HL7 Version 2.5.1 Implementation Guide: Laboratory Results Interface, Release 1 STU Release 4 - US Realm

DESCRIPTION

This guide provides guidance on how to communicate laboratory results in general from a (reference) Laboratory’s LIS to a system interested in lab results, e.g., EHR, Public Health, other Laboratory. It covers general lab results, as well as specifications focused on micro-biology, newborn dried bloodspot screening, and clinical genomics. The guide includes particular guidance that can be pre-adopted to support pandemic response reporting to public health and references preliminary guidance to include SOGI/Gender Harmony data.

ALTERNATIVE NAMES

HL7 Version 2.5.1 Implementation Guide: Laboratory Results Interface, Release 1 STU Release 4 - US Realm may also go by the following names or acronyms:

BENEFITS

• Consistent implementation across disparate systems
• Provides an applicable ambulatory care lab-reporting specification that can be adopted as a US industry standard, thereby obviating the need for clinical laboratories and EHR systems to define anew the specifications of each laboratory-to-EHR interface that is implemented

IMPLEMENTATIONS/CASE STUDIES

• Association of Public Health Laboratories for their ETOR portal (ordering of Antimicrobial Resistance testing in WA, TN, MD, WI, TX and Mycobacterium tuberculosis testing in CA)
• Department of Clinical Laboratory Services Virginia for the NDBS profile of the LRI
• Texas Department of Health Laboratory for the NDBS profile of LRI
• Clinical genomics results from molecular reference lab to clinical lab or EMR (Epic)
• Numerous providers/laboratories reporting pandemic response data to public health.

DEVELOPMENT BACKGROUND

This guide is one component of an overall project originated by the Health Information Technology Standards Panel (HITSP) to the Office of the National Coordinator (ONC) that established implementation guides for aspects of the American Health Information Community (AHIC) use cases that can be recognized by the Secretary of the Department of Health and Human Services (HHS). In particular, this guide addresses messaging content and dynamics related to the AHIC Harmonized Use Case for Electronic Health Records (Laboratory Result Reporting), an AHIC EHR-Lab Result use case. This was later published by ONC as part of their requirements for Meaningful Use Phase 1 to enable the reception of a lab test observation into an EHR system.

Subsequent versions expanded the scope to merge the Electronic Health Reporting for Public Health into the overarching LRI implementation guide, as well as included newborn dried blood spot screening and clinical genomics, inclusion of data critical for pandemic response reporting to public health, and references to preliminary guidance on SOGI/Gender Harmony data inclusion.

RELATED DOCUMENTS

HL7 Version 2.5.1 Implementation Guide: Laboratory Results Interface, Release 1 STU Release 4 - US Realm

STU DOCUMENTS

	HL7 Version 2.5.1 Implementation Guide: Laboratory Results Interface Release 1, STU Release 4 – US Realm	(Submit Feedback on STU)	(Download) (4.61 MB)
	HL7 Version 2.5.1 Implementation Guide: Laboratory Results Interface Release 1, STU Release 3 – US Realm	Expiration Jun 2022	(Download) (7.36 MB)
	HL7 Version 2.5.1 Implementation Guide: S&I Framework Lab Results Interface, Release 1, DSTU R2 – US Realm	Expiration Sep 2017	(Download) (2.65 MB)
	HL7 Version 2.5.1 Implementation Guide: S&I Framework Lab Results Interface, Release 1- US Realm	Expiration Jul 2016	(Download) (1.01 MB)

TOPICS

• Care Provision
• Laboratory
• Patient Care
• Public Health

BALLOT TYPE

• STU

STATUS DATE

2012-07-16

RESPONSIBLE WORK GROUP

PRODUCT TYPE

• Implementation Guide

STAKEHOLDERS

• Clinical and Public Health Laboratories
• EHR, PHR Vendors
• Emergency Services Providers
• Health Care IT Vendors
• Healthcare Institutions
• HIS Vendors
• Lab Vendors
• Local and State Departments of Health
• Regulatory Agency
• Standards Development Organizations (SDOs)

FAMILY

• V2

CURRENT STATE

• Active

REALM

• US Realm