Submitted by nedragarrett_CDC on 2022-09-28
CDC's Consolidated Comment for USCDI v4
CDC continues to recommend inclusion of this high priority data element in USCDI v4
Analysis of clinical specimens to obtain information about the health of a patient.
Data Element |
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Specimen Type
Description
Substance being sampled or tested. Examples include but are not limited to nasopharyngeal swab, whole blood, serum, urine, and wound swab. Applicable Vocabulary Standard(s) Applicable Standards
SNOMED International, Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT®) U.S. Edition, March 2023 Release |
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Submitted by nedragarrett_CDC on 2022-09-28
CDC continues to recommend inclusion of this high priority data element in USCDI v4
Submitted by Lantana Consul… on 2022-04-29
Along with inclusion of Specimen Type, Lantana suggests including Specimen Collection DateTime. A DateTime element is necessary to track and create useful context when exchanging pathology information. Without it, the progress made by including Specimen Type in USCDI V3 will be limited.
Submitted by RUy on 2022-04-29
Specimen type is a critical component to understanding and validating laboratory tests and results for both clinical care and public health. However, the submission here points to a website that discusses the electronic laboratory reporting program and not to a standard. The link to PHINVADS here similarly does not reference any specific value sets. NACHC believes this data element should reference one or more value sets (with or without relevant standards/profiles) that consist of implemented and validated concepts used in the existing laboratory standards.
Please see attached NACHC letter, documenting this comment and other feedback for v3 accepted draft data elements.
Submitted by aphillips@imoh… on 2022-04-28
IMO supports the inclusion of the Laboratory Data Class in USCDI V3 to include the Draft data elements for Tests and Values/Results.
While valuable, IMO questions the capability of ONC certified HIT to store and exchange the Level 2 Data Elements detailed in this submission While many of these data elements are implemented in CLIA for routine exchange between labs and state, tribal, local, or territorial (STLT) public health agencies, we request that this submission be reviewed thoroughly for implementation in ONC certified HIT.
Submitted by nedragarrett_CDC on 2021-09-29
Submitted by Riki Merrick APHL on 2021-04-15
This data element is critical in understanding what a laboratory result may mean - for example a positive culture result from a blood culture has different implications than from a urine culture. In many cases the specimen type can be expressed as part of the LOINC of the test being performed, but if that is not the case (because a less specific LOINC was chosen, or no LOINC was used) then this supports the test result. It has been part of v2 messages for a long time (OBR-15.1) and is required element in ELR R1 (SPM-4).
Submitted by Riki Merrick on 2023-09-19
Further specify SNOMED CT hierarchy for this element
APHL suggest to further clarify the hierarchy in SNOMED CT to be used here: SNOMED CT concepts drawn from the specimen hierarchy.