LIVD FHIR IG Proposal
- 1 LIVD Implementation Guide
- 1.1 Owning work group name
- 1.2 Committee Approval Date:
- 1.3 Contributing or Reviewing Work Groups
- 1.4 FHIR Development Project Insight ID
- 1.5 Scope of coverage
- 1.6 IG Purpose
- 1.7 Content location
- 1.8 Proposed IG realm and code
- 1.9 Maintenance Plan
- 1.10 Short Description
- 1.11 Long Description
- 1.12 Involved parties
- 1.13 Expected implementations
- 1.14 Content sources
- 1.15 Example Scenarios
- 1.16 IG Relationships
- 1.17 Timelines
- 1.18 When IG Proposal Is Complete
- 1.19 FMG Notes
LIVD Implementation Guide
Owning work group name
Orders & Observations YourWorkGroupName
Committee Approval Date:
August 3, 2018
Please enter the date that the committee approved this IGproposal
Contributing or Reviewing Work Groups
- Work Group Name
- or link
- or "None"
FHIR Development Project Insight ID
Scope of coverage
The LIVD Implementation Guide addresses the ability for IVD device manufacturers to communicate for each of their devices the suggested mapping of the IVD (InVitro Diagnostic) Test Codes to one or more LOINC codes.
As the initial scope does not include for manufacturers to provide FHIR based service APIs, rather providing the relevant resources in a Bundle using some form of download/file transfer, the various operations otherwise necessary are not included. Future versions will address that scope.
The consuming application will present the data in a format and context suitable to those who configure devices to interact with a Laboratory Information System (LIS) to ensure the appropriate LOINC code is used when a result is communicated from the device to the LIS>
The IG enables consistent expression of the suggested mappings using an industry standard that enables consistency across manufacturers, as well as enabling a path to service based APIs to provide access to these mappings.
Proposed IG realm and code
The community (manufacturers, FDA, CDC, LIS vendors, and others) is already progressing scope to address suggested mapping of non-quantitative results for the device. As these and other capabilities are being addressed and service based APIs are being implemented, subsequent versions of the guide will be developed to address these requirements.
The LIVD Implementation Guide provides a industry standard expression for an IVD device manufacturer's suggestions for a specific device's mapping from the internal, proprietary IVD test codes to suggested LOINC codes when a LIS manager is connecting and configuring a device to the LIS.
The LIVD Implementation Guide provides a industry standard expression for an IVD device manufacturer's suggestions for a specific device's mapping from the internal, proprietary IVD test codes to suggested LOINC codes when a LIS manager/analyst is connecting and configuring a device to the LIS.
As an LIS manager/analyst is configuring a device to be connected to the LIS, the suggested mappings can focus the LIS manager/analyst on the most likely LOINC codes to consider, thus enabling a choice relevant to the specific context of the device's use and purpose within the Laboratory that is more consistent across the industry.
The LIVD Implementation Guide is the result of a collaboration between representatives from the:
- LIS vendors
- IVD instrument manufacturers
- and other interested parties
Device manufacturers and LIS vendors are interested and expected to implement the initial version to publish LIVD mappings (manufacturers) and present the mappings in context of the LIS configuration process (LIS vendors). The initial version of the IG resulting from the For Comment ballot and connectathon will further inform the initial take-on by these parties.
The LIVD Implementation Guide is based on the IICC whitepaper that describes an agreed to data set and format using JSON (not based on FHIR resource specifications) that is currently being published by various manufacturers. (WOULD BE GREAT TO PUT IN NAMES OF THOSE WHO HAVE DONE THAT).
The primary scenario is for a manufacturer to post the LIVDBundle on a website and/or distribute it as part of their device documentation, upon which a consuming app will ingest the LIVDBundle and present it as they best see fit.
The target is to provide an initial for comment ballot in September 2018, and based on feedback and connectathon experience have a second ballot in January 2019 to solidify content and enable maturation and refinement per FMM stages.
When IG Proposal Is Complete
When you have completed your proposal, please send an email to FMGcontact@HL7.org