Analysis of clinical specimens to obtain information about the health of a patient.

Data Element

Information from the submission form

Test Interpretation (Abnormal Flag)
Description
This data element was adopted into Draft USCDI v4 under the new data element name Result Interpretation. A categorical assessment of an observation value, often in relation to its clinical context (e.g., high, low, critical high).

Comment

APHL Comments on ISA 2022

APHL still supports inclusion of this data element in the Laboratory class of USCDI V4. - see also https://www.healthit.gov/isa/comment/4711 - which applies to this data element as a specialization of observation interpretation.

CAP Comment on Test Interpretation (Abnormal Flag) Data Element

Data Element: Test Interpretation (Abnormal Flag)
  • Corresponding CLIA Reporting Requirement: Test result interpretation
  • Description: The College of American Pathologists (CAP) supports this data element as written and urges that it be brought up to Level 2 and ideally included in USCDI v4. The CAP supports this data element to align with CLIA’s test result interpretation reporting requirement. The CLIA-defined reporting requirements are required for laboratory reporting and should be used as the basis for laboratory and public health reporting standards. Because laboratories already communicate test result interpretations along with reference ranges to the Centers for Medicare & Medicaid Services (CMS), this data element is already in wide usage and should be classified Level 2 at a minimum.

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