Laboratory+Results+Interface+Quickstart+Page



This quickstart pages provides the need-to-know information to get involved or simply learn more about the Laboratory Results Interface Initiative. You will find summary background information on the initiative, as well as major documents and deliverables pertinent to the LRI mission, below.

Why should we improve lab reporting to ambulatory primary care providers?
There are at least two standard implementation guides for ambulatory laboratory test reporting, neither of which are adopted universally across the industry. The lack of a single, comprehensive implementation guide for the result reporting interfaces drives the cost and time to implement such interfaces up, and consequently hampers broad adoption of such interfaces. The Laboratory Results Interface (LRI) Initiative holds importance and relevance because it enables the incorporation of laboratory results as structured data (Meaningful Use Stage 1) as well as the incorporation of laboratory results through well-defined interfaces as standardized structured data potential (Meaningful Use Stage 2).

The scope of the initiative has been primarily driven by the needs of internal medicine, family practice and pediatrics, but may also be leveraged by other providers and settings. The ultimate goal of the initiaitve is to develop an Implementation Guide that will define the core data elements required for ambulatory care core clinical laboratory test results in the US Realm. The clinical laboratory test results will we standardized structured data so that they can be incorporated that way into a certified EHR.

Background on the S&I Framework Laboratory Results Interface
If you are looking to get started with the LRI initiative, start by reading some of the background materials produced. This will give you a good start at understanding the challenges faced by ambulatory laboratories across the nation when it comes to test reporting, the approach taken by the S&I Framework to address these challenges, and the building blocks necessary as an implementer.

**I want to understand the context of this initiative and what community-led decisions were made**: It was created to develop a set of parameters for use in the LRI work and to define interoperability requirements. You may want to review it to learn more about what the LRI initiatives have based their work off of. || Final || The tables in this spreadsheet were extracted from the Use Case document for convenience of those users that may not need the context of the requirements. || Final || It was created to compile all consensus statements from all LRI Initiatives into one area to be used in the LRI Implementation Guide. You may want to review it to learn more about the outcomes from the LRI Initiatives, and how they will be used in the LRI Implementation Guide. || Final ||
 * **Type** || **Name** || **Description** || **Version** ||
 * [[image:siframework/word_icon.png]] || [[file:siframework/HHS_ONC_Laboratory Results Reporting to Primary Care Providers in an Ambulatory Setting_Use Case_FINAL_Approved.docx|LRI Use Case]] || The LRI Use Case Requirements contains a single scenario: Laboratory Sends Clinical Laboratory Test Results for Primary Care to Provider as Standardized Structured Data.
 * [[image:siframework/excel_icon.png]] || [[file:siframework/HHS_ONC_Laboratory Results Interface Initiative_UCR_Functional Requirements and Datasets_042511_FINAL.xlsx|LRI Functional Requirements]] || Provides the functional requirements of the LRI Initiative as defined by the Use Case
 * [[image:siframework/wiki_icon.png]] || LRI Consensus Statements || Provides the participant list and consensus statements for the LRI Use Case.

**I want to understand LRI architecture, implementation requirements, and pilot demonstrations:** **I want to learn more about the appropriate vocabularies from transmitting a Laboratory message:** You may want to review it if you are interested in participating in pilot testing, or would like to know more about what LOINC terms will be piloted. || Final || **I want to participate in a LRI pilot:** You may want to review it if you are interested in participating in an LRI pilot, or if you would like to comment on the pilot guide. || Draft || You want to review it to select test cases that are relevant to your particular installation. || Final ||
 * **Type** || **Name** || **Description** || **Version** ||
 * [[image:siframework/wiki_icon.png]] || LRI Sequence and Activity Diagrams || Depicts the interaction between the various systems involved in the LRI use case. || Final ||
 * [[image:siframework/wiki_icon.png]] || LRI Deployment Models || Describes the various deployment models and configuration of services required to implement the LRI use case. It provides examples of how organizations might deploy the LRI capabilities created by the LRI Initiative. || Final ||
 * [[image:siframework/wiki_icon.png]] || LRI Policy & Service Identification || Provides model linkages to the policies and services to ensure LRI specification is implementable. || Final ||~  ||~   ||~   ||
 * **Type** || **Name** || **Description** || **Version** ||
 * [[image:siframework/wiki_icon.png]] || LRI in scope test list || Contains a recommended in-scope test list for LRI pilot testing of LOINC vocabulary.
 * **Type** || **Name** || **Description** || **Version** ||
 * [[image:siframework/wiki_icon.png]] || LRI Pilots Guide || Provides LRI Pilot participants with the information required to successfully plan and conduct an LRI pilot.
 * [[image:siframework/word_icon.png]] || [[file:siframework/NIST_LRI_LIS_TestPlan 1 2 102811.docx|LRI LIS Test Plan]] || The Lab Information Systems (LIS) test plan provides a comprehensive set of test cases for testing LISs for conformance to the HL7 V2.5.1 LRI Implementation Guide, and for creating additional test cases.

Laboratory Results Implementation Guidance
This section is your quick, one-stop shop for all things implementation. As the Implementation Guide is finalized, it will be utilized by the Pilots and Validation Suite WGs to evaluate the feasibilty of a Lab Results Interface and the transmission of standardized lab results You may want to review it if you would like to vote on or otherwise provide comments during the HL7 balloting, or during the S&I Framework's ballot reconciliation (occurring twice weekly during LRI IG WG calls). || Draft ||
 * **Type** || **Name** || **Description** || **Version** ||
 * [[image:siframework/word_icon.png link="@file:siframework/V251_IG_SIF_LABRESULTS_R1_N1_v20.docx"]] || [[file:V251_IG_SIF_LABRESULTS_R1_N1_V49_20120714.docx]] || Provides implementation guidance on enabling the incorporation of clinical laboratory test results in an EHR as standardized structured data using the defined inter-organizational laboratory transaction.

Laboratory Results Interface Communication and Educational Materials
Want to get an idea of what a laboratory results interface is and what the standards involved mean? Need resources to help in crafting a laboratory message? The S&I Framework has put together a collection of marketing and communication aids for organizations and pilot programs that are interested in learning more about the value of electronic laboratory reporting. In addition, a series of informative one-page guides are provided to educate the healthcare community on the standards used for care transitions. You may want to review it if you would like a brief overview of the Laboratory Results Interface Initiative. || Final ||
 * **Type** || **Name** || **Description** || **Version** ||
 * [[image:siframework/ppt_icon.png link="@file:siframework/LRI One Pager_v03.pptx"]] || [[file:siframework/LRI One Pager_v03.pptx|LRI One Pager]] || Provides a one page overview of the S&I Framework LRI initiative.

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