1. Source IT System ( LIS) Consumer IT System (Certified * Ambulatory EHR) Pre-Condition: The Source has received an Order from the Consumer (either Manually or Electronically) along with the Specimen. LRI Abstract Model Interactions: 1.The Source has Test Results to deliver and creates the necessary Lab Results Interface Message 2.The Source provides the Lab Results Interface Message to the Consumer(s). 3.The Consumer IT system receives, decipher and validates the Laboratory Results Interface Message 4.The Consumer views and incorporates the information that was provided by the Source Source: Laboratory Consumer: Provider, Patient Hospitals, Organizations, etc. 1 2,34 LRI Test Results Data Minimally required data from Order CLIA Reporting Data Test Results Da Reporting Status – Preliminary, Final, Appended, Corrected and/or Amended Input to LIS Information (Manually or Electronic) Order Information Specimen Information * “Certified” indicates certification by relevant regulatory body (e.g. ONC, CLIA, CAP).

2. ToC Orchestration Services Layer Data Element Services Layer Data Elements Layer ED Care Orchestration Services Future Orchestration Services ToC Reference Implementation Layers (ToC RI)

3. Patient Demographics Active Allergies and Adverse Reactions Active Problem List Reconciled Medications Data Elements Layer Unstructured Text Applications, EMR’s, EHRs, Clinical Portals, PHR’s Data Element Services Data Element Factory Services Data Element Transform ServicesData Element Validation Services Data Element Storage ServicesData Element Utility Services Data Element Vocabulary Services Semi structured Text ToC Orchestration Services Discharge Summary Services Consultation Request Clinical Summary Services Consultation Summary Services Discharge Instructions Services Future Orchestration Services

4. 4 Applications, EMR’s, EHRs, Clinical Portals, PHR’s Patient Demographics Active Allergies and Adverse Reactions Active Problem List Reconciled Medications Data Elements Layer Unstructured Text Data Element Services ToC Orchestration Services Data Element Factory Services create Patient Demographics create Active Allergies create Problem List create Medications Data Element Transform Services convert Data Element to CCR convert Data Element to CCD convert Data Element to greenCDA Discharge Summary Services create Discharge Summary validate Discharge Summary retrieve Data Elements display Discharge Summary receive Discharge Summary Consultation Request Clinical Summary Services create Consultation Request Summary validate Consultation Request Summary retrieve Data Elements display Consultation Request Summary receive Consultation Request Summary Consultation Summary Services create Consultation Summary validate Consultation Summary retrieve Data Elements display Consultation Summary receive Consultation Summary Discharge Instructions Services create Discharge Instructions validate Discharge Instructions retrieve Data Elements display Discharge Instructions receive Discharge Instructions Data Element Validation Services validate Data Element validate Data Element for CCR validate Data Element for CCD validate Data Element for green CDA Data Element Storage Services store Data Elements In DB store Data Elements In File Data Element Utility Services modify Data Element Attribute load Data Element From CSV load Data Element From XML Data Element Vocabulary Services Semi structured Text