1. Lab US Realm Pilot Project LOINC Committee Meeting Carolyn A. Knapik, BS, MT(ASCP) June 9, 2016

2. Background Original goal: Funding opportunity from ONC to encourage market adoption of the Lab US Realm suite of Implementation Guides: –HL7 US Realm Laboratory Results R1 DSTU R2 (LRI) –Laboratory Orders R1 DSTU R2 (LOI) –electronic Directory of Services R2 DSTU R2 (eDOS) Project Launched March 25, 2016 Live Q&A Webinar held April 7, 2016 © 2016 College of American Pathologists. All rights reserved.

3. The College of American Pathologists’ (CAP) Involvement CAP Partnered with ONC to: Provide guidance and assistance to pilots in regards to CLIA and regulation conformance inquiries. Offer insights regarding clinical laboratory reporting using the HL7 v2.x message structure to inform future versions of the standards. © 2016 College of American Pathologists. All rights reserved.

4. Scope Change as of June 1, 2016 Focus changed from implemention to cost saving studies regarding the use of the suite of Lab US Realm Implementation Guides. Deadline for Proposal Submission extended to June 20, 2016. © 2016 College of American Pathologists. All rights reserved.

5. Why the Change? Timeline was determined too short for implementation to occur. It is hoped that the cost saving studies produced will promote and encourage adoption of the suite of Lab US Realm Implementation Guides. © 2016 College of American Pathologists. All rights reserved.

6. How Can I Participate? Submit a non-binding letter of intent as soon as possible Submit a completed Lab US Realm Pilot Proposal Template to Mike Flanigan Questions can be directed to Mike Flanigan at mike.flanigan@esacinc.com mike.flanigan@esacinc.com More details can be found on the wiki at: http://wiki.siframework.org/Lab+US+Realm+Pilot+ Project http://wiki.siframework.org/Lab+US+Realm+Pilot+ Project © 2016 College of American Pathologists. All rights reserved.

7. Useful Links: Labs US Realm Pilot Project Wiki –http://wiki.siframework.org/Lab+US+Realm+Pilot+Projecthttp://wiki.siframework.org/Lab+US+Realm+Pilot+Project Reference Specifications –HL7 Version 2.5.1 Implementation Guide: S&I Framework Laboratory Test Compendium Framework R2 DSTU R2 (eDOS) http://www.hl7.org/implement/standards/product_brief.cfm?product_id=151 –HL7 Version 2.5.1 Implementation Guide: S&I Framework Lab Orders from EHR R1 DSTU R1 - US Realm (LOI) http://www.hl7.org/implement/standards/product_brief.cfm?product_id=152www.hl7.org/implement/standards/product_brief.cfm?product_id=152 –HL7 Version 2.5.1 Implementation Guide: S&I Framework Lab Results Interface Implementation Guide R1 DSTU R2- US Realm (LRI) http://www.hl7.org/implement/standards/product_brief.cfm?product_id=279 –HL7 Version 2 Implementation Guide: Laboratory Value Set Companion Guide R1 – US Realm http://www.hl7.org/implement/standards/product_brief.cfm?product_id=413 © 2016 College of American Pathologists. All rights reserved.