2026-05-13 Steering Committee Meeting Notes

Date

May 13, 2026

Attendees

(bolded names indicate attendance)

Stakeholder group	SHIELD organization	Name of SHIELD member	organization designation
Industry Entity	Labgnostic, Inc.	Steve Box - regrets	primary
			alternate
	Epic	Dan Rutz - regrets	primary
			alternate
	Biomerieux	Xavier Gansel - regrets	primary
			alternate
	OPEN	OPEN	primary
	OPEN	OPEN	alternate
Healthcare Provider	Quest Diagnostics, Seattle, WA	Mehdi Nassiri, MD	primary
	University of Wisconsin-Madison	Andrea Pitkus, PhD, MLS(ASCP)CM, FAMIA	primary
	UT Southwestern Medical Center	Hung Luu	primary
	UNMC	Scott Campbell	primary
	Longtime Lab Professional	Carmen Pugh	primary
	Sonic Healthcare / ACLA	Eric Crugnale - regrets	primary
	Harvard	Li Zha - regrets	primary
Patient Advocate	OPEN	OPEN	individual
Standards Organization	SNOMED International	Jim Case - regrets	primary
	SNOMED International	Monica Harry	alternate
	Regenstrief Institute	Marjorie Rallins - regrets	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 - regrets	primary
	Logica		alternate
	CAP	Raj Dash - regrets - regrets	primary
	CAP		alternate
	AMP	Robyn Temple - regrets	primary
	AMP		alternate
Governmental - non Voting	CMS	Michael Smalara	primary
	CMS	Open	alternate
	ONC	Sara Armson	primary
	ONC	OPEN	alternate
	CDC	Hubert Vesper - regrets (/DDNID/NCEH/DLS)	primary
	CDC	Jasmine Chaitram	alternate
	NLM	OPEN	primary
	NLM	OPEN	alternate
	FDA	OPEN	primary
	FDA		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 17 named members (1 open slot, future 3 openings), 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	12:09 PM ET - no quorum
Follow up items	SHIELD flyer passed eVotes after the call - it is uploaded here: https://aphlinformatics.atlassian.net/wiki/spaces/SC/pages/986579060/SHIELD+Collaborative+Community#One-pager-for-more-details%3A-%5BmediaInline%5D eVote for Charter passed eVotes after the call - the current version is here: https://aphlinformatics.atlassian.net/wiki/spaces/SC/pages/4951506950 NLM and FDA participation: John Snyder is asking about decision for NLM Reached out to contacts for FDA Collaborative Community and lead in OHT7 - they are working on finding a resource
Review SHIELD WG Deliverables and Milestone Grid	THANK YOU to all the WG Chairs for their effort in moving SHIELD work forward!!! Julia will schedule the Standards and Vocab WG calls soon would be good to give guidance to LOINC Committee and USCDI (where LOINC is listed for LabOrders) what to include when there are one-click panels like the stroke panel, which in itself has many panels in it - how to deal with “exploding panels” and maybe also set this up for a Topic #2 call Dealing with panels in reflex testing (susceptibility testing panel as part of the reporting per organism)
FDA Interoperability Roadmap Updates	Nick Decker sent this email: UPDATE ON ANTICIPATED ‘INTEROPERABILITY ROADMAP’: Last week (April 30), Center for Devices and Radiological Health Director MICHELLE TARVER said at a meeting hosted by the Medical Device Manufacturers Association that the device center was working on a “roadmap” for interoperability in the medtech and consumer tech sectors. At the Food and Drug Law Institute Annual Conference yesterday (May 6), she offered more detail, noting that the roadmap would be a discussion paper document. “We plan to put out a discussion paper about interoperability that shows the landscape of all the different standards that exist, not only in the medical device space or in the electronic health record space, but also in the consumer tech space,” Tarver said. She also indicated that the agency would seek comment on the topics to be addressed in the paper. The move comes as medtech and consumer tech increasingly intersect. Issues related to health information technology interoperability are top of mind as devices integrate with HIT products, and their generated data sets, such as electronic health record data, are considered for regulatory use as real-world evidence. Discussion today: nothing new to add
Update from HITACH meeting	Mainly presentations about prior authorization CMS rule - Hung mentioned that lab tests that require those need to be included LEAP and Ignite Challenge by ONC https://healthit.gov/event/health-information-technology-advisory-committee-2/
HL7 WGM in Bethesda joint meeting with FDA, ONC and CMS or other participants that are in the area possible?	Sep 19-25th HL7 is at Marriott in Rockville - in person meeting for SHIELD members? Potentially another DC area site. Consider if part of WG quarter (if OO can sponsor that; need to have permission for virtual participants, which would mean folks might need to register for the day?) or one-off outside of HL7 Update from brainstorming email: Suggested to open up to all SHIELD members have agenda posted inviting federal folks who are local to DC area to introduce them to SHIELD Thursday or Friday most popular 1 quarter = 1.5 hours or longer? Offer for other meetings in the future by Regenstrief (Indiana) and by Stan (UT) HL7 registration fees could be a barrier (could we find sponsors?): before Aug 21, 2026 member/non member $420/$560 after Aug 21, 2026 member/non member $630/$840 student: $210
Vision 2030 work	https://docs.google.com/document/d/11A9VyhtSGm9dCjJNOi7_eJzz3gPDMYhkmNCoQNVbxuo/edit?tab=t.0#heading=h.yp9lsvo5yvsf Follow up from last call - see minutes: https://aphlinformatics.atlassian.net/wiki/spaces/SC/pages/4835180548 Need to find date to re-invite Serge Discussion today:
Next calls	All SHIELD Calls Jun 9, 2026 General Updates: 2024 - WG Chairs please make sure we have material for updates (at least notes we can link to) Special Topic: May 12, 2026 - LOINC Updates Steering Committee: Jun 3, 2026
Call adjourned	12:32 PM ET
https://aphlinformatics.atlassian.net/wiki/spaces/SC/pages/4171104264
Placeholder to get back to later	Antimicrobial result reporting - CAP Informatics Commitee will request feedback from Standards and Vocab WG Any updates from CAP? Other presentations to folks at FDA? Data Standards Review Committee of the FDA FDA Scientific Computing Board (SCB) Compass group lab Next HTI rule (whenever it comes out)

From Chat:

Action items

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For Vison 2030 identify the low hanging fruit and pick timelines and phased adoption goals

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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 and provide a feasible timeline and phased milestone list

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LIS vendor certification incentives (or IHE Connectathons and capability statements)

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CAP proficiency testing pilot to include UDI in the interface and gather LOINCs for the tested platforms and review and update, where needed, then import that into LIDR and make public - LIDR WG addressing this one

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Find high return PH/emergency preparedness use cases for PH pilot and LIDR population (we already have the crowdsourced LIVD file, maybe see, if we can’t get more active participation in filling it out)

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

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Gather lists of qualitative results from LabCorp (Carmen) ARUP (Jenna), SonicHealth (Eric)

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