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Optional ELR Lab Data Elements - Lab Template
ICR 202208-0920-005 · OMB 0920-0728 · Object 123849201.
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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 | 2021-06-07 |
| File Created | 2026-09-29 |
| Conversion State | complete |
Extracted Text
Attachment 6: Laboratory Data Data Element Name Test Performed 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 Test Result - Coded Qualitative (nonorganism) Test Result - Coded Organism Coded Qualitative Test Result Value 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 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 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. 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. The type of specimen used in testing the Resulted Lab Test. PHVS_Specimen_CDC 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 CDC Priority (Legacy) CDC Priority (New) Attachment 6: Laboratory Data 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 Parent Universal Service Identifier Unique Identifier for Current Sample Genotype Sequence Serotype 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 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 HL7 version 2.x Specimen action code used in chapter(s) 4; HL7 table 065 Parent universal service identifier is optionally allowed for labs that do not support unique placer or filler order numbers Isolate identifier unique for each isolate within laboratory Identifies the genotype sequence of an organism Identifies the serotype of an organism. 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) PHVS_ResultStatus_HL7_2x N/A N/A N/A N/A N/A PHVS_SpecimenRole_CDC N/A N/A PH_SpecimenActionCode_HL7_2x N/A N/A TBD TBD 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 against specific drugs. Antimicrobial Susceptibility Test Type TBD 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. TBD Interpretation Susceptible, Resistant, Intermediate, Not tested) Antimicrobial Susceptibility Test Result Antimicrobial Susceptibility Test Result Numerical Value (e.g. Quantitative Value Quantitative MIC values, Disk Diffusion size in mm) N/A Antimicrobial Susceptibility Test Result Antimicrobial Susceptibility Test Result Numerical Value Units TBD Numerical Value Units (e.g. microgram/ml, mm) Antimicrobial Susceptibility Test Result - Coded Quantitative. Antimicrobial Susceptibility Test Result List of coded values (i.e. valid dilutions) to represent the Coded Quantitative antimicrobial susceptibility test result. TBD Was the isolate sent to a state public health laboratory? (Answer 'Yes' if it was sent to any state lab, even if it was Isolate sent to State Public Health Lab sent to a lab outside of the case's state of residence) PHVS_YesNoUnknown_CDC 6/7/2021 TBD