Workgroups



This Week's Agenda




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Important Notes:

June 1, 2016: Special Announcement - The deadline for submissions to the Lab US Realm Pilot Project has been extended to June 20, 2016. In recognition of the limited timeframe for action under this opportunity acceptable proposals for this S&I Lab Project can focus on production of cost-savings studies that can be used to promote the adoption of the suite of Lab US Realm Implementation Guides. Please contact Mike Flanigan for more information. Note that a non-binding letter of intent can be sent as soon as possible.

April 8, 2016 - The recording of the Lab US Realm Pilot Project Q&A is now available.

Maintenance of the Lab Result Implementation Guide (LRI) is tracked here - LRI Implementation Guides Analysis WG

Charter

There are at least two standard specifications for ambulatory laboratory reporting, neither of which are adopted universally across industry. The cost and time to initiate new electronic laboratory results interfaces hampers broad adoption of such interfaces. The field by field details of HL7 v2 implementation guides used by clinical labs and EHRs vary, creating a need for mapping or configuration per interface, and the prevalence of core subsets of LOINC codes for common tests and analytes also varies, causing downstream issues in decision support and quality reporting.

Purpose and Goals

Meaningful Use Alignment: Incorporate lab results into EHR as structured data. Supports objectives for Decision Support, Quality Reporting, Transitions in Care, and Electronic copies of Clinical Summaries and Discharge Instructions.

Scope

  • Address the challenge of lab reporting to ambulatory primary care providers. This will be driven primarily by the needs of internal medicine, family practice and pediatrics, but may also be leveraged by other providers and settings.
  • Optionally: enable pilots that demonstrate electronic results delivery through the agreed-upon standard, including linkages with directories and transport

Success Metrics

Outcome Metrics
  1. Number of Providers using Lab Results Interface Initiative Outputs
  2. Number of Labs using Lab Results Interface Initiative Outputs
  3. Number of Lab Results Reporting transactions using Lab Results Interface Initiative Outputs
  4. Number of vendors (EHRs, PHRs, LIS Vendors, HIEs) using Lab Results Interface Initiative Outputs
  5. Time Reduction to Create a New Lab Interface
  6. Cost Reduction to Create a New Lab Interface
  7. Meaningful Use Alignment
Process Metrics
  1. Number of participants / organizations actively engaged in developing Lab Interface Initiative outputs, e.g.,
    1. Wiki user counts
    2. Lines of code counts
    3. Count of artifact downloads
    4. Number of wiki edits, etc.

Timeline

LRI_-_Timeline_-_Feb.jpg

Schedule

Web conference occurs every other Monday from 3:30 PM to 4:30 PM (ET). Find dial-in information on the calendar and navigate to siframework1.webex.com to join.

Members

Lab Interface Initiative Members include stakeholders and participants from across the health care IT industry.

Materials

Meeting
Meeting Date
Presentation
Meeting Minutes
Full Initiative
2011-04-25
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Full Initiative
2011-05-09
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Full Initiative
2011-05-23
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Full Initiative
2011-07-18
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siframework/LRI Full Initiative Meeting 2011-18-11|07/18/11 Meeting Minutes
Full Initiative
2011-08-01
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Full Initiative
2011-08-15
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siframework/LRI Full Initiative Meeting 2011-15-08|08/15/11 Meeting Minutes
Full Initiative
2001-08-29
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siframework/LRI Full Initiative Meeting 2011-08-31|08/29/11 Meeting Minutes
Full Initiative
2011-09-12
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siframework/LRI Full Initiative Meeting 2011-09-12|09/12/11 Meeting Minutes
Full Initiative
2011-09-26
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siframework/LRI Full Initiative Meeting 2011-09-27|09/26/11 Meeting Minutes
Full Initiative
2011-10-24
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LRI Full Initiative Meeting Minutes 2011-10-24
Full Initiative
2011-11-07
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LRI Full Initiative Meeting Minutes 2011-11-07
Full Initiative
2011-11-21
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LRI Full Initiative Meeting Minutes 2011-11-21
Full Initiative
2011-12-05
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LRI Full Initiative Meeting Minutes 2011-12-05
Full Initiative
2011-12-19
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LRI Full Initiative Meeting Minutes 2011-12-19
Full Initiative
2012-01-23
LRI Biweekly Initiative 2012-01-23.pptx
LRI Full Initiative Meeting Minutes 2012-01-23
Full Initiative
2012-02-14
LRI Biweekly Initiative 02 13 2012.pptx
LRI Full Initiative Meeting Minutes 2012-02-14
Full Initiative
2012-02-28
LRI Biweekly Initiative 02 27 2012.pptx
LRI Full Initiative Meeting Minutes 2012-02-27
Full Initiative
2012-03/12
LRI Biweekly Initiative 03 12 2012.pptx
LRI Full Initiative Meeting Minutes 2012-03-12

About our Workgroups

Committed members participate in at least one of the following workgroups under the Transition of Care project:
Workgroup
WG Lead
Description
Current Status
Use Case & Requirements
Meredith Vida
Ed Larsen
  • Identify and develop the relevant use cases and functional requirements supporting the business needs for exchange and interoperability.
No longer meeting
Architecture &
Implementation Requirements
Bob Lutolf
Rob Allen
  • Create Lab Reporting deployment models to evaluate how the Lab Reporting Interface specification would work when implemented.
  • Identify the policies, services, regulatory requirements, and other dependencies that are needed to ensure that a Lab Reporting Interface specification is implementable.
No longer meeting; Arch/IR will be splitting into a Pilots WG and a Validation Suite WG
Vocabulary
Cindy Johns
  • Create and re-use harmonized information models that reflect the content identified by both the TOC and LRI Use Cases.
  • Identifies the vocabulary elements and value sets needed to support the LRI Clinical Information Model.
Meeting to assist with IG ballot reconciliation vocabulary-related items
Implementation Guides Analysis
Ken McCaslin
Hans Buitendijk
  • Analyze the two identified HL7 implementation guides that are under consideration for the Lab Reporting Interface specification, and evaluate the content of the guides against the Lab Reporting Interface Use Case Requirements.
Currently ongoing with weekly meetings
Public Health Lab Results
Riki Merrick
Anna Orlova
  • Outline the path forward that will harmonize the existing Public Health HL7 specification with the Lab Reporting Interface specification.
No longer meeting; PH has completed their current charge and will be a community-based initiative going forward
Validation Suite
Robert Snelick
  • Design and build LRI sender (e.g., LIS) and receiver (e.g., EHR) simulators capable of working together to handle LRI-compliant HL7 messages.
  • Formulate and generate complete lab test data set.
  • Provide feedback to LRI IG WG and LRI Vocabulary Workgroup of test results (esp. OIDs, UCUM, SNOMED CT and LOINC).
WG meetings suspended until further notice
Pilots
Robert Dieterle
Meeting jointly with LOI and eDOS Pilots every other Tues at 2 PM Pilot Coordination Meeting
The Lab Results Initiative is coordinated by John Feikema with the guidance of the Office of Interoperability and Standards (OIS) under the Office of the National Coordinator.

How to Get Involved

  • Keep me Informed
    • To be notified about significant events and announcements from the project, follow this site
  • How can I contribute?
  • Add my organization as an official member