Difference between revisions of "Sharing Laboratory Reports"

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''' Sharing Laboratory Reports (XD-LAB)''' describes the laboratory report as an electronic content to be shared among a community of healthcare settings and care providers relying on a document sharing infrastructure.
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{| style="color: blue;"
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| '''This profile is part of the Pathology and Laboratory Medicine (PaLM) domain, which merged the former AP and LAB domains since 2016, January 4th.'''
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|}
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''' Sharing Laboratory Reports (XD-LAB)''' addresses the sharing of laboratory reports  among a community of healthcare settings and care providers.
  
  
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==Summary==
 
==Summary==
  
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This Content Integration Profile describes a clinical laboratory report as an electronic document to be published towards a document sharing resource such as an Electronic Health Record (EHR) or in Personal Health Record (PHR) shared by a community of care providers, using one of the document sharing profiles defined in ITI-TF. Such an electronic document contains the set of releasable results produced by a clinical laboratory in fulfillment of one or more test Orders for a patient. The report is shared in a human-readable format. In addition, this electronic laboratory report SHALL contain test results in a machine-readable format, to facilitate the integration of these observations in the database of a consumer system. <br/>
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This Content Integration Profile describes a clinical laboratory report as an electronic document to be published towards a document sharing resource such as an Electronic Health Record (EHR) or a Personal Health Record (PHR) shared by a community of care providers, using one of the document sharing profiles defined in ITI-TF. Such an electronic document contains the set of releasable results produced by a clinical laboratory in fulfillment of one or more test Orders for a patient. <br/>
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The report is both human-readable and importable in the consumer systems so as to consolidate their patient medical records. <br/>
 
The scope of this profile covers all laboratory specialties except anatomic pathology. <br/>
 
The scope of this profile covers all laboratory specialties except anatomic pathology. <br/>
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This profile leverages IT Infrastructure profiles [ATNA] and [CT] for security, and [XDS], [XDM], [XDR] for document sharing.<br/>
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This profile leverages the [Clinical Document Architecture Release 2] (CDAr2) standard from [[http://www.hl7.org HL7]]
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<center>[[Image:ihe_lab_xd-lab_ip.jpg]]</center>
 
<center>[[Image:ihe_lab_xd-lab_ip.jpg]]</center>
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'''Facilitates Patient Care Coordination'''
 
'''Facilitates Patient Care Coordination'''
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* Enables the caregiver to obtain at once the laboratory reports produced during previous episodes of care.
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* Enables the caregiver to obtain at once the laboratory reports produced during previous episodes of care, which enhances continuity of care.
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* Reduce over-ordering and over blood sampling from the patient by sharing the last laboratory reports among the various physicians attending the patient.
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* Reduces over-ordering and over blood sampling from the patient by sharing the last laboratory reports among the various physicians attending the patient.
 
* Enables the physician to consolidate their patient biological history by importing into their EHR the structured and coded data embedded in the electronic laboratory report.
 
* Enables the physician to consolidate their patient biological history by importing into their EHR the structured and coded data embedded in the electronic laboratory report.
 
* Allows a public health laboratory to share broadly its reports related to a suspected outbreak
 
* Allows a public health laboratory to share broadly its reports related to a suspected outbreak
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==Details==
 
==Details==
  
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The '''''Sharing Laboratory Reports (XD-LAB) Integration Profile''''' describes a laboratory report as an electronic document to be shared between various care providers within a document sharing resource. This electronic document has a human-readable format for visualization on screen or print out and embedds each of its reported results as structured and coded data, machine-readable, that can be imported in the database of any consumer of the document.<br/>
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The '''''Sharing Laboratory Reports (XD-LAB) Integration Profile''''' provides an electronic format for the laboratory report, to make this report:
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* human-readable: displayed on screen or printed out, with a proper and clear layout and presentation.
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* machine-readable: Each observation displayed in the report is also represented in the document as a set of structured and coded data that can be imported in the database of any consumer of the document.<br/>
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This double capacity is achieved by leverageing the [Clinical Document Architecture Release 2] (CDAr2) standard from [[http://www.hl7.org HL7]]<br/>
 
The XD-LAB Integration Profile covers six major use cases:
 
The XD-LAB Integration Profile covers six major use cases:
 
* At discharge time, a hospital physician publishing a summary laboratory report with the most significant results obtained during the patient stay.
 
* At discharge time, a hospital physician publishing a summary laboratory report with the most significant results obtained during the patient stay.
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* A healthcare institution produces a cumulative report of all laboratory tests performed for the patient during the encounter.
 
* A healthcare institution produces a cumulative report of all laboratory tests performed for the patient during the encounter.
 
* A public health laboratory shares its reports into a regional repository.
 
* A public health laboratory shares its reports into a regional repository.
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<br/>
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The standard CDAr2 leveraged by XD-LAB enables to share reports embedding images and charts, which are faithfully rendered by a web browser supporting RFC 2397:<br/>
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<center>[[Image:ihe_lab_xd-lab_example.jpg]]</center>
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<br/>
  
 
==Systems Affected==
 
==Systems Affected==
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'''Actors & Transactions:'''
 
'''Actors & Transactions:'''
  
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[[Image:xd-lab_actor_transaction.JPG]]
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<center>[[Image:xd-lab_actor_transaction.JPG]]</center>
 
<br/>
 
<br/>
  
 
==Specification==
 
==Specification==
  
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'''Profile Status:''' [[Comments| Trial Implementation]]   
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'''Profile Status:''' [[Comments| Final Text]]   
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'''Documents:''' [https://www.ihe.net/resources/technical_frameworks/#PaLM IHE Laboratory Technical Framework:]
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:* [https://www.ihe.net/uploadedFiles/Documents/PaLM/IHE_PaLM_TF_Vol1.pdf Vol. 1] - XD-LAB profile overview
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:* [https://www.ihe.net/uploadedFiles/Documents/PaLM/IHE_PaLM_TF_Vol3.pdf Vol. 3] - Content
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'''Computable specification:'''
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:* [https://art-decor.ihe-europe.net/art-decor/decor-project--XDLAB- XD-LAB specified in Art-Decor on ihe-europe.net] - templates and value sets
  
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'''Documents:'''
 
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:* [http://www.ihe.net/Technical_Framework/index.cfm#laboratory IHE Laboratory Technical Framework:]
 
 
'''Underlying Standards:'''
 
'''Underlying Standards:'''
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:* [http://www.hl7.org HL7]
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:* [http://www.hl7.org HL7 CDA Release 2]
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:* [http://www.regenstrief.org/medinformatics/loinc LOINC (Logical Observation Identifiers Names and Codes)]
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:* [http://unitsofmeasure.org/trac The Unified Code for Units of Measure (UCUM)]
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:* RFC 2397
  
 
==See Also==
 
==See Also==
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'''Related Profiles'''
 
'''Related Profiles'''
  
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* '''Integration Profiles LTW depends on'''
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* '''Integration Profiles XD-LAB depends on'''
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:* [[Patient_Administration_Management]] (PAM) or [[Patient_Demographics_Query]] (PDQ) from ITI Technical Framework: The Actors Order Placer, Order Filler, Order Result Tracker shall be grouped with Actors from PAM or PDQ or both.
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:* [[Cross Enterprise Document Sharing]] (XDS) or [[Cross_Enterprise_Document_Media_Interchange]] (XDM) or [[Cross_Enterprise_Document_Reliable_Interchange]] (XDR) from the ITI Technical Framework. Each of these three profiles provides an infrastructure for the sharing of medical documents between the creators and the consumers.
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:* [[Audit_Trail_and_Node_Authentication]] (ATNA) and [[Consistent_Time]] (CT) from ITI Technical Framework: The Actors Order Placer, Order Filler, Order Result Tracker shall be grouped with the Actors "Secure Node" from ATNA and "Time Client" from ATNA.
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:* [[Audit Trail and Node Authentication]] (ATNA) from the ITI Technical Framework, to authenticate and audit the document-sharing transactions: Document storage and registration, document query and retrieval.
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* '''Integration Profiles depending upon LTW'''
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:* [[Consistent Time]] (CT) from the ITI Technical Framework, to ensure accuracy of the time stamps in the shared documents and in the associated metadata.
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:* [[Laboratory_Device_Automation]] (LDA) from the Laboratory Technical Framework: The Actor Automation Manager from the LDA Profile must also be an Automation Manager in the LTW Profile.
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:* [[Laboratory_Point_Of_Care_Testing]] (LPOCT) from the Laboratory Technical Framework: The Actor Order Filler from the Laboratory LPOCT Profile must also be an Order Filler in the LTW Profile.
 
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:* [[Laboratory_Specimen_Barcode_Labeling]] (LBL) from the Laboratory Technical Framework: The Label Information Provider Actor of the LBL profile shall be grouped with either the Order Filler or the Order Placer from the LTW profile..
 
  
 
'''Consumer Information'''
 
'''Consumer Information'''
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[[Category:Profiles]]
 
[[Category:Profiles]]
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[[Category:PaLM Profile]]
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[[Category:DocShare]]
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[[Category:CDA]]

Latest revision as of 09:45, 14 April 2020

This profile is part of the Pathology and Laboratory Medicine (PaLM) domain, which merged the former AP and LAB domains since 2016, January 4th.

Sharing Laboratory Reports (XD-LAB) addresses the sharing of laboratory reports among a community of healthcare settings and care providers.



Summary

This Content Integration Profile describes a clinical laboratory report as an electronic document to be published towards a document sharing resource such as an Electronic Health Record (EHR) or a Personal Health Record (PHR) shared by a community of care providers, using one of the document sharing profiles defined in ITI-TF. Such an electronic document contains the set of releasable results produced by a clinical laboratory in fulfillment of one or more test Orders for a patient.
The report is both human-readable and importable in the consumer systems so as to consolidate their patient medical records.
The scope of this profile covers all laboratory specialties except anatomic pathology.


Ihe lab xd-lab ip.jpg


Benefits

Facilitates Patient Care Coordination

  • Enables the caregiver to obtain at once the laboratory reports produced during previous episodes of care, which enhances continuity of care.
  • Reduces over-ordering and over blood sampling from the patient by sharing the last laboratory reports among the various physicians attending the patient.
  • Enables the physician to consolidate their patient biological history by importing into their EHR the structured and coded data embedded in the electronic laboratory report.
  • Allows a public health laboratory to share broadly its reports related to a suspected outbreak

Details

The Sharing Laboratory Reports (XD-LAB) Integration Profile provides an electronic format for the laboratory report, to make this report:

  • human-readable: displayed on screen or printed out, with a proper and clear layout and presentation.
  • machine-readable: Each observation displayed in the report is also represented in the document as a set of structured and coded data that can be imported in the database of any consumer of the document.

This double capacity is achieved by leverageing the [Clinical Document Architecture Release 2] (CDAr2) standard from [HL7]
The XD-LAB Integration Profile covers six major use cases:

  • At discharge time, a hospital physician publishing a summary laboratory report with the most significant results obtained during the patient stay.
  • The bio-medical scientist of a private laboratory publishes a report for a patient into the regional Patient Health Record.
  • An ambulatory physician shares a laboratory report obtained from a laboratory.
  • A private or public laboratory publishes automatically all its reports in a shared document repository.
  • A healthcare institution produces a cumulative report of all laboratory tests performed for the patient during the encounter.
  • A public health laboratory shares its reports into a regional repository.


The standard CDAr2 leveraged by XD-LAB enables to share reports embedding images and charts, which are faithfully rendered by a web browser supporting RFC 2397:

Ihe lab xd-lab example.jpg


Systems Affected

Systems involved in this profile are:

  • A system owning a laboratory report and willing to publish it into a document sharing infrastructure. Depending upon the use cases, this can be the system of a clinical laboratory (LIS), the EHR of an ambulatory physician, the EMR of a care setting, the system of a public health laboratory. Each of these systems can play the role of Content Creator.
  • The system operated by a professional caregiver who wants to view a laboratory report, and may want to import its structured and coded results into its own database. This system plays the role of Content Consumer.

Actors & Transactions:

Xd-lab actor transaction.JPG


Specification

Profile Status: Final Text

Documents: IHE Laboratory Technical Framework:

Computable specification:

Underlying Standards:

See Also

Related Profiles

  • Integration Profiles XD-LAB depends on


Consumer Information

This page is based on the Profile Template

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