If only there were a standard for electronic transmission of results data. We paid $30Bn dollars for this?

Oh. https://www.hl7.org/implement/standards/product_brief.cfm?product_id=279

Wait. https://twitter.com/AaronMiri/status/1275613424643444740

So, the story here is an interesting one. Back in late 2010/early '11, at @ONC_HealthIT when I was leading the S&I Framework (when that was a thing) @jitin led the LRI S&I project to reconcile competing(*) HL7 implementation guides for lab reporting.

(*) long story.

It was successful! A very good LRI implementation guide was produced and attached to @ONC_HealthIT certification criteria & linked to CMS MU measured.

Except that use of the guide wasn't *required* -- only incorporation of electronic results.

That gave flexibility -- people didn't need to rip and replace existing implementations. Reasonable. But....

Then @jitin led the development of a companion LOI guide for orders. But there were never MU criteria & certification criteria.

Then the results measure was "topped out", which was cheered at the time, because MU measures. Ugh. Except that @ONC_HealthIT didn't certify stuff without a corresponding MU measure, so the certification criteria were removed.

So by a bunch of very reasonable steps, all the policy levers to drive interoperable orders and results were removed.

Now.