LRI+IG+Analysis+WG+Meeting+2012-04-03

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LRI IG Analysis Meeting Minutes
__ **Tuesday 03/13 3:00PM ET-5:00PM ET** __
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**Meeting Agenda:**
[|MSH 21_RobFinal-20120402.docx] ||< Rob Snelick || [|LRI-PossibleBestPracticeSection.doc] ||< Riki Merrick ||
 * < **ID** ||< **Key Discussion Items** ||< **Presenter** ||
 * < 1 ||< Review of MSH.21
 * < 2 ||< Review of Best Practices Section
 * < 3 ||< RU Profiles Discussion ||< Rob Snelick ||
 * < 4 ||< Overall Status Check
 * LRI Production Management
 * Lab IG DSTU Review Page ||< Hans Buitendijk/Bob Yencha ||

Austin Kreisler, Hans Buitendijk, Ernest Grove, Glen Moy, Ken McCaslin, Natalie Menser, Lester Keepper, Shalina Wadhwani, Brian Pech, Bob Yencha, David Burgess, Saunya Williams, Kate Hamilton, Scott Robertson
 * Attendance**

Action Items

 * **#** || **Action** || **Owner** || **Status** || **Due Date** ||
 * 1 || Send all edits and documents for inclusion into the IG to Bob Yencha by COB today || All Members ||  ||   ||

Meeting Notes

 * MSH.21 – Rob Snelick**
 * Suggestions from Rob Snelick:
 * The conformance statements need to appear under the correct heading for each of the 4 different profile combinations
 * These statements should appear under the MSH segment
 * Need to name the pre-coordinated profiles in section 1.10.2
 * Motion to name profiles using underscores with both components and pre-coordinated profiles and prefix all names with “LRI”
 * Austin Kreisler moves, Rob Snelick seconds; 0 against, 0 abstain, 11 for
 * Formatting recommendations from Ken
 * Bring down the “May statements” and make sure they are not buried in the text
 * Hans has made these edits but will leave it to the editors to highlight in the actual IG


 * TimeStamp – Rob Snelick**
 * Rob Snelick proposed to have two timestamp tables because no additional components on the DTM data type
 * For all TS_X timesteps, could break down how the element can be further decomposed (the condition predicate needs to be re-written as well)


 * LRI Best Practices Section – Riki Merrick**
 * Change all instances of “should” to “shall”
 * The definition for “snapshot” is not clear in the base standard
 * There is a snapshot reporting section that can be added to the best practices document
 * Have incorporated an example on Complete Blood Count
 * Motion to include conformance statement “Results should be sent using snap shot mode only” with the paragraph above as explanation in Section 1.7 Key Technical Decisions
 * Austin Kreisler moves, Bob Yencha/Ken McCaslin second; 0 against, 0 abstain, 10 for
 * Concern that some receivers may not accept a resend of a final result and raise an error
 * Future enhancements:
 * OBX-8 and OBX017 do not add any value to the best practices document
 * Motion to add as footnote to OBX.17’s comment
 * Austin Kreisler moves, Ken McCaslin seconds; 0 against, 0 abstain, 10 for


 * RU Profile Components**
 * Motion to change the sentence “This profile component indicates that the test can be identified by either the placer order number only and/or the filler order number only” to “This profile component indicated that the test can be identified using the placer order number or using the filler order number. No additional information is necessary since either identifier on its own is unique.”
 * For the RU profile can the filler order number be unique and the placer number non-unique in the same message?
 * If they don’t than the conformance statements need to change
 * Both are either unique or non-unique
 * Motion to accept yellow highlights in RU Profile Conformance Statement Document
 * Rob Snelick moves, Austin Kreisler seconds; 0 against, 1 abstain, 9 for


 * ORC.31**
 * Ken McCaslin suggested a new RU Usage on the universal service identifier of the parent order
 * Will add proposed language to the RU profile conformance statement document
 * Motion to change ORC.31 to the row above
 * Rob Snelick moves, Ken McCaslin seconds; 0 against, 0 abstain, 10 for


 * Conformance Statement: Base Profile**
 * In LRI – 40 change to “CWE_CR (as indicated in OBX.2 as CWE)”
 * In Table 3-10, note in “Observation Value” SNOMED CT should be used whenever possible when a code exists for Microbiology results, otherwise a local code may be used”
 * See section 4.2 SNOMED CT for guidance on how to value this field for microbiology
 * Motion to change OBX.5 to the row above
 * Ken McCaslin moves, Les Keepper seconds; 0 against, 0 abstain, 10 for


 * Production Management**
 * Section 6 Additional Implementation Guidance doc has already been incorporated into the IG
 * SPM.21 – SPM.24 document is complete, just has to be applied
 * Order Parent/Observation Parent doc has been finalized
 * Hans and Rob will send Bob a zip file to include the example messages
 * Everything on the Production Management page is complete, documents just have to be applied
 * Everyone will send documents and edits left to Bob
 * Thursday the first thing to discuss to be the incorporation of the example messages

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