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Section 1d: Version 2 (V2)
Section 2: Clinical and Administrative Domains
Section 3: Implementation Guides

HL7 Version 2.5.1 Implementation Guide: S&I Framework Laboratory Test Compendium Framework (eDOS), Release 2 - US Realm

DESCRIPTION

The content of the Laboratory Test Compendium Framework is a Laboratory’s DOS. The content is owned by the sending laboratory for the purpose of being used by the compendium consumer to be able to order laboratory services and to understand the requirements and components of those services.

The Version 2.5.1 Implementation Guide: S&I Framework Laboratory Test Compendium Framework, R2, STU Release 3, is a master file framework Implementation Guide (IG) for the electronic delivery of a laboratory’s Directory of Service (eDOS) to all providers that order lab work including electronic health record systems (EHRs), laboratory information systems (LIS), and others. This provides the mechanisms to provide initial Directory of Services and periodic updates leveraging the HL7 standard and electronic transmissions. eDOS provides the Orderable Tests for a laboratory, the components, specimen information and description of what is provided, including information needed from the patient that has an impact on the results of the test including specimen volume, fasting information, Date of birth and Last menstrual period to name a few.

This document is a companion guide to the HL7 Version 2.5.1 Implementation Guide: S&I Framework Laboratory Orders from EHR - US Realm, referred to as the Laboratory Orders Interface Implementation Guide (LOI IG) and the HL7 Version 2.5.1 Implementation Guide; Orders and Observations; Interoperable Laboratory Result Reporting to EHR (US Realm)” referred to as the Laboratory Result Interface IG (LRI IG).

 

ALTERNATIVE NAMES

HL7 Version 2.5.1 Implementation Guide: S&I Framework Laboratory Test Compendium Framework (eDOS), Release 2 - US Realm may also go by the following names or acronyms:

"HL7 Version 2 Implementation Guide: Laboratory Test Compendium Framework, Release 2", eDOS IG, eDOS, AOE

TARGETS

  • Laboratory Services
  • Clinical and Public Health Laboratories
  • Local and state Department of health
  • EHR Vendors providing laboratory order services

BENEFITS

  • Provides the necessary information for a provide to electronically order laboratory tests for patients
  • Supports reduction of costs for providers, laboratories and vendors while further decreasing error rates by simplifying the exchange of data related to test DOS
  • Improved efficiency for provider’s ordering laboratory tests; support for automated ordering
  • Consistent framework for the delivery of a lab’s Directory of Services (DOS) based on an international standard format
  • Potential cost savings for provider’s practice managers; refer to blog post by Office of National Coordinator (ONC) Steve Posnack, Director of the Office of Standards and Technology and Thomas Sparkman / Vice President, Government Relations, American Clinical Laboratory Association (ACLA) Highlighting a Way to Advance Interoperability and Reduce Costs for Lab Tests

IMPLEMENTATIONS/CASE STUDIES

  • The American Clinical Laboratory Association (ACLA) sponsored Release 1 (Informative).
  • The Office of National Coordinator (ONC) sponsored Release 2.
  • DHHS June 4 2020 mandate (COVID-19 Pandemic Response, Laboratory Data Reporting: CARES Act Section 18115) requirements are included in the AOE IG which is being published separately: https://www.hhs.gov/sites/default/files/covid-19-laboratory-data-reporting-guidance.pdf
  • 2016 ONC-ACLA Blog: Highlighting a Way to Advance Interoperability and Reduce Costs for Lab Tests

DEVELOPMENT BACKGROUND

The Laboratory Test Compendium Framework contains the format to deliver the laboratory order codes for systems that support the electronic laboratory ordering and/or resulting functionality. It was developed jointly with many members of the American Clinical Laboratory Association (ACLA). After completing the Implementation Guide, it was placed on the ACLA web page (http://www.clinical-labs.org/)  and made available for public comment for 45 days beginning in January 2010 (The press release announcement can be found at http://www.clinical-labs.org/documents/PressReleaseITFramework.pdf ). After updating the document based on the public comments, ACLA officially turned over the rights to the document to HL7 on May 6, 2010 (http://www.clinical-labs.org/documents/ACLAlettertoHL7reeDOS.pdf ) to be balloted in September 2010.

Subsequent updates to the eDOS implementation guide were developed by the eDOS Work Group through an initiative supported by the Office of National Coordinator (ONC) Standards & Interoperability Framework, and project sponsored by HL7’s Orders & Observation Work Group with the goal of updating the eDOS IG for compatibility with the LOI and LRI IGs.  Subsequent DSTU updates were published in November 2013, March 2014, and September 2015; these were replaced by the R3 version published May 2018 and subsequently updated January 2021. Additionally, Appendix A (Ask at Order Entry) was extracted and published separately since it is not standard specific and contains content updated for HHS COVID-19 reporting released 2020-06-04.

See ONC-ACLA blog post: https://www.healthit.gov/buzz-blog/interoperability/highlighting-advance-interoperability-reduce-costs-lab-tests 

RELATED DOCUMENTS

HL7 Version 2.5.1 Implementation Guide: S&I Framework Laboratory Test Compendium Framework (eDOS), Release 2 - US Realm

STU DOCUMENTS

HL7 Version 2.5.1 Implementation Guide: S&I Framework Laboratory Test Compendium Framework (eDOS) Ask at Order Entry (AOE), R2, STU Release 3.1 - US Realm Expiration Oct 2022

(Download) (650 KB)

HL7 Version 2.5.1 Implementation Guide: S&I Framework Laboratory Test Compendium Framework (eDOS) R2, STU Release 3.1 - US Realm Expiration Oct 2022

(Download) (1.42 MB)

HL7 Version 2.5.1 Implementation Guide: S&I Framework Laboratory Test Compendium Framework (eDOS) R2, STU Release 3 – US Realm Expiration Jan 2021

(Download) (2.82 MB)

HL7 Version 2.5.1 S&I Framework Implementation Guide: Laboratory Test Compendium Framework, Release 2, DSTU R2 – US Realm Expiration Sep 2017

(Download) (2.33 MB)

TOPIC

  • Laboratory

BALLOT TYPE

  • DSTU
  • STU

STATUS DATE

2013-11-26

RESPONSIBLE WORK GROUP

Orders and Observations

PRODUCT TYPE

  • Implementation Guide

STAKEHOLDERS

  • Clinical and Public Health Laboratories
  • EHR, PHR Vendors
  • Emergency Services Providers
  • Healthcare Institutions
  • Lab Vendors

FAMILY

  • V2

CURRENT STATE

  • Stable

REALM

  • US Realm