eDOS Workgroup Update July 16, 2013

1. eDOS Workgroup UpdateJuly 16, 2013 Laboratory Orders Interface Initiative

2. Meeting Etiquette • Remember: If you are not speaking keep your phone on mute • Do not put your phone on hold – if you need to take a call, hang up and dial in again when finished with your other call • This meeting, like all of our meetings, is being recorded • Another reason to keep your phone on mute when not speaking! • Feel free to use the “Chat” or “Q&A” feature for questions or comments • Please announce your name each time prior to making comments or suggestions during the Q&A portion of the meeting From S&I Framework to Participants: Hi everyone: remember to keep your phone on mute  NOTE: This meeting may be recorded and, if recorded, will be posted on the eDOS wiki page after the meeting

3. Agenda • Announcements • eDOS Pilot Updates • eDOS Test Cases (if open questions) • eDOS IG Project Updates • Q&A

4. eDOS Summary – Background • eDOS: Provides an electronic interchange of a laboratory’s Directory of Services (DOS) in a structured format based on HL7’s master file update found in Chapter 8 of version 2.5.1. This implementation guide, initially developed by the members of the American Clinical Laboratory Association’s (ACLA) in conjunction with their Health Information Technology (HIT) Committee, is intended to provide all necessary information to help an Ordering Provider properly request laboratory tests consistent to aide patient diagnosis. • The eDOS work effort will: • Validate that the current Informative Implementation Guide meets the objective through a pilot of eDOS • Align the IG with the in-scope tests in the Lab Result Interface (LRI) IG • Incorporate pilot findings to update the Implementation Guide to develop a normative document to be balloted based on HL7’s ANSI process. • The Normative IG is intended to support the efforts of the Lab Order Interface (LOI) IG and the Lab Result Interface (LRI) IG by providing the services necessary to meet the needs of the users of those guides.

5. Background 5 • eDOS, or the Laboratory Test Compendium Framework, provides an electronic interchange of a laboratory’s directory of services in a structured format based on HL7’s master file update. • An Implementation Guide was developed by the members of the American Clinical Laboratory Association (ACLA) in conjunction with their Health Information Technology (HIT) Committee to provide all necessary information to help an Ordering Provider properly request laboratory tests consistent to aide patient diagnosis. • The eDOS IG is available as an informative document from HL7 • The LOI Tiger Team identified the importance of coordinating the LOI and eDOS efforts so that LOI can validate the eDOS IG as part of the LOI alignment activities • To ensure that the eDOS efforts don’t delay the LOI Initiative, the Tiger Team decided to spin off a separate eDOS Work Group to focus on eDOS

6. Background 6 • The initial work group efforts outlined focus on kicking off pilots to validate the Implementation Guide with the goal of creating a normative document to be balloted based on HL7’s ANSI process • To ensure successful validation and pilots, a Use Case and Functional Requirements will be developed to validate existing industry requirements and the current informative IG • Real-world scenarios will help create specific pilot test conditions and metrics for use in Pilot validation of the IG • Clearly defined functional and data set requirements facilitate eDOS & LOI coordination and alignment • A well-articulated Use Case supports awareness of the clinical and implementer communities’ real-world needs

7. Pilot Updates • Kaiser Permanente • Initial Contact • ARUP • Not able to Participate • Quest Diagnostics • Working to find a Partner and Site • LabCorp • Contact made at May 2013 HL7 Working Group Meeting – following up • Bioreference Labs • Not able to Participate • Mayo • Request for Pilot Submitted; approved 4/9 • Genoptix • Request for Pilot Submitted; approved 4/23

8. eDOS Test Cases • NIST draft test messages posted to eDOS wiki • Works in Progress • Beta LOI Validation tool available • http://hit-testing.nist.gov:8080/mu3-loi/ • If no content appears click again on the heading • Tool and Test Cases “beta” • Google group instructions home page

9. eDOS IG Project Update Reminder re: target dates (discussed 5/21 call) eDOS ballot announced 5/20 • Ballot Open Date: Wednesday, June 19, 2013 • Ballot Close Date: Friday, July 19, 2013 **Votes due** Join Ballot Pool • Ballot Pool Sign-Up Open Date: Wednesday, June 5, 2013 • Ballot Pool Sign-Up Close Date: Friday, July 12, 2013 Other ballots: • HL7 Version 2.8.1 Messaging Standard (1st Normative Ballot) • HL7 Version 2.5.1 Implementation Guide: S&I Framework Laboratory Orders from EHR, Release 1- US Realm (2nd DSTU Ballot)

10. eDOS IG Project Update • Release 2 IG draft V14 posted on wiki; may have to complete IP form to download • For HL7 Ballot, required to change title to match Release 1, but will request update when published to match LRI and LOI IGs • Review eDOS comments from Genoptix pilot (updated for 7/15/2012 eDOS WG call) • Review Genoptix test relationship issue (updated for 7/15/2012 eDOS WG call)

11. eDOS IG Project Update AOE – Cytology requisition example – Clinical History “check all that apply” Multiple answers -might be in different formats (for example, coded, numeric, text) Multiple questions -35090-0 Patient History (see next screen)

12. eDOS IG Project Update

13. eDOS IG Project Update Ask at Order Entry (AOE) Appendix A • V18 posted, incorporates edits from Peer Reviews and LOI Vocabulary comment resolution • V18 incorporated into eDOS V11 and eDOS IG HL7 ballot

14. Next Steps - Reminders • Alternating calls Tuesday, 2 pm Eastern • July 23 Laboratory Pilots • July 30 eDOS WG call • Sign up as a Committed Member for the Workgroup (link) • Review the Workgroup Charter Workgroup meeting (link) • Fill out the Pilot Spreadsheet (link)

15. Q&A