Difference between revisions of "IHE-SNI Lab Harmonization"
Riki Merrick (talk | contribs) |
|||
| Line 67: | Line 67: | ||
# '''Resulting CPs''' Add CPs here as sub-bullets, or link to CP table [[#Change_Proposals | Change Proposals]] on Main IHE Technincal Committee page?'' | # '''Resulting CPs''' Add CPs here as sub-bullets, or link to CP table [[#Change_Proposals | Change Proposals]] on Main IHE Technincal Committee page?'' | ||
| − | ==== Report test results between the laboratory and the provider: | + | ==== Report test results between the laboratory and the provider: LRI (Laboratory Result Interface) guide to IHE LTW (Laboratory Testing Workflow) profile ==== |
# '''Link to LRI''' [http://www.hl7.org/implement/standards/product_brief.cfm?product_id=279 LRI]'' | # '''Link to LRI''' [http://www.hl7.org/implement/standards/product_brief.cfm?product_id=279 LRI]'' | ||
Revision as of 18:43, 2 September 2014
Proposal Editor: Riki Merrick, Vernetzt, LLC
Work Item Editor: Riki Merrick
Date: 08/12/2014, last updated 08/12/2014
Version: 1.0 (draft)
Domain: Clinical Laboratory
Status: Work in progress Fall 2014.
Summary
Create comparison documents of IHE profiles to US realm Lab related Implementaion Guides cited in Meaningful Use (MU) regulation in order to identify gaps and
differences, with the goal of harmonizing approaches to common laboratory use cases.
The Problem
The following US realm S&I lab related Implementation guides: HL7 Version 2.5.1 Implementation Guide: S&I Framework Lab Results Interface, Release 2 - US Realm - being balloted Sep2014 at HL7 HL7 Version 2.5.1 Implementation Guide: S&I Framework Laboratory Orders from EHR, Release 2 - US Realm - being balloted Sep2014 at HL7 HL7 Version 2.5.1 Implementation Guide: S&I Framework Laboratory Test Compendium Framework, Release 2 DSTU Release R1.1 - US Realm Mach 2014 are expected to be included in Meaningful Use regulation (MU) in the US for MU 2017 certificaiton (stage 3), involving product certification testing in order for
providers to be eligible for MU payment incentives. HL7 Version 2.5.1 Implementation Guide: S&I Framework Lab Results Interface, Release 1 - US Realm has been named in MU 2014 Certification (stage 2).
This means that vendors with a customer base in the US will have to support these IGs. It would be beneficial, if the IHE-Lab-Technical Framework and its profiles
were congruent with requirements prescribed in these guides.
Vendor participation in IHE is key to determining the most acceptable denominator. Vendors implementing in the US realm will have to adhere to US regulations – those
may not be needed to be ported all the way into the IHE profiles, but the IHE profile and the IG should not require opposite solutions to the same use case. Harmonize existing profiles with US realm profiles and then republish, where changes were needed. Get Clarifications on different interpretations of the base standard
between the US realm IGs and IHE profiles through work at HL7 Orders and Observations WG.
Use Cases
LIS and EHR-S Vendors operate in an international arena – reducing customization as much as possible will reduce system development resource costs for these
workflows:
Receive results, update results
Exchange of the test compendium between the laboratory and the provider: eDOS (Electronic Directory of Service) guide to IHE LCSD (Laboratory Code Sets Distribution) profile
- Link to eDOS eDOS
- Link to LCSD profile LCSD
- Link to the comparison document ADD LINK!!!
- Comments/Discussion ADD your comments to the comparison doument here!.
- Resulting CPs Add CPs here as sub-bullets, or link to CP table Change Proposals on Main IHE Technincal Committee page?
Place a laboratory order, update a laboratory order: LOI (Laboratory Order Interface) guide to IHE LTW (Laboratory Testing Workflow) profile and possibly the upcoming LCC (Laboratory Clinical Communications) profile
Specific references in LTW: Placer Order Management (LAB-1) and possibly Filler Order Management (LAB-2)
- Link to LCC profile LCC Long Proposal - wiki
Specific references in LCC:
Order replacement (LAB-6):
HL7 v. 2.5.1, Ch. 4 Order Entry
HL7 v. 2.7.1, Ch. 4 Order Entry
HL7 v. 2.7.1, Ch. 2C, Code Tables (Tables 38 and 119)
- Link to the comparison document ADD LINK!!!
- Comments/Discussion ADD your comments to the comparison doument here!.
- Resulting CPs Add CPs here as sub-bullets, or link to CP table Change Proposals on Main IHE Technincal Committee page?
Report test results between the laboratory and the provider: LRI (Laboratory Result Interface) guide to IHE LTW (Laboratory Testing Workflow) profile
Specific references in LTW: Order Results Management (LAB-3)
- Link to the comparison document ADD LINK!!!
- Comments/Discussion ADD your comments to the comparison doument here!.
- Resulting CPs Add CPs here as sub-bullets, or link to CP table Change Proposals on Main IHE Technincal Committee page?
Technical Approach Overview
Introduction
Breakdown of tasks 2014-2015
eDOS to LCSD Comparison
- Completion of gap analysis [Nov 2014]:
- Create list of proposed CPs for IHE profile [Jan 2015]
- Create list of proposed CPs for eDOS document [Jan 2015]
- IHE balloting [Fall 2015]
- HL7 balloting [Fall 2015]
LOI to LTW (LAB-) Comparison
- Completion of gap analysis [Nov 2014]:
- Create list of proposed CPs for IHE profile [Jan 2015]
- Create list of proposed CPs for eDOS document [Jan 2015]
- IHE balloting [Fall 2015]
- HL7 balloting [Fall 2015]
LOI to LTW (LAB-) Comparison
- Completion of gap analysis [Nov 2014]:
- Create list of proposed CPs for IHE profile [Jan 2015]
- Create list of proposed CPs for eDOS document [Jan 2015]
- IHE balloting [Fall 2015]
- Initial Connectathon implementation [N.A. Connectathon, Winter 2016]
- IHE balloting [Fall 2015]
- HL7 balloting [Fall 2015]
Change Proposals
LCSD
- TBD
LTW
- TBD