Electronic Transmission of Reportable Lab Results to Public Health Agencies

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Type Standard / Implementation Specification Standards Process Maturity Implementation Maturity Adoption Level Federally required Cost Test Tool Availability
Implementation Specification
Final
Production
Rating 4
Yes
Free
Yes
Implementation Specification
Balloted Draft
Production
Rating 1
No
Free
No
Implementation Specification
Balloted Draft
Production
Rating 1
No
Free
No
Limitations, Dependencies, and Preconditions for Consideration
Applicable Security Patterns for Consideration
  • Stakeholders should refer to the health department in their state or local jurisdiction to determine onboarding procedures, obtain a jurisdictional implementation guide if applicable, and determine which transport methods are acceptable for submitting ELR as there may be jursidictional variation or requirements.
  • See HL7 V2 projects in the Interoperability Proving Ground.
  • Secure Communication – create a secure channel for client-to-server and server-to-server communication.
  • Secure Message Router – securely route and enforce policy on inbound and outbound messages without interruption of delivery.
  • Authentication Enforcer – centralized authentication processes.
  • Authorization Enforcer – specifies access control policies.
  • Credential Tokenizer – encapsulate credentials as a security token for reuse  (e.g., – SAML, Kerberos).
  • Assertion Builder – define processing logic for identity, authorization and attribute statements.
  • User Role – identifies the role asserted by the individual initiating the transaction.
  • Purpose of Use - Identifies the purpose for the transaction.

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Pharmacy HIT Collaborative's Comments on ONC's Proposed 2018 ISA

The Pharmacy HIT Collaborative supports the use of HL7 2.5.1; HL7 Version 2.5.1: Implementation Guide: Electronic Laboratory Reporting to Public Health (US Realm), Release 1 with Errata and Clarifications and ELR 2.5.1 Clarification Document for EHR Technology Certification; the balloted drafts of HL7 Version 2.5.1 Implementation Guide: Electronic Laboratory to Public Health, Release (US Realm), Draft Standard for Trial Use, Release 1.1; and emerging implementation specification HL7 Version 2.5.1 Implementation Guide: S&I Framework Laboratory Results Interface Implementation Guide, Release 1 STU Release 2 (US Realm), which is in development.