LRI+Public+Health+WG+Meeting+Minutes+2011-5-25

include component="page" wikiName="siframework" page="LRI Header"
 * Date:** May 25th, 2011


 * Name:** LRI Public Health Lab Results Workgroup Meeting 5


 * Agenda/Objectives:**
 * **Topic** || **Time Allotted** ||
 * Introduction of Common Data Elements for ELR || 4:00 - 4:20 ||
 * Review of Comments Associated with Review of S&I Framework Reportable Labs Use Case
 * User Story
 * Scenario
 * Activity Diagram
 * Sequence Diagram
 * Functional Requirements
 * Dataset Considerations || 4:20– 4:45 ||
 * FTF Meeting Agenda || 4:45 - 4:55 ||
 * Introduce Revised Scope Document for As Homework Item for the Week of 5/25 – 6/1 || Time Permitting ||

Kathy Walsh, Kosta Makrodimitris, Kathy Walsh, Rita Altamore, Andrea Pitkus, Cindy Vinion, Austin Kreisler, Ken Gerlach, Kathryn Calderone, Kate Hamilton, Hal Jiang, Bob Yencha, Dave Shelvin
 * Workgroup Attendees:**

Riki Merrick, Merideth Vida, Ed Larsen, Erik Pupo
 * Panelist Attendees:**


 * Action Items**
 * **Action Item** || **Status / Next Steps** || **Lead** || **Contributors** || **Due Date** ||
 * Provide table of required data elements from ELR IG. || Completed || Riki Merrick || n/a || 5/26/11 ||
 * Review and provide comments on required data elements from ELR IG developed by Riki Merrick. || In Progress || Workgroup Members || n/a || 6/1/11 ||
 * Review and provide comments on the usage of codes provided by Riki Merrick. || In Progress || Workgroup Members || n/a || 6/1/11 ||
 * Review and provide comments on Public Health Reportable Lab Results || In Progress || Workgroup Members || n/a || 6/1/11 ||

__**Workgroup Discussion:**__
 * Key Discussion Points: Common Data Elements**
 * The Common Data Element document was put together as ensure that CTSE included the common core data elements across both case and lab reporting in the conditions statements.
 * The list of data elements included in this document are not meant to be inclusive
 * Table one provides an example of complex data elements. The example data elements in the table are a guide to show how complex data elements would appear. The implementation guide will contain explicit instructions for complex data elements, based on standards development organizations (e.g., HL7).
 * Table two lists the Common Core Data Elements for Case Reporting and Laboratory Result Reporting, Version 2.
 * Why wasn’t maiden name included as part of table one?
 * Maiden name wasn’t included because table one it intends to cover any person. The goal was to list the core data elements. These elements can be further expanded to cover all of the different actors (facility, ordering provider, employer, etc.).
 * What is the purpose of the last column in table 2?
 * The last column shows additional information about the particular data element related to ELR.
 * This table will be expanded to include the HL7 message locations (HL7 fields) where you’d find that element. This expansion will only focus on HL7 v2.
 * These are the elements that are common for lab results and case reporting across the board.
 * Each state requires different data elements to be sent in a case report, how will this be accounted for?
 * For the purposes of this workgroup we will only focus on the data elements that are required for the sending of laboratory reports. This group will focus on identifying the elements provided by the laboratory.
 * When you are looking at ELR you look at what the lab has to report. For a case report you would get your data from the provider.
 * The lab should have the appropriate information to send to meet the goals for the LRI.
 * From a FDA perspective PH reporting isn’t always directly related to a disease. It can also be related to a drug or a medication, in acute cases it can also be required to come from an ambulatory EHR.
 * This paper will be leveraged to help the workgroup provide the set of required data elements that are included in the ELR guide. Once this list is approved by the group through verbal consensus it will be handed off to the Harmonization team to ensure that the guide selected for the LRI initiative doesn’t preclude PH laboratory reporting. More specifically if these elements are not included as part of the selected IG we need to understand why.
 * We also need to use this opportunity to emphasize the important pieces of the ELR guide that need to be taken into consideration as part of the harmonization efforts. Section 1.3 in the current ELR guide outlines the vital requirements for ELR.
 * The Use of Standard Requirements
 * The Use of Strong Identifiers (for patients & results)
 * The Use of Standard vocabularies for the identification of tests, coded results, units of measure. This is __**extremely important**__ from a PH perspective; it simplifies the task at the receiving end for pulling together and interpreting results consistently.
 * This group should only focus on the current state for the time being which is identify the requirements related to laboratory reporting utilizing a 2.5.1 message. Subsequent versions will be addressed as part of the long term approach.
 * Resolution(s):**
 * Riki will pull together the required data elements from the ELR IG for the workgroup members’ review and approval.
 * Workgroup members will review the required data elements and validate that the required elements have been accurately captured.


 * Key Discussion Points: FTF Meeting Agenda**
 * FTF meeting will be held on June 14-15
 * Registration will be extended
 * Start to think about what topics should be discussed in this workgroup.
 * Development of long term approach

include component="page" wikiName="siframework" page="space.template.inc_contentleft_end"