LCC Long Proposal - wiki

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Laboratory-Clinical Communications (LCC)


The current order-result paradigm supported under HL7 v. 2 does not capture all the clinically-important interactions related to ordering and resulting laboratory tests. Two key aspects of this limitation are: 1) there is no standard way to convey information between the laboratory and clinicians when modification of orders is required prior to testing, and 2) there is no standard way for the laboratory and clinicians to communicate about a test result that may require verification, clarification, interpretation, or additional work to fulfill the original clinical need.


These communications are typically carried out by phone, which is inefficient for the laboratory and clinicians, is not amenable to automation and decision support, prevents the laboratory from communicating through the EHR as a full member of the patient’s care team, and does not create documentation useful in quality assurance and process improvement. The LCC Profile will define workflows, data elements, and messages to support automated communications between the LIS and EHR about orders and results.