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OO CR086 - Reflex Testing

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Submitted by: Pilots Revision date: <<Revision Date>>
Submitted date: Mar-2012 Change request ID: OO CR086
Standard/IG: Implementation Guide Artifact ID, Name: <<Artifact ID, Name>>

Issue

Do we permit reflex testing as both the addition of a new OBR/OBX as well as adding only one or more new OBXs to an existing OBR? Both are currently done by multiple laboratories (including both by the same lab)

Recommendation

Rationale

Discussion

  • 21-Jun-2012 - Concerned that having multiple options creates confusion and conflicts with micro parent/child. When done on a culture, then should using parent/child.
    • Suggestion to clarify that reflex tests are communicated using parent/child. We know that is not testable at this point, so it cannot be more than guidance. Will arrive at a conclusion on 26 Jun.
  • 12-Jul-2012 - We could not complete this item in time. Motion to consider this for future use. Bob Yencha, Ken McCaslin

Recommended Action Items

  • 24-Jul-2012 - Get feedback from the Laboratory Results Workgroup (Bob Dieterle) on use case whether we need to support both new OBR/OBX, or new OBX for existing OBR, or both and then determine how to support.
  • 14-Aug-2012 - Ken will reach out to Bob to determine what current status is.

Resolution

  • Bob Dieterle - 23 August 2012
    • Reflex testing maybe represented either as additional OBX to an original OBR or additional OBR/OBX. If the second is true the OBR must reference the original OBR that generated the reflex using the parent/child concepts already in place and both have the link back to the same encounter.
    • They requested that work be done with LOI IG WG to communicate the reflex across the LOI/LRI IGs from the LIS to the EHR.
    • still have work to do.
  • Bob Dieterle - 4 September 2012
    • Will work on this this week.
  • 20 September 2012
    • Reviewed powerpoint slides provided above as guidence to support Reflex and Add on Testing in section 6.
    • PowerPresentation
    • Motion by Bob Dieterle and seconded Les Keeper by to accept this additiona guidence for the LRI errata and the LOI.
    • Against: 0 Abstain: 2 In Favor: 7