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Optional ELR Lab Data Elements - Lab Template
ICR 201803-0920-007 · OMB 0920-0728 · Object 81358601.
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| File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
|---|---|
| File Title | Optional ELR Lab Data Elements - Lab Template |
| Author | Marshburn, Margaret Ann (CDC/OID/NCEZID) (CTR) |
| Last Modified By | Calc |
| File Modified | 2017-09-13 |
| File Created | 2026-08-31 |
| Conversion State | complete |
Extracted Text
Attachment 6: Laboratory Data PHIN Variable ID Data Element Name LAB101 Test Performed Name LAB192 LAB278 Test Result - Coded Qualitative (non-organism) Test Result - Coded Organism LAB114 Test Result - Numeric LAB115 Units of Measure LAB208 Test Result - Text LAB118 Test Result -Interpretation Flag LAB582 LAB207 Test Result - Reference Range Observation Result Status LAB163 Specimen collection date LAB105 Test Method LAB197 LAB143 Specimen Analyzed Date Performing Laboratory Name LAB577 Performing Person Name LAB104 Test Result Comments September 13, 2017 Data Element Description Name of test or analyte performed. The lab test that was run on the specimen. This is also referred as "Resulted Test Name" Coded Qualitative Test Result Value Coded result - Organism (SNOMED) Result Value, used where OBX-2 is CE or CWE value type Numeric Result Value, used where OBX-2 is SN or NM value type Numeric Result Value, used where OBX-2 is SN or NM value type Lab Result Text Value used where OBX-2 is TX. Textual result value, used if result is neither numeric nor coded. Abnormal Flags used for laboratory result interpretation (OBX-8) by Lab (not Epidemiologist's Interpretation). The interpretation flag identifies a result that is not typical as well as how its not typical. Examples: Susceptible, Resistant, Normal, Above upper panic limits, below absolute low. Reference Range Result Status (OBX-11). The Result Status is the degree of completion of the lab test. Date/Time of Observation in OBX segment for ELR infers to the specimen collection date The technique or method used to perform the test and obtain the test results. Observation Method. Examples: Serum Neutralization, Titration, dipstick, test strip, anaerobic culture. Lab Report Date - Date/Time of the Analysis. Name of Laboratory that performed the lab test. Performing Organization Name Performing Organization Medical Director / Performing Person Name. Comments having to do specifically with the lab result test. These are the comments from the NTE segment if the result was originally an Electronic Laboratory Report. Attachment 6: Laboratory Data September 13, 2017 LAB125 Specimen ID LAB203 LAB166 Specimen Type Specimen Source Site LAB581 LAB587 LAB202 Specimen Description Specimen Collection Date/Time Filler Order # LAB112 Test Ordered Name LAB576 LAB580 Observation Date/Time Results Rpt/Status Chng - Date/Time A laboratory generated number that identifies the specimen related to this test. The type of specimen used in testing the Resulted Lab Test. This indicates the physical location of the subject where the specimen originated. Examples include: Right Internal Jugular, Left Arm, Buttock, Right Eye, etc. Text description of the specimen The date the specimen was collected. A laboratory generated number that identifies the test/order instance. Test that was ordered by the physician / provider. This could be a lab test panel which would lead to several lab tests. Observation Date/Time (OBR-7) Results Rpt/Status Chng - Date/Time LAB579 LAB578 Result Status Reason for Study Result Status Reason for Study TBD TBD TBD TBD TBD TBD TBD TBD Placer Order Number Ordering Provider Specimen ID Placer Assigned Identifier Specimen ID Filler Assigned Identifier Specimen Role Specimen Collection Amount Specimen Received Date/Time Placer Order Number Ordering Provider Specimen ID Placer Assigned Identifier Specimen ID Filler Assigned Identifier Specimen Role Specimen Collection Amount Specimen Received Date/Time HL7 version 2.x Specimen action code used in chapter(s) 4; HL7 table 065 TBD Specimen Action Code Parent Universal Service Identifier Parent universal service identifier is optionally allowed for labs that do not support unique placer or filler order numbers TBD Unique Identifier for Current Sample Isolate identifier unique for each isolate within laboratory 60422-3 Genotype Sequence Identifies the genotype sequence of an organism INV706 INV705 TBD Serotype Serogroup Species Identifies the serotype of an organism. Identifies the serogroup of an organism. identifies the group of organisms or animals. Attachment 6: Laboratory Data 82771-7 82772-5 82314-6 85930-6 LABAST1 LABAST2 LABAST3 LABAST4 LABAST5 LABAST6 LABAST7 LABAST8 LABAST9 LABAST10 LABAST11 Performing Laboratory Type Date/Time of Lab Result Performing laboratory type Date result sent from reporting laboratory Specimen Type sent to CDC Specimen(s) sent to CDC Date Specimen Sent to CDC Microorganism Identified in Isolate Isolate Identifier Antimicrobial Susceptibility Specimen Type September 13, 2017 Date specimen sent to CDC Pathogen /Organism Identified in Isolate. Isolate identifier unique for each isolate within laboratory. Antimicrobial Susceptibility Specimen Type (e.g. Exudate, Blood, Serum, Urine) Antimicrobial Specimen Collection Site Anatomic site where the specimen was collected (e.g. Urethra, Throat, Nasopharynx) Antimicrobial Susceptibility Specimen Collection Date Antimicrobial Susceptibility Specimen Collection Date Antimicrobial Susceptibility Test Type Antimicrobial Susceptibility Test Type would includes drugs, enzymes, PCR and other genetic tests to detect the resistance against specific drugs. Antimicrobial Susceptibility Test Method Antimicrobial Susceptibility Test Method (e.g. E-Test, MIC, Disk Diffusion) Antimicrobial Susceptibility Test Interpretation (e.g. Antimicrobial Susceptibility Test Interpretation Susceptible, Resistant, Intermediate, Not tested) Antimicrobial Susceptibility Test Result Quantitative Antimicrobial Susceptibility Test Result Numerical Value Value (e.g. Quantitative MIC values, Disk Diffusion size in mm) Antimicrobial Susceptibility Test Result Numerical Antimicrobial Susceptibility Test Result Numerical Value Value Units Units (e.g. microgram/ml, mm) Antimicrobial Susceptibility Test Result Coded Antimicrobial Susceptibility Test Result - Coded Quantitative Quantitative. List of coded values (i.e. valid dilutions) to represent the antimicrobial susceptibility test result.