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Guidance for Standards-Based Electronic Laboratory Reporting for Influenza

To report each target separately:
TestLOINC : LOINC short nameTo report results for each target, use the SNOMED results below:
Influenza B target40982-1 : FLUBV RNA XXX Ql PCR

260373001 : Detected

260415000 : Not detected

373121007 : Test not done

419984006 : Inconclusive****

Influenza A target34487-9 : FLUAV RNA XXX Ql PCR
Influenza A/H1 target49521-8 : FLUAV H1 RNA XXX Ql PCR
Influenza A/H3 target49524-2 : FLUAV H3 RNA XXX Ql PCR
Influenza A pdm A target55464-2 : FLUAV swine origin RNA XXX Ql PCR
Influenza A pdm H1 target55465-9 : FLUAV H1 2009 pandemic RNA XXX Ql PCR
Influenza A pdm A + pdm H1 targets60494-2* : FLUAV H1 2009 pandemic+swine RNA XXX Ql PCR
Influenza A H5a68986-9 : FLUAV A H5a RNA XXX Ql PCR
Influenza A H5b68987-7 : FLUAV A H5b RNA XXX Ql PCR
Influenza A H5a + H5b targets38272-1** : FLUAV H5 RNA XXX Ql PCR
RP target68993-5 : Human Rnase P XXX QL PCR
For test only done on Isolates:
Influenza B target49535-8 : FLUBV RNA Islt Ql PCR
Influenza A target49531-7 : FLUAV RNA Islt Ql PCR
Influenza A/H1 target49520-0 : FLUAV H1 RNA Islt Ql PCR
Influenza A/H3 target49523-4 : FLUAV H3 RNA Islt Ql PCR
Influenza A H5a + H5b targets49526-7** : FLUAV H5 RNA Islt Ql PCR
Influenza A pdm A target***N/A
Influenza A pdm H1 target***N/A
Influenza A pdm A + pdm H1 targets***N/A
To report a single conclusion value:
TestLOINC : LOINC short nameTo report results for conclusion value LOINC, use the SNOMED results below:
To report all targets tested48509-4 : FLUAV + FLUBV RNA XXX PCR

407479009 : Influenza A virus

407480007: Influenza B virus

446396002: Influenza A virus subtype H1

446645007 : Influenza A virus subtype H3

221000124104 : Influenza A virus subtype H1 2009pandemic

PLR144 : Presumptive positive for Influenza A (H5)

446647004 : Influenza A virus subtype H5

419984006 : Inconclusive

125154007 : Specimen unsatisfactory for evaluation

373121007 : Test not done

PLR19 : Influenza A (unsubtypeable)

951000124103 : inconclusive for Influenza A virus subtype H5

941000124100 : inconclusive for Influenza A H1 2009pandemic

PLR159 : Presumptive positive for Influenza A(H3N2)v

To report all A subtyping targets tested59423-4 : FLUAV HA RNA XXX PCR
For test only done on Isolates:
To report all targets tested49537-4 : FLUAV + FLUBV RNA Islt PCR
To report all A subtyping targets tested59424-2 : FLUAV HA RNA Islt PCR

 

*Combines both targets needed to result Influenza A 2009 H1N1

**Combines both targets needed to result Influenza A/H5

***LOINC not yet available for these targets; for now, please use the non-isolate-specific codes above.

****Only use with 60494-2 or 38272-1

See below for specific examples of coding:
 Results:CDC Reporting for Surveillance
Example: Flu A + Flu B screen, with Flu A detected - no subtyping done - this is NOT recommended by CDC
40982-1FLUBV RNA XXX Ql PCR260415000ˆNot detectedˆSCT
34487-9FLUAV RNA XXX Ql PCR+260373001ˆdetectedˆSCT
68993-5RP+ / − 
**OR**
48509-4FLUAV + FLUBV RNA XXX PCRInfluenza A detected
Subtyping not performed
407479009ˆInfluenza A virus
 
Example: Flu A + Flu B screen, with Flu B detected
40982-1FLUBV RNA XXX Ql PCR+260373001ˆdetectedˆSCT
34487-9FLUAV RNA XXX Ql PCR260415000ˆNot detectedˆSCT
68993-5RP+ / − 
**OR**
48509-4FLUAV + FLUBV RNA XXX PCRInfluenza B detected407480007ˆInfluenza B virus
 
Example: Flu A + Flu B screen, Influenza not detected
40982-1FLUBV RNA XXX Ql PCR260415000ˆNot detectedˆSCT
34487-9FLUAV RNA XXX Ql PCR260415000ˆNot detectedˆSCT
68993-5RP+ 
**OR**
48509-4FLUAV + FLUBV RNA XXX PCRInfluenza NOT detected260415000ˆNot detectedˆSCT
 
Example: Flu A + Flu A subtyping, with Flu A positive and Flu A subtyping for H3
34487-9FLUAV RNA XXX Ql PCR+260373001ˆdetectedˆSCT
55465-9FLUAV H1 2009 pandemic RNA XXX Ql PCR260415000ˆNot detectedˆSCT
55464-2FLUAV swine origin RNA XXX Ql PCR260415000ˆNot detectedˆSCT
49524-2FLUAV H3 RNA XXX Ql PCR+260373001ˆdetectedˆSCT
49521-8FLUAV H1 RNA XXX Ql PCR260415000ˆNot detectedˆSCT
68993-5RP+ / − 
**OR**
59423-4FLUAV HA RNA XXX PCRInfluenza A detected
Subtype: H3 detected
446645007ˆInfluenza A virus subtype H3ˆSCT
**OR**
48509-4FLUAV + FLUBV RNA XXX PCRInfluenza A detected
Subtype: H3 detected
446645007ˆInfluenza A virus subtype H3ˆSCT
 
Example: Flu A + Flu A subtyping, with Flu A positive and Flu A subtyping for H12009pdm
34487-9FLUAV RNA XXX Ql PCR+260373001ˆdetectedˆSCT
55465-9FLUAV H1 2009 pandemic RNA XXX Ql PCR+260373001ˆdetectedˆSCT
55464-2FLUAV swine origin RNA XXX Ql PCR+260373001ˆdetectedˆSCT
49524-2FLUAV H3 RNA XXX Ql PCR260415000ˆNot detectedˆSCT
49521-8FLUAV H1 RNA XXX Ql PCR260415000ˆNot detectedˆSCT
68993-5RP+ / − 
**OR**
59423-4FLUAV HA RNA XXX PCRInfluenza A detected
Subtype: 2009 H1 detected
221000124104ˆInfluenza A virus subtype H1 2009 pandemic strainˆSCT
**OR**
48509-4FLUAV + FLUBV RNA XXX PCRInfluenza A detected
Subtype: 2009 H1 detected
221000124104ˆInfluenza A virus subtype H1 2009 pandemic strainˆSCT

 

 
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