Cerner+Millennium+Pilot+Brief

PROJECT BRIEF: [Cerner LIS and EMR]

Cerner LIS and EMR - ‍**Sponsor(s)/Contact(s):**
Cerner Corporation, Gaby Jewell

Cerner LIS and Cerner EMR-‍**Objectives**
Demonstrate the LIS capability to generate an HL7 v2.5.1 ORU Results message that conforms to the LRI Implementation Guide when a laboratory test ordered by an ambulatory care provider has been verified or modified.

Cerner LIS and EMR-Pilot Term
Cerner expects to be able to demonstrate this capability during Q2 2012.

Cerner LIS and EMR-‍Team Composition

 * **Laboratory** || **LIMS Vendor** || **System Integrator** || **EHR Vendor** || **Ambulatory Provider(s)** ||
 * Inhouse || Cerner PathNet || Cerner Network || Cerner PowerWorks || Inhouse ||

Cerner LIS and EMR-‍Description

 * 1) General description of the pilot: Sending general laboratory and microbiology results from the Cerner PathNet LIS to the Cerner PowerWorks ambulatory system through the Cerner Clinical Hub using the LRI HL7 v2.5.1 specifications
 * 2) Describe how you will demonstrate all of the In Scope items of the S&I Framework Use Case.
 * 3) List which S&I Framework in scope tests you will include
 * 4) List which Implementation Guide Profiles you will include
 * 5) What will be your source of test data?
 * 6) Summarize the contribution of each team member
 * 7) Laboratory (N/A)
 * 8) Contribution
 * 9) Briefly described your approach to covering all CLIA reporting requirements, including but not limited to: result reports statuses; preliminary, final, appended, corrected and/or amended.
 * 10) If there is no laboratory on your team, address which team member will be responsible for the laboratory items # ??? to ??? and describe your approach to addressing the items.
 * 11) LIMS Vendor
 * 12) Contribution: Provide a test domain where lab order and test result will be entered into LIS solution and message will be generated. The LIS will include all CLIA reporting requirements.
 * 13) To which Guide or Standard will the output test result comply? HL7 Version 2.5.1 Implementation Guide: Laboratory Results Interface for US Realm, Release 1, HL7 Version 2.5.1: ORU^R01, DSTU, WIP: 0.21
 * 14) Describe how will you capture the LIMS output message for compliance verification? The message will be written to disk and uploaded to the NIST message validator
 * 15) Describe how you will be returning the minimally required set of information related to an order through a transaction. We will capture and return the patient demographics in the PID segment, the placer order number in ORC-2 and OBR-2, and the ordered test identifier in OBR-4.
 * 16) System Integrator
 * 17) Contribution The Cerner Clinical Hub will accept the message from the LIS and transport it to the Cerner PowerWorks ambulatory system.
 * 18) Describe any transformations that you will be doing between the LIMS output and EHR input. These should include structure and data transforms. None
 * 19) Describe your transport system that is being used in Production environments. Include
 * 20) Established network and policy infrastructure to enable consistent, appropriate, and accurate information exchange across provider systems, data repositories and locator services. This includes, but is not limited to:
 * 21) Methods to identify and authenticate users;
 * 22) Methods to identify and determine Providers of care;
 * 23) Methods to enforce data access authorization policies;
 * 24) Methods to ensure the veracity of data;
 * 25) How the transport mechanism will provide guaranteed delivery and error handling
 * 26) Describe your approach to how detailed audit trails are kept as necessary by all participating systems.
 * 27) EHR Vendor
 * 28) Contribution: Provide a test domain that will receive the lab result messages
 * 29) Describe how will you capture the EHR input message for compliance verification? Using the
 * 30) Describe how you will obtain evidence that the EHR can incorporate test data from the laboratory message as standardized structured data.
 * 31) Ambulatory Provider(s)
 * 32) Contribution
 * 33) If there are no providers on your team, address which team member will be responsible for the provider functions and describe your approach to addressing the provider functions.

‍High Priority Focus Items
Describe your approach to addressing the following High Priority Focus items. The approach should include short term (3months) and long term(9 months)
 * LOINC
 * SNOMED
 * OIDS
 * UCUM

‍LRI Pilot Project Time Line
Include at least the following Milestones
 * **Milestone** || **Target Date** ||
 * LIMS generates the first in scope test result ||  ||
 * Transport system available and tested ||  ||
 * Transformations available and tested ||  ||
 * EHR receives and incorporates first test result ||  ||
 * LIMS can generate all in scope test results ||  ||
 * EHR can receive and incorporate all in scope test results ||  ||

‍Validation Suite
Identify if you intend to use the validation suite

‍Success Metrics

 * 1) Describe the artifacts and verifications that will be used to confirm pilot success.
 * 2) Describe how you will collect data for input to the LRI Success Metrics

‍Required Artifacts and/or Support
Describe any artifacts and support that you need from the LRI Pilots Workgroup, workgroup support staff or ONC.