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Meeting Details

Date: August 18, 2023

Time: 1PM ET

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


Hans Buitendijk, JD Nolen, Rob Hausam, Pam Benning, Andrea Pitkus, Craig Newman, Daniel Golson, Joan Kegerize, Kathy Walsh, Rahul Agarwal, Andrea Prada, Sara Armson, Marti Velezis

Chair: Hans Buitendijk

Scribe: Hans Buitendijk

  • Quorum (Co-Chair + 4) Met 


  • Standing Topics 
    • Special Topics
    • COW/FOE updates
  • ObservationDefinition.qualifiedInterval.condition
  • DiagnosticReport.status
  • Other JIRAs form Triage Inventory below
  • Other agenda items?

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  
  • No updates today - need to update the follow-up date.

eSignature Update

2023-02-24 OO - LAB/LIVD

From Chat (2023-06-23 LAB)  Andrea Pitkus:  Regarding e-sig, I came across this CLIA doc (see #5):

New Rule on Race/Ethnicity from OMB/CDC

  • Follow-up date  

New Rule on Race/Ethnicity from OMB/CDC


  • Follow-up date  
  • OO Lab and CPT PLA - see notes below and updates to this Recommendations at the link provided

ISA Comments

Merge with CPT-PLA comments

  • Follow-up date for any Lab specific comments

From email dated 8/8 from ONC:

  • The annual comment period for the Interoperability Standards Advisory (ISA) opens today, August 8, and will run until October 6, 2023.
  • ONC welcomes public comments on the ISA at any time during the year; however, to be considered for inclusion in the 2024 ISA Reference Edition, comments must be submitted by October 6th at 11:59pm ET.  

Due October 6, 2023 to ONC

Meeting Notes

  • 8/18 - ObservationDefinition.qualifiedInterval.condition 
    • Zulip chat:
    • Rahul Agarwal will attend to discuss.
    • Two issues:
      • ?? (missed that)
      • Observation.interpretation value set not able to align with ObservationDefinition.qualifiedInterval to indicate for the observation definition which values in observation interpretation code system
        • We need to enhance the qualifiedInterval backbone to address both valid reference ranges (numeric and qualitative) and associated interpretations from the larger observation interpretation code code system.
        • Rahul will provide a JIRA with a suggestion on how to enhance ObservationDefinition.qualifiedValue to reflect both needs more complete and more clear.

--------Backlog of Topics---------

  • Other JIRAs from Triage Inventory - Not discussed

Chat History

Andrea Pitkus, PhD, MLS(ASCP)CE, FAMIA. UW-Madison to Everyone (Aug 18, 2023, 1:33 PM)
Testosterone test example w ref ranges based on age and sex

Andrea Pitkus, PhD, MLS(ASCP)CE, FAMIA. UW-Madison to Everyone (Aug 18, 2023, 1:45 PM)
you may want to compare observation.deifinition vs observation in FHIR side by side as they do differ.
definition is for any patient getting a test done.  whereas observation is for the specific pt instance.
(which I think folks recognize already)
Interested in Kathy's response too

Andrea Pitkus, PhD, MLS(ASCP)CE, FAMIA. UW-Madison to Everyone (Aug 18, 2023, 1:49 PM)
The value set with pre-follicular, et al may apply for the FSH results but not others:
Reference range is usually set up in tables in LIS associated with each result
so when a value comes across from instrument, then the applicable range is applied.  Interpretation for critical values or h ol can be applied
or low
The LIS set up has been historically separate from HL7 messaging.  However with your situation you are fulfilling both functions

JIRA Triage Inventory

V2 Lab JIRAs (link)

The following JIRA Tickets need to be reviewed by the Lab members as carry over from May 2023 WGM:

FHIR Lab JIRA (link)

The following JIRA Tickets need to be reviewed by the Lab members as carry over from May 2023 WGM: