Submitted by hantran on 2022-09-30
CAP Comment on Values/Results Data Element
The College of American Pathologists (CAP) recommends replacing this data element with the Level 2 data element Laboratory Result Value.
Analysis of clinical specimens to obtain information about the health of a patient.
Data Element |
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Values/Results
Description
Documented findings of a tested specimen including structured and unstructured components. Applicable Vocabulary Standard(s) Applicable Standards
Both standards are required:
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Submitted by hantran on 2022-09-30
The College of American Pathologists (CAP) recommends replacing this data element with the Level 2 data element Laboratory Result Value.
Submitted by jenna.stern on 2022-04-29
Vizient recommends adding to USCDI v3 Laboratory results (date and timestamps). Date and time stamps would allow for trending of labs over time. This could be especially helpful when initially adding patient data into Fast Healthcare Interoperability Resources (FHIR) databases since the upload date would be similar for all results.
Submitted by Riki Merrick APHL on 2021-09-29
This element should be called Result Value (to differentiate it from the performed test, which some also refer to as "result") (in v2 reported in OBX-5, in C-CDA and FHIR in observation.value).
While the definition indicates this captures structured and unstructured data it is missing all the detail around how to address the different formats:
This is a subtype of the proposed element Observation Value (https://www.healthit.gov/isa/taxonomy/term/1401/level-2), so if that is added clarification between when to use which would be needed.
This is a CLIA required element.
Submitted by Riki Merrick APHL on 2021-09-29
The level 2 element https://www.healthit.gov/isa/taxonomy/term/2446/level-2 supports the renaming - these two elements need to be reconciled.
Submitted by sabhyankar on 2020-10-23
The Regenstrief LOINC team recommends adding the following Applicable Standard(s) text to the Values/Results row: “SNOMED CT for qualitative results, UCUM units of measure to accompany quantitative results.”
Submitted by sabner on 2020-10-09
There is a need for appropriate lab codes (LOINC and SNOMED) to pass from LIS to EHR. The codes need to be readily available in the EHR. We are aware that this is a known issue: https://www.healthit.gov/public-course/interoperability-lab-exchange/HITRC_lsn1085/docs/LIS_Implementation_Challenges_Guide.pdf
Lab results that are physical quantities should use UCUM for units.
Coded lab results for microorganisms should use SNOMED CT. Antimicrobial susceptibility test interpretation should use HL7 V3 Observation Interpretation.
Submitted by Riki Merrick on 2023-09-19
Improve the defintion of the different types of result values
As highlighted in comment https://www.healthit.gov/isa/comment/7016 and also requested by https://www.healthit.gov/isa/comment/3231 including more detail around the type of results, with furhter constraint on the hierachies within SNOMED CT that properly represent the expected concepts:
narrative (not coded) - usable for human consumption
qualitative (coded) using different hierarchies within SNOMED CT: organism hierarchy for micro results, qualifier value for ordinal results, clinical findings for any others
quantitative using UCUM to express the unit of measure (as also pointed out in this comment: https://www.healthit.gov/isa/comment/3321)
APHL also supports the reconciliation (as requested in this comment: https://www.healthit.gov/isa/comment/11901) with this level 2 data element Laboratory Result Value but prefers that name for this element.