Submitted by Riki Merrick on
Clarify the different formats supported by this data element
As previously commented the definition should be more precise and indicate relationships to other UCSDI elements, when required (first part copied from Regenstrief comment on USCDI+): Recorded value or findings of the analytical test performed on a specimen. Note that the scale of the test influences the format of this data element:
For quantitative tests the format is numeric or structured numeric (to support ranges, titers etc) and often must be interpreted in conjunction with the element "Result Unit of Measure"
For qualitative tests the format can be structured and is coded for ordinal or nominal scale or unstructured text (short or formatted) for narrative scale.
Vocabulary binding is only valid for coded qualitative result types - depending on the scale the binding shifts, so the binding should be more prescriptive based on scale of test:
For nominal scale often SCT in organism hierarchy, example value set: https://phinvads.cdc.gov/vads/ViewValueSet.action?id=64089FFA-B015-4DC7-B470-F20DF5B13BFA
For ordinal scale use SCT from qualifier hierarchy: https://phinvads.cdc.gov/vads/ViewValueSet.action?id=815C6DD4-C5A6-DF11-9BDD-0015173D1785
Corresponds to CLIA element in §493.1291(c)(6), §493.1291(c)(7) in CLIA 42 CFR 493.1291 - Test Report (http://www.ecfr.gov/cgi-bin/text-idx?SID=1248e3189da5e5f936e55315402bc38b&node=pt42.5.493&rgn=div5#se42.5.493_11291)
Submitted by BLampkins_CSTE on
CSTE Comment - v5
CSTE is supportive of Riki Merrick's comment from April 2024.