HL7 Version 2.5.1 Implementation Guide: Orders and Observations; Interoperable Laboratory Result Reporting to EHR, Release 1

DESCRIPTION

The Version 2.5.1 Implementation Guide; Orders and Observations; Interoperable Laboratory Result Reporting to EHR (US Realm), Release 1 provides guidance on how to apply the Version 2.5.1 standard to the exchange of laboratory results from the testing source between providers and other authorized parties, such as Public Health. It also 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.  This implementation guide focuses on key points of broad interoperability, including use of strong identifiers for key information objects and use of vocabulary standards.  (Note: This guide does not address laboratory orders.)

ALTERNATIVE NAMES

HL7 Version 2.5.1 Implementation Guide: Orders and Observations; Interoperable Laboratory Result Reporting to EHR, Release 1 may also go by the following names or acronyms:

TARGETS

• Laboratory Services
• US Clinical and Public Health Laboratories
• Local and State Departments of Health

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

• Public Health

DEVELOPMENT BACKGROUND

This guide was one component of an overall project delivered 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.

 

In March, 2006, the HHS Office of the National Coordinator For Health IT published the Harmonized Use Case for Electronic Health Records (Laboratory Result Reporting) in response to a request and specifications from the American Health Information Community (AHIC). The use case focuses on widely-available, well-standardized methods that will support the secure access to electronic laboratory results and interpretations for clinical care by authorized parties and is driven by the need for timely electronic access to ordered, referred and historical lab results. Ordering clinicians receive lab test results as a response to an order by having the test results sent either directly to the clinician’s EHR system (local or remote) or to another clinical data system in support of the provisioning of historical results.

RELATED DOCUMENTS

	HL7 Version 2.5.1 Implementation Guide: Orders and Observations; Interoperable Laboratory Result Reporting to EHR, Release 1		(Download) (1.07 MB)
	HL7 Version 2 Implementation Guide: Clinical Genomics; Fully LOINC-Qualified Genetic Variation Model (US Realm)	(View Brief)	(Download) (450 KB)

TOPICS

• HHSFR
• Laboratory
• Public Health

BALLOT TYPE

• Informative

STATUS DATE

2008-02-07

RESPONSIBLE WORK GROUP

STAKEHOLDERS

• Clinical and Public Health Laboratories
• Local and State Departments of Health

FAMILY

• V2

CURRENT STATE

• Stable

REALM

• US Realm