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Meeting Details

Date: May 19, 2023

Time: 1PM ET

Coordinates:  Join Zoom meeting: https://zoom.us/j/5100467805 | Meeting ID: 510 046 7805 | +1 929-436-2866-US (New York)

Attendees: 

Hans Buitendijk, JD Nolen, Andrea Pitkus, Christina G, Kathy Walsh, Sheryl Taylor

Chair: JD Nolen

Scribe: Marti Velezis

  • Quorum (Co-Chair + 4) Met 

AGENDA

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

Meeting Resources

JIRA Dashboards:

JIRA Grouping Tags:

  • OO-Lab - to indicate when the JIRA Ticket should be reviewed by the OO Lab SMEs, especially when the issue is not assigned to the Resource owner.

Meeting Minutes

Previous Meeting Notes

Standing Topics

eSignature Update

  • Follow-up date

From Chat:

Andrea Pitkus:  Regarding e-sig, I came across this CLIA doc (see #5):  https://www.cms.gov/files/document/qso-21-10-clia-revised.pdf

eSignature Update

2023-02-24 OO - LAB/LIVD

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

Link: https://www.federalregister.gov/documents/2023/04/18/2023-07229/health-data-technology-and-interoperability-certification-program-updates-algorithm-transparency-and

  • Follow-up date  


Notes from Today 5/19:

Bolded items added during today's call

  • Question: DId you want to add EHR-S for receipt of lab results under 1?

Barriers

  • Lab Shopping/Walk-in Labs
    • Lab test pulled when the QR is scanned
    • Providers are able to order tests that are not available in the labs
  • There are still issues that need to be addressed prior to certification - 
  • Upgrading to current 
    • See 3f
    • LRI/LOI
    • Updated device data
    • LIVD
  • when you certify - needs to go beyond EHRs (i.e., information systems within specific role), source of the flow should be followed 


NPRM - ONC 

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


FROM WGM MM: ONC NPRM Lab RFI Feedback

    • Reviewing the text:
      • This is for consideration for future rules
        • Current rules listed
        • In past times LRI was in rule, then it got dropped, LOI was considered, but were not in 2015 rules, which we regret
        • some improvements during COVID
    • OO ONC NPRM Response Draft. - Orders & Observations - Confluence (hl7.org)
      • Please include comments/suggestions for consideration.
    • The follow-up is to start to draft more specific responses and review on the next main call (5/18)
      • Would like to create a draft proposed response based on the notes in the next couple of weeks
      • Add back on the Lab agenda for next week
  • SVAP is out for comment also
    • Consider adding:  More automatic inclusion of HL7 published newer version of standards in ISA, so they are available for SVAP

New Rule on Race/Ethnicity from OMB/CDC

  • Follow-up date  

New Rule on Race/Ethnicity from OMB/CDC

CPT-PLA

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

CPT-PLA

2023-02-03 OO - LAB/LIVD

2023-02-24 OO - LAB/LIVD

Update from FHIR Lab Workflow call

  • No Call today 5/19/2023
  • No updates

Meeting Notes

  • Reminder: LIVD call to restart June 1 biweekly for a short period of time to finish updates to the LIVD IG
  • September 2023 WGM Registration has been posted
  • WGM Updates
    • See WGM MM: 2023-05-08-12 WGM
    • Highlights: 
      • R6 Planning
      • Normative focused
      • FMM3 is considered to be stable as candidates
      • OO has ranked the Resources – see notes for details
      • High priority:
        • DiagnosticReport and Document/Reference, which will be discussed on these LAB calls
        • Will focus on ServiceRequest, DeviceRequest and Task in COW/FOE if others in the group are interested
  • Across WGs there may be differences in how Lab related resources are being profiled
    • Note: CIMI is developing a white paper to identify some of the discrepancies 
      • Need to review this when it is available.
    • Example: Lab content in US Core is using LOINC codes
      • Andrea may want to create a JIRA tickets to ensure resolution of the discrepancies
    • Process Improvement opportunity:
      • Add Grouping Label for each of the OO topics so that we have a way to flag JIRAs that need to be reviewed by OO
      • Need to educate each of the project groups to add groupings to JIRA tickets to aid in the creation of filters.
      • Need to add to each of the meeting minutes pages for transparency and communication of the "tip" to ensuring better quality across FHIR profiles, extensions and IGs.
  • See notes above on NPRM discussion and addition of the  OO ONC NPRM Response Draft Confluence page
    • To be discussed next week.

--------------Adjourned at 2:03PM EDT-------------------

  • See FHIR JIRA Tickets below - Did not discuss today

JIRA Triage

V2 Lab JIRAs (link)

Add JIRAs for Next time – related to Lab

FHIR Lab JIRA (link)

The following JIRA Tickets need to be reviewed by the Lab members:



Next Meeting: May 27, 2023