Lab+Results+Interface+(LRI)+Initiative

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 * Important Notes:**


 * June 1, 2016: Special Announcement ** - The deadline for submissions to the Lab US Realm Pilot Project has been extended to ** June 20, 2016 **. In recognition of the limited timeframe for action under this opportunity acceptable proposals for this S&I Lab Project can focus on production of cost-savings studies that can be used to promote the adoption of the suite of Lab US Realm Implementation Guides. Please contact Mike Flanigan for more information. Note that a non-binding letter of intent can be sent as soon as possible.


 * April 8, 2016 - The recording of the [|Lab US Realm Pilot Project Q&A] is now available.**

Maintenance of the Lab Result Implementation Guide (LRI) is tracked here - LRI Implementation Guides Analysis WG

Charter
There are at least two standard specifications for ambulatory laboratory reporting, neither of which are adopted universally across industry. The cost and time to initiate new electronic laboratory results interfaces hampers broad adoption of such interfaces. The field by field details of HL7 v2 implementation guides used by clinical labs and EHRs vary, creating a need for mapping or configuration per interface, and the prevalence of core subsets of LOINC codes for common tests and analytes also varies, causing downstream issues in decision support and quality reporting.

Purpose and Goals

 * Meaningful Use Alignment** : Incorporate lab results into EHR as structured data. Supports objectives for Decision Support, Quality Reporting, Transitions in Care, and Electronic copies of Clinical Summaries and Discharge Instructions.

Scope

 * Address the challenge of lab reporting to ambulatory primary care providers. This will be driven primarily by the needs of internal medicine, family practice and pediatrics, but may also be leveraged by other providers and settings.
 * Optionally: enable pilots that demonstrate electronic results delivery through the agreed-upon standard, including linkages with directories and transport

Success Metrics

 * ~ Outcome Metrics || # Number of Providers using Lab Results Interface Initiative Outputs
 * 1) Number of Labs using Lab Results Interface Initiative Outputs
 * 2) Number of Lab Results Reporting transactions using Lab Results Interface Initiative Outputs
 * 3) Number of vendors (EHRs, PHRs, LIS Vendors, HIEs) using Lab Results Interface Initiative Outputs
 * 4) Time Reduction to Create a New Lab Interface
 * 5) Cost Reduction to Create a New Lab Interface
 * 6) Meaningful Use Alignment ||
 * ~ Process Metrics || # Number of participants / organizations actively engaged in developing Lab Interface Initiative outputs, e.g.,
 * 1) Wiki user counts
 * 2) Lines of code counts
 * 3) Count of artifact downloads
 * 4) Number of wiki edits, etc. ||

Schedule
Web conference occurs every other Monday from 3:30 PM to 4:30 PM (ET). Find dial-in information on the calendar and navigate to [|siframework1.webex.com] to join.

Members
Lab Interface Initiative Members include stakeholders and participants from across the health care IT industry.

Materials

 * **Meeting** || **Meeting Date** || **Presentation** || **Meeting Minutes** ||
 * Full Initiative || 2011-04-25 || [[file:siframework/LRI Biweekly Initiative 04-25-2011 FINAL.pdf|LRI Biweekly Meeting 04/25/2011]] || - ||
 * Full Initiative || 2011-05-09 || [[file:siframework/LRI Biweekly Initiative - 05-09-11-1 FINAL.pdf|LRI Biweekly Meeting 05/09/2011]] || - ||
 * Full Initiative || 2011-05-23 || [[file:siframework/All Initiative_Final_05232011.pptx|All-Hands Meeting 05/23/2011]] || - ||
 * Full Initiative || 2011-07-18 || [[file:siframework/LRI Biweekly Initiative 07 18 11 FINAL.pptx|LRI Biweekly Meeting 07/18/2011]] || 07/18/11 Meeting Minutes ||
 * Full Initiative || 2011-08-01 || [[file:siframework/LRI Biweekly Initiative 08 01 11.pptx|LRI Biweekly Meeting 08/01/2011]] || - ||
 * Full Initiative || 2011-08-15 || [[file:siframework/LRI Biweekly Initiative 08 15 11.pptx|LRI Biweekly Initiative 08/15/2011]] || 08/15/11 Meeting Minutes ||
 * Full Initiative || 2001-08-29 || [[file:siframework/LRI Biweekly Initiative 08 29 11.pptx|LRI Biweekly Initiative 08/29/2011]] || 08/29/11 Meeting Minutes ||
 * Full Initiative || 2011-09-12 || [[file:siframework/LRI Biweekly Initiative 09 12 11 v2.pptx|LRI Biweekly Initiative 09/12/2011]] || 09/12/11 Meeting Minutes ||
 * Full Initiative || 2011-09-26 || [[file:siframework/LRI Biweekly Initiative 09 26 11.pptx|LRI Biweekly Initiative 09/26/2011]] || 09/26/11 Meeting Minutes ||
 * Full Initiative || 2011-10-24 || [[file:siframework/LRI Biweekly Initiative 10 24 2011.pptx|LRI Biweekly Initiative 10/24/2011]] || LRI Full Initiative Meeting Minutes 2011-10-24 ||
 * Full Initiative || 2011-11-07 || [[file:siframework/LRI Biweekly Initiative 11 07 2011.pptx|LRI Biweekly Initiative 11/07/2011]] || LRI Full Initiative Meeting Minutes 2011-11-07 ||
 * Full Initiative || 2011-11-21 || [[file:siframework/LRI Biweekly Initiative 11 21 2011.pptx|LRI Biweekly Initiative 11/21/2011]] || LRI Full Initiative Meeting Minutes 2011-11-21 ||
 * Full Initiative || 2011-12-05 || [[file:siframework/LRI Biweekly Initiative 12 5 2011.pptx|LRI Biweekly Initiative 12/05/2011]] || LRI Full Initiative Meeting Minutes 2011-12-05 ||
 * Full Initiative || 2011-12-19 || [[file:siframework/LRI Biweekly Initiative 12 19 2011.pptx|LRI Biweekly Initiative 12/19/2011]] || LRI Full Initiative Meeting Minutes 2011-12-19 ||
 * Full Initiative || 2012-01-23 || [[file:siframework/LRI Biweekly Initiative 2012-01-23.pptx|LRI Biweekly Initiative 2012-01-23.pptx]] || LRI Full Initiative Meeting Minutes 2012-01-23 ||
 * Full Initiative || 2012-02-14 || [[file:siframework/LRI Biweekly Initiative 02 13 2012.pptx|LRI Biweekly Initiative 02 13 2012.pptx]] || LRI Full Initiative Meeting Minutes 2012-02-14 ||
 * Full Initiative || 2012-02-28 || [[file:siframework/LRI Biweekly Initiative 02 27 2012.pptx|LRI Biweekly Initiative 02 27 2012.pptx]] || LRI Full Initiative Meeting Minutes 2012-02-27 ||
 * Full Initiative || 2012-03/12 || [[file:siframework/LRI Biweekly Initiative 03 12 2012.pptx|LRI Biweekly Initiative 03 12 2012.pptx]] || LRI Full Initiative Meeting Minutes 2012-03-12 ||

About our Workgroups
Committed members participate in at least one of the following w orkgroups under the Transition of Care project: Ed Larsen || * Identify and develop the relevant use cases and functional requirements supporting the business needs for exchange and interoperability. || No longer meeting || Implementation Requirements || Bob Lutolf Rob Allen || * Create Lab Reporting deployment models to evaluate how the Lab Reporting Interface specification would work when implemented. Hans Buitendijk || * Analyze the two identified HL7 implementation guides that are under consideration for the Lab Reporting Interface specification, and evaluate the content of the guides against the Lab Reporting Interface Use Case Requirements. || Currently ongoing with weekly meetings || Anna Orlova || * Outline the path forward that will harmonize the existing Public Health HL7 specification with the Lab Reporting Interface specification. || No longer meeting; PH has completed their current charge and will be a community-based initiative going forward || > (http://wiki.siframework.org/LRI+Strategy+and+Consensus+Statement) The Lab Results Initiative is coordinated by John Feikema with the guidance of the Office of Interoperability and Standards (OIS) under the [|Office of the National Coordinator].
 * ~ Workgroup ||~ WG Lead ||~ Description ||~ **Current Status** ||
 * Use Case & Requirements || Meredith Vida
 * Architecture &
 * Identify the policies, services, regulatory requirements, and other dependencies that are needed to ensure that a Lab Reporting Interface specification is implementable. || No longer meeting; Arch/IR will be splitting into a Pilots WG and a Validation Suite WG ||
 * Vocabulary || Cindy Johns || * Create and re-use harmonized information models that reflect the content identified by both the TOC and LRI Use Cases.
 * I dentifies the vocabulary elements and value sets needed to support the LRI Clinical Information Model. || Meeting to assist with IG ballot reconciliation vocabulary-related items ||
 * Implementation Guides Analysis || Ken McCaslin
 * Public Health Lab Results || Riki Merrick
 * Validation Suite || Robert Snelick || * Design and build LRI sender (e.g., LIS) and receiver (e.g., EHR) simulators capable of working together to handle LRI-compliant HL7 messages.
 * Formulate and generate complete lab test data set.
 * Provide feedback to LRI IG WG and LRI Vocabulary Workgroup of test results (esp. OIDs, UCUM, SNOMED CT and LOINC). || WG meetings suspended until further notice ||
 * Pilots || Robert Dieterle || * Complete the Pilot Testing goals outlined in the LRI Strategy and Consensus Statement
 * Answer the question: is LRI implementable? || Meeting jointly with LOI and eDOS Pilots every other Tues at 2 PM Pilot Coordination Meeting ||

How to Get Involved

 * **Keep me Informed**
 * To be notified about significant events and announcements from the project, follow this site
 * **How can I contribute?**
 * Visit the Getting Started as a Participant page
 * Review the existing Lab Results Interface project's Workgroups to see where you can contribute
 * Refrain from defacement, abuse, commercial promotion, or other content that violates our Wiki Use Guidelines
 * **Add my organization as an official member**
 * Submit a Statement of Commitmenton behalf of your organization
 * For more information, also contact admin@siframework.org

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