LRI+Pilots+F2F+2011-10-18

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 * Date:** 10/18/2011
 * Time:** 7:00-5:00 pm EDT


 * Date:** 10/19/2011
 * Time:** 7:00-5:00 pm EDT

(Attendees Sign-in for F2F Conference Badges ) || Keynote Addresses Full S&I Discussion || (Attendees Sign-in for F2F Conference Badges ||
 * Meeting Agenda **
 * **Tuesday, October 18, 2011 – LRI Pilots Agenda** ||  ||
 * 7:00 am to 5:00 pm || Registration
 * 8:00 am to 9:00 am || Opening Ceremonies
 * 9:00 am to 10:10 am || Review Pilot Guide and Schedule ||
 * 10:10 am to 10:15 am || Break ||
 * 10:15 am to 12:00 pm || Review Pilot Guide and Schedule ||
 * 12:00 pm to 1:30 pm || Lunch ||
 * 1:30 pm to 3:00 pm || Discuss/Develop Test Strategy
 * Validation Suite – Rob Snelick
 * LOINC approach ||
 * 3:00 pm to 3:15 pm || Break ||
 * 3:15 pm to 4:45 pm || Discuss/Develop Test Strategy ||
 * **Wednesday, October 19, 2011 – LRI Pilots Agenda** ||  ||
 * 7:00 am to 5:00 pm || Registration
 * 7:00 am to 5:00 pm || Registration
 * 9:00 am to 10:00 am || Discussion with Jitin Asnaani ||
 * 10:00 am to 10:15 am || Break ||
 * 10:15 am to 12:00 pm || Ask questions of Implementation Guide Group ||
 * 12:00 pm to 1:30 pm || Lunch ||
 * 1:30 pm to 4:45 pm || Pilot preparation ||

Jitin Asnaani, Neeli Bajaj, Tom Boal, Gokul Chandran, Ann Clarke, Marcus Clayton, Joan Duhaime, Gai Elhanan, Greg Farnum, Ken Gebhart, Anjali Gupte, Amy Henry, Cindy Johns, Heather Johnson-Skrivanek, Mary Kennedy, Cynthia Levy, Bob Lutolf, Zahra Mazaheri, Kishore Metla, Hai Nguyen, Van Nguyen, Kent Parkins, Amy Phelps, Chitra Raghu, Matthew Rahn, Hari Ramachandran, Ashish Rathee Max, Jeff Shaw, Rob Snelick, James Sorace, Virginia Sturmfels, Chuck Tryon, Kiran Yanamadala, Curt Zeberlein
 * Attendance**


 * 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.


 * Meeting Minutes **


 * Review of the Pilot Workgroup Objectives**
 * Help the Pilots Succeed
 * Meet the ONC Vision
 * Provide useful feedback on the ease (or difficulty) of implementing the S&I LRI artifacts
 * Provide useful feedback on benefits of the S&I artifacts


 * Review of the LRI F2F Meeting Objectives**
 * Ensure that Pilots understand the LRI Documentation
 * LRI Initiative documentation (cross-Workgroup)
 * Documentation specific to LRI Pilots WG
 * Ensure that Pilots understand the definition of "Sucess": they can review the LRI Success Metrics WG Wiki LRI - Success Metrics SWG
 * The F2F will provide Pilots with access to the people who can answer their questions
 * The F2F will have the opportunity to provide input to make the LRI Pilot Guide useful


 * Pilot Teams Proposals**
 * Discussed what the Pilots need in order to complete their Pilot Proposal
 * Estimate of date for proposal completion
 * Which Vocabularies will LRI Pilot Teams address ?
 * OIDs
 * SNOMED CT
 * LOINC
 * UCUM
 * How the LRI Pilots Workgroup can help Pilots in moving forward


 * HIMSS Conference**
 * Chicago - Feb 2012
 * Interoperability Showcase - ONC
 * Call for Participation has been extended until Oct 26, 2011, 5PM
 * There will be a teleconference with the HIMSS group: Chitra Raghu will organize


 * Reviewed LRI Documentation**
 * LRI Use Case
 * LRI Strategy and Consensus Statement
 * Discussion with Erik Pupo of S&I Harmonization Team
 * LRI Implementation Guide
 * LRI Pilot Charter
 * LRI Pilot Guide
 * LRI Pilot Schedule


 * Pilot Test Strategy**
 * Conversations with other LRI WG Leads
 * Rob Snelick from LRI Validation Suite WG
 * Cindy Johns from LRI Vocabulary WG
 * Ken McCaslin from LRI Implementation Guides Analysis WG
 * Validation Suite Plans
 * LOINC, SNOMED and UCUM testing
 * Reviewed the incorporation of Test Strategy guidance into the LRI Pilot Guide


 * The ONC Vision**
 * Conversation with Jitin Asnaani


 * LRI Implemention Guide**
 * HL7-Balloted v0.6 has c. 900 ballot questions/comments
 * Approved Final LRI IG won't be official until Spring 2012 (or later)
 * Advisability of piloting and testing an Interim IG (while wating for the final IG)


 * Pilot Preparation**
 * Roundtable discussion on what is the process for establishing a Pilot


 * LRI Pilot Teams Ecosystem**
 * Table showing which roles each Pilots team member will play
 * Laboratory
 * LIS Vendor
 * System Integrator
 * EHR Vendor
 * End User
 * 7 Teams currently (12 distinct team members)


 * LRI Documents**
 * LRI Use Case
 * http://wiki.siframework.org/LRI+-+FINAL+Use+Case
 * LRI Initiative Success Metrics
 * http://wiki.siframework.org/LRI+-+Success+Metrics+SWG
 * LRI Strategy and Consensus Statement
 * http://wiki.siframework.org/LRI+Strategy+and+Consensus+Statement


 * HL7 V2 Lab Results Interface Testing Overview**
 * Robert Snelick - NIST : LRI Validation Suite WG Chair
 * LRI Validation Suite Status as of October 18th, 2011
 * Testing policies and approach documented in this slide deck are proposed and still under discussion
 * Charter
 * Validation Suite Scope
 * LIS Test System
 * EHR Test System
 * Use of tools
 * Testing Flows
 * Test Data
 * Evaluation Measures
 * Validation Suite Artifacts
 * Work in-progress
 * Timeline Estimate


 * F2F Postscript**
 * General Concerns
 * Author: Bob Lutolf

Throughout the two days we discussed how various S&I Framework documents included provisions that would hinder Piloting and real world implementations. I assigned myself an action item to develop proposed revised content the workgroup would review and then pass on to the appropriate S&I Framework group. The following are the general concerns. 1. Some diagrams and text required a Certified LIS and certified EHR. 2. The message sent by the LIS was required to conform to the Implementation Guide being developed by the S&I Framework. 3. Application and architectures such as Integration engines, HIEs, EMRs were not allowed between the LIS and the EHR. Jitin addressed these on Wednesday.

I reviewed 1. The S&I Framework LRI Use Case 2. The S&I Framework Strategy and Consensus Statement 3. The S&I Framework LRI Implementation Guide 4. The S&I Framework LRI Pilots Guide.

My Summary 1. I found no requirement for a certified LIS. There is a requirement for certified EHR in the Use Case and Implementation Guide. This is appropriate. There was no requirement for a certified EHR in any Pilot. 2. I found no requirement that the message sent by the LIS conform to the S&I Framework LRI Implementation Guide. This is certainly the intent, for the future. However, the Guide only requires that if you use the Sender Profile, it must conform to the Guide. We also discussed this on today’s HL7 Orders & Observations group call. That is the group sponsoring the S&I LRI Framework Implementation Guide through HL7. The two S&I Framework IG Analysis co-leads are also the HL7 OO workgroup leads. 3. I found no one explicit statement the said there could be Integration Engines, HIEs or EMRs between the Sender LIS and Receiver EHR. I found no explicit or implicit prohibition to having Integration Engines, HIEs or EMRs between the Lab Sender and the EHR Receiver. The Use Case mentions HIEs as a Community of Interest. The Use Case also includes “enable consistent, appropriate, and accurate information exchange across provider systems, data repositories and locator services.”

So if anyone thinks that there are problems, I need specific instances that I can address.

The Pilot process starts with a short proposal. Proposals will be reviewed and discussed. This is probably a better place to get any specific concerns addressed.


 * Next Meeting **
 * Date: Tuesday, 10/25/2011** **Time: 4:00 p.m. EDT****WebEx link:** [|**siframework2.webex.com**]**Dial-in: 1-408-600-3600 | Passcode: (see** **LRI Pilots WG** **page).**

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