Project Summary for IHE-Lab Profile to US Realm Lab guides Harmonization
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Project Details
Number | 1199 View Ballot Items List (with NIBs) |
---|---|
Name | IHE-Lab Profile to US Realm Lab guides Harmonization |
Sponsor(s) | Orders and Observations Work Group |
Co-Sponsor(s) | Healthcare Standards Integration, Public Health Work Group |
Steering Division | Administrative |
Description | Comparison of IHE Profiles to US-Realm specific Lab related IGs with the goal to create comparison documents of IHE profiles to US realm Lab related Implementation Guides cited in Meaningful Use (MU) regulation in order to identify gaps and Differences in order to harmonize approaches to common laboratory 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: 1. Exchange of the test compendium between the laboratory and the provider: eDOS (Electronic Directory of Service) guide (HL7 project ID#973) to IHE LCSD (Laboratory Code Sets Distribution) profile 2. Place a laboratory order, update a laboratory order: LOI (Laboratory Order Interface) (HL7 project ID#922) guide to IHE LTW (Laboratory Testing Workflow) profiles, specifically Placer Order Management (LAB-1) and possibly Filler Order Management (LAB-2) and possibly the upcoming LCC (Laboratory Clinical Communications) profile 3. Report test results between the laboratory and the provider: LRI (Laboratory Result Interface) guide (HL7 project ID#792) including the ELR (Lab results to Public Health profile) (HL7 project ID#737) to IHE LTW (Laboratory Testing Workflow) profile, specifically Order Results Management (LAB-3) |
Project Facilitator | Riki Merrick |
Status | Archived |
SD Approval Date | Oct 5, 2015 |
TSC Approval Date | Oct 27, 2015 |
Type | - Other - |
Objectives / Deliverables | Issues spreadsheet for consideration for eDOS <-> IHE LCSD - Target: Jul 2016 Issues spreadsheet for consideration for LOI <-> IHE LAB-1,2,6 and LCC - Target: Jul 2016 Issues spreadsheet for consideration for LRI / ELR <-> IHE LAB-3 - Target: July 2016 Project End Date (all objectives have been met) - Target: Dec 2017 |
Next Milestone Date | 2018 September WGM |
Project End Date | 2018 September WGM |
Project Intent | N/A (Project not directly related to an HL7 Standard) |
Project Need | 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 (Sept 2014 ballot cycle) HL7 Version 2.5.1 Implementation Guide: S&I Framework Laboratory Orders from EHR, Release 2 - US Realm (Sept 2014 ballot cycle) HL7 Version 2.5.1 Implementation Guide: S&I Framework Laboratory Test Compendium Framework, Release 2 DSTU Release R2 (Jan 2015 ballot cycle) and HL7 Version 2.5.1 Implementation Guide: Electronic Laboratory Reporting to Public Health, Release 2 (US Realm) (DSTU update following harmonization with LRI R2 - expected June 2015) are expected to be included in Meaningful Use regulation (MU) in the US for MU 2017 certification (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. |
Implementers | |
Security Risks | No |
External Drivers | For the US Lab realm guides the MU 3 time table is applicable. No specific due dates outside of HL7 projects, though coordination with IHE lab’s publication of the updated Lab Technical Framework is desired. |
Common Names / Keywords/ Aliases | LOI, LRI, eDOS, ELR, IHE-Lab Technical Framework, LCC, LTW |
Lineage | |
Dependancies | HL7 Version 2.5.1 Implementation Guide: S&I Framework Lab Results Interface, Release 2 - US Realm - HL7 project ID#792 HL7 Version 2.5.1 Implementation Guide: S&I Framework Laboratory Orders from EHR, Release 2 - US Realm - HL7 project ID#922 HL7 Version 2.5.1 Implementation Guide: S&I Framework Laboratory Test Compendium Framework, Release 2 DSTU Release R2 - HL7 project ID#973 HL7 Version 2.5.1 Implementation Guide: Electronic Laboratory Reporting to Public Health, Release 2 (US Realm) - HL7 project ID#737 |
Project Document Repository |
Interim content: http://wiki.ihe.net/index.php?title=IHE-SNI_Lab_Harmonization |
Backwards Compatibility | Yes |
External Vocabularies | Yes |
Products | V2 Messages-Clinical |
Joint Copyright? | No |
External Pjt Collaborators | |
Realm | Realm Specific - Enter "U.S." or name of HL7 Affiliate below |
HL7 Affiliate | U.S. |
Stakeholders | Clinical and Public Health Laboratories, Standards Development Organizations (SDOs) |
Vendors | EHR, PHR; Health Care IT; Lab |
Providers | Clinical and Public Health Laboratories; Local and State Departments of Health; Healthcare Institutions (hospitals, long term care, home care, mental health); Other (specify in Misc. Notes below) |
Ballot Cycle Info | Leave blank until NIB is submitted |
Misc Notes | 2019 September: OO WG archived project. Nov 2015: TSC approved DSTU extension request for HL7 Version 3 Domain Analysis Model: Laboratory Orders, Release 1 at TSC Tracker 8894 for 12 months. |
U.S. Govt Interest? | Yes |
USRSC Approval | |
FMG Approval | |
ARB Approval | |
Start Date | Aug 27, 2015 |
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