LRI+Pilots+WG+2011-09-06

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 * Date:** 9/6/2011
 * Time:** 4:00-5:00 pm EDT

**Meeting Agenda:**

 * Review updates from New/Prospective LRI Pilots Workgroup committed members
 * Introduce Community Members interested in sponsoring pilots Wiki Page
 * Review the status of the Pilots Outreach effort
 * Discuss prospective LRI Test Data WG
 * Call for participants interested in being WG Chair
 * Review updated timeline
 * Project Plan document on the wiki
 * Connectathon and HIMSS deadlines and requirements
 * Review LRI Pilots Guide
 * Discuss Face-to-Face meeting scheduled for Oct 18, 19
 * Agenda items
 * Goals of F2F
 * Next Steps
 * Q and A

Attendance
Rob Allen, Neeli Bajaj, Tom Boal, Kathryn Calderone, David Colbert, Robert Coli, Robert Dieterle, Joan DuHaime, Anjali Gupte, Freida Hall, Cynthia Levy, Mike Long, Bob Lutolf, Mark Marostica, Kishore Metla, John Ritter, Bob Yencha


 * Note:** If you attended this meeting and are not listed above, please contact David Colbert (David.L.Colbert@lmco.com or 443-348-2828) to be added to the list.

Action Items
Go to Action Items page LRI Pilots Workgroup. Indicate where you can help. || S&I Framework Members || Open ||  ||
 * **#** || **Date Initiated** || **Action** || **Owner** || **Status** || **Date Closed** ||
 * 1. || 08/01/2011 || Sign up for LRI Pilots Wiki and
 * 2. || 08/01/2011 || Review LRI Architecture WG Wiki || Workgroup Members || Open ||  ||
 * 3. || 08/01/2011 || Review LRI Implementation Guide WG Wiki || Workgroup Members || Open ||  ||
 * 4. || 08/01/2011 || Review LRI Vocabulary WG Wiki || Workgroup Members || Open ||  ||
 * 5. || 08/01/2011 || Review LRI Strategy and Consensus Statement page || Workgroup Members || Open ||  ||
 * 6. || 09/06/2011 || Answer the question: When is outreach for new pilots complete? || ONC Support Team || Open ||  ||
 * 7. || 09/06/2011 || Develop a problem tracking and issue resolution system for use during pilot activities. Examples will be testing of Validation Suite, communications with Implementation Guide group, LOINC codes. || ONC Support Team || Open ||  ||
 * 8. || 09/06/2011 || Update the LRI Project Plan. Add phases and objectives, such as a rollout period of 24 months; add dates for MU and feedback to the schedule. || ONC Support Team || Open ||  ||
 * 9. || 09/06/2011 || Make sure all the wording matches for the Pilot configuration section of the Pilots Guide. || ONC Support Team || Open ||  ||
 * 10. || 09/06/2011 || Answer this question: can Direct be used as the Transport protocol? Direct may not be able to report results. We need to find out for certain, particularly if there is something Direct needs to do to make it work. || Bob Dieterle, John Ritter || Open ||  ||
 * 11. || 09/06/2011 || Document Jitin Asnaani's vision and put it in the Purpose section of the Pilots Guide. || ONC Support Team || Open ||  ||
 * 12. || 09/06/2011 || Render MS Project file as .html or .pdf and post to wiki along with native file. || ONC Support Team || Open ||  ||
 * 13. || 09/06/2011 || Invite Jitin to an LRI Pilots meeting or have a separate conversation to determine the feasibility of pilot candidates participating in this year's Connectathon and HIMSS Interoperability Showcase. || ONC Support Team || Open ||  ||
 * 14. || 09/06/2011 || When we consider Direct as a Transport protocol it has some issues with regulatory compliance that we don't see with other protocols. Do we need a separate Pilot Guide/configuration for Direct or should we assume it needs to fit into the standard guides? || ONC Support Team || Open ||  ||
 * 15. || 09/06/2011 || Include Kathryn Calderone in F2F Workgroup Lead meetings. || ONC Support Team || Closed || 09/06/2011 ||

Meeting Purpose & Objectives
Monday status meeting for the Lab Results Interface Pilots (LRI Pilots) workgroup. This meeting will focus on Demos and Pilot activities.

Meeting Note

 * Review updates from New/Prospective LRI Pilots Workgroup committed members**
 * Introduced Ron Ranauro and John Ritter, with College of American Pathologists (CAP), newest pilot to sign on.
 * Joan DuHaime reviewed the status of the Pilots Outreach effort and invited members to share their goals.


 * Discuss prospective LRI Test Data WG**
 * Call for participants interested in being WG Chair. Pilots and Validation WGs agree on the need for test data. We've considering forming a new workgroup to work on this, as the other two WGs will both use the data.
 * Rob Snelick is working through his own approach for testing the Validation Suite. It may be more limited than the full testing envisioned by Cyndi Johns.
 * Pilots WG will use the same test cases as the Validation Suite, but it is up to pilot groups whether they will use the Validation Suite itself.


 * Review updated timeline**
 * Project Plan document on the wiki
 * Connectathon and HIMSS deadlines and requirements

>> Do we need to have some form of security artifact identifying the sender or the recipient?
 * Review LRI Pilots Guide**
 * Timeline of efforts that LRI Pilots WG will be doing, as well as milestones
 * Schedule
 * Recruit Pilots (end point up in air -- labs, LIMS vendors, EHR vendors, system integrators)
 * Develop Test Strategy -- part of Pilot Guide. Take tests available in Validation Suite and use them in Production Environment.
 * Develop Pilot Guide -- should answer major questions; tell piloter what they need to be doing
 * Review Pilot Proposals -- help piloters through the pilot process
 * IG Available
 * Vocabulary available
 * Test Data available
 * Val Suite available
 * Design Pilot Configurations
 * Conduct Pilots
 * Pilot sub-tasks
 * Pilot wrap-up document
 * ** ACTION :** Answer the question "When is outreach for new pilots complete?"
 * Pilots don't have an end date, since they begin as pilots then continue on. There will, however, be a feedback loop built into each pilot activity. Feedback to ONC is a fairly hard date since it is built into MU, Stage 2.
 * Bob Dieterle asked how we capture and apply lessons learned. We may have issues with Validation Suite, with LOINC codes, tests outside of 144 tests. Do we have a process for identifying each of those potential problems? Rob Allen responded that we develop a process to share these incidents among all workgroups and feed back to pilotees.
 * The Pilot Workgroup is the "project manager" for the pilots. ONC Support Team will stand up a process and add to the Pilot Guide the communication channels.
 * **ACTION** :ONC Support - develop problem tracking and issue resolution system for use during pilot activities. Examples will be testing of Validation Suite, communications with Implementation Guide group, LOINC codes.
 * LRI Strategy and Consensus statement = 12-24 months.
 * For the LabLynx LIMS, UCUM will not be starting from scratch.
 * **ACTION** : ONC Support -Update the LRI Project Plan. Add phases and objectives, such as a rollout period of 24 months; add dates for MU and feedback to the schedule. The date for Meaningful Use is November/December.
 * Part of the issue with UCUM is that it was primarily developed for radiology. Many labs have no experience with it. The labs may be using something similar to UCUM, but not sending it at precisely the right spot in the message. UCUM will have two distinct profiles, one with OIDs and one without.
 * We can post things on the wiki regarding approach and establish them as best practices. One of the biggest issues with SNOMED is developing expertise in it and gaining traction. Pilot groups can share their experiences on the wiki.
 * LRI Pilots Guide
 * **ACTION** : Make sure all the wording matches for the Pilot configuration section of the Pilots Guide
 * **ACTION** : Answer this question: Can Direct be used as the Transport. Direct may not be able to report results. We need to find out for certain, particularly if there is something Direct needs to do to make it work. Bob Dieterle and John Ritter will follow up.
 * **ACTION** : When we consider Direct as a Transport protocol it has some issues with regulatory compliance that we don't see with other protocols. Do we need a separate Pilot Guide/configuration for Direct or should we assume it needs to fit into the standard guides?
 * Production infers that pilots are passing real PHI. John Ritter felt that Production meant a real system currently in use passing live data. If it is truly a Production environment with a lab involved, then CLIA becomes more involved. This would require an IG further along than ours will be. We intend to take our pilots to Production, but it may require multiple phases to get things there.
 * **ACTION** : Document Jitin Asnaani's vision and put it in the Purpose section of the Pilots Guide.
 * We will use it to determine what we can do in the short term, to determine use of Production data in HIMSS demo or pilot, and to guide in using the test harness with test data in a Production system.
 * **ACTION** : Render MS Project file as .html or .pdf and post to wiki along with native file.
 * **ACTION** : Invite Jitin to the meeting or have a separate conversation to determine the feasibility of pilot candidates participating in this year's Connectathon and HIMSS Interoperability Showcase.
 * Discuss Face-to-Face meeting scheduled for Oct 18, 19**
 * Agenda items
 * Problem solving. Discuss any problems the pilot teams are having and work with
 * Cynthia Levy suggested joint sessions with Implementation team. The leads can discuss the scheduling.
 * John Ritter, Bob Dieterle, Robert Coli, and Bob Yencha will be attending the F2F working sessions.
 * **ACTION** : Joan include Kathryn Calderone, Deloitte, on the F2F invitation

Next Meeting
** WebEx link: [|siframework2.webex.com] ** ** Dial-in: 1-408-600-3600  | Passcode: (see LRI Pilots WG page). **
 * Date: Tuesday, 9/13/2011**
 * Time: 4:00 p.m. EDT**

Reference Materials See the Reference Materials section on the LRI Pilots WG page.

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