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  1. FHIR Specification Feedback
  2. FHIR-40427

Incorrect/nonsensical lab result/observation in CMP panel

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    • Icon: Change Request Change Request
    • Resolution: Persuasive with Modification
    • Icon: Medium Medium
    • US Core (FHIR)
    • current
    • Cross-Group Projects
    • Metabolic Panel Example
      US Core Laboratory Result Observation Profile
      US Core Laboratory Test Codes
      USCoreObservationCode
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      1) Will update to LOINC For Glucose (ser or plasma) to match the specimen type of the other items in this panel

      2) re: Furthermore, this is not in accord with CMS requirements, IVD functionality, etc.  Please correct the error.  (second request.  see  https://jira.hl7.org/browse/FHIR-34908...which was never addressed this issue!

      The resolution for FHIR-34908 ( duplicate of FHIR-40427) was applied as follows...

      Proposed Changes:

      Add the following boilerplate to the introduction in the example page:

      These are example instances that show what data produced and consumed by systems conforming with this implementation guide might look like. Every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification nor are they fully representative of real world examples.

       As well, we will add boilerplate to the examples to indicate that are not CLIA compliant.  We will reduce the number of examples and ensure that they are as clinically valid as possible.

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      1) Will update to LOINC For Glucose (ser or plasma) to match the specimen type of the other items in this panel 2) re:  Furthermore, this is not in accord with CMS requirements, IVD functionality, etc.  Please correct the error.  (second request.  see   https://jira.hl7.org/browse/FHIR-34908 ... which was never addressed this issue! The resolution for FHIR-34908 ( duplicate of FHIR-40427 ) was applied as follows... Proposed Changes: Add the following boilerplate to the introduction in the example page: These are example instances that show what data produced and consumed by systems conforming with this implementation guide might look like. Every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification nor are they fully representative of real world examples.   As well, we will add boilerplate to the examples to indicate that are not CLIA compliant.  We will reduce the number of examples and ensure that they are as clinically valid as possible.
    • Eric Haas/Jason Vogt: 12-0-0
    • Correction
    • Non-substantive

    Description

      See CMS/LOINC panel:  https://loinc.org/24323-8/

      This panel (all results/observations) are performed upon a single specimen (a serum specimen or plasma specimen).  The Glucose performed on Blood would not be performed as part of this panel.  It appears this should be Glucose (ser or plasma) to match the specimen type of the other items in this panel and performed on the same tube/specimen container.  Furthermore, this is not in accord with CMS requirements, IVD functionality, etc.  Please correct the error.  (second request.  see  https://jira.hl7.org/browse/FHIR-34908

      which was never addressed this issue!

       

       

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            apitkus Andrea Pitkus
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