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MEETING MINUTES

• Workflow Topics
  • Review the simplified version of the Potassium Workflow created last week
  • Continue with the Potassium Workflow 
  • Robert Dieterle we need Bob's help to understand how the resources are being updated with the specimen information
  • Provider sends the order already linked to the Specimen
    • Transaction bundle (ServiceRequest, Task, Patient, Coverage, Specimen)
    • Create an operation on the lab side and multiple endpoints
  • Lab has to collect specimen
    • Lab needs to query for the Specimen.request (ServiceRequest) 
  • Potential option is to use Task.businessStatus to communicate the status of the specimen
    • Status of the specimen can be included here
    • value set: specimen not collected, specimen collected, specimen in lab with reference, specimen in lab without reference
    • Only the provider can update the Order, so the lab can only provide status on the task that it was sent to collect the specimen.

  • Based on Task can include Service Order and Specimen or Based on Service Order and focus if only one Specimen

    • Specimen Resource tied to Service Request by Request

    • Asynchronous Method could post the Specimen Resource or Specimen Resource could be input to Task sent to the Laboratory

    • Three scenarios: 

      1. Old Specimen already at the Laboratory,
      2. Specimen drawn after Order is sent to the Laboratory,
      3. Specimen drawn before Order is Sent/Posted/Communicated to the Laboratory

      
      

    • Could Post as an Order Bundle (Sservice Order, Patient, Specimen, Coverage, ....)

    • Could consider a Business Status in Task to Identify an existing Specimen/status of the specimen (Not Collected, Collected, In Laboratory with Reference, In Laboratory without Reference)

    • Provider could update Service Request and Resend to the Laboratory or Send an Updated Task

    • Task with Cancel Status could trigger the Ordering Provider to Cancel Service Request, to Send to a New Laboratory, or to Redraw Specimen

    • Once Specimen collected and Task updated, the Laboratory needs a notification

  • Next Steps: 
    • Need to draw the scenarios
• JIRA Tickets
  • FHIR-34194 - Add businessEvent extension 
    • Did not discuss - need to keep on agenda for next time

Adjourned at 11:04 AM EDT---------

From Chat

Andrea Pitkus, PhD, MLS(ASCP)CE, FAMIA. UW-Madison to Everyone (Aug 18, 2023, 10:48 AM)

CLIA specimen requirements:  https://www.ecfr.gov/current/title-42/section-493.1283
The laboratory must maintain an information or record system that includes the following: 

(1) The positive identification of the specimen. 

(2) The date and time of specimen receipt into the laboratory. 

(3) The condition and disposition of specimens that do not meet the laboratory's criteria for specimen acceptability. 

(4) The records and dates of all specimen testing, including the identity of the personnel who performed the test(s).

Andrea Pitkus, PhD, MLS(ASCP)CE, FAMIA. UW-Madison to Everyone (Aug 18, 2023, 11:00 AM)
ALso EHR specimen tracking is separate for speicen info in tests
specimen
specimen tracking is separate in EHR/LIS for some vendors