.gpcnetwork.org/trac/Project/ticket/67>)

     *   Pediatric Weight and Health CC needs contact info?

  *   GPC Diagnoses 
(#63<https://informatics.gpcnetwork.org/trac/Project/ticket/63>)
  *   GPC Encounters 
(#155<https://informatics.gpcnetwork.org/trac/Project/ticket/155>)
  *   GPC Enrollment
  *   GPC Procedures
  *   GPC Vitals 
(#23<https://informatics.gpcnetwork.org/trac/Project/ticket/23>)
  *   GPC Labs (#68<https://informatics.gpcnetwork.org/trac/Project/ticket/68>)
  *   GPC Medications 
(#78<https://informatics.gpcnetwork.org/trac/Project/ticket/78>)
  *   GPC Cancer Tumor Registry
For aggregate counts on babel, I'm thinking of a separate i2b2 project so that 
the paths don't collide. I have been talking about it with Nathan (@KUMC) a bit 
but we haven't made any tangible progress. Anybody who wants to help, please 
let me know.

Meanwhile, you could, for example, get familiar with the status of LOINC coding 
at each site. And you could narrow the target from all labs to some prioritized 
list of labs by collaborating with the cohort groups.

I'm tracking this effort (for all domains) as trac milestone 
data-domains2<https://informatics.gpcnetwork.org/trac/Project/milestone/data-domains2>,
 currently scheduled for mid November to match PMO milestone 2.4.

--
Dan
________________________________
From: Dan Connolly
Sent: Monday, September 08, 2014 6:55 PM
To: gpc-dev@listserv.kumc.edu<mailto:gpc-dev@listserv.kumc.edu>
Subject: 10 Sites x N Domains and the GPC Interoperable Standardization 
Measurement Framework
Since Russ returned from vacation, he and Nathan and I have had a couple 
catch-up/planning discussions. The whiteboard evolved into a spreadsheet that 
looks at where we are on standardization of our data domains (Demographics, 
Diagnoses) as well as deployment of the standard at each site:

  *   
sites_gpc_ontology<https://docs.google.com/spreadsheets/d/1-uW2hod63gdlNlLAkhleuMvnQG6zNaw2jd-CAhSLqkk/edit#gid=208670379>
 (open for view and comment; current copy attached)
I don't expect it's self-explanatory, but please do have it handy on the call 
tomorrow, and if you get a chance to look at it in advance, please do.

--
Dan
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