When investigation results are reported with a diagnosis, select a term for the diagnosis and also select terms for any investigation results that are not consistent with the diagnosis. Example Reported LLT Selected Comment Elevated potassium is not consistent with the Alopecia Alopecia, rash, and elevated diagnoses of alopecia Rash potassium 7.0 mmol/L and rash. Terms for all Potassium increased concepts should be selected 3.14.4 Grouped investigation result terms Select a term for each investigation result as reported; do not together “lump” separate investigation results under an inclusive term unless reported as such. Example Reported LLT Selected Comment Abnormalities of liver Abnormal liver function function tests tests Select four individual Alkaline phosphatase terms for the Increased alkaline increased investigation results. A phosphatase, increased SGPT increased single term such as LLT SGPT, increased SGOT and Liver function tests SGOT increased elevated LDH LDH increased abnormal should not be selected 3.14.5 Investigation terms without qualifiers Terms in SOC Investigations without qualifiers may be used to record test names when entering diagnostic test data. Example Information/Reported LLT Selected for Test Name Comment (Verbatim)
When investigation results are reported with a diagnosis, select a term for the diagnosis and also select terms for any investigation results that are not consistent with the diagnosis. Example Reported LLT Selected Comment Alopecia, rash, and elevated potassium 7.0 mmol/L Alopecia Rash Potassium increased Elevated potassium is not consistent with the diagnoses of alopecia and rash. Terms for all concepts should be selected 3.14.4 Grouped investigation result terms Select a term for each investigation result as reported; do not “lump” together separate investigation results under an inclusive term unless reported as such. Example Reported LLT Selected Comment Abnormalities of liver function tests Abnormal liver function tests Increased alkaline phosphatase, increased SGPT, increased SGOT and elevated LDH Alkaline phosphatase increased SGPT increased SGOT increased LDH increased Select four individual terms for the investigation results. A single term such as LLT Liver function tests abnormal should not be selected 3.14.5 Investigation terms without qualifiers Terms in SOC Investigations without qualifiers may be used to record test names when entering diagnostic test data. Example Information/Reported (Verbatim) LLT Selected for Test Name Comment
9491-1600_termselptc_r4_5_mar2013.docx