Source IT System ( LIS)

1. Input to LIS Information (Manually or Electronic) • Order Information • Specimen Information • LRI Test Results Data • Minimally required data from Order • CLIA Reporting Data • Test Results Da • Reporting Status – Preliminary, Final, Appended, Corrected and/or Amended Source IT System ( LIS) Consumer IT System (Certified * Ambulatory EHR) 1 2,3 4 • Consumer: • Provider, • Patient • Hospitals, • Organizations, etc. • Source: • Laboratory * “Certified” indicates certification by relevant regulatory body (e.g. ONC, CLIA, CAP). Pre-Condition: The Source has received an Order from the Consumer (either Manually or Electronically) along with the Specimen. LRI Abstract Model Interactions: The Source has Test Results to deliver and creates the necessary Lab Results Interface Message The Source provides the Lab Results Interface Message to the Consumer(s). The Consumer IT system receives, decipher and validates the Laboratory Results Interface Message The Consumer views and incorporates the information that was provided by the Source

2. ToC Orchestration Services Layer Data Element Services Layer ED Care Orchestration Services Future Orchestration Services Data Elements Layer ToC Reference Implementation Layers (ToC RI)

3. Applications , EMR’s, EHRs, Clinical Portals, PHR’s Discharge Summary Services Discharge Instructions Services Future Orchestration Services Consultation Request Clinical Summary Services Consultation Summary Services ToC Orchestration Services Data Element Factory Services Data Element Transform Services Data Element Validation Services Data Element Vocabulary Services Data Element Storage Services Data Element Utility Services Data Element Services Patient Demographics Active Allergies and Adverse Reactions Active Problem List Semi structured Text Reconciled Medications Unstructured Text Data Elements Layer

4. Discharge Summary Services • create Discharge Summary • validate Discharge Summary • retrieve Data Elements • display Discharge Summary • receive Discharge Summary • Consultation Request Clinical Summary Services • create Consultation Request Summary • validate Consultation Request Summary • retrieve Data Elements • display Consultation Request Summary • receive Consultation Request Summary • Consultation Summary Services • create Consultation Summary • validate Consultation Summary • retrieve Data Elements • display Consultation Summary • receive Consultation Summary Applications , EMR’s, EHRs, Clinical Portals, PHR’s • Discharge Instructions Services • create Discharge Instructions • validate Discharge Instructions • retrieve Data Elements • display Discharge Instructions • receive Discharge Instructions ToC Orchestration Services • Data Element Factory Services • create Patient Demographics • create Active Allergies • create Problem List • create Medications • Data Element Transform Services • convert Data Element to CCR • convert Data Element to CCD • convert Data Element to greenCDA • Data Element Validation Services • validate Data Element • validate Data Element for CCR • validate Data Element for CCD • validate Data Element for green CDA • Data Element Utility Services • modify Data Element Attribute • load Data Element From CSV • load Data Element From XML • Data Element Storage Services • store Data Elements In DB • store Data Elements In File Data Element Services Data Element Vocabulary Services Patient Demographics Active Allergies and Adverse Reactions Active Problem List Reconciled Medications Unstructured Text Data Elements Layer Semi structured Text