2026-07-01 Steering Committee Meeting Notes

Date

Jul 1, 2026

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 - regrets	primary
			alternate
	OPEN	OPEN	primary
	OPEN	OPEN	alternate
Healthcare Provider	Quest Diagnostics, Seattle, WA	Mehdi Nassiri, MD - regrets	primary
	University of Wisconsin-Madison	Andrea Pitkus, PhD, MLS(ASCP)CM, FAMIA	primary
	UT Southwestern Medical Center	Hung Luu	primary
	OPEN	OPEN	primary
	Longtime Lab Professional	Carmen Pugh	primary
	Sonic Healthcare / ACLA	Eric Crugnale	primary
	Harvard	Li Zha	primary
Patient Advocate	OPEN	OPEN	individual
Standards Organization	SNOMED International	Jim Case	primary
	SNOMED International	Monica Harry - regrets	alternate
	Regenstrief Institute	Marjorie Rallins - regrets	primary
	Regenstrief Institute	Eza Hafeza	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 - regrets	primary
	CAP	Scott Campbell - regrets	alternate
	AMP	Robyn Temple	primary
	AMP		alternate
Governmental - non Voting	CMS	Michael Smalara	primary
	CMS	Open	alternate
	ONC	Sara Armson	primary
	ONC	OPEN	alternate
	CDC	Hubert Vesper (/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	12:08 PM ET
Follow up items	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 CLIA in congress: https://www.congress.gov/bill/119th-congress/house-bill/8890/text?s=1&r=1&hl=clia AMP is keeping an eye out affects LDTs, mentions a centralized dB for those, so maybe could expand LIDR to piggy-back off that effort, if there is funding? would be good to see, if this database could capture LOINC assignment (or encourage request for new codes, if mapping not possible) a lot of discussion going on in the lab community ONC LEAP Grant announcement: Area 3: includes a pilot for independent small labs to support LOINC coding or other interoperability approaches should update language around replacing local codes to clarify that this should be mapping in addition, since unique ID is required for workflow triggering Letter of intent was due yesterday https://healthit.gov/blog/standards/advancements-in-health-it-oncs-2026-approved-svap-standards/ "Beginning August 29, 2026, Health IT developers participating in the ONC Health IT Certification Program may voluntarily use these approved standards in their Certified Health IT Modules. SVAP provides a pathway for developers to adopt newer standards versions without waiting for regulatory updates to certification requirements." USCDI V6 is named, which adds several new lab related data elements you can be certified to perviously SVAPed standards - this just adds to exiting certifications if you want to suggest improvements on USCDI elements submit that to the websites for translation of data elements into implementations review US Core specifications and attend HL7 Cross Group Calls = Thursdays 1 -2 PM ET =
SC Members	Scott Campbell now at CAP and will replace Raj as primary CAP representative, Kevin will be alternate - Riki requested email to that effect for records - still open
Updates to Codes for Outbreaks	Hantavirus no longer emergency in US (new LOINCs are coming and the LIVD file should still be published) - SNOMED CT modeling ongoing Will work on Ebola LIVD later APHL is also researching process to coordinate the communication between the SDOs and outbreak response organizations for the future
Review SHIELD WG Deliverables and Milestone Grid	THANK YOU to all the WG Chairs for their effort in moving SHIELD work forward!!! The Standards and Vocab WG first call was held on Tuesday, Jun 23, 2026 10-11 AM EDT - start out with once a month on the third Tuesday
HL7 WGM in Bethesda joint meeting with FDA, ONC and CMS or other participants that are in the area possible?	RSVP so far (not public, but we can review) •Potential Agenda Items: 1.Short term interoperability goals/recommendations (aligned with Vision) 2.Top lab tests for national adoption 3.Blockers and what's needed to overcome 4.ONC presentation on their lab interoperability goals. (What they can share. areas of focus so SHIELD can align) 5.Presentation about SHIELD, interop challenges, needs to any congressional reps (education, conversation) 6.Conversation with FDA on need for discrete, searchable test details (510 K). Do they have details? Website issue? What would address? Emphasize need for PH among others (COVID, Hanta, Ebola, etc.) 7.Conversation with other agencies/entities on lab topics in their area? (e.g. CLIA, SDOs, NLM, Rachel Dunscombe from HL7?) 8.Conversation on IVD vendors on how to get LIVD maps from them (those not yet providing). Ideas, how to execute and by which entities/people, by when? Longer term needs (Vision) discussion - specific semantic concept modeling 10.Next Steps Need to develop time blocks for agenda, Goals, Questions. Next Steps. Maybe 15 min presentation, 15 min Q&A, 15 min discussion 10 min Next Steps w point person and by when. Invite congressional folks related to the CLIA LDT database?
Vision 2030 work	https://docs.google.com/document/d/11A9VyhtSGm9dCjJNOi7_eJzz3gPDMYhkmNCoQNVbxuo/edit?tab=t.0#heading=h.yp9lsvo5yvsf Follow up from last call when discussed see minutes: Need to find date to re-invite Serge - consider aiming for Aug 11, 2026, so we have some time to polish the text; we will use the Special Topic call on Jul 14, 2026 as working session Discussion today: We will polish the text on July 14th - please all check to make sure you have access to the gooledoc before the call
Next calls	All SHIELD Calls Jul 28, 2026 General Updates: 2024 - WG Chairs please make sure we have material for updates (at least notes we can link to) Special Topic: Jul 14, 2026 use this for Vison 2030 preparation and Aug 11, 2026 as option to meet with Serge (in addition to Aug 16, 2026) Steering Committee: Jul 15, 2026
Call adjourned	1:?? PM ET
	not discussed
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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