newborn screening and genetics
NewSTEPs and HL7
In 2016, NewSTEPs facilitated a revised draft of an HL7 dried blood spot implementation guide for NBS laboratory results. A task force consisting of HL7 and newborn screening informatics experts collaborated with the goal of developing a practical yet flexible guide to meet the needs of the newborn screening systems nationwide. Task force participants represented APHL, the National Library of Medicine, the Colorado School of Public Health, information system vendors from Natus and OZ Systems and newborn screening program experts from Iowa, Michigan, Minnesota, Texas, Virginia and Washington.
The task force built upon the foundation of a comprehensive NBS results guide developed under the leadership of the Public Health Informatics Institute( PHII) in 2011. Team members worked to review barriers encountered by programs when implementing the PHII guide and aligned the guide with the larger scale Laboratory Results Interface( LRI) message specification1. The task force submitted the Newborn Dried Blood Spot( NDBS) guide for official HL7 balloting as a component to the LRI Implementation Guide in December 2016, with the updated release expected in early 2017. In 2017, the task force will begin developing a Newborn Dried Blood Spot( NDBS) component for LRI’ s counterpart, the Laboratory Order Interface( LOI) 2, for HL7 balloting in the May 2017 cycle.
To supplement the development of these technical documents, NewSTEPs 360 has initiated a concurrent project to complete a diverse and comprehensive NBS HIT Implementation Resource Guide and Toolkit. Scheduled for completion in late 2018, the guide and toolkit will provide NBS systems with a roadmap for the complex process of HIT implementation and include best practices, lessons learned and process maps for incorporation of various forms of HIT.
These revised guides have the potential to simplify and expedite interface implementation for all NBS systems, improve interoperability between programs, support consistent reporting across laboratories and providers and promote wider scale standardized incorporation into Electronic Health Record system( EHR-s), Laboratory Information System( LIS), and Laboratory Information Management System( LIMS) products. These initiatives could assist NBS systems in reducing healthcare costs, and, most importantly, improve patient outcomes. Once publically available, the implementation guides will be accessible at HL7. org, and all documents will be linked at www. NewSTEPs. org.
References 1. HL7 Version 2.5.1 Implementation Guide: S & I Framework Lab Results Interface, Release 1- US Realm 2. HL7 Version 2.5.1 Implementation Guide: S & I Framework Laboratory Orders from EHR, Release 1- US Realm
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