Section 1d: Version 2 (V2)
Section 2: Clinical and Administrative Domains
Section 3: Implementation Guides
HL7 Version 2.5.1 Implementation Guide: Orders and Observations; Ambulatory Lab Result (ELINCS), Release 1
This HL7 Version 2.5.1 Ambulatory Care Laboratory Result (ELINCS) Implementation Guide provides guidance on how to apply the HL7 Version 2.5.1 standard for the electronic reporting of laboratory test results to electronic health record (EHR) systems found in ambulatory care practices. It is specific to the US Realm. Electronic messaging for other tasks and other contexts is outside the scope of the specification at this time, including messaging for ordering ambulatory lab tests, for reporting inpatient lab results, for reporting lab results outside of the US Realm, and for special-purpose reporting such as public health or biosurveillance.
HL7 Version 2.5.1 Implementation Guide: Orders and Observations; Ambulatory Lab Result (ELINCS), Release 1 may also go by the following names or acronyms:
- Labs and laboratory services
- Ambulatory EHR vendors
- Consistent implementation across disparate systems and disparate organizations.
- This specification provides a single applicable ambulatory care lab-reporting specification that can be adopted as a US standard. This obviates the need for clinical laboratories and EHR systems vendors to define unique specifications for each instance of a laboratory-to-EHR interface.
- Allows lab results to be integrated with the patients electronic health record (EHR) and reviewed as part of a comprehensive medical history
- Quest Diagnostics Incorporated (see http://elincs.chcf.org/Implementations.aspx)
In the mid '90s, the US Centers of Disease Control and Prevention (CDC) and the Council of State and Territorial Epidemiologists (CSTE) identified electronic lab reporting was key to gathering public health data. However, while most, if not all, electronic lab reporting was based in Version 2.x HL7, most implementations were slightly different and many were based on text only. In 2004, the Health and Human Service’s National Coordinator for Health Information Technology, Dr. David Brailer, asked California HealthCare Foundation to lead the development of the EHR-Laboratory Interoperability and Connectivity Specification (ELINCS) implementation guide for laboratory results.
The Ambulatory HealthCare Lab Result Implementation Guide was developed through a collaborative effort of vendors, major clinical laboratories, and various other stakeholders, including HL7.
RESPONSIBLE WORK GROUP
- ANSI-registered Technical Report
- US Realm