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Optional ELR Lab Data Elements - Lab Template

ICR 202504-0920-009 · OMB 0920-0728 · Object 156261701.

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Optional ELR Lab Data Elements - Lab Template
Marshburn, Margaret Ann (CDC/OID/NCEZID) (CTR)
Calc
2017-03-09
2026-10-31
complete

Extracted Text

Attachment 5: Laboratory Data
PHIN Variable ID
Data Element Name
LAB101
Test Performed Name
LAB192
LAB278

Test Result - Coded Qualitative (nonorganism)
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

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 (OBX8) 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 5: Laboratory Data
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

LAB579
LAB578
TBD
TBD
TBD
TBD
TBD
TBD
TBD
TBD

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

TBD

TBD

Specimen Action Code
Parent Universal Service Identifier
Unique Identifier for Current Sample

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
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