Optional ELR Lab Data Elements - Lab Template

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Attachment 9: Laboratory Data
Data Element Name
Test Performed Name

Test Result - Coded Qualitative (nonorganism)
Test Result - Coded Organism
Test Result - Numeric
Units of Measure
Test Result - Text
Test Result -Interpretation Flag

Test Result - Reference Range
Observation Result Status
Specimen collection date
Test Method

Specimen Analyzed Date
Performing Laboratory Name
Performing Person Name

Data Element Description
Value Set Code
Name of test or analyte performed. The lab test that was run
on the specimen. This is also referred as "Resulted Test
Name"
PHVS_LabTestName_CDC
Coded Qualitative Test Result Value
PHVS_LabTestResultQualitative_CDC
Coded result - Organism (SNOMED) Result Value, used where
PHVS_Microorganism_CDC
OBX-2 is CE or CWE value type
Numeric Result Value, used where OBX-2 is SN or NM value
N/A
type
Numeric Result Value, used where OBX-2 is SN or NM value
PHVS_UnitsOfMeasure_CDC
type
Lab Result Text Value used where OBX-2 is TX. Textual result
N/A
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, PHVS_AbnormalFlag_HL7_27
Normal, Above upper panic limits, below absolute low.
N/A
Reference Range
Result Status (OBX-11). The Result Status is the degree of
completion of the lab test.
PHVS_ObservationResultStatus_HL7_2x
Date/Time of Observation in OBX segment for ELR infers to
N/A
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.
PHVS_LabTestMethods_CDC
N/A
Lab Report Date - Date/Time of the Analysis.
Name of Laboratory that performed the lab test. Performing
N/A
Organization Name
Performing Organization Medical Director / Performing
N/A
Person Name.

Attachment 9: Laboratory Data
Test Result Comments

Specimen ID
Specimen Type
Specimen Source Site

Specimen Description
Specimen Collection Date/Time
Filler Order #
Test Ordered Name
Observation Date/Time
Results Rpt/Status Chng - Date/Time
Result Status
Reason for Study
Placer Order Number
Ordering Provider
Specimen ID Placer Assigned Identifier
Specimen ID Filler Assigned Identifier
Specimen Role
Specimen Collection Amount
Specimen Received Date/Time
Specimen Action Code

Comments having to do specifically with the lab result test.
These are the comments from the NTE segment if the result
N/A
was originally an Electronic Laboratory Report.
A laboratory generated number that identifies the specimen
N/A
related to this test.
PHVS_Specimen_CDC
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,
PHVS_BodySite_CDC
Left Arm, Buttock, Right Eye, etc.
N/A
Text description of the specimen
N/A
The date the specimen was collected.
A laboratory generated number that identifies the test/order
N/A
instance.
Test that was ordered by the physician / provider. This could
be a lab test panel which would lead to several lab tests.
PHVS_LabTestOrderables_CDC
N/A
Observation Date/Time (OBR-7)
Results Rpt/Status Chng - Date/Time
N/A
PHVS_ResultStatus_HL7_2x
Result Status
Reason for Study
N/A
N/A
Placer Order Number
N/A
Ordering Provider
N/A
Specimen ID Placer Assigned Identifier
N/A
Specimen ID Filler Assigned Identifier
PHVS_SpecimenRole_CDC
Specimen Role
N/A
Specimen Collection Amount
N/A
Specimen Received Date/Time
HL7 version 2.x Specimen action code used in chapter(s) 4;
PH_SpecimenActionCode_HL7_2x
HL7 table 065

Parent Universal Service Identifier

Parent universal service identifier is optionally allowed for
labs that do not support unique placer or filler order numbers

Unique Identifier for Current Sample
Genotype Sequence
Serotype

Isolate identifier unique for each isolate within laboratory
Identifies the genotype sequence of an organism
Identifies the serotype of an organism.

N/A
N/A
TBD
TBD

Attachment 9: Laboratory Data
Serogroup
Species
Performing Laboratory Type
Date/Time of Lab Result
Specimen Type sent to CDC
Date Specimen Sent to CDC
Microorganism Identified in Isolate
Isolate Identifier
Antimicrobial Susceptibility Specimen
Type
Antimicrobial Specimen Collection Site
Antimicrobial Susceptibility Specimen
Collection Date

Identifies the serogroup of an organism.
identifies the group of organisms or animals.
Performing laboratory type
Date result sent from reporting laboratory
Specimen(s) sent to CDC
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)
Anatomic site where the specimen was collected (e.g.
Urethra, Throat, Nasopharynx)

TBD
TBD
TBD
N/A
PHVS_YesNoUnknown_CDC
N/A
TBD
N/A
TBD
TBD

Antimicrobial Susceptibility Specimen Collection Date
N/A
Antimicrobial Susceptibility Test Type would includes drugs,
enzymes, PCR and other genetic tests to detect the resistance
Antimicrobial Susceptibility Test Type
TBD
against specific drugs.
Antimicrobial Susceptibility Test Method (e.g. E-Test, MIC,
Antimicrobial Susceptibility Test Method Disk Diffusion)
TBD
Antimicrobial Susceptibility Test
Antimicrobial Susceptibility Test Interpretation (e.g.
Interpretation
Susceptible, Resistant, Intermediate, Not tested)
TBD
Antimicrobial Susceptibility Test Result
Antimicrobial Susceptibility Test Result Numerical Value (e.g.
N/A
Quantitative Value
Quantitative MIC values, Disk Diffusion size in mm)
Antimicrobial Susceptibility Test Result
Antimicrobial Susceptibility Test Result Numerical Value Units
Numerical Value Units
(e.g. microgram/ml, mm)
TBD
Antimicrobial Susceptibility Test Result - Coded Quantitative.
Antimicrobial Susceptibility Test Result
List of coded values (i.e. valid dilutions) to represent the
Coded Quantitative
TBD
antimicrobial susceptibility test result.