LRI+-+Scenario

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**11.0 Scenario**
This Use Case contains one scenario; the laboratory sends clinical laboratory test results for primary care to the Provider as structured data.

11.1 Triggers

 * **Triggering Event** || **Specific Pre-Conditions** || **Description** ||
 * A preliminary test result is verified and ready for release || Laboratory has performed the ordered tests on received specimens to produce the results referenced. ||  ||
 * A final test result is verified and ready for release || Laboratory has performed the ordered tests on received specimens to produce the results referenced.

Laboratory has incorporated calculated and reference data to produce the results referenced ||  ||
 * A corrected test result is verified and ready for release || Laboratory has performed the ordered tests on received specimens to produce the results referenced.

Laboratory has incorporated calculated and reference data to produce the results referenced || The Laboratory has produced a corrected result that replaces a final result. || Laboratory has incorporated calculated and reference data to produce the results referenced. || When incorrect information, such as age or gender, is provided to the Laboratory which was used to calculate normal ranges, abnormal flags or calculations and the test result itself is a correct value, an amended result based on the correct information is issued. ||
 * An amended test result is verified and ready for release || Laboratory has entered manually or through interface corrected data from an order into the Laboratory Information System.
 * An appended test result is verified and ready for release || Laboratory has entered manually or through interface additional data from an order into the Laboratory Information System.

Laboratory has incorporated calculated and reference data to produce the results referenced || The Laboratory reviews the final results and provides additional information without changing the original result values, for clarity. ||

11.2 Activity Diagrams
The visuals below depict a combination of all events described in the scenario flows which are described in further detail in the tables that follow.

**11.2.1 Base Flow of Scenario**

 * **Step #** || **Actor** || **Role** || **Event/Description** || **Inputs** || **Outputs** ||
 * 1 || Laboratory || Results Sender || Laboratory Information System Sends Releasable Laboratory Test Results || Test Results Report || Sent Test Results Report ||
 * 2 || Provider || Results Receiver, Order Placer || Ambulatory Electronic Health Record System Receives Test Results, Incorporates in Structured Format and, if available, Associates with a Patient and Lab Order || Sent Test Results Report || Received Test Results Report, Incorporated Test Results and Associated Test Results with Patient Record & if available the Order ||
 * 3 || Provider || Results Receiver, Order Placer || Accesses & Views Test Results in Ambulatory Electronic Health Record System || Received Test Results Report, Incorporated Test Results and Test Results Associated with Patient Record & if available the Order || Displayed Test Results ||

**11.3.1 Information Interchange Requirements**

 * **Initiating System** ||  || **Information Interchange Requirement Name** ||   || **Receiving/Responding System** ||
 * Laboratory Information System || Send || Lab Test Result || Receives || Electronic Health Record System ||

** 11.3.2 System Requirements**

 * **System** || **System Requirement Name** ||
 * Laboratory Information System || Form a laboratory message with standardized structured data* meeting CLIA and other federal and state regulatory requirements. ||
 * Electronic Health Record System || Incorporate test data from the laboratory message as standardized structured data. ||
 * The definition of structured data can be found in section 2.3.

Previous Versions

 * Click on the version number in the table below to download the Word document for previous iterations of the Lab Results Interface Initiative Use Case Diagram:**
 * **Version Number** ||
 * [|0.1] ||
 * [|0.2] ||

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