Includes non-imaging and non-laboratory tests performed on a patient that results in structured or unstructured (narrative) findings specific to the patient, such as electrocardiogram (ECG), visual acuity exam, macular exam, or graded exercise testing (GXT), to facilitate the diagnosis and management of conditions.

Data Element

Additional Information

Clinical Test
Description
The name of the non-imaging or non-laboratory test performed on a patient.

Applicable Vocabulary Standard(s)

Applicable Standards
  • Logical Observation Identifiers Names and Codes (LOINC®) version 2.70

Comment

Non-lab variables to include

There was much interest from the Task Force in adding clinical variables beyond laboratory to USCDI. This is a suggested starting set. We would suggest that users would not be required to use these specific codes listed under a given panel verbatim. They could drop codes that did not fit and add other LOINC codes as appropriate. This starter set should get the ball rolling to deliver richer clinical data that has been available for years and is in high demand by clinicians and patients.

2021 03 29 Some clinical measure tests panels available from LOINC just some to explore.docx

Response to Comment on Diagnostic studies and exams with results

There was much interest from the Task Force in adding clinical variables beyond laboratory to USCDI. This is a suggested starting set. We would suggest that users would not be required to use these specific codes listed under a given panel verbatim. They could drop codes that did not fit and add other LOINC codes as appropriate. This starter set should get the ball rolling to deliver richer clinical data that has been available for years and is in high demand by clinicians and patients. 2021 03 29 Some clinical measure tests panels available from LOINC just some to explore.docx CMS agrees with the need to make this additional clinical data available via inclusion in the USCDI. We agree LOINC terminology is an appropriate applicable standard to accompany the data element. CMS identified some critical diagnostic studies/exams including cardiac exams (ejection fraction from echocardiography tests), and colonoscopy; many of these align with the exams provided in this document.

Log in or register to post comments