1. Lab Results Interfaces S&I Framework Initiative Bi-Weekly Initiative Meeting August 15, 2011

2. Agenda Moving Forward Implementation Guide Update Workgroup Updates Q&A + Group Discussion 2

3. Departure of Arien Malec from S&I Arien Malec has submitted his resignation as Coordinator of the Direct Project and the Standards & Interoperability (S&I) Framework to return to the private sector Arien’s role as Coordinator of the S&I Framework will be transitioned to Jitin Asnaani, who will also act as interim Coordinator for the Direct Project Jitin will also continue leading the LRI initiative directly to ensure a smooth transition into the pilot phase, with the continued support of our ONC contractors 3

4. Summer of Standards Harmonization Major Upcoming Milestones We Are Here IG Draft Version 0.1 April: Lab Reporting Implementation Guide Analysis – policy and Conceptual Designs drafted In-scope Test approach reviewed and outlined May: Recommendations for IG Vocabulary recommendations completed Vocabulary alignments completed Complete Public Health High Level Roadmap AprilMayJuneJulyAugustSeptOct F2F Meeting Begin Code Development June: Final F2F Meeting to come to consensus (proposed Jun 13-15) Prepare any needed documentation for RI/DP IG guide drafted July: Initial Pilot Implementations planned IG Guide Version 0.2 drafting completed August: IG guide Version 0.3 drafting completed Report findings to HITSC September: “Key Stakeholder” Messaging and Outreach Fall: Draft MU Stage 2 Rule 4 HL7 Out of Cycle Ballot

5. Implementation Guide Update The LRI IG has been posted to the wiki for comments on style –http://wiki.siframework.org/LRI+Draft+Implementation+Guidehttp://wiki.siframework.org/LRI+Draft+Implementation+Guide The Implementation Guide Tiger Team is also working on a supplement and executive summary to provide an overview of the IG to those who are not familiar with HL7 5

6. Implementation Guide Analysis WG Volunteer Leads: Ken McCaslin, Hans Buitendijk Action Items/Next Steps Continue reviewing HL7 tables Offer subject matter expertise for the Implementation Guide Tiger Team Meeting with Vocab WG Leads this afternoon to discuss outstanding vocabulary questions 6

7. Validation Suite WG Volunteer Leads: Robert Snelick Action Items Develop Test Plan for LIS and EHR systems Reach out to Vocabulary WG to help provide test data for 137 established test cases Formulate questions to Quest Diagnostics and LabCorp in regard to EHR CLIA Specifications and testing procedures Next Steps Call for committed workgroup members participation –NIST tool –CLIA Specification Checklist tool –Test data, test cases, testing Review Architecture Complete CLIA Specifications Checklist requirements Provide Artifacts documents on Wiki

8. Pilots WG Volunteer Leads: Robert Lutolf and Rob Allen Action Items Review Artifacts Documents for Pilots Review new enrollees of Pilot participants Wiki pages Next Steps Outreach Strategy for recruitment of new Pilots Discuss Timeline, Milestones and Pilots participation beyond December 2011 Discuss Lessons Learned from Direct Connect and ELINCS Pilots 8

9. Q&A + GROUP DISCUSSION 9