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Meeting Details

Date: August 25, 2023

Time: 1PM ET

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


Ralf Herzog, Hans Buitendijk, Nancy Spector (AMA), Christina Gallegos, Dan Rutz, Daniel Golson, Kathy Walsh (Labcorp), Rahul Agarwal (Medplum), Rob Hausam, Sara Armson (ONC), Sheryl Taylor (NIST), Andrea Pitkus (UW Madison), 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


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

Standing Topics

  • COW/FOE Recap
  • Discuss CPT/PLA and ISA comments
    • Representing Laboratory Test Ordered discussed.

JIRA Issues/Discussion Topics

  • ObservationDefinition.qualifiedInterval.condition 
    • Zulip chat:
    • 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. 
          EDIT: JIRA ticket FHIR-41949 - Getting issue details... STATUS
      • ObservationDefinition.qualifiedValue
        • value[x]
          • range  (numeric)
          • codedValueSet (qualitative)
        • normal/abnormal/critical/.... 
          • range
          • codedValueSet
        • interpretation
          • Positive - positive/negative/.....

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

  • Other JIRAs from Triage Inventory - Not discussed

Chat History

Andrea Pitkus, PhD, MLS(ASCP)CM, FAMIA. UW-Madison to Everyone (Aug 25, 2023, 1:08 PM)
Specimen reject reason is in specimen definition per catalog
but not on FHIR specimen currently
Andrea Pitkus, PhD, MLS(ASCP)CM, FAMIA. UW-Madison to Everyone (Aug 25, 2023, 1:18 PM)
There's test order (noun, term built in LIS or EHR which is selected by the provider), versus ordering process (the physician order/requisition).
Also Representing the test ordered, may imply semantic meaning.  What is being represented.
The physician order/requisition is different than the term built in the LIS/EHR dictionaries with item selected.
Nancy Spector (AMA) to Everyone (Aug 25, 2023, 1:24 PM)
These test descriptors include specifics about test being performed
Andrea Pitkus, PhD, MLS(ASCP)CM, FAMIA. UW-Madison to Everyone (Aug 25, 2023, 1:25 PM)
Each laboratory's test compendium is linked/provides info as to the different orders on their menu, but they are not included here
how would PLA codes provide enough detail for interoperability?  EHRs are required to have LOINC functionality

Andrea Pitkus, PhD, MLS(ASCP)CM, FAMIA. UW-Madison to Everyone (Aug 25, 2023, 1:48 PM)
Ref ranges that the lab may not be able to interpret
These may not work with this approach

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: