LRI+IGs+Analysis+WG+Meeting+2011-10-04

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LRI IGs Analysis WG Meeting Minute**s**
 **Time:** 3:00PM – 4:00PM EDT  **Dial-in:** 1-408-600-3600
 * Date: ** 10/04/2011


 * Meeting Agenda:**
 * < **ID** ||< **Key Discussion Items** ||< **Duration** ||< **Presenter** ||
 * 1 || Discuss changes in WebEx time requirements || 2 Minutes || Kathryn Calderone ||
 * < 2 ||< Discuss progress on Rob Snelick's LRI-GU-RU-Profile_20110927_tb1.xlsx ||< 30 Minutes ||< Rob Snelick ||
 * < 3 ||< Discuss Hematology Categories of Rob's Spreadsheet from the chemistry perspective ||< 15 Minutes ||< Cindy Johns ||
 * < 4 ||< Discuss progress on genetic and reflex testing ||< 10 Minutes ||< Riki Merrick ||
 * < 5 ||< Discuss any questions on the IG Ballot Reconciliation ||< 5 Minutes ||< Kathryn Calderone/Bob Yencha ||

Attendance
Hans Buitendijk, Kathryn Calderone, Freida Hall, Kate Hamilton, Cindy Johns, Austin Kreisler, Ken McCaslin, Natalie Menser, Van Nguyen, Brian Pech, Zeshan Rajput, Rob Snelick, Sheryl Taylor, Bob Yencha

Action Items

 * **#** || **Date Initiated** || **Action** || **Owner** || **Status** || **Date Closed** ||
 * 1 || 10/04/2011 || Touch base with Lockheed Martin regarding additional WebEx sessions; Austin Kreisler can assist. || Kathryn Calderone || In Progress ||  ||
 * 2 || 10/04/2011 || Email F2F Organizers updated Agenda || Ken McCaslin || In Progress ||  ||
 * 3 || 10/04/2011 || Log a negative comment in the HL7 ballot with regard to the snapshot vs. multiple messages || Austin Kreisler || In Progress ||  ||
 * 4 || 10/04/2011 || Send the document on Culture and Susceptibility that was worked on during this session to Kathryn Calderone || Hans Buitendijk || In Progress ||  ||

Meeting Notes

 * Comments from Rob Snelick regarding the IG analysis spreadsheet and implementation guide: there does not seem to be a 1:1 relationship between the two documents with regard to data elements discussed; there seems to be lots of left over text in the IG from Public Health that was not reviewed, and it is not always clear what needs to be included.
 * Bob Yencha: The current comments in the document include a mix from the original document; we can anticipate overall changes that will include striking much of this additional “Public Health” text
 * Face to Face WebEx Info: Check on whether WebEx will be available- we need to check with Lockheed
 * Austin can provide a WebEx for calls; he will be at IG calls; not physically in DC
 * Hans will be on the call for Leads on Monday; he will be there in person on the second day of Face to Face;
 * Rob Snelick’ Spreadsheet
 * Went through a list of messages that we were contemplating for the first core set of validation suite; we decided which ones should be included in IG; For the IG, we want at least one for each category; for the validation suite, we will want more than one;
 * In the document on HL7 Messages, those that are marked in yellow should be included in IG. The group decided on 5:
 * Hemoglobin 718-7,
 * CBC
 * HL7 Messages for Microbiology LAB Orders
 * <span style="font-family: 'Arial','sans-serif'; font-size: 13.3333px;">HL7 Messages for Susceptibility LAB Orders/Results
 * <span style="font-family: 'Arial','sans-serif'; font-size: 13.3333px;">Surgical Pathology Study (Skin Biopsy)
 * <span style="font-family: 'Arial','sans-serif'; font-size: 13.3333px;"> HL7 Messages for Culture & Susceptibility Lab Orders/Results
 * <span style="font-family: 'Arial','sans-serif'; font-size: 13.3333px;">For each Data Element, there are several comments, and it has been quite a time consuming process to go through them all.
 * <span style="font-family: 'Arial','sans-serif'; font-size: 13.3333px;">The group decided that there is a need for someone with Lab experience to weigh in on the call; we need someone who can look at these messages and make sure that the relationships and messages are constructed correctly;
 * <span style="font-family: 'Arial','sans-serif'; font-size: 13.3333px;">Riki Merrick could be a good candidate to provide support in this capacity.
 * <span style="font-family: 'Arial','sans-serif'; font-size: 13.3333px;">During F2F the group will spend time on this; we will allocate more than an hour; plan on doing it on Wednesday so Hans can be there.
 * <span style="font-family: 'Arial','sans-serif'; font-size: 13.3333px;">Ken will send an email to organizers to add it to agenda; Austin will add the comment as a negative to the ballot so we can track the comments that need addressing.
 * <span style="font-family: 'Arial','sans-serif'; font-size: 13.3333px;">The proposal is to have this session right after lunch;
 * <span style="font-family: 'Arial','sans-serif'; font-size: 13.3333px;">The group also agreed that they should suggest a package that can just generate fake addresses, names, etc; HL7 has a set they use;
 * <span style="font-family: 'Arial','sans-serif'; font-size: 13.3333px;">The agreement is to have 5 examples of messages for now.
 * <span style="font-family: 'Arial','sans-serif'; font-size: 13.3333px;">Culture and Susceptibility Results (ELR)
 * <span style="font-family: 'Arial','sans-serif'; font-size: 13.3333px;">A-3; we have templates and we have actual examples
 * <span style="font-family: 'Arial','sans-serif'; font-size: 13.3333px;">Start with A-3:1: as an example of how we should split things
 * <span style="font-family: 'Arial','sans-serif'; font-size: 13.3333px;">We have the possibility of 4 messages, or one large message; variations will be in both the order numbers and then in the MSH (different messages identified differently);
 * <span style="font-family: 'Arial','sans-serif'; font-size: 13.3333px;">Microbiology reporting around multiple messages produced for culture and sensitivity panels; the general consensus was to provide a snapshot of a single message;
 * <span style="font-family: 'Arial','sans-serif'; font-size: 13.3333px;">Austin will log a negative comment with regard to the snapshot vs. multiple messages. Hans will send Kathryn the document on Culture and Susceptibility for posting on the wiki. There is a considerable amount of language about snapshot processing in ELR that was removed; we may want to see what we want to pull back in; we will need complete snapshots of what has happened before.
 * <span style="font-family: 'Arial','sans-serif'; font-size: 13.3333px;">Rob Snelick- Categorized Tests for LRI Testing Compiled ST v8.xlsx
 * <span style="font-family: 'Arial','sans-serif'; font-size: 13.3333px;">What is the goal of the spreadsheet- LOINC codes for each of 147 tests; What is the purpose: writing HL7 messages for the test cases/ testing the case of sending hospital lab results to an outsider EHR;
 * <span style="font-family: 'Arial','sans-serif'; font-size: 13.3333px;">In certain cases, there is more than one LOINC code; we want the same methodologies and sources for identifying the appropriate codes.
 * <span style="font-family: 'Arial','sans-serif'; font-size: 13.3333px;">In general, it would be helpful to run the decisions by the Vocab workgroup since they developed the in scope test list;
 * <span style="font-family: 'Arial','sans-serif'; font-size: 13.3333px;">The group decided that the focus should be on the specimen type of the panels; putting together the most common specimen type to fit into panels; The Vocab group will provide this information;
 * <span style="font-family: 'Arial','sans-serif'; font-size: 13.3333px;">Sheryl to reach out to Cindy Johns for help.
 * <span style="font-family: 'Arial','sans-serif'; font-size: 13.3333px;">Thursday’s meeting: continue discussion of Categorized Tests and put them into HL7 messages; Riki is helping to incorporate these into the IG.
 * <span style="font-family: 'Arial','sans-serif'; font-size: 13.3333px;">The group has identified 5 examples for Rob Snelick to look at and will be looking at tentative ideas for discussion during the F2F regarding micro/bio/susceptibility.
 * <span style="font-family: 'Arial','sans-serif'; font-size: 13.3333px;">We will also review Riki’s action item from this meeting: Discuss progress on genetic and reflex testing.

Next Meeting

 * Date:** 10/06/2011
 * Time:** 3:00- 4:00 PM EDT
 * Dial in:**<span style="color: #000000; font-family: 'Arial','sans-serif'; font-size: 13.3333px;"> 1-408-600-3600

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