MCC eCare Plan Implementation Guide
1.0.0 - STU1 United States of America flag

MCC eCare Plan Implementation Guide, published by HL7 International / Patient Care. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-us-mcc/ and changes regularly. See the Directory of published versions

MCC Laboratory Result Value Sets

This table holds the value sets that may be used with the MCC Laboratory Result Observation Profile.

Table Key

  • Value Set Name and Link: All of these value sets are housed in the NLM Value Set Authority Center (VSAC). The value set name is a link to the value set. You must have an NLM/UMLS account to access. There is no charge for an account. Note: the first time you click on the value set name link in a given session, there my be a delay in loading and you will need to sign in once loaded.
  • Value Set Clinical Focus: The Value Set Clinical Focus is the same as the clinical focus as written in VSAC which is a free text statement describing the general context of the concepts in the set.
  • OID: The Object Identifier (OID) of the set. OIDs of value sets are unique, whereas the names may not be. If accessing the value set outside of this table link, it is safest to perform that search with the OID
  • Profile Element: The Profile element asserts the location within the profile the value set term SHALL be used. In this table, the appropriate profile element is listed as Observation.code, but in most cases the terms would also be appropriate for observation.component.code when part of a panel

MCC Value Sets Use and Validation The value sets in the MCC Value Set Library pages are not bound within any profile. As a result "automatic" validation (confirmation) that a code sent in an instance is a member of that value set will not occurr. Validation support can be added in implmentation. These Symptom Value Sets may be used for several different purposes and no clinically appropriate use is precluded:

  • Querying for patients that have experienced particular symptoms
  • Within Quality Measures or for research using Clinical Quality Language (CQL) (for example)
  • For display within applications
  • Terminology validation support

Accessing Value Sets using FHIR Value Set Resource

  • To fetch the FHIR ValueSet resource (in other words, the value set definition) use:
  • GET https://cts.nlm.nih.gov/fhir/ValueSet/[VSAC OID]
  • To fetch the FHIR ValueSet resource expansion use the FHIR $expand operation:
  • GET https://cts.nlm.nih.gov/fhir/ValueSet/[VSAC OID]/$expand

For more information refer to the FHIR Terminology Service for VSAC Resources

Value Set Name and VSAC Link

Value Set Clinical Focus

OID

Profile Element

24 Hour Urine Protein Excretion

This set of values addresses terms representing 24 Hour Urine Protein Excretion.

2.16.840.1.113762.1.4.1222.792

Observation.code

24 Hour Urine Volume

This set of values addresses terms representing 24 Hour Urine Volume.

2.16.840.1.113762.1.4.1222.791

Observation.code

Alanine Aminotransferase (ALT), Bld/Ser/Plas

This set of values contains terms related to alanine aminotransferase (ALT) levels in blood, serum, or plasma.

2.16.840.1.113883.3.3616.200.110.102.5001

Observation.code

Albumin in Blood, Plasma, or Serum

This set of values contains laboratory observable term codes for Albumin results in blood.

2.16.840.1.113762.1.4.1222.151

Observation.code

Aldosterone/Renin Ratio

This set of values addresses terms representing Aldosterone/Renin Ratio.

2.16.840.1.113762.1.4.1222.811

Observation.code

Alkaline Phosphatase (Alp) in Blood, Serum or Plasma

This set of values addresses terms representing Alkaline Phosphatase (Alp) in blood, serum or plasma.

2.16.840.1.113762.1.4.1222.805

Observation.code

Anion Gap

This set of values contains laboratory observable term codes for Anion Gap results in blood, plasma, and other body fluids.

2.16.840.1.113762.1.4.1222.153

Observation.code

Arterial Blood Gas (ABG)

This set of values contains laboratory observable panel code(s) for Arterial Blood Gas (ABG).

2.16.840.1.113762.1.4.1222.1575

Observation.code

Aspartate Aminotransferase (AST), Ser/Plas

This set of values contains terms related to aspartate aminotransferase (AST) in serum or plasma.

2.16.840.1.113883.3.3616.200.110.102.5006

Observation.code

Aspartate Transaminase or Alanine Aminotransferase Ratio

This set of values addresses terms representing Aspartate Transaminase or Alanine Aminotransferase Ratio.

2.16.840.1.113762.1.4.1222.804

Observation.code

B Type Natriuretic Peptide [Bnp] in Blood, Serum or Plasma

This set of values addresses terms representing B Type Natriuretic Peptide [Bnp] in blood, serum or plasma.

2.16.840.1.113762.1.4.1222.795

Observation.code

Bicarbonate in blood, serum or plasma

This set of values contains laboratory observable term codes for Serum Bicarbonate results in blood, serum or plasma.

2.16.840.1.113762.1.4.1222.130

Observation.code

Bilirubin, Total, Bld/Ser/Plas

This set of values contains terms related to total bilirubin levels in blood, serum or plasma.

2.16.840.1.113883.3.3616.200.110.102.5007

Observation.code

Blood Ethanol Level

This set of values addresses terms representing Blood Ethanol Level.

2.16.840.1.113762.1.4.1222.813

Observation.code

Blood Urea Nitrogen

This set of values contains lab test codes used for a blood/serum/plasma Blood Urea Nitrogen lab test using a Mass or Moles per unit volume measurement, regardless of context, such as pre- or post- dialysis, and including both arterial and venous blood sources.

2.16.840.1.113762.1.4.1222.113

Observation.code

Bone Biopsy Report

This set of values addresses terms representing Bone Biopsy Report.

2.16.840.1.113762.1.4.1222.870

Observation.code

C reactive Protein (CRP), Bld/Ser/Plas

This set of values contains terms related to C-reactive protein levels in blood, serum, or plasma.

2.16.840.1.113883.3.3616.200.110.102.5015

Observation.code

Calcium (Not Corrected for Serum Albumin) in Blood, Plasms, or Serum

This set of values addresses terms representing Serum or Plasma or Blood Calcium (Not Corrected for Serum Albumin).

2.16.840.1.113762.1.4.1222.794

Observation.code

Cerebral Spinal Fluid (CSF) Analysis

This set of values contains laboratory observable panel code(s) for Cerebral Spinal Fluid (CSF) Analysis.

2.16.840.1.113762.1.4.1222.1573

Observation.code

Chloride in blood, serum or plasma

This set of values contains laboratory observable term codes for Chloride results in blood, serum or plasma.

2.16.840.1.113762.1.4.1222.132

Observation.code

Coagulation Assay (PT, aPTT, Fibrinogen)

This set of values contains laboratory observable panel code(s) for Coagulation Assay (PT, aPTT, Fibrinogen).

2.16.840.1.113762.1.4.1222.1576

Observation.code

Complete Blood Count (with Diff)

Define list of blood tests that represent a complete blood count with differential.

1.3.6.1.4.1.6997.4.1.2.271.13.38167.1.1.999.594

Observation.code

Comprehensive Metabolic Panel (CMP)

This set of values contains laboratory observable panel codes for Comprehensive Metabolic Panel (CMP).

2.16.840.1.113762.1.4.1222.1574

Observation.code

Corrected Calcium

This set of values contains laboratory observable terms for predicted Corrected Calciums in serum or plasma.

2.16.840.1.113762.1.4.1222.122

Observation.code

COVID 19 (SARS CoV 2), SARS CoV, Influenza virus A and B Tests

This set of values contains laboratory observable panel codes for COVID-19 (SARS-CoV-2), SARS-CoV, and Influenza virus A and B Tests.

2.16.840.1.113762.1.4.1222.1580

Observation.code

Creatine Kinase (CK, CK MB) in Blood, Serum, or Plasma

This set of values contains laboratory observable panel code(s) for Creatine Kinase (CK, CK-MB).

2.16.840.1.113762.1.4.1222.1579

Observation.code

Creatinine in blood, serum or plasma

This set of values contains laboratory terms representing blood, serum or plasma Creatinine.

2.16.840.1.113762.1.4.1222.111

Observation.code

Cystatin C

This set of values contains laboratory terms representing Cystatin C protein in mass/volume with a specimen source of blood.

2.16.840.1.113762.1.4.1222.138

Observation.code

D Dimer Test

This set of values contains laboratory observable panel code(s) for D-Dimer Test.

2.16.840.1.113762.1.4.1222.1577

Observation.code

Drugs of Abuse Screen

This set of values addresses terms representing Drugs of Abuse Screen.

2.16.840.1.113762.1.4.1222.1597

Observation.code

Erythrocyte Distribution Width

This set of values contains laboratory observable term codes for Erythrocyte Distribution Width results in blood.

2.16.840.1.113762.1.4.1222.147

Observation.code

Erythrocyte Sedimentation Rate (ESR), Blood

This set of values contains terms related to the measurement of erythrocyte sedimentation rate (ESR) in blood.

2.16.840.1.113883.3.3616.200.110.102.5019

Observation.code

Estimated Average Glucose

This set of values contains laboratory observable term codes for Estimated Average Glucose results in blood.

2.16.840.1.113762.1.4.1222.150

Observation.code

Estimated Glomerular Filtration Rate (eGFR)

This value set contains concepts that represent estimated glomerular filtration rate (eGFR) tests.

2.16.840.1.113762.1.4.1222.179

Observation.code

Fasting Blood Glucose

This set of values addresses terms representing Fasting Blood Glucose.

2.16.840.1.113762.1.4.1222.808

Observation.code

Ferritin

This set of values contains laboratory observable Ferritin terms in blood, serum and plasma.

2.16.840.1.113762.1.4.1222.140

Observation.code

Free T4 (Thyroxine) Test

This value set captures free T4 test.

2.16.840.1.113883.3.7643.2.1019

Observation.code

Gamma Glutamyl Transpeptidase (Ggt) in blood, serum or plasma

This set of values addresses terms representing Gamma Glutamyl Transpeptidase (Ggt) in blood, serum or plasma.

2.16.840.1.113762.1.4.1222.806

Observation.code

Gastric Tissue Biopsy Report

This set of values addresses terms representing Gastric Tissue Biopsy Report.

2.16.840.1.113762.1.4.1222.869

Observation.code

Glucose Tolerance Test Results

Lists any LOINC code that could represent a Glucose Tolerance Test result

2.16.840.1.113762.1.4.1032.94

Observation.code

Hematocrit

This set of values contains laboratory observable term codes for Hematocrit results in blood.

2.16.840.1.113762.1.4.1222.143

Observation.code

Hemoglobin

This set of values contains codes for lab tests commonly used to measure hemoglobin done on a source of blood, serum or plasma with a reporting scale of mass/volume or Moles/volume.

2.16.840.1.113762.1.4.1222.114

Observation.code

Hemoglobin A1C

This set of values contains codes for lab tests commonly used to measure Hemoglobin A1C done on a source of blood.

2.16.840.1.113762.1.4.1222.119

Observation.code

High Density Lipoprotein

This set of values contains laboratory observable term codes for High Density Lipoprotein (HDL) related codes results in blood including its ratio with Low Density Lipoprotein (LDL) and cholesterol.

2.16.840.1.113762.1.4.1222.135

Observation.code

High Sensitivity Troponin

This set of values addresses terms representing High Sensitivity Troponin.

2.16.840.1.113762.1.4.1222.801

Observation.code

INR

The purpose of this value set is to represent concepts for laboratory test for international normalized ratio (INR).

2.16.840.1.113883.3.117.1.7.1.213

Observation.code

Intact Parathyroid Hormone

This set of values contains laboratory observable term codes for Intact Parathyroid Hormone results in blood.

2.16.840.1.113762.1.4.1222.129

Observation.code

Iron Saturation (Transferrin Saturation/TSAT)

This set of values contains codes for lab tests commonly used to measure Iron Saturation done on a source of serum or plasma with a reporting scale of mass/volume or Moles/volume.

2.16.840.1.113762.1.4.1222.118

Observation.code

Kidney Biopsy Report

This set of values addresses terms representing Kidney Biopsy Report.

2.16.840.1.113762.1.4.1222.864

Observation.code

KT/V Hemodialysis Ratio

This set of values contains laboratory observable term codes for KT/V. Kt/V is a measure of the dose of dialysis given in a single treatment where K is the dialyzer urea clearance, t is the total treatment time, and V is the total volume

2.16.840.1.113762.1.4.1222.128

Observation.code

Low Density Lipoprotein

This set of values contains laboratory observable term codes for Low Density Lipoprotein (LDL) related codes results in blood including its ratio with High Density Lipoprotein (HDL) and cholesterol.

2.16.840.1.113762.1.4.1222.1568

Observation.code

Mean Corpuscular Hemoglobin Concentration

This set of values contains laboratory observable term codes for Mean Corpuscular Hemoglobin Concentration results in blood.

2.16.840.1.113762.1.4.1222.145

Observation.code

Mean Corpuscular Volume

This set of values contains laboratory observable term codes for Mean Corpuscular Volume results in blood.

2.16.840.1.113762.1.4.1222.144

Observation.code

Microorganisms Detection by Blood Culture

This set of values contains laboratory observable panel codes for microorganism detection in Blood Culture.

2.16.840.1.113762.1.4.1222.1581

Observation.code

Microorganisms Detection by Sputum Culture

This set of values contains codes for lab tests to identify microorganisms in sputum culture.

2.16.840.1.113762.1.4.1222.1582

Observation.code

Muscle Biopsy Report

This set of values addresses terms representing Muscle Biopsy Report.

2.16.840.1.113762.1.4.1222.868

Observation.code

N Terminal Pro_B_Type Natriuretic Peptide [Nt_Probnp] in blood, serum or plasma

This set of values addresses terms representing N Terminal Pro_B_Type Natriuretic Peptide [Nt_Probnp] in blood, serum or plasma.

2.16.840.1.113762.1.4.1222.797

Observation.code

Oxygen Saturation, Blood

This set of values contains terms related to oxygen saturation.

2.16.840.1.113883.3.3616.200.110.102.5033

Observation.code

Phosphorus in blood, serum or plasma

This set of values contains laboratory observable terms for Phosphorus in blood, serum or plasma.

2.16.840.1.113762.1.4.1222.123

Observation.code

Platelet Count

This set of values contains laboratory observable Platelet Count terms in blood.

2.16.840.1.113762.1.4.1222.146

Observation.code

Platelet Distribution Width

This set of values contains laboratory observable term codes for Platelet Distribution Width results in blood.

2.16.840.1.113762.1.4.1222.148

Observation.code

Platelet Mean Volume

This set of values contains laboratory observable term codes for Platelet Mean Volume results in blood.

2.16.840.1.113762.1.4.1222.149

Observation.code

Potassium in blood, serum or plasma

This set of values contains codes for lab tests to measure Potassium in blood, serum or plasma.

2.16.840.1.113762.1.4.1222.120

Observation.code

Procalcitonin in Blood, Serum, or Plasma

This set of values contains codes for lab tests to measure Procalcitonin in blood, serum or plasma.

2.16.840.1.113762.1.4.1222.1578

Observation.code

Random Blood Glucose Test

This set of values addresses terms representing Random Blood Glucose Test.

2.16.840.1.113762.1.4.1222.809

Observation.code

Red Blood Cell Count (Erythrocytes)

This set of values contains laboratory observable term codes for Red Blood Cell (Erythrocyte) Count results in blood.

2.16.840.1.113762.1.4.1222.141

Observation.code

Serum Rheumatoid Factor

This set of values addresses terms representing Serum Rheumatoid Factor.

2.16.840.1.113762.1.4.1222.812

Observation.code

Skin Biopsy Report

This set of values addresses terms representing Skin Biopsy Report.

2.16.840.1.113762.1.4.1222.867

Observation.code

Sodium in blood, serum or plasma

This set of values contains laboratory observable term codes for Sodium results in blood, serum or plasma.

2.16.840.1.113762.1.4.1222.131

Observation.code

Thyroid Stimulating Hormone (TSH) Test

This value set captures TSH test.

2.16.840.1.113883.3.7643.3.1024

Observation.code

Total Carbon Dioxide or Bicarbonate in blood, serum or plasma

Total Carbon Dioxide or Bicarbonate in blood, serum or plasma.

2.16.840.1.113762.1.4.1222.793

Observation.code

Total Cholesterol

This set of values contains laboratory observable term codes for Total Cholesterol results in blood.

2.16.840.1.113762.1.4.1222.139

Observation.code

Triglyceride in blood, serum or plasma

This set of values contains laboratory observable term codes for triglyceride results in blood, serum and plasma.

2.16.840.1.113762.1.4.1222.137

Observation.code

Triiodothyronine in serum or plasma

This set of values addresses terms representing Triiodothyronine in serum or plasma.

2.16.840.1.113762.1.4.1222.807

Observation.code

Troponin I, Bld/Ser/Plas

This set of values contains terms related to the measurement of troponin I levels in blood, serum, or plasma.

2.16.840.1.113883.3.3616.200.110.102.5061

Observation.code

Troponin T, Bld/Ser/Plas

This set of values contains terms related to the measurement of troponin T levels in blood, serum, or plasma.

2.16.840.1.113883.3.3616.200.110.102.5062

Observation.code

Urea Reduction Ratio

This set of values addresses terms representing Urea Reduction Ratio.

2.16.840.1.113762.1.4.1222.819

Observation.code

Uric Acid (Urate) in blood, serum or plasma

This set of values addresses terms representing Uric Acid (Urate) in blood, serum or plasma.

2.16.840.1.113762.1.4.1222.810

Observation.code

Urine Albumin Creatinine Ratio

This value set contains concepts that represent urine albumin creatinine ratio (uACR) tests.

2.16.840.1.113883.3.6929.2.1002

Observation.code

Urine Protein to Creatinine Ratio (UPCR)

This set of values addresses terms representing Urine Protein-to-Creatinine Ratio (UPCR).

2.16.840.1.113762.1.4.1222.790

Observation.code

Urine Sediment

This set of values contains laboratory observable terms for urine sediment including RBC, RBC casts, WBC, WBC casts, Tubular cells. Cellular casts, Granular casts, and Fat (oval fat bodies, fatty casts, free fat).

2.16.840.1.113762.1.4.1222.176

Observation.code

Urine Urea Nitrogen

This set of values contains laboratory observable term codes for Urine Urea Nitrogen.

2.16.840.1.113762.1.4.1222.154

Observation.code

Uroflowmetry

This set of values addresses terms representing Uroflowmetry observations.

2.16.840.1.113762.1.4.1222.823

Observation.code

Vitamin D Levels

This set of values contains laboratory test observable term codes for Vitamin D level results in blood.

2.16.840.1.113762.1.4.1222.126

Observation.code

White Blood Cell (Leukocytes) Count

This set of values contains laboratory observable term codes for White Blood Cell (Leukocytes) Count results in blood.

2.16.840.1.113762.1.4.1222.142

Observation.code