CPOE Common Codes Collection

From OpenEMR Project Wiki

For use in designing the CPOE/Procedure Configuration

  1. Axiom Lab Codes File:Axiom-Lab-Codes.zip
  2. LOINC Codes File:LOINC-common-lab-orders-value-set.pdf

Lab Top Level Categories

From: http://www.ascls.org/labtesting/

  1. Blood Tests (Hematology)
    • Red Blood Count (RBC) - the number of red blood cells to evaluate anemia
    • White Blood Count (WBC) - the number of white blood cells to evaluate infection
    • Differential Count - the proportions of the different types of white blood cells varies in infection, allergies, etc.
    • Platelet Count - the count of the number of these cells which participate in blood clotting
    • Coagulation (clotting) studies - bleeding time, prothrombin time and other tests determine the clotting process in the blood
    • Hemoglobin - a measure of the oxygen-carrying capacity of the blood
  2. Chemistry
    • Sugar (glucose) - the amount of sugar in the blood is a measurement for diabetes mellitus
    • Electrolytes (sodium, potassium, chloride and carbon dioxide) - these substances maintain fluid and blood pressure balance and are essential for the function of most body systems
    • Enzymes (CK, LD, AST, ALT) - help to diagnose heart and liver diseases
    • Cholesterol - high amounts are associated with heart and blood vessel diseases
    • Urea Nitrogen - test for kidney function
    • Uric Acid - may indicate gout
  3. Microbiology
    • Culture - growth of bacteria for the purpose of identification
    • Smear/Stain - preliminary evaluation of infection
    • Sensitivity test - testing bacteria with antibiotics to determine which drug is most effective
  4. Urinalysis
    • glucose
    • blood
    • bacteria
  5. Cytology
    • Pap smear - microscopic examination of cells to determine abnormal conditions or malignancy
    • Sputum - microscopic evaluation for malignancy or other disorders such as asbestosis
  6. Histology
    • Biopsy - the removal of a small section of tissue to be studied. The type of cells and their chemical reactions are evaluated.
  7. Immunology
    • AIDS test - positive when a person has the AIDS virus
    • Pregnancy test - to confirm pregnancy
    • Rubella test - for measles
  8. Immunohematology (Blood Bank)
    • Blood type and Rh - to identify a person's blood type which can be O, A, B or AB and Rh which can be either positive or negative
  9. Cross match (compatibility test) - to determine if a unit of blood may be used for a transfusion for a particular patient

Radiology Tests and Treatments

  • Angiography
  • Arterial and Venous Interventions
  • Biliary Interventions
  • Biopsy
  • Chest Interventions
  • Computed Tomography (CT or CAT Scan)
  • Dialysis Fistula/Graft Declotting Interventions
  • Embolization
  • Magnetic Resonance Imaging (MRI)
  • Mammography (Breast Imaging)
  • Nuclear Medicine
  • Percutaneous Abscess Drainage
  • Peritoneal Ports
  • Radiation Therapy (Oncology)
  • Radiofrequency Ablation
  • Spinal Interventions
  • Ultrasound (Sonography)
  • Urinary Interventions
  • X-ray (Radiography)