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Laboratory-Clinical Communications LCC

Laboratory-Clinical Communications LCC. Goals. The LCC Profile works in conjunction with the Lab Testing Workflow (LTW) Profile to support: Within-system communication and documentation of order change recommendations

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Laboratory-Clinical Communications LCC

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  1. Laboratory-Clinical CommunicationsLCC

  2. Goals The LCC Profile works in conjunction with the Lab Testing Workflow (LTW) Profile to support: • Within-system communication and documentation of order change recommendations • Within-system communication and documentation of result verification/interpretation requests • Better integration of laboratorians and pathologists into the patient care team • Better monitoring of the clinical performance of tests with improved process improvement opportunities

  3. Participants • Agreed • Epic • Cerner • Sunquest • Elekta • Tentative • GE? • Others? It would be nice to get Eclypsis

  4. Use Cases • Order modification • Specimen problems • Reference laboratory problems • Laboratory-based decision support • Time-out of “future orders” • Order fulfillment (post-result actions) • Results inconsistent with clinical picture (e.g., verification request) • Test interpretation request • Incorrect testing

  5. Current LTW Transaction Sequence

  6. Tentative LCC Implementation(additions shown in red)

  7. LCC Development Tasks • Analysis of available HL7 data elements in parallel with use case completion (2 mo) • Extraction of data elements, actors, transaction patterns from use cases with mapping to HL7 data elements (3 mo) • Evaluate HL7 dependencies and establish Phase II timeline • HL7 development if necessary (6 – 12 mo) • LCC message construction (5 mo) • Final documentation (1 mo) • Initial balloting Fall 2012 or 2013 • Initial Connectathon implementation Winter 2013 or 2014 Phase I Phase II

  8. Risks • Attraction and maintenance of personnel and interest • HL7 data model dependencies • Ballot-related delays • Failure of implementation of the completed specification

  9. Mitigating Factors • Interest and support from EHR/LIS community • CAP backing and logistics support • Shared personnel with HL7 and the ONC S&I Framework project • Relatively limited scope of application

  10. Proposal of LCC profile LAB-6: Request for modification of an order Order Placer Order Filler OrderResultTracker LAB-7: Request on resultsinterpretation, verification

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