United States Health Information Knowledgebase


HITSP C36 Lab Result Message Component

Type:Data Agreement
Start Date:2008-08-27
Scope:This section describes the contents of this specification and provides a high level definition of this Component and background information about the underlying standards that the Component is based on. The purpose of this document is to describe the specification for a constrained Health Level Seven (HL7) Version 2.5.1 ORU V Unsolicited Observation Message (Event R01). The goals supported by this Component specification are stated in the AHIC Electronic Health Record (EHR) and Biosurveillance Use Cases: Transmission of complete, preliminary, final and updated laboratory results to the EHR system (local or remote) of the ordering clinician Transmission of complete, preliminary, final and updated (or notification of) laboratory results to the EHR system (local or remote) or other clinical data system of designated providers of care (with respect to a specific patient) Transmission of laboratory result data from electronically enabled healthcare delivery and public health systems in standardized and anonymized format to authorized Public Health Agencies with less than one day lag time The Use Cases note that there are obstacles to achieving the stated goals. In particular, the following obstacle is delineated Lack of harmonization among data interoperability standards including vocabulary, laboratory and other messaging standards This Lab Result Message Component is the result of a considered assessment of the current practices in electronic laboratory results reporting and the requirements of the Use Case. Following the EHR Use Case as used by HITSP in consultation with the Department of Health and Human Services (HHS), the Office of the National Coordinator (ONC) and the American Health Information Community (AHIC), this scope includes laboratory results and interpretations from ambulatory, inpatient and other care settings. In order to encourage rapid and widespread adoption of this Component, the HITSP Technical Committee placed emphasis on the message content in current implementations and the ease with which current implementations can become compliant. HL7 Version 2.x message-based laboratory result reporting is the most common electronic interface in existence today and the HITSP Technical Committee did not want to invalidate those interfaces.
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Is composed of HITSP Specimen Collection Site   

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