LRI+Pilots+WG+Actions+Items

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Action Items
Resolution: an LRI Pilots Issue Tracker Wiki page has been created where one can post new problems and/or issues. || ONC Support Team || Closed || 09/21/2011 || A: No,it may not be appropriate to use the DIRECT protocol due to DIRECT not satisfying the CLIA requirements which would require more work on the part of the Pilot to enable the system to exercise CLIA. || Bob Dieterle, John Ritter || Closed || 09/13/2011 || A: it may not be appropriate to use the DIRECT protocol due to DIRECT not satisfying the CLIA requirements which would require more work on the part of the Pilot to enable the system to exercise CLIA. || ONC Support Team || Closed || 09/13/2011 || Bob Lutolf shared a baseline requirements document to the group for comments and consensus on the WG call on 11/14/2011 and confirmed as baseline after incorporating the recommended changes that can be found at http://wiki.siframework.org/LRI+Pilot+Requirements || Use Case WG || Closed || 11/22/2011 || This is out of scope but may include to keep the work flow and find matching patient for piloting as desired by each pilot. || Use Case WG || Closed || 11/22/2011 || Bob Lutolf also shared the baseline requirements that includes UCUM at http://wiki.siframework.org/LRI+Pilot+Requirements || Use Case WG || Closed || 11/22/2011 || Kent Parkins had discussions with ONC (Jitin Asnaani) in this regard and related action item# 28. Kent will provide updates to the group. 12/06/2011:The requirements language needs to be changed. || Kent Parkins || WIP ||  || This will also be addressed in the 'Pilot Communication Plan' to be presented to the group. || LRI Pilots WG || WIP ||  || http://wiki.siframework.org/LRI+Pilot+Requirements and the In Scope Tests covering the vocabulary (LOINC) can be found at http://wiki.siframework.org/In-Scope+Test+Review || LRI Pilots WG || Closed || 11/22/2011 || http://wiki.siframework.org/LRI+Pilot+Requirements || LRI Pilots WG || Closed || 11/22/2011 || 12/06/2011: Bob Lutolf will research the CLIA requirements. || Bob Lutolf || WIP ||  || Few other related questions: How much test data? What data (anonymous / synthetic / scrubbed etc.)? How and what role will NIST play in providing the test data? evaluate use of Redmine for pilot bug tracking (from the Oct Face-to-Face meeting)
 * 1. || 09/06/2011 || Answer the question: When is outreach for new pilots complete? || ONC Support Team || Closed ||  ||
 * 2. || 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.
 * 3. || 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 || Closed || 09/13/2011 ||
 * 4. || 09/06/2011 || Make sure all the wording matches for the Pilot configuration section of the Pilots Guide. || ONC Support Team || Closed || 09/20/2011 ||
 * 5. || 09/06/2011 || 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.
 * 6. || 09/06/2011 || Document Jitin Asnaani's vision and put it in the Purpose section of the Pilots Guide. || ONC Support Team || Closed || 09/13/2011 ||
 * 7. || 09/06/2011 || Render MS Project file as .html or .xls and post to wiki along with native file. || ONC Support Team || Closed || 09/13/2011 ||
 * 8. || 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 || Closed || 09/13/2011 ||
 * 9. || 09/06/2011 || Q: 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?
 * 10. || 09/06/2011 || Include Kathryn Calderone in F2F Workgroup Lead meetings. || ONC Support Team || Closed || 09/06/2011 ||
 * 11. || 09/27/2011 || Create a Face-to-Face Wiki page for the LRI Pilots WG, summarizing homework to read prior to the meeting, etc. || ONC Support Team || Closed || 10/01/2011 ||
 * 12 || 10/18/2011 || Review and baseline requirement to use OIDs, SNOMED & UCUM from Use Case (from the Oct Face-to-Face meeting)
 * Response:** Bob Lutolf put together a white paper to be discussed in the Pilot WG call on 11/14/2011 - Document can be found under 'LRI Pilots High Priority Items' section in Pilots WG page http://wiki.siframework.org/LRI+Pilots+WG
 * 13 || 10/18/2011 || Allow the Use case to begin with the Lab order which allows matching of order and patient (from the Oct Face-to-Face meeting)
 * Response:** Review the 'In Scope' and 'Out of Scope' sections of the Use Case document available at http://wiki.siframework.org/LRI+-+FINAL+Use+Case
 * 14 || 10/18/2011 || Recommend that labs transmit their own units of measure in the correct field (from the Oct Face-to-Face meeting)
 * Response:** This is related to UCUM recommendation. Bob Lutolf put together a white paper to be discussed in the Pilot WG call on 11/14/2011 - Document can be found under 'LRI Pilots High Priority Items' section in Pilots WG page http://wiki.siframework.org/LRI+Pilots+WG
 * 15 || 10/18/2011 || Add to scope: National lab, Regional lab, Community and Clinic (from the Oct Face-to-Face meeting)
 * Response:** Kent Parkins will be providing the definitions for discussion on the WG call. This can be added to the 'Pilot Feedback' list for inclusion in the scope. || Kent Parkins || Closed ||  ||
 * 16 || 10/18/2011 || Do the pilot use case requirements correlate with the MU2 requirements? (from the Oct Face-to-Face meeting)
 * Response:** Review the 'In Scope' and 'Background' sections of the Use Case document available at http://wiki.siframework.org/LRI+-+FINAL+Use+Case
 * 17 || 10/18/2011 || What Transport mechanism is required? use Direct? (from the Oct Face-to-Face meeting)
 * Response:** No requirement on specific transport mechanism. A transport system that is being used in Production environments is good. || LRI Pilots WG || Closed || 11/22/2011 ||
 * 18 || 10/18/2011 || How will IG errors be handled? (from the Oct Face-to-Face meeting)
 * Response:** Depending on the type of error and at what stage, there are several tracking mechanisms:
 * 1) LRI Pilots Issue Tracker at http://wiki.siframework.org/LRI+Pilots+Issue+Tracker
 * 2) LRI Pilot bug tracking tool (Redmine as a possibility being evaluated by Pilot Support Team)
 * 3) As described in the HL7 DSTU guide
 * 19 || 10/18/2011 || Update pilot page with final vocabulary list. (from the Oct Face-to-Face meeting)
 * Response:**This is dependent on the baseline requirements confirmed by the Pilots WG as in the action item# 12. The baseline requirements can be found at
 * 20 || 10/18/2011 || Update pilot page with a clarification of the Consensus Statement (from the Oct Face-to-Face meeting)
 * Response:** The Vocabulary WG has updated with their inputs. The pilot baseline requirements document also takes care of these items that can be found at
 * 21 || 10/18/2011 || LRI Pilot WG needs to determine how to create the first iteration of the pilot with the current IG and then make changes for final IG without too much additional work (from the Oct Face-to-Face meeting)
 * Response:** This item should be addresses in the 'Pilot Communication Plan' to be presented to the group. There could be three versions to be supported,
 * 1) balloted version
 * 2) DSTU version (not yet final)
 * 3) Final normative version || LRI Pilots WG || Closed ||   ||
 * 22 || 10/18/2011 || What is the EHR's responsible for the message after the EHR has received it (Save, locate, redisplay)? (from the Oct Face-to-Face meeting)
 * Response:** The use case requires EHR to "incorporate" the results. Research needs to be done if CLIA requires/mentions to 'save' the message.
 * 23 || 10/18/2011 || How to confirm that the EHR has consumed and can display the results? (from the Oct Face-to-Face meeting)
 * Response:** Using the recommendation from NIST Validation Suite (should be consistent with the use case and CLIA). || LRI Pilots WG || WIP ||  ||
 * 24 || 10/18/2011 || What criteria should be used to determine the test baseline? (from the Oct Face-to-Face meeting)
 * Response:** This would have to be discussed with other WG teams including NIST. || LRI Pilots WG || WIP ||  ||
 * 25 || 10/18/2011 || Meet with the IG group about IG finalization (from the Oct Face-to-Face meeting)
 * Response:** This would have to be discussed with the IG WG team. || LRI Pilots WG || WIP ||  ||
 * 26 || 10/18/2011 || Will there be cross system testing with pilots? (from the Oct Face-to-Face meeting)
 * Response:** No requirement but is a good idea if pilots can plan and coordinate for such effort. This item needs to be confirmed by the work group and if all are in consensus then close this action item. || LRI Pilots WG || WIP ||  ||
 * 27 || 10/18/2011 || Create LRI value statements from lab perspective, LIS vendor perspective, integrator perspective and EHR vendor perspective (from Oct Face-to-Face meeting)
 * Response:** Support Team provided an initial draft and received feedback. As of 11/01/2011 WG meeting, Bob Lutolf is going to take a shot at them. || Bob Lutolf || WIP ||  ||
 * 28 || 10/18/2011 || Letter from CMS that involvement in LRI won't jeopardize any present or future MU stages and attestation levels (from the Oct Face-to-Face meeting)
 * Response:**Support Team discussed with ONC in this regard. Kent Parkins had discussions with ONC (Jitin Asnaani) in this regard and related action item# 16. Kent will provide updates to the group. || Kent Parkins || WIP ||  ||
 * 29 || 10/18/2011 || Create templates for test plan and test cases (from the Oct Face-to-Face meeting)
 * Response:** Refer to the 'LRI LIS Test Plan' section in Pilots WG page http://wiki.siframework.org/LRI+Pilots+WG || ONC Support Team || Closed || 11/15/2011 ||
 * 30 || 10/18/2011 || Need initial documents rather than a PDF: Consensus Statement, Use Case & IG (from the Oct Face-to-Face meeting)
 * Response:** These are available on the wiki and can be found at Pilots WG page http://wiki.siframework.org/LRI+Pilots+WG || ONC Support Team || Closed || 11/01/2011 ||
 * 31 || 10/18/2011 || Post NIST slide on pilot wiki (from the Oct Face-to-Face meeting)
 * Response:** Posted on the wiki under 'Fall 2011 S&I Face-to-Face Powerpoint Slides' section in Pilots WG page http://wiki.siframework.org/LRI+Pilots+WG || ONC Support Team || Closed || 11/15/2011 ||
 * 32 || 10/18/2011 || Must the pilots use a live demo at HIMSS? (from the Oct Face-to-Face meeting)
 * Response:** Yes. Pilots that are participating in HIMSS Interoperability Showcase 2012 will have to use live pilot demonstration. || ONC Support Team || Closed || 11/01/2011 ||
 * 33 || 10/18/2011 || What is the estimated effort (hours) and cost to do the LRI Pilot? (from the Oct Face-to-Face meeting)
 * Response:** There is some statistical estimation in this regard provided at http://wiki.siframework.org/LRI+-+Success+Metrics+SWG || ONC Support Team || Closed || 11/01/2011 ||
 * 34 || 10/18/2011 || Create a template or sample pilot submission for HIMSS (from the Oct Face-to-Face meeting)
 * Response:** This has been created and distributed to the pilot participants interested in HIMSS 2012 Interoperability Showcase. || ONC Support Team || Closed || 11/01/2011 ||
 * 35 || 10/18/2011 || What is the estimated effort (hours) and cost to update to HL7 2.5? (from the Oct Face-to-Face meeting)
 * Response:** It depends. More clarification required such as what is the current version being used and what tests, etc. from the information requested member during the WG call and addressed accordingly || LRI Pilots WG || WIP ||  ||
 * 36 || 10/18/2011 || Reach out to professional lab groups for possible pilot matches (from the Oct Face-to-Face meeting)
 * Response:** Support Team continues to reach out to the lab groups. Request to Mary Kennedy for providing the list of groups to follow up. || ONC Support Team Mary Kennedy || WIP ||  ||
 * 37 || 10/18/2011 || Determine if the open source EHR (OpenEMR - certified) is acceptable to use in a pilot (from the Oct Face-to-Face meeting)
 * Response:** Yes open source EHR is acceptable. **Note:** Neither Pilot Support Team nor NIST has the resources to support openEMR solution for pilots at this point || ONC Support Team || Closed || 11/08/2011 ||
 * 38 || 10/25/2011 || Set up a conference call with Bob Lutolf, Rob Snelick and other personnel for the discussion on BAA agreements related to the LRI test data
 * Response:** call has been scheduled and taken place. || ONC Support Team || Closed || 10/28/2011 ||
 * 39 || 10/28/2011 || Q: Does the pilot teams need to work on BAA for using any test data provided by several lab sources?
 * Response:** Rob Snelick will be talking to Jitin Asnaani in this regard. || Rob Snelick || WIP ||  ||
 * 40 || 11/01/2011 || Evaluate use of Redmine for pilot bug tracking
 * Response:** Support Team shared with the workgroup that it is a great free tool and is being used by the RI team to track RI issues and recommends if any pilot team is looking for a bug tracking tool. || ONC Support Team || Closed || 11/08/2011 ||
 * 41 || 11/01/2011 || Provide information to the pilot teams on - what constitutes readiness for HIMSS 2012 Interoperability Showcase? On the same lines, What about LRI Pilots readiness? || ONC Support Team || Open ||  ||
 * 42 || 11/01/2011 || Post new proposed pilot brief template and reach out to pilot teams to use the new template
 * Response:** Support Team posted the new brief template at http://wiki.siframework.org/LRI+Pilot+Brief+Template and sent out e-mails to the committed pilot teams to update their charter/brief accordingly. || ONC Support Team || Closed || 11/15/2011 ||
 * 43 || 11/01/2011 || Share information related to the "black box" transformation and validation
 * Response:** Dr. Gai and Bob Lutolf presented to the work group and added to the Pilot Guide. || Dr. Gai || Closed || 11/08/2011 ||
 * 44 || 11/01/2011 || Upload to wiki the proposed high priority items
 * Response:** Posted to wiki under 'LRI Pilots High Priority Items' section in Pilots WG page http://wiki.siframework.org/LRI+Pilots+WG || ONC Support Team || Closed || 11/02/2011 ||
 * 45 || 11/04/2011 || Prepare and propose a 'Communication Plan' for pilots || ONC Support Team || Open ||  ||
 * 46 || 11/14/2011 || Post 'LRI Pilot Requirements' baseline proposal (Bob Lutolf document) to wiki
 * Response:** Posted to wiki at http://wiki.siframework.org/LRI+Pilot+Requirements || ONC Support Team || Closed || 11/14/2011 ||
 * 47 || 11/22/2011 || Update 'LRI Pilot requirements' baseline document with Cindy Johns comments and post the updated document on wiki || Robert Lutolf || Open ||  ||

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