LRI+Pilots+WG+2011-11-15

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 * Date:** 11/15/2011
 * Time:** 4:00-5:00 pm EDT


 * Agenda**
 * Review the status of the Pilots Outreach effort
 * Review/Update Pilot Teams Ecosystem (http://wiki.siframework.org/LRI+Pilot+Teams+Ecosystem)
 * Review ‘LRI Pilots High Priority Items’ (white paper) (http://wiki.siframework.org/LRI+Pilots+WG#x-LRI%20Pilots%20High%20Priority%20Items)
 * Review Action Items (including from Face to Face Meeting)
 * Next Steps
 * Q and A

Rob Allen, Bob Lutolf, Gai Elhanan, Robert Dieterle, Neeli Bajaj, Tom Boal, Joan Duhaime, Ann Clarke, Cynthia Levy, Kishore Metla, Mary Kennedy, Bob Coli, Mary Kennedy, Mike Long, Anjali Gupte, Cindy Johns, Kent Parkins. **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.
 * Attendance **

Joan Duhaime indicated that there is progress being made on developing the ONC pilot website and are requesting pilot teams/participants information for use on the site web pages. In addition, Anjali Gupte noted that the following information will be requested from each participant to define for posting on the website
 * Review the status of pilot outreach effort**
 * Name of the pilot (needs to be unique)
 * Pilot description (should be no more than 100 words)
 * Information about the Organization (also should be no more than 100 words)

Mary Kennedy is not able to be on the call today. Mary is very optimistic in having more information later to report in terms of potential pilot organizations.

Bob Lutolf informed the group that Jitin Asnaani and Bob Dieterle are continuing to perform outreach to potential Electronic Health Records (EHR) vendors to participate as pilots.

A question was asked in terms of the schedule for HIMSS Showcase participation and when the selection process for candidates would be final. Joan indicated that the nomination selection panel may provide information within the next two weeks.

Bob Lutolf shared the LRI pilot requirements document focussing on the high priority items - In Scope Tests, LOINC, SNOMED, OIDs, UCUM and Implementation Guide. The goal is to baseline the pilot operations; we have posted the workgroup's understanding of the requirements for the short term period of six months and long term period beyond 6 months. An email will be sent to all pilot teams and support staff for comment. The workgroup is also requesting pilots to include the type of priority items that will be tested and provide feedback along with the ones that are not being tested - why are they not being considered.

Cindy Johns mentioned the Vocabulary Workgroup will have more meetings to walk through the issues from IG comments and will also address concerns from Validation Suite Workgroup and Pilots Workgroup.

A discussion was held as to what is the exact understanding of "valid" Logical Observation Identifiers Names and Codes (LOINC) code. Cindy stated from the Vocabulary perspective the intent is to use a valid LOINC that is acceptable and active codes in use that are not deprecated. Cindy will post the requirements on the discussion page of the Wiki.

The Implementation guide sent out for balloting will be used as a basis for pilots. As new Implementation guides are provided the new elements will be addressed by the workgroup and communicated to pilots accordingly.

Bob Dieterle questioned how long the pilot process will last and is there an expectation that a pilot would transition to production. It was noted a pilot should run until the end of the comment period for the interim final ruling at the least to provide valuable feedback.

Reports were given by the various pilots present on the call: Lablynx reported their organization would definitely perform tests with LOINCS and Use Unified Code for Units of Measure (UCUM) but not Systematized Nomenclature of Medicine (SNOMED) and would get back to the workgroup on the other types of tests planned for the pilot. There were 2 actions items noted as a result of discussion with Lablynx:
 * Find a Lab partner for Lablynx
 * What to do if a Lab partner cannot be found

Bob mentioned hopefully Mary Kennedy will have labs to report on later to help resolve the issue.

For the pilot reviews Joan mentioned the group is monitoring the process as well as updating information and certainly will qualify more during the course of the review period.

The team for MyHealth Access, MyHealth/Regional Medical Labs, and MyHealth/Covisint reported they are working on a couple of questions internally to answer the pilot questions posed by the workgroup as well as providing more information to expand the pilot brief. Kent Parkins relayed Chuck Tyron is working on completing these items.

Gai reported Halfpenny Technologies is on track to perform the tests for UCUM and OIDS. And they are still looking for EHR vendor partnership. If found one then the proposal of pilot operations without EMR involvement can be ignored.

Kentucky HIE indicated the objective of the pilot is to use the original content obtained from the lab which will be transformed to an HL7 compliant message that will pass the LRI Validation Tool. they are currently working on completing the pilot brief.

Bob stated more outreach is needed for Sonoma Quest and a follow-up will be conducted to complete their pilot brief.

Atlas reported components of eco partnership are in place and they are comfortable using LOINC. There is no specific information at this time and will follow-up with the project manager for more information. Anjali reported Atlas’s page is set up on the Wiki and additional input is required. An email will be sent out for this request.

Joan welcomed the new members present on the call from Lifepoint and encourages everyone to continue joining the meetings. The support team will be in contact to help you with your Wiki page and step you through the next actions.

Cindy Johns clarified that if free text string is being used for the units of measure and if UCUM is not being used, then the string should be placed in the correct field - field for description and not in the field for code.

Bob reviewed the outstanding action items and updated comments accordingly. The action items responses will be posted on the Wiki for review next week.

It was stated the transport mechanism requirement for LRI will need to be a production transport system.

NIST is working on the validation spreadsheet and developing test data. The pilot organizations mentioned they are ready to send data for testing purposes. The workgroup will follow up on what direction Robert Snelick will provide on receiving the data.

Pilots reports Review the Action item and comments
 * Next Steps**

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