Receive Electronic Laboratory Test Results

Type	Standard / Implementation Specification	Standards Process Maturity	Implementation Maturity	Federally required	Cost	Test Tool Availability
Standard	HL7 2.5.1	Final	Production	No	Free	No
Implementation Specification	HL7 Version 2.5.1 Implementation Guide: S&I Framework Lab Results Interface, Release 1—US Realm [HL7 Version 2.5.1: ORU_R01] Draft Standard for Trial Use, July 2012	Balloted Draft	Production	Yes	Free	Yes
Emerging Implementation Specification	HL7 Version 2.5.1 Implementation Guide: S&I Framework Laboratory Results Interface Implementation Guide, Release 1 DSTU Release 2 - US Realm	Balloted Draft	Pilot	No	Free	No

Limitations, Dependencies, and Preconditions for Consideration	Applicable Value Set(s) and Starter Set(s)
HL7 Laboratory US Realm Value Set Companion Guide, Release 1, September 2015, provides cross-implementation guide value set definitions and harmonized requirements. The HL7 EHR-S Functional Requirements: S&I Framework Laboratory Results Messages, Release 1 - US Realm further clarifies sender/receiver responsibilities to achieve end-to-end interoperability for this interoperability need. See HL7 V2 projects in the Interoperability Proving Ground.	Secure Communication – create a secure channel for client-to- serve 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.

Limitations, Dependencies, and Preconditions for Consideration

Applicable Value Set(s) and Starter Set(s)

HL7 Laboratory US Realm Value Set Companion Guide, Release 1, September 2015, provides cross-implementation guide value set definitions and harmonized requirements.
The HL7 EHR-S Functional Requirements: S&I Framework Laboratory Results Messages, Release 1 - US Realm further clarifies sender/receiver responsibilities to achieve end-to-end interoperability for this interoperability need.
See HL7 V2 projects in the Interoperability Proving Ground.

Secure Communication – create a secure channel for client-to- serve 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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