LOI+Vocabulary+WG+Meeting+Minutes+2012-07-17

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**Meeting Agenda:**
||= 15 Minutes ||= Cindy Johns || ||= 45 Minutes ||= Virginia Sturmfels WG Members ||
 * = **ID** ||= **Key Discussion Items** ||= **Duration** ||= **Presenter** ||
 * = 1 ||= Updated LOINC Order Codes Discussion Points
 * = 2 ||= Review Draft LOINC Statement

Attendance
Arlen Dominek, Bill Ormerod, Cindy Johns, Ernest Grove, Jonathan Tadese, Lester Keepper, Maribeth Gagnon, Riki Merrick, Rob Hausam, Saunya Williams, Shalina Wadhwani, Virginia Sturmfels, Zeshan Rajput

Action Items
//No action items at this time.//

Meeting Notes

 * Announcements**
 * LOI Harmonization will kick off as early as next Tuesday, if the use case is submitted on time
 * The harmonization support team wants to make sure at least one Vocab lead can join those calls


 * LOINC Discussion Points**
 * Riki Merrick discussed the document with Glen Moy on July 10th
 * If a lab ordered a test, they should map a LOINC code for that test along with the order code
 * The resolution was that in order for labs to be compliant with ELINCS Orders, they must provide mappings of their proprietary codes to equivalent LOINC codes for the list of common tests described in section 10.1 as part of their directory of services
 * In general, the Vocab WG agreed that if a lab maps a LOINC code for an order, it should be sent by the EHR
 * LOINC order codes from the LOINC common order value set should be mapped by lab experts and provided with test compendium, if possible, but does not need to be sent in the order message by the EHR unless agreed/approved by the lab
 * Cindy updated the document with information that was shared last week at the LOINC committee meeting
 * Cindy will follow up with Reginstreif what the name of the document should be
 * From an HL7 perspective, it is possible to have OBR.4 as “R” for local codes and “RE” for LOINC codes
 * EHRs must be able to accept LOINC order codes if they are sent by the lab


 * Draft LOI Lab Test Order Code**
 * After the call last week, Virginia drafted a statement on using LOINC as a standard order code
 * She used the ELINCS implementation guide v1.0 and the LRI implementation guide v.49 to see the type of wording that was used to define guidance
 * She included the data type and HL7 definition for universal service identifiers
 * Virginia included the templates for the OBR-4 field
 * The HL7 data type of CWE, but the LRI data type for a code required is CWE_CR
 * Riki Merrick suggested putting in the information into a table format and list them individually
 * Virginia is adding a column to the OBR-4 Element Service Identifier table to show LRI usage
 * They removed the sentence “Only subsets of the codes…” under the LOI Recommended Specification
 * They standardized verbage in the document, e.g. standard vs. universal
 * The edited one sentence, “In addition, LOINC should be used as the standard vocabulary to identify the Ordered Test in the Universal Service Identifier (OBR-4), if an appropriate LOINC Order Code exists.”

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