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Appendix 7 Example Extract and Report

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Appendix 7 Example Extract and Report
AHRQ Project Clinical Data Elements



-excerpted from Table I

SGOT AST 8 35 U/L

CPK MB CKMB 0 3 ng/mL

mmol/L or

Potassium K 3.5 5.1 mEq/L

mmol/L or

Sodium Na 135 145 mEq/L

Troponin I TnT <0.10 ng/ml

pH pH 7.35 7.45

PO2.sat PO2 80 90 mmHg

pCO2 pCO2 35 45 mmHg

Prothrombin time- International No PT 11 13 seconds

Albumin ALB 35 50 g/L

Base Excess -3 3

Total bilrubin fractions Tbil 2 14 umol/L

Calcium (total) Ca 8.6 10.1 mg/dl

mmol/L or

Calcium (ionized) Ical 1.15 1.29 mEq/L

Creatinine CREAT 0.7 1.3 mg/dL

Glucose GLUC 70 105 mg/dL

Alkaline phosphatase ALP 40 130 U/L

Blood urea nitrogen BUN 7 18 mg/dL

Hematocrit (Indices - MCV MCH) HCT

Hematocrit (male) HCT 38 52 %

Hematocrit (female) HCT 35 47 %

Mean cell Hemoglobin MCH 26 34 pg

Mean Cell volume MCV 80 98 fL

x109/L or

3

Platelets Plt 150 400 K/mm

9

x10 /L or

White blood cell count WBC 4 11 K/mm3

mmol/L or

Chloride Cl 95 108 mEq/L

Bicarbonate HCO3 22 26 mEq/L

Gamma glutamyl transferase GGT 50 U/L

SGPT ALT 8 40 U/L

Phosphorous PO4 1.9 4.7 mg/dL

Total Hemoglobin (male) HGB 14 18 g/dL

Total Hemoglobin (female) HGB 12 16 g/dL

Partial thromboplastin time PTT 29 41 seconds

Blood/Lymph Culture-Positive

Orderable Test Interface Code Orderable Test Name Result Interface Code Result Name Specimen Type Result Type Units of Measure Method

BLGAS BLOOD GAS ANALYSIS O2HB O2HB SYR N %

BLGAS BLOOD GAS ANALYSIS HCO3 HCO3 SYR N mEq/L

BLGAS BLOOD GAS ANALYSIS PCO2 PCO2 SYR N mmHg

CBC CBC WITH DIFFERENTIAL HCT HEMATOCRIT LAV N %

CBC CBC WITH DIFFERENTIAL HGB HEMOGLOBIN LAV N g/dL

CBC CBC WITH DIFFERENTIAL MCHC MCHC LAV N g/dL

CBC CBC WITH DIFFERENTIAL MCH MCH LAV N pg

CMPAN COMPREHENSIVE METABOLIC PANEL ALB ALBUMIN SST N g/dL

CMPAN COMPREHENSIVE METABOLIC PANEL BUN BUN SST N mg/dL

CMPAN COMPREHENSIVE METABOLIC PANEL CREAT CREATININE SST N mg/dL

CMPAN COMPREHENSIVE METABOLIC PANEL GLU GLUCOSE SST N mg/dL

CMPAN COMPREHENSIVE METABOLIC PANEL ALT ALT SST N U/L

CMPAN COMPREHENSIVE METABOLIC PANEL AST AST SST N U/L

LFT HEPATIC FUNCTION PANEL ALB ALBUMIN SST N g/dL

LFT HEPATIC FUNCTION PANEL ALT ALT SST N U/L

LFT HEPATIC FUNCTION PANEL AST AST SST N U/L

Orderable Test Orderable Test Name Result Interface Result NameSpecimen Result Units of MethodLOINC 3M Question/

Interface Code Code Type Type Measure Code LOINC representation Comment

BLGAS BLOOD GAS ANALYSIS O2HB O2HB SYR N % 2714-4 Oxyhemoglobin/Hemoglobin.total:MFr:Pt:BldA:Qn:

BLGAS BLOOD GAS ANALYSIS HCO3 HCO3 SYR N mEq/L 1963-8 Bicarbonate:SCnc:Pt:Ser:Qn:

BLGAS BLOOD GAS ANALYSIS PCO2 PCO2 SYR N mmHg 2019-8 Carbon dioxide:PPres:Pt:BldA:Qn:

CBC CBC WITH DIFFERENTIAL HCT HEMATOCRIT LAV N % 4544-3 Hematocrit:VFr:Pt:Bld:Qn:Automated count

CBC CBC WITH DIFFERENTIAL HGB HEMOGLOBIN LAV N g/dL 718-7 Hemoglobin:MCnc:Pt:Bld:Qn:

CBC CBC WITH DIFFERENTIAL MCHC MCHC LAV N g/dL 786-4 Erythrocyte mean corpuscular hemoglobin concentration:MCnc:Pt:RBC:Qn:Automated count

CBC CBC WITH DIFFERENTIAL MCH MCH LAV N pg 785-6 Erythrocyte mean corpuscular hemoglobin:EntMass:Pt:RBC:Qn:Automated count

CMPAN COMPREHENSIVE METABOLIC PANEL ALB ALBUMIN SST N g/dL 1751-7 Albumin:MCnc:Pt:Ser/Plas:Qn:

CMPAN COMPREHENSIVE METABOLIC PANEL BUN BUN SST N mg/dL 3094-0 Urea nitrogen:MCnc:Pt:Ser/Plas:Qn:

CMPAN COMPREHENSIVE METABOLIC PANEL CREAT CREATININE SST N mg/dL 2160-0 Creatinine:MCnc:Pt:Ser/Plas:Qn:

CMPAN COMPREHENSIVE METABOLIC PANEL GLU GLUCOSE SST N mg/dL 2345-7 Glucose:MCnc:Pt:Ser/Plas:Qn:

CMPAN COMPREHENSIVE METABOLIC PANEL ALT ALT SST N U/L 1742-6 Alanine aminotransferase:CCnc:Pt:Ser/Plas:Qn:

CMPAN COMPREHENSIVE METABOLIC PANEL AST AST SST N U/L 1920-8 Aspartate aminotransferase:CCnc:Pt:Ser/Plas:Qn:

LFT HEPATIC FUNCTION PANEL ALB ALBUMIN SST N g/dL 1751-7 Albumin:MCnc:Pt:Ser/Plas:Qn:

LFT HEPATIC FUNCTION PANEL ALT ALT SST N U/L 1742-6 Alanine aminotransferase:CCnc:Pt:Ser/Plas:Qn:

LFT HEPATIC FUNCTION PANEL AST AST SST N U/L 1920-8 Aspartate aminotransferase:CCnc:Pt:Ser/Plas:Qn:


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