Lab Results InterfacesS&I Framework Initiative

Bi-Weekly Initiative Meeting

May 9, 2011

Agenda

• Remembering the Mission• Moving Forward• Workgroup Updates• Face to Face Meeting• Q&A + Group Discussion

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Remembering the MissionTo enable ambulatory primary care physicians to receive and meaningfully use standardized, structured electronic lab results…• Establish the nationwide Implementation Guide for electronic

submission of Lab Results to Ambulatory EHRs. – EHR vendors, LIS vendors and Labs agree that they can

implement the IG and use it to transmit and consume lab results without a middleman

– Providers broadly adopt EHRs that conform to the LRI IG - facilitated by Meaningful Use, State HIEs, RECs, and product options in the marketplace*

* Success Metrics SWG to help determine the appropriate baseline metrics and target outcomes3

Use Case Consensus• Closing in on full consensus for the use case

– Meaningful Use gives us a unique opportunity to make an impact nationwide – the use case volunteers have stepped up in a big way to produce a high-quality product

– Congratulations to the volunteers and their support staff on their effort to bring this to completion on such tight timelines

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Summer of Standards Harmonization

Major Upcoming Milestones

We Are Here

IG Recomm-endation

April: • Lab Reporting Implementation

Guide Analysis – policy and Conceptual Designs drafted

• In-scope Test approach reviewed and outlined

May:• Recommendations for IG• Clinical Information Models

drafted• Conceptual Designs completed• Vocabulary alignments

completed• Complete Public Health High

Level Roadmap

April May June July August Sept Oct

F2FMeeting

Begin Code Development

June: • Final F2F Meeting to come to

consensus (proposed Jun 13-15)• Prepare documented

specifications and handoff to RI/DP

• Model and XML-Driven Specifications drafted

• Finalized XML and Model-Driven Spec Handoffs to RI/DP and begin working code development

July:• Recommendation to HITSC • Initial Pilot Implementations

August: • Review working code/pilots with

UCR/Harmonization (user acceptance)

September:• “Key Stakeholder” Messaging and

Outreach

Fall:• Draft MU Stage 2 Rule

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Use Case and Functional Requirements • The Final LRI Use Case Documentation Package was posted for

consensus voting by 4/25 with resolution of comments and final consensus targeted for COB 5/5.

• The work of LRI is not done.– To continue the great work you did developing the use case and

functional requirements, we will need our members to continue supporting the initiative through the harmonization, architecture and build activities!

– We also have a few WGs initiated from the use case that will continue…• Use Case Simplification (Cross Spanning Initiative) – Thursdays 10-

11am EDT   • Public Health Reporting – See next slide…

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Public Health Reporting WG• Volunteer Co-leads: TBD

Action Items• Began discussion on scope of Public Health WG efforts

– Outline scope for public health agency, inpatient EHR and ambulatory EHR

– Outline a scope diagram and description

• Start to outline (in a roadmap) the path forward that will harmonize the outbound laboratory messaging interface for results reporting to an EHR with results reporting to a public health agency.

– Use Case Volunteers – please bring your public health expertise to this workgroup

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Implementation Guide Analysis WG• Volunteer Co-Leads: Ken McCaslin, Quest Diagnostics and Hans

Buitendijk, Siemens HealthcareAction Items• Finalize review of policy variances (escape sequences, identifiers,

etc..)• Finalize initial alignment of both HL7 implementation guides to

consensus LRI Use Case• Target an implementation guide “path forward” within 2-3 weeks.Next Steps• Begin message structure variance analysis• Agreement on approach to OIDs and UCUM

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Clinical Information Model & Vocabulary WG• Volunteer Lead: Cindy Johns, LabCorpAction Items• Continue walkthrough of In-Scope Tests to identify most important

tests to be piloted• Walk through the most common and critical in-scope tests, to determine the

appropriate vocabularies and value sets to be applied.

• Continued review of existing clinical information models from FHIM and HL7

– Work on mapping FHIM data elements to IG data elements

• Drafted a Laboratory CIM for review – The CIM may be road-mapped as a longer-term milestone

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Architecture & Implementation Requirements WG• Robert Lutolf and Rob Allen, GensaAction Items• Developed a draft deployment model for review

– Provides a high level overview of how the LRI Implementation Guide (when completed) can be conceptually deployed

• Developed a draft abstract model for review– Highlight the necessary components/services needed to enable exchange of lab

reporting data

Next Steps• Come to consensus on conceptual deployment and abstract model

over the next 2-4 weeks

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Face to Face Meeting

• Tentatively scheduled for June 13-15, located at HHS in Washington D.C.

• Expenses to be covered by volunteers• WG leads are beginning to meet to set the

agenda and key target items to be resolved.• Full consensus should be achieved at this

meeting

Q&A + GROUP DISCUSSION

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