LRI+Harmonization+WG+Meeting+2011-3-24

include component="page" wikiName="siframework" page="LRI Header" =LRI WG Meeting Minutes=
 * Date:** 03-24-2011
 * Time:** 11:00-12:00pm EST
 * Dial in:** 1-866-816-4209| Pass code: 398079
 * Meeting Agenda: [|LRI Harmonization Launch_FINAL.pptx]**

Attendance
Rob Allen, Jitin Asnaani, Nagesh Bashyam, Hans Buitendjik, Julie Cantor-Weinberg, Anne Clarke, Robert Coli, MD, Durwin Day, Gary Dickinson, Coletta Dorado, Chris Doucette, Juan Fourquet, Chuck Hagan, John Hall, Freida Hall, Terry Hearn, Cindy Johns, Sandy Jones, Austin Kreisler, Nikolay Lipskiy, Riki Merrick, Glen Moy, Anna Orlova, Bill Ormerod, Erik Pupo, Jennifer Puyenbroek, Bill Scanlon, Scott Serich, Jas Singh, Merideth Vida, Cindy Vinion

Action Items

 * **#** || **Date Initiated** || **Action** || **Owner** || **Status** || **Date Closed** ||
 * 1 || 03-24-2011 || Post Implementation Guides || Rich Kernan || Closed || 03-29-2011 ||
 * 2 || 03-24-2011 || Post HL7 Implementation Guides Analysis/Deck || Jonathan Tadese || Closed || 03-26-2011 ||
 * 3 || 03-24-2011 || Define-Sub-Workgroups || Jillian Wanner || Closed || 03-28-2011 ||

Meeting Purpose & Objectives
Launch Harmonization working group and review the scope of this effort, which will cover the exchange of laboratory results to ambulatory EHRs EMRs and related systems in in primary care settings, as well as to any other stakeholders as agree upon by initiative members.

Agenda Items

 * 1) Coordinator Welcome
 * 2) Where we have an agreement
 * 3) Where we need to go
 * 4) Hamonization Purpose/Scope
 * 5) Harmonization Objectives
 * 6) Lab Results Interface: Harmonization Timeline
 * 7) Community Participation
 * 8) Consensus Process
 * 9) Q&A Session

Harmonization Purpose/Scope
> Objectives
 * Review the relevant implementation guides against the Requirements articulated in the Lab Results Use Case, perform an analysis to determine common data elements and metadata and identify unique Requirements.
 * Identify candidate data elements and metadata to be harmonized between the Implementation Guides, and which fields must remain (or become) specialized to unambiguously support each exchange scenario.
 * Ensure normalized field definitions, use, vocabulary bindings, and content requirements across the relevant message specifications and, where relevant, maintain compatibility across multiple standards. This is required to ensure full interoperability as multiple interfaces may be supported on a single EMR/EHR system.
 * Harmonization Scope: The scope of this effort will cover the exchange of laboratory results to ambulatory EHRs, EMRs and related systems in primary care settings, as well as to any other stakeholders as agreed upon by initiative members.

Short-term

 * Identify Harmonized message data elements for HL7 V2.5.1 Implementation Guides, including “Interoperable Laboratory Result Reporting To EHR (US Realm) R1” and “Ambulatory Care Lab Result (ELINCS) R1,” as per the Use Case requirements.
 * Define an information model that captures the core data elements needed to meet Use Case.
 * Alignment and guidance on use of variants to support identified Use Case scenarios.

Long-term
> MEANS: What are we doing? How do we align this initiative with the other S&I initiatives. > Alignment with Meaningful Use quality reporting and decision support requirements. > Work coming out of this process is aligned to that.
 * Propose guidance for vocabularies and value sets to ensure alignment between Laboratory Messages and exchange instances used in support of the Transitions of Care and other primary content definitions.

Wiki Use

 * To begin engaging on the S&I Framework Wiki, you first need to register for a JIRA account.
 * Accounts take 1-3 business days to be created.
 * Review and adhere to the Wiki use Guidelines.

Commitment

 * You don’t have to, but we do ask people commit to receive a vote during consensus.
 * You would have to commit to deliverables and activities.

Consensus Process

 * Consensus is a core value of the S& I Framework. Participants should adhere to the Consensus Process on the Wiki.
 * In the S&I Consensus process, any individual from the broader Community of Interest may register a Formal Objection to a decision.
 * The S&I Framework Call for Participation must be provided to a broad representation of organizations such as providers, vendors, system integrators, clinicians, SDOs, subject matter experts and government agencies in order to achieve Balance of Interest.
 * In the context of this document, Initiative Members have formally addressed an issue when they have sent a public, substantive response to the individual who raised the issue.
 * In some rare cases, even after careful consideration of all points of view, Initiative Members might not reach consensus.
 * The Initiative Coordinator MAY reopen a decision when presented with new information.
 * Initiative Members resolve issues through dialog.

Q&A Session

 * Questions were raised on whether there was a focus on pathology laboratory.
 * Scheduling questions were raised and a request was made to not schedule meetings over the HL7 meetings.
 * Questions were asked about having access to the HL7 Implementation guides.
 * Participants wanted to understand what the success metrics are and how they are defined.

Next Meeting

 * Date: Thursday, March 31**
 * Time: 11:00am- 12:00pm (EDT)**
 * Dial in: 1-866-816-4209| Pass Code 398079**

Reference Materials

 * 1) [|LRI Harmonization Launch]

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