12/5/11 v17 Lab Tests by Category HL7 Test Message Checklist TF = Target Format IP = In Process IP* = Result verbiage being investigated Bold blue text = Status changed since last version Priority: 1:1 = Level 1, Priority 1 1:2 = Level 1, Priority 2 2:1 = Level 2, Priority 1 2:2 = Level 2, Priority 2 etc. = Need input from community Test Message Drafted Test Message Reviewed Test Message Mapped to LRI IG Test Message in Test Plan IP Y (Panel) Y (Panel) Y Y (Panel) Y Y (Panel) Y Y Y Y Y Y Y IP IP Y IP Y Y (Panel) Y Y (Panel) Test Cases Verified COULTER ID Test Long Name I. COMMON HEMATOLOGY CBC Panel Components WBC RBC TF Priority A CCHIT-informed version of this test message was created 11/14/11 Leukocytes [#/volume] in Blood Erythrocytes [#/volume] in Blood A1 A1 1:2 1:2 Hgb Hemoglobin [Mass/volume] in Blood A1 1:2 IP Hct Hematocrit [Volume Fraction] of Blood A1 1:2 Y IP MCV A1 1:2 Y Y IP MCH A1 1:2 Y (Panel) Y Y IP MCHC A1 1:2 Y (Panel) Y (Panel) Y Y Y Y IP IP Platelets EDW A1 A1 1:2 1:2 A1 A1 A1 A1 A1 1:2 1:2 1:2 1:2 1:2 Erythrocyte mean corpuscular volume [Entitic volume] Erythrocyte mean corpuscular hemoglobin [Entitic mass] Erythrocyte mean corpuscular hemoglobin concentration [Mass/volume] Platelets [#/volume] in Blood Erythrocyte distribution width [Ratio] DIFF/MORPH Y (Panel) Y (Panel) Y (Panel) Y (Panel) Y (Panel) Y Y Y Y Y Y Y Y Y Y IP IP IP IP IP Baso Baso % Eos Eos % Lympho Basophils [#/volume] in Blood Basophils/100 leukocytes in Blood Eosinophils [#/volume] in Blood Eosinophils/100 leukocytes in blood Lymphocytes [#/volume] in Blood 1 12/5/11 v17 Test Message Drafted Test Message Reviewed Test Message Mapped to LRI IG Test Message in Test Plan Y (Panel) Y (Panel) Y (Panel) Y (Panel) Y (Panel) Y (Panel) Y (Panel) Y (Panel) Y (Panel) Y (Panel) Y (Panel) Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y IP IP IP IP IP IP IP IP IP IP IP Lympho % Mono Mono % Neutro Neutro % Aniso Hypo Macro Micro Poik Poly Lymphocytes /100 leukocytes in blood Monocytes [#/volume] in Blood Monocytes/100 leukocytes in blood Neutrophils [#/volume] in Blood Neutrophils /100 leukocytes in blood Anisocytosis [Presence] in Blood Hypochromia [Presence] in Blood Macrocytes [Presence] in Blood Microcytes [Presence] in Blood Poikilocytosis [Presence] in Blood Polychromasia [Presence] in Blood Y (Panel) Y Y IP RBC Morph Erythrocyte morphology finding [Identifier] in Blood Y (Panel) Y Y IP WBC Morph Leukocyte morphology finding [Identifier] in Blood Y (Panel) Y Y IP Platelet Morph Platelet morphology finding [Identifier] in Blood Retic Count ESR Reticulocytes/100 Erythrocytes in Blood Erythrocyte Sedimentation Rate Y Y Y Y IP (min) Test Cases Verified COULTER ID Test Long Name TF A1 A1 A1 A1 A1 A2 A2 A2 A2 A2 A2 A2 or A4 A2 or A4 A2 or A4 A1 A1 Chemistry Tests Used by Physicians in Conjunction with Hematology Test Results C reactive protein [Mass/volume] in Serum or Plasma Iron [Mass/volume] Iron binding capacity [Mass/volume] Iron binding capacity.unsaturated [Mass/volume] Iron saturation [Mass] CRP A1 Iron IBC IBC Unsat Iron Sat 2 A1 A1 A1 A1 A1 Priority 1:2 1:2 1:2 1:2 1:2 1:2 1:2 1:2 1:2 1:2 1:2 1:2 1:2 1:2 1:1 12/5/11 v17 Test Message Drafted Test Message Reviewed Test Message Mapped to LRI IG Test Message in Test Plan Test Cases Verified COULTER ID Test Long Name Ferritin B12 Folate TF Ferritin [Mass/volume] Cobalamin (Vitamin B12) [Mass/volume] Folate [Mass/volume] A1 A1 A1 Prothrombin time (PT) in Platelet poor plasma INR in Platelet poor plasma Activated partial thrombplastin time (aPTT) in Platelet poor plasma Fibrinogen [Mass/volume] in Platelet poor plasma A1 A1 Appearance of Urine Color of Urine Specific Gravity of Urine pH of Urine Bilirubin [Presence] in Urine Hemoglobin [Presence] in Urine Ketones [Presence] in Urine Leukocyte esterase [Presence] in Urine Nitrite [Presence] in Urine Glucose [Presence] in Urine Protein [Presence] in Urine Urobilinogen [Mass/volume] in Urine A2 A2 A1 A1 A2 A2 A2 A2 A2 A2 A2 A1 Bacteria [#/area] in Urine Casts [#/area] in Urine Crystals [type] in Urine Epithelial cells [#/area] in Urine sediment A1 A1 A2 A1 Coagulation Tests Y PTA INR aPTT Fibrinogen II. URINALYSIS Urinalysis Panel Components A1 A1 Macroscopic Y (Panel) Y (Panel) Y (Panel) Y (Panel) Y (Panel) Y (Panel) Y (Panel) Y (Panel) Y (Panel) Y (Panel) Y (Panel) Y (Panel) App Color SGr pH Bilirubin Heme Ketones Leukocyte est. Nitrite Glucose Protein Urobilinogen Microscopic Y (Panel) Y (Panel) Y (Panel) Y (Panel) Bacteria Casts Crystals Epithelial cells 3 Priority 12/5/11 v17 Test Message Drafted Test Message Reviewed Test Message Mapped to LRI IG Test Message in Test Plan Test Cases Verified COULTER ID Test Long Name Y (Panel) Y (Panel) Y (Panel) Mucus Erythrocytes Leukocytes Mucus [Presence] in Urine sediment Erythrocytes [#/area] in Urine sediment Leukocytes [#/area] in Urine sediment Y (Panel) Comments Urine sediment comments TF A2 A1 A1 A2 or A4 III. COMMON CHEMISTRY A CCHIT-informed version of this test message was created 11/10/11 CMP Components Y (Panel) Y (Panel) Y (Panel) Y (Panel) Y (Panel) Y (Panel) Y (Panel) Y (Panel) Y (Panel) Y (Panel) Y (Panel) Ca BUN Creat Y (Panel) SGOT (AST) Y (Panel) SGPT (ALT) Y Y Y Y (Panel) Na K CL CO2 eGFR PO4 Urate (Panel) (Panel) (Panel) Y Calcium [Mass/volume] Urea nitrogen [Mass/volume] Creatinine [Mass/volume] Urea nitrogen/Creatinine [Mass ratio] in Blood Protein [Mass/volume] Albumin [Mass/volume] Globulin [Mass/volume] Albumin/Globulin [Mass ratio] in Serum or Plasma Bilirubin.total [Mass/volume] Glucose [Mass/volume] Alkaline phosphatase [Enzymatic activity/volume] Aspartate aminotransferase [Enzymatic activity/volume] Alanine aminotransferase [Enzymatic activity/volume] Sodium [Moles/volume] Potassium [Moles/volume] Chloride [Moles/volume] Carbon dioxide, total [Moles/volume] Glomerular filtration rate/1.73 sq M.predicted Phosphate [Mass/volume] Urate [Mass/volume] TP Alb Glob Bili-T Glucose SAP 4 A1 A1 A1 A1 A1 A1 A1 A1 A1 A1 A1 A1 A1 A1 A1 A1 A1 A1 A1 A1 Priority 12/5/11 v17 Test Message Drafted Y (Panel) Y (Panel) Y (Panel) Y (Panel) Test Message Reviewed Y Y Y Y Test Message Mapped to LRI IG Y Y Y Y Test Message in Test Plan IP IP IP IP Test Cases Verified COULTER ID Test Long Name Mg Amylase Lipase Lipid Panel Components Chol TG HDL-C LDL-C Bili-D Magnesium [Mass/volume] Amylase [Enzymatic activity/volume] Lipase [Enzymatic activity/volume] Priority A1 A1 A1 A CCHIT-informed version of this test message was created 11/14/11 GGTP Y Y TF LDH CK CK-MB Troponin-I IV. SPECIAL CHEMISTRY Vit B12 IgA IgG IgM Estradiol Follitropin Prolactin Lutropin Testosterone PSA BNP Hgb A1c T3 free 5 Cholesterol [Mass/volume] Triglyceride [Mass/volume] Cholesterol in HDL [Mass/volume] Cholesterol in LDL [Mass/volume] Bilirubin.direct [Mass/volume] Gamma glutamyl transferase [Enzymatic activity/volume] Lactate dehydrogenase [Enzymatic activity/volume] Creatine kinase [Enzymatic activity/volume] Creatine kinase.MB [Mass/volume] Troponin I cardiac [Mass/volume] A1 A1 A1 A1 A1 Calcidiol [Mass/volume] IgA [Mass/volume] serum IgG [Mass/volume] serum IgM [Mass/volume] serum Estradiol [Mass/volume] Follitropin [Units/volume] Prolactin [Mass/volume] Lutropin [Units/volume] Testosterone [Mass/volume] Prostate specific Ag [Mass/volume] Natriutietic peptide B [Mass/volume] Hemoglobin A1c/Hemoglobin.total Triiodothyronine (T3) Free [Mass/volume] A1 A1 A1 A1 A1 A1 A1 A1 A1 A1 A1 A1 A1 A1 A1 A1 A1 A1 1:3 1:3 1:3 1:3 12/5/11 v17 Test Message Drafted Test Message Reviewed Test Message Mapped to LRI IG Test Message in Test Plan Test Cases Verified COULTER ID Test Long Name T4 free T3 T3 Resin T4 Y Thyroxine (T4) free [Mass/volume] Triiodothyronine (T3) [Mass/volume] Triiodothyronine (T3) resin uptake Thyroxine (T4) [Mass/volume] Thyrotropin (Thyroid Stimulating Hormone)[Units/volume] Choriogonadotropin [Units/volume] in Serum or Plasma Choriogonadotropin [Presence] in Urine Calcium.ionized [Moles/volume] Lead [Mass/volume] Tacrolimus [Mass/volume] Amphetamines [Presence] in Urine Cannabinoids [Presence] in Urine Cocaine [Presence] in Urine Opiates [Presence] in Urine Phencyclidine [Presence] in Urine A1 A1 A1 A1 Gram stain Microscopic observation [Identifier] by Gram stain Culture Microorganism identified by Culture A2 A2 or A3 TSH CGTropin Ca++, ionized Lead Tacrolimus Amphetamines Cannabinoids Cocaine Opiates Phencyclidine V. MICROBIOLOGY Y TF Priority A1 A1 A1 A1 A1 A1 A2 A2 A2 A2 A2 Direct Tests A3 Y Y Methicillin resistant Staphylococcus aureus [Presence] by Organism specific culture Ova+Parasites identified in Stool Virus culture [Identifier] Streptococcus.beta-hemolytic [Presence] culture by Organism specific culture MRSA culture O&P, stool Virus culture Y Y Beta Hem Strept Susceptibility Testing 6 A2 2:2 A2 A2 A2 2:3 12/5/11 v17 Test Message Drafted Test Message Reviewed Test Message Mapped to LRI IG Test Message in Test Plan Test Cases Verified COULTER ID Test Long Name Y Y Susc. Testing Ampicillin [Susceptibility] Y Y Susc. Testing Cefotaxime [Susceptibility] Y Y Susc. Testing Erythromicin [Susceptibility] Susc. Testing Ciprofloxin [Susceptibility] Susc. Testing Gentamicin [Susceptibility] Susc. Testing Penicillin [Susceptibility] Susc. Testing Tetracycline [Susceptibility] TF A1, A2, or A3 A1, A2, or A3 A1, A2, or A3 A1, A2, or A3 A1, A2, or A3 A1, A2, or A3 A1, A2 or A3 Indirect Tests Y (Reflex) A2 HIV 1 HIV 2 HIV 1 HIV HIV 1 Ab [Presence] HIV 1+2 Ab [Presence] HIV 1 RNA [Presence] HIV genotype [Susceptibility] 7 A2 A2 A2 A2 Priority 2:3 2:3 2:3 12/5/11 v17 Test Message Drafted Test Message Reviewed Test Message Mapped to LRI IG Test Message in Test Plan Test Cases Verified COULTER ID Test Long Name Chlamydia Influenza A+B Sub Pertussis RSV Rubella Rubella Rubella Rubella RPR Chlamydia trachomatis DNA [Presence] Chlamydia trachomatis rRNA [Presence] Chlamydia trachomatis+Neisseria gonorrhoeae DNA [Presence] Chlamydia trachomatis+Neisseria gonorrhoeae rRNA [Presence] Neisseria gonorrhoeae DNA [Presence] Neisseria gonorrhoeae rRNA [Presence] Human papilloma virus 16+18+31+33+35+39+45+51+52+56+58+59+68 DNA [Presence] (HPV I/H Risk 1 DNA Cervix Ql bDNA) Human papilloma virus 6+11+42+43+44 DNA [Presence] (HPV Low Risk DNA Cervix Ql bDNA) Influenza virus A RNA [Presence] Influenza virus B RNA [Presence] Influenza virus A swine origin RNA [Identifier] (FLUAV swine origin RNA XXX PCR) Influenza virus A+B RNA [Identifier] Bordetella pertussis Ag [Presence] Respiratory Syncytial Virus RNA (Identifier) Rubella virus IgM Ab [Units/volume] Rubella virus IgG Ab [Units/volume] Rubella virus IgG Ab [Presence] Rubella virus IgM Ab [Presence] Reagin Ab [Presence] RPR titer Reagin Ab [Titer] in Serum Chlamydia + GC GC HPV (high) HPV (low) Influenza A Influenza B Influenza A Sub A2 A1 Reagin Ab [Titer] in CSF 8 TF A2 A2 A2 A2 A2 A2 A2 A2 A2 A2 A2 A2 A1 A1 A2 A2 A2 A1 or A2 A1 or A2 Priority 12/5/11 v17 Test Message Drafted Test Message Reviewed Test Message Mapped to LRI IG Test Message in Test Plan Test Cases Verified COULTER ID Test Long Name Syphilis A1 A1 A1 A1 Y A2 A2 Y Syphilis CMV C. diptheria HSV 1 HSV 2 Measles Mumps RSV Varicella Varicella Varicella VI. OTHER CLINICAL LAB TESTS Anatomic Pathology Blood Bank Blood Bank Blood Bank TF Treponema pallidum Ab [Presence] in Serum Treponema pallidum Ab [Presence] in Cerebral spinal fluid Treponema pallidum DNA [Presence] Cytomegalovirus Ab [Presence] Corynebacterium diphtheriae IgG Ab [Units/volume] Herpes simplex virus 1 Ab [Titer] Herpes simplex virus 2 Ab [Titer] Measles virus Ab [Presence] Mumps virus Ab [Presence] Respiratory syncytial virus Ag [Presence] Varicella zoster virus IgG Ab [Presence] Varicella zoster virus IgG Ab [Units/volume] Varicella zoster virus IgM Ab [Units/volume] A2 Surgical pathology study ABO group [Type] Rh [Type] Blood group antibody screen [Presence] Specimen source (identifier) in cervical or vaginal smear or scraping by Cyto stain A4 A2 A2 A2 A2 A2 A1 A1 A1 A2 A2 A2 A2 A1 A1 A2 Cytology A2/A4 Cytology Cytology report of cervical or vaginal smear or scraping Cyto stain thin prep. A2 or A4 A2 Cytology Recommended follow-up (identifier) in cervical or vaginal smear or scraping by Cyto stain A2 A2/A4 Cytology Cytology study comment on cervical or vaginal smear or scraping by Cyto stain A2 or A4 9 A2 Priority 12/5/11 v17 Test Message Drafted Test Message Reviewed Y Y Y-1st Y-2nd Y-1st Y-2nd Y-1st Test Message Mapped to LRI IG Test Message in Test Plan Test Cases Verified COULTER ID Test Long Name Human Genome CFTR gene mutations found [Identifier] TF A2 or A3 Priority 2:1 A3 PANEL LAB TESTS Y Y Y Y Y IP Y-1st Y Y IP Hematology CBC W Differential panel Hematology Complete blood count (hemogram) panel 1:2 Chemistry Urinalysis Urinalysis Chemistry Comprehensive metabolic panel Urinalysis complete panel * Urinalysis panel ** Lipid Panel 1:3 *Urinalysis macroscopic and microscopic panel **Urinalysis macroscopic panel 10