#136 ELR Open Forum: May 16, 2024

Presenter/Facilitator

Topic

Tim Longo

Status Update: Quest IFD implementation efforts

Open

Brooke Beaulieu

Open Mic: Any questions or discussion topics?

Brooke Beaulieu

Next call: Thursday, May 30th at 4:00 PM ET.

LOI/LRI Discussion - Riki Merrick

• New versions of the HL7 v2.5.1 IGs for Lab Ordering (LOI) and Lab Result Reporting (LRI) have been published today – here is where you can find them and what has changed (at a high level).

• Changes for both:

  • Naming Convention for tracking the versions has changed from Release and STU releases to Edition – so both are now Edition 5

  • Updates to US Value sets for PID-10 and PID-22

  • New OIDS to reflect updated profiles

• Product brief for LOI: https://www.hl7.org/implement/standards/product_brief.cfm?product_id=152

  • Changes include:

    • Relaxed requirements for DG1 segment in base LOI and

    • Updated OID for LOI_BWR

    • Several Updates to LOI_NDBS profile: Adjusting usage for MSH-6, PID-25, relaxed required elements in XAD datatype for PID_11 and NK1-4, updated guidance for patient name and specimen collection, updated LOINC table

    • In-scope and Out-of-scope section clarifications

    • Update to LOI_PH profile

• Product brief for LRI: https://www.hl7.org/implement/standards/product_brief.cfm?product_id=279

  • Changes include:

    • LRI_NDBS profile: Major revision of NDBS message structure – drop of many OBRs with OBR-29 linkages to just a single OBR with the main panel code in OBR-4, updated LOINC table, removed most X usages,

    • LRI base profile: update OBX-5 use for specimen rejections

    • LRI_PH profile: Updated usages for Orc-22 and ORC-23, synchronize SPM-7 usage and value set with LOI