2025-12-03 Steering Committee Meeting Notes

Date

Dec 3, 2025

Attendees

(bolded names indicate attendance)

Stakeholder group	SHIELD organization	Name of SHIELD member	organization designation
Industry Entity	Labgnostic, Inc.	Steve Box	primary
			alternate
	Epic	Dan Rutz	primary
			alternate
	Biomerieux	Xavier Gansel	primary
			alternate
	Roche	Nick Decker	primary
	Roche	Open	alternate
Healthcare Provider	Indiana University/Indiana University Health/Association for Molecular Pathology	Mehdi Nassiri, MD	primary
	University of Wisconsin-Madison	Andrea Pitkus, PhD, MLS(ASCP)CM, FAMIA - regrets	primary
	UT Southwestern Medical Center	Hung Luu	primary
	UNMC	Scott Campbell	primary
	Longtime Lab Professional	Carmen Pugh	primary
	Sonic Healthcare	Eric Crugnale	primary
	Former Quest Diagnostics	Collom, Craig D - regrets	primary
Patient Advocate	OPEN	OPEN	individual
Standards Organization	SNOMED International	Jim Case - regrets	primary
	SNOMED International	Monica Harry	alternate
	Regenstrief Institute	Marjorie Rallins	primary
	Regenstrief Institute	Eza Hafeza - regrets	alternate
	HL7	Julia Skapik	primary
	HL7		alternate
Professional Organization	Association of Public Health Laboratories	Riki Merrick	primary
	Association of Public Health Laboratories	Christina Gallegos	alternate
	Logica	Stan Huff	primary
	Logica		alternate
	CAP	Raj Dash	primary
	CAP		alternate
	AMP	Robyn Temple	primary
	AMP		alternate
	ADLM	Li Zha	primary
Governmental - non Voting	CMS	Michael Smalara	primary
	CMS	Open	alternate
	ASTP/ONC	Sara Armson	primary
	ASTP/ONC	OPEN	alternate
	CDC	Hubert Vesper (/DDNID/NCEH/DLS)	primary
	CDC	Jasmine Chaitram	alternate
	NLM	OPEN	primary
	NLM	OPEN	alternate
	FDA	Keith Campbell	primary
	FDA	Victoria Derbyshire	alternate

Agenda and Notes

Item	Notes
Quorum evaluation (two-thirds (2/3) of the Voting Representatives shall be necessary to constitute a quorum for the transaction of business)	Currently we have 18 named members (1 open slot), so 2/3 = 11 is quorum (excluding chair and government members). # of voting member per charter: 13 - 21 # of non-voting members per charter: 7
Open Meeting	12:10 PM ET - no quorum
Conferences/Webinars	No updates
Next calls	All SHIELD Calls Dec 16, 2025 General Updates: 2024 - WG Chairs please make sure we have material for updates (at least notes we can link to) Special Topic: Jan 13, 2026 - Any Topic? Steering Committee: Dec 17, 2025 CDC Forum Call in January 2026 date TBD Topic: UDI in HL7
Membership	#1 Waiting for official NLM representative since John Snyders departure from NLM - Raja Cholan is still working on getting a new representatives, asked to keep informed on any feedback that is NLM related #2 Announced the open Steering Committee slots on the ALL SHIELD call in July #3 Looking for Co-Chair for Vocab and Standards WG - Scott said he will help - YEAH!!!
Serge’s proposals for raising awareness	What the message to HHS Leadership should/could be - review the Lab Report and find those things where we can connect the dots to get traction on standards adoption (given a vision for 2030) Next steps: Folks to review the ASTP/ONC Lab report to create a vision 2030 - aim for Jan 21, 2026 to discuss the outline invite Serge to a SC meeting - aim for either Feb 4, 2026 or Feb 18, 2026
Review SHIELD WG Deliverables and Milestone Grid	THANK YOU to all the WG Chairs for their effort in moving SHIELD work forward!!! - will review again in January
LIDR White Paper	Look for eVote shortly
Standards WG Vocab Follow up	Continue https://aphlinformatics.atlassian.net/wiki/spaces/SC/pages/3347447812 On prior calls we discussed #1, #2, #4, #5, #6, #7, #8 and #15 Any answer about access to COSMOS data? - Update from Raj and Hung on what they found - neither of them are on - next time Collect qualtitative result values from Labcorp, ARUP and Quest - no update today, but got commitment to get form several folks Discussion today: #3 - is just a statement #9 - thre may be reason to have free text - when you want patient’s words, vs more formal codifying for summarizing work with the Lab community what should be free, discrete vs discrete coded #10 & 11 - should provide SCT with the recommendations, this is not for LRI specifically - but when / if hte speicmne CMT cannot be using the FHIR concpetmap resource, we may have the push to get SCT to work on this in their Quality improvement initiative (Jim Case) #12 is just an overall statement #13 - related to #9 - is workflow issue and implementation problem - need to have a community to work on this and then create that guidance - we did the EHR-S Funcitonal requirements for LRI - but that was problematic; in general the EHR-WG might be the right place, but not currently the right people; should this be created by ACLA or CAP, AMP or other professional organization? Example: CAP synoptic reporting structures Robyn and Scott will brainstorm on next steps. LabMCoP could be an option for convening #14 - also applies to LIS vendors - same as #13 and #9 #15 - mapping to LOINC, when some LOINCs are prescribed by CMS or HEDIS; roll up using the LOINC Ontology should be easier to deal with that - also LIDR is supposed to help there, too need to decide on the preferred model and provide conversion tools between the different models pragmatic implementation is often the culprit PIQI framework effort is aiming to give you a quality report on your data to evaluate your implemantation to help folks address that Next Steps: Think about how to distill this document and what to do with it for next call
Placeholder to get back to later	Antimicrobial result reporting - CAP Informatics Commitee will request feedback from Standards and Vocab WG Other presentations to folks at FDA? Data Standards Review Committee of the FDA – work with Helena Sviglin FDA Scientific Computing Board (SCB) Compass group lab

From Chat:

Missed taking screenshots - but I don;t recall seeing any links or importnat messages, that are not also captured in notes above - sorry

Action items

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Robyn and Scott will brainstorm on next steps for creating guidance dovument around when to use free text vs discrete data vs coded discrete data and other implementation guidance around coding

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Riki to send out eVote on LIDR White Paper => All review and vote!

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All review the ASTP/ONC Lab Data Interop report and pull out items that SHIELD can support / identify the order of steps needed to improve adoption

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Gather lists of qualitative results from LabCorp (Carmen) ARUP (Carmen?), Quest (Riki), SonicHealth (Eric)

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