LRI+Pilots+WG+2011-10-25

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 * Date:** 10/25/2011
 * Time:** 4:00-5:00 pm EDT

Rob Allen, Bob Lutolf, Frieda Hall, Neeli Bajaj, Tom Boal, Joan Duhaime, Gai Elhanan, Ann Clarke, Robert Dierterle, Cynthia Levy, Kishore Metla, Mary Kennedy, Chuck Tryon, Bob Coli,Virginia Sturmfels , Mary Kennedy, Mike Long, Chitra Raghu, Cindy Johns, David Susanto, Mike Long, Robert Snelick, Kent Parkins.
 * Meeting Agenda **
 * Review updates from New/Prospective Workgroup committed members
 * Introduce Community Members interested in sponsoring pilots Wiki Page
 * Review the status of the Pilots Outreach effort
 * Review status of Action Items (http://wiki.siframework.org/LRI+Pilots+WG+Actions+Items)
 * Review Update Pilot Teams Ecosystem (http://wiki.siframework.org/LRI+Pilot+Teams+Ecosystem )
 * Discuss Face to Face meeting that took place Oct. 18, 19; review Bob Lutolf meeting notes and Q/A
 * Workgroup discussion with Pilot participants on their ideas for proposed pilots
 * Next Steps
 * Q and A
 * Attendance**
 * Note: ** If you attended this meeting and are not listed above, please contact Ann Clarke ( ann.r.clarke@lmco.com  or 443-348-2765) to be added to the list.

Bob reported on several pilot organizations interested in participating for HIMSS 2012 Interoperability Showcase are in the process of finalizing their nominations and eco-system partnerships. He also informed the group of an email sent by Kent Parkins from RML in relation to few pilot organization concerns and few possible action items, which will be discussed later in the meeting.
 * Review updates from New/Prospective Workgroup committed members **

The following information was reported on status of the Pilots Outreach effort:
 * My Health Access will not be able to participate as a pilot for the HIMSS 2012 Interoperability Showcase.
 * Epic has promised to give confirmation as a pilot by the end of next week.
 * Mike Long from Lablynx indicated that his organization has drafted a nomination form. A question was asked in terms of the cost for the HIMSS showcase registration under ONC umbrella. The cost was confirmed as $5,500.00 as of now but could be reduced later.Support Team will surely notify the pilot participants as they become aware of any such change.
 * Bob informed the workgroup that meetings continue with NextGen who may partner with Epic. Hopefully confirmation will be determined by next week.
 * Mary Kennedy from CAP is also looking for potential pilot organization participants as well. The value statement is being reviewed internally for which Mary feels a good message will be derived.
 * RML indicated the organization will participate as a pilot but will not be a part of the HIMSS Showcase.
 * Open source EHR as a pilot participant was discussed. An email was sent to Jitin regarding this concern and the workgroup is awaiting confirmation on this item.

Overall the session went well with the objective to answer potential member’s questions. The workgroup is currently addressing feedback on the email received. Bob relayed all action items are closed except for the first action item to answer the question: When is outreach for new pilots complete?
 * F2F **
 * Review status of Action Items **

The workgroup reviewed the following Action Items listed within the email sent by Kent Parkins and made comments:
 * 1) When is SNOMED optional for Pilots ? When is SNOMED CT required for Pilots ?
 * 2) Guarantee no risk of interrupting MU Stage Objectives. Requested letter from CMS that involvement in LRI would not hazard any present or future MU stages and attestation levels
 * 3) LRI pilot guide should reflect conformity to practical application for National, Regional, Community, Hospital and Clinical lab scenarios.
 * Interface capabilities – Many will need to support multiple version of HL7 inbound and outbound.
 * Content capabilities – Coding and nomenclature reference options should be allowed. LIS black box.
 * 1) Requested specific language be added to not limit to Ambulatory EHR’s but expand to relevant EMR/EHR settings for lab involved

The group discussed on item 1 about SNOMED being optional and if possible not to include in the pilot proposal. One participant noted that there is no intent to use SNOMED for Anatomic Pathology. The result of the recommended testing applies to how reports are generated ex. PDF or Blog type of fields. Cindy Johns indicated SNOMED applies to certain fields such as in micro. The workgroup expressed there are concerns in regard to SNOMED and not sure whether it should be included or not included in the test. Bob stated this will have to be clarified in the pilot proposal in order to address the concerns and also mentioned for example that UCUM and OIDs are out of scope.

The group discussed on item 2. This will have to be passed on to ONC as a concern.

The workgroup decided to add a paragraph in the pilot guide in terms of item 3 listed in the email for further clarification on National, Regional, Community, Hospital and Clinical lab scenarios. Kent Parkins will provide a short description/definition on each one.

Mark Kennedy asked for clarification on what it means for a pilot to be production ready. Bob stated it is up to the individual pilot; some subset of a production system may be used. The goal is the pilot should be production ready or production like type of system. A pilot can also begin as a test with the intention of going production.

Robert Snelick reported NIST will not certify a test for optional fields and indicated the test is not rejected because of being an optional field. Frieda Hall mentioned the profiles are specific to pertinent in patient settings and this should be confirmed with the people who have developed the Implementation Guide (IG). The group agreed that having the terminology written within the pilot guide would be more meaningful to the pilot organizations.

Robert Snelick indicated data should be synthetic by removing the content of a patient’s name and address. The group decided a follow-up is necessary to reach agreement on data concerns and also if legal letters are needed. The group agreed to discuss these items further at the next workgroup meeting and address the remainder of email concerns.
 * Next Steps **
 * Next Meeting**
 * Date: Tuesday, 11/01/2011** **ime: 4:00 p.m. EDT****WebEx link:** [|**siframework2.webex.com**]**Dial-in: 1-408-600-3600 | Passcode: (see** **LRI Pilots WG** **page).**

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