20170629_LabUSRealm_Notes
Attendees: Kathy, Hans, Andrea, Erin, David B, Carmen, Freida, Craig, Riki, Rob H, Walter, Ron ?
LRI#81:
Related to the resolution for LRI#73: C(R/O)
If info comes in in OBR segment, then can populate the SPM:
OBR-15.1 maps to SPM-4
OBR-15.4 maps to SPM-8
OBR-14 maps to SPM-18
OBR-7 maps to SPM-17
The elements that don’t map are specimen ID – should have a filler specimen ID
OBR-15 has source pre-coordinated, that could cause some translation issue
Erin’s reason for making element RE, that gives more weight for folks to actually support the field
If information is known, especially SPM-4/8, it should be sent
Kathy’s issue is with folks not having data to populate
There are several jurisdictions that map from OBR in v2.3.1 into v2.5.1 so that their system can consume only one format, so it is doable.
The guide is setting the goal for the future, not what we currently have
Is there a way to link the SPM to the OBX in the ORU message? Not unless you use 2 OBX and identify the SPM-2 for the OBX and link via OBX-4
Message with 1 Order group
Message with parent child order groups, where the specimen is the same – can have just one SPM
Where they are different must have 2? – no can have 2, RE is not about the information being different but just about being known.
Hans drops off.
Ron and Rob not answering, so counting 9 on the call
Motion to use C(R/RE) with CP: If OBR-29 is valued. – Craig Newman, Andrea Pitkus, no further discussion, against: 1, abstain: 3, in favor: 4
LRI#123: How to capture the information about the original provider, when reference testing is performed – what way should be used to document both – or does the ordering information in ORC/OBR does not get updated with the
Dr.Bob orders the test from the local lab
Local lab sends on to the state labs – what info is the
Conflict of interest – cannot send its client’s information to other labs (conflict of interest) – also the reference lab has contract to just report for the test that was ordered
So focus should be on provider, who has all the information in the end to report to PH.
CLIA requires a physician to be on record – how does that work for the reference lab – if the forwarding lab is CLIA certified that takes care of that
PH would like original ordering provider, but the contact information must be for the name listed on the
Motion to remove the "original ordering provider" and add a note that the information provided is at minimum the entity placing the order but in referral situations it may or may not represent the original ordering provider." – David Burgess, Freida Hall, no further discussion, against: 0, abstain: 1, in favor: 7
Happy 4th of July weekend!
Call adjourned at 4:01 PM EDT