LRI+Pilots+WG+2011-11-08

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 * Date:** 11/08/2011
 * Time:** 4:00-5:00 pm EDT


 * Agenda**
 * Review the status of the Pilots Outreach effort
 * Review/Update Pilot Teams Ecosystem (http://wiki.siframework.org/LRI+Pilot+Teams+Ecosystem)
 * Review ‘LRI Pilots High Priority Items’ (white paper) (http://wiki.siframework.org/LRI+Pilots+WG#x-LRI%20Pilots%20High%20Priority%20Items)
 * Review Action Items (including from Face to Face Meeting)
 * Next Steps
 * Q and A

Rob Allen, Bob Lutolf, Gai Elhanan, Robert Dieterle, Neeli Bajaj, Tom Boal, Joan Duhaime, Ann Clarke, Cynthia Levy, Kishore Metla, Mary Kennedy, Bob Coli, Mary Kennedy, Mike Long, Anjali Gupte, Cindy Johns, Kent Parkins. **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.
 * Attendance **

Joan Duhaime inquired in reference to questions related to Systematized Nomenclature of Medicine (SNOMED). Bob Lutolf explained more information on this subject would be available later in the week based upon what Bob Yencha is researching. Bob recommended discussing this item further at the next workgroup meeting as more information would be available by that time.
 * Review the status of the Pilots Outreach effort**

Bob explained we are reaching out to the pilots to ensure we have the most recent information as well as any additional details. An updated Wiki brief template is now available for pilots to enter additional content. The pilot workgroup is encouraging all pilots to enhance their pilot information as outlined in the pilot brief. It was mentioned that Lablynx and Kentucky Health Information Exchange (HIE) are using the new template and providing further details. The pilot team has reached out to Sonoma Quest to put together their pilot brief.

Bob presented a spreadsheet that details understanding what coverage against the high priority items that has the Office of National Coordinator (ONC) interests in mind. The pilot team would like to look prior to see if any problems exist. The following items are what should be accounted for in the spreadsheet as well as justification as to why these focus items can or cannot be included as a pilot.
 * Review ‘LRI Pilots High Priority Items’ (white paper)**
 * In scope tests
 * Use Logical Observation Identifiers Names and Codes (LOINC)
 * Use Unified Code for Units of Measure (UCUM)
 * Object Identifier (OIDs) Profile

Bob indicated if certain high priority items do not have coverage by the existing pilots, the workgroup may have to recruit another pilot to make sure there is coverage. Gai Elhanan presented an update for the Black box option to consume an HL7 version 2.5.1 message wherein the Electronic Health Record (EHR) would not have to rewrite their code base to handle this. After discussing this option, the group decided to present this option to Jitin to verify if this is acceptable or not as a pilot.

Bob Dieterle also pointed out that one of the pilot has no system integrator and there is difficulty having an EHR make corrections to display and consume the message. It was relayed by Ann that currently there is only one or two EHR vendors as pilot participants on board. The support team is talking to EHR vendors but finding it challenging to get commitment from them to participate and fill the gap completing each of the LRI pilot eco-system.

Cindy Johns relayed there is a requirement to have SNOMED as coded results and will get further clarification on this from the vocabulary group. Cindy also noted that the IG requires SNOMED for Microbiology and does not include Anatomic Pathology. Mags stated according to page 78 and 79 of the Implementation Guide (IG), if the code for SNOMED is present it should be provided otherwise use a local code. Cindy clarified that for OBX 5 these are not interchangeable for what we are recommending for SNOMED. Cindy reiterated this would be clarified within the Vocabulary WG.

Bob Dieterle shared with the group the importance of needing an EHR and populating the right format or data as a requirement. From what is understood about the guide, Gai's solution can perform the IG compliant message. Data can be derived except for SNOMED and UCUM.

It was reported the final number of tests confirmed by Cheryl Taylor is 140 from the Vocabulary workgroup list for the June 15 Face-to-Face meeting that represents 99% of the test involved from clinical laboratory.

Bob shared we will leave it up to pilot to enter information, subsequently the Pilot workgroup will decide whether there is coverage or not. Cindy stated for the specified LOINC code it is not the intent of the vocabulary workgroup to say what LOINC code should be used. The recommendation is a LOINC code should be used for the test on the list. Validation wants to make sure a specific LOINC code is used.

Requirement for LOINC 1) The pilot is required from the Vocabulary standpoint to transmit a valid LOINC code listed within the Regenstrief database. 2) The Validation Workgroup has come up with example LOINCs and if a pilot uses one that is not an example, their message may get flagged.

There is a question in reference to the IG – Will OIDs be used or not by pilots? RML and Gai indicated they would get back to the workgroup with an answer. Mary Kennedy indicated she has received a number of requests for pilots and informed the group we have to get interested organizations to take the next steps to participate as a pilot. Mary will inform the workgroup on any progress.

Kent Parkins took an action item to look at the Pilot Guide.

Bob also took an action item to bring forward Gai's proposal as an option for pilots and inform Jitin. Bob stated our intention is to get the requirements complete so it can be discussed.

Dr. Bob Coli indicated he has a direct contact with Sonoma Quest and offered to follow-up accordingly. He also suggested the workgroup think about how best to encourage and be productive along with thinking about the short and long term goals of how to increase pilot performance.

Discuss action items from F2F at our next meeting.
 * Next Steps**


 * Next Meeting**
 * Date: Tuesday, 11/15/2011** **ime: 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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