LabObservation

Field Type Length Allow Null Natural Key Description
1 Record Type ID String

Indicates the record type. For this record it will always be “LabObservation”.

2 ID ID

Surrogate Key

3 Patient ID REF

Surrogate key to a patientCorresponds to a (Patient line in the same file set)’s ID value

4 Encounter ID REF

Surrogate Key to an EncounterCorresponds to a (Encounter line in the same file set)’s ID value

5 Lab Report ID REF

Surrogate Key to a LabReportCorresponds to a (LabReport line in the same file set)’s ID value

6 Observation Date Date
7 Value String MAX
8 Units String 250
9 Comment String MAX
10 Normal Range String 100
11 Observation Result Status Date Date

If not specified, this will automatically be set to the Observation Date provided

12 Observation Code Term

code|name|namespace|family|ns desc. The actual clinical Term being results. Example would be WBC for White Blood Cell Count.

13 Value Type Term

code|name|namespace|family|ns desc. The data type of the “Value”

14 Acuity Term

code|name|namespace|family|ns desc. The acuity of the lab result. Examples would be; High, Low, Critical High, Critical Low, Abnormal.

15 Observation Result Status Term

code|name|namespace|family|ns desc. The status of the individual Result

16 Patient Identifier String 128

Natural Key for existing patient. Part of Natural Key Identifier. Typically, the source’s or practice’s key Identifier for a patient

17 Patient Record Authority ID REF

Surrogate Key to a Record Authority.

18 Encounter Identifier String 128

Natural Key for existing encounter. Lab report’s encounter identifier. Part of Natural Key Identifier. Typically, the source’s or practice’s key Identifier for an encounter

19 Acuity Text 200

Acuity text

20 Analysis Date Date

Analysis date

21 Sequence 50

sequence

22 Sub ID 50

subid

23 Observation Text 200

Observation text

24 Observation Method Text 200

Observation method text

25 Observation Alternate Term Term

code|name|namespace|family|ns desc

26 Value Term Term

code|name|namespace|family|ns desc

27 Value Term Alternate Term

code|name|namespace|family|ns desc

28 Acuity Alternate Term Term

code|name|namespace|family|ns desc

29 Performing Organization Caregiver ID REF 50

Surrogate Key to Performing Organization Caregiver. Corresponds to a (Caregiver line in the same file set)’s ID value

30 Performing Organization Caregiver Identifier String 64

Natural Key for existing Performing Organization Caregiver. Part of Natural Key Identifier. Typically, the source’s or practice’s key Identifier for a caregiver

31 Performing Org Caregiver Record Authority ID REF

Surrogate Key to a Record Authority.

32 Caregiver IDPerforming Organization Medical Director REF

Natural Key for existing Performing Organization Medical Director. Surrogate Key to a CaregiverCorresponds to a (Caregiver line in the same file set)’s ID value

33 Performing Organization Medical Director Identifier String 64

Natural Key for existing Performing Organization Medical Director Caregiver. Part of Natural Key Identifier. Typically, the source’s or practice’s key Identifier for a caregiver

34 Performing Organization Medical Director Record Authority ID REF

Natural Key for existing Performing Organization Medical Director Caregiver. Foreign Key to a Record Authority

35 Units Term Term

code|name|namespace|family|ns desc

36 Units Term Alternate Term

code|name|namespace|family|ns desc

37 Observation Method Term Term

code|name|namespace|family|ns desc

38 Observation Method Alternate Term Term

code|name|namespace|family|ns desc

39 LabReport Observation Date Date

(LabReport)

40 Accession Number String 50

(LabReport) Accession Number

41 Ordered Service Term

(LabReport) code|name|namespace|family|ns desc. The actual service that was ordered. Example would be CBC or BMP or HEMO.

42 Placer Order Number String 200

(LabReport) Placer order number

43 Filler Order Number String 200

(LabReport) Filler order number

44 Parent Observation Sub ID REF

(LabReport) Parent observation subid

45 Namespace Identifier String 50

(LabReport) Placer Assigning Authority. Namespace identifier

46 Universal Identifier String 200

(LabReport) Placer Assigning Authority. Universal identifier

47 Universal Identifier Type String 50

(LabReport) Placer Assigning Authority. Universal identifier type

48 Namespace Identifier String 50

(LabReport) Filler Assigning Authority. Namespace identifier

49 Universal Identifier String 200

(LabReport) Filler Assigning Authority. Universal identifier

50 Universal Identifier Type String 50

(LabReport) Filler Assigning Authority. Universal identifier type

51 Inserted Audit Data Audit

Audit data for when the record was inserted/created

52 Last Modified Audit Data Audit

Audit data for when the record was last modified