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Attendees:

Agenda and Notes

HTI-2 Feedback Collection

Recording:

https://drive.google.com/file/d/1YZ4qRMAYZQRU-3xQYd58Jt9fYrJLkN_Q/view?usp=drive_link

From Chat:

Andrea Pitkus 12:08 PM

Also today there is a ONC public health HTI-2 webinar which includes some of the laboratory data items

Daniel Rutz joined as a guest

Jim McNulty (CAP) joined as a guest

 

Andrea Pitkus 12:08 PM

ONC Webinars and registration at:  https://www.healthit.gov/topic/laws-regulation-and-policy/health-data-technology-and-interoperability-patient-engagement#:~:text=ONC%27s%20HTI%2D2%20proposed%20rule,payers%2C%20and%20public%20health%20authorities .

John Snyder (NLM) 12:21 PM

Are the versions of terminologies meant to represent the minimum eligible version like it was for Meaningful use?

Ana.Szarfman@fda.hhs.gov 12:27 PM

Hi Riki, wouldnt be easier if we use a software like CCDA (CVW) that can track the flow of every data processes? We could talk later if you are interested

 

MLG 12:27 PM

In the interest of collaboration and acceleration, Could we talk to ONC and link this work with LOINC to create a USCDI subset with a different cadence of release dates.

 

There is precedent. We did this when we created hl7 v 2.6.1 from 2.6 to address unique needs of lab.

 

Another eg. LOINC and CDISC created a Cooperation Agreement arrangement to add new codes for protocol based clinical research with a unique cadence.

 

Ana.Szarfman@fda.hhs.gov  to  You (Direct Message) 12:30 PM

We need to stop the mapping to mapping processes. that do not add interoperability value

With full traceability we could better understand the version differences, because we will be closer to the data facts.

Anil.Rajpal@fda.hhs.gov left

Andrea Pitkus 12:41 PM

"Additionally, the LRI and LOI IGs could have uses beyond public health reporting, which would reduce implementation and maintenance burden for reporters."  from HTI-2

also, "To encompass all aspects of the laboratory workflow, the proposed requirements in § 170.315(f)(23) for public health data systems to receive results and values electronically according to the LRI IG align with the proposed requirements in § 170.315(a)(2) for a user to create and transmit laboratory orders electronically according to the HL7® Laboratory Order Interface (LOI) Implementation Guide and the proposed requirements in § 170.315(f)(3) for Health IT Modules to create and transmit laboratory orders according to the LOI IG and receive laboratory results according to the LRI IG."

MLG 12:43 PM

Sorry, MLG is Mike Glickman, ISO/TC 215 Chair emeritus, US TAG Head of Delegation.

Andrea Pitkus 12:49 PM

Thanks Mike for your comments, is your request to have a different USCDI comment/publication for lab needs or ?  Can you clarify a bit more?

Jeffrey Smith left

Rajesh Dash left

Andrea Pitkus 12:53 PM

RE:  The unfundated mandate and resources needed to make all the upgrades for laboratories and public health.  May wish to make a comment to have funding to support these needs.

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