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Meeting Details

Date: April 28, 2023

Time: 1PM ET

Coordinates:  Join Zoom meeting: | Meeting ID: 510 046 7805 | +1 929-436-2866-US (New York)


JD Nolen, Kathy Walsh, Andrea Pitkus, Craig Newman (Altarum), Joan Kegerize, Rob Hausam, Scott Fradkin, Sheryl Taylor (NIST), Sara Armson (ONC), Hans Buitendijk, Marti Velezis

Chair: JD Nolen

Scribe: Marti Velezis

  • Quorum (Co-Chair + 4) Met 


  • Standing Topics 
    • Special Topics
    • Workflow updates
  • JIRAs Triage
  • Other?

Meeting Resources

JIRA Dashboards:

Meeting Minutes

Previous Meeting Notes

Standing Topics

eSignature Update

  • Follow-up date  

eSignature Update

2023-02-24 OO - LAB/LIVD

Health Data, Technology, and Interoperability: Certification Program Updates, Algorithm Transparency, and Information Sharing


  • Follow-up date  


April 28, 2023 - Need to follow up on the May 19, 2023 LAB call

New Rule on Race/Ethnicity from OMB/CDC

  • Follow-up date  

New Rule on Race/Ethnicity from OMB/CDC


  • Follow-up date  
  • Need to follow-up with AMA representative

Update from FHIR Lab Workflow call

  • Reviewed FHIR COW IG and made updates to the IG Proposal
  • Discussed in scope and out of scope
  • Concerns with including medication orders - there are several projects in place in OUS that may be overlapping - needs further discussion
  • Need to differentiate from FHIR Order Exchanges (FOE) scope - administrative scope
  • Need to understand jurisdictional differences in the scope – i.e., where are the variations that need to be in scope and out of scope

Meeting Notes

  • Craig's random question of the week: 
    • Where does the phone number of the lab go in V2 message if they need to contact the lab about the results
      • Name, Address, Medical Director
    • OBX, OBR, ORC - could not find XTN datatypes for the lab phone number; the callback number is available
    • XAD - has text string you could use (but not ideal)
    • Should the phone number be at the time of the result or current phone number?
    • Example 1: NTE after OBR
    • Example 2: Not all results have phone number, but use NTEs for other performing lab/contact information NTEs after OBX
    • Long-term - v2 JIRA to add phone number to NTX in OBX or PRT with other performing organization if you use for phone number; Add it to a datatype that cannot repeat?  PRT was to enable the flexibility for backwards compatibility. Note: not all implementations have PRT.
    • Need to check LRI for PRT after OBX - Look at 23, 24, 25
      • PRT is in LOI for Copies To instead of OBR-28.
    • COW should enable telecon info for performing organization
    • Action item: Craig Newman will create a JIRA to resume this discussion.
  • Dan's random question of the week
    • Is there an example of communicating a new label for the specimen? (i.e., excluding a reprint).  Use case: workflow OUS 
      • US has SOP/workflow that should handle this
      • Need additional information about the question – what scenarios this will be needed
      • Coming from another lab - are the Accession numbers reassigned in new lab; 
      • Paper requisitions may be transferred to labels - and relabeling would need to be done for automated lab systems; 
      • Andrea Pitkus to Everyone (Apr 28, 2023, 10:52 AM)
        Specimen labeling, including patient name or unique patient identifier and, when appropriate, specimen source.
      • The procedure manual must include the following when applicable to the test procedure: (1) Requirements for patient preparation; specimen collection, labeling, storage, preservation, transportation, processing, and referral; and criteria for specimen acceptability and rejection as described in § 493.1242.

  • Meeting Schedule: 
    • Cancel Friday, May 5, 2023 (travel to WGM) and May 12, 2023 (WGM)
    • Next meeting May 19, 2023
      • ONC - NPRM - draft comments
    • Reminder: LIVD call will start May 4, 2023 at 2PM EDT and thereafter -  May 18 (canx), restart June 1 biweekly for a short period of time to finish updates to the LIVD IG

-----------Adjourned meeting  2PM EDT ----------------

Next Meeting: May 19, 2023


JIRA Triage

V2 Lab JIRAs (link)

Add JIRAs for Next time – related to Lab

FHIR Lab JIRA (link)

Add JIRAs for Next time – related to Lab