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Guidance for Standards-Based Electronic Laboratory Reporting for Influenza

To report each target separately:
Test LOINC : LOINC short name To report results for each target, use the SNOMED results below:
Influenza B target 40982-1 : FLUBV RNA XXX Ql PCR

260373001 : Detected

260415000 : Not detected

373121007 : Test not done

419984006 : Inconclusive

Influenza B Yamagata lineage target 74786-5: Influenza virus B Yamagata lineage RNA
Influenza B Victoria lineage target 74785-7: Influenza virus B Victoria lineage RNA
Influenza A target 34487-9: FLUAV RNA XXX Ql PCR
Influenza A/H1 target 49521-8: FLUAV H1 RNA XXX Ql PCR
Influenza A/H3 target 49524-2: FLUAV H3 RNA XXX Ql PCR
Influenza A pdm A target 55464-2: FLUAV swine origin RNA XXX Ql PCR
Influenza A pdm H1 target 55465-9: FLUAV H1 2009 pandemic RNA XXX Ql PCR
Influenza A pdm A + pdm H1 targets 60494-2*: FLUAV H1 2009 pandemic+swine RNA XXX Ql PCR
Influenza A/H7 target PLT311: FLUAV EUH7 XXX QL PCR
Influenza A H5a 68986-9: FLUAV A H5a RNA XXX Ql PCR
Influenza A H5b 68987-7: FLUAV A H5b RNA XXX Ql PCR
Influenza A H5a + H5b targets 38272-1**: FLUAV H5 RNA XXX Ql PCR
RP target 68993-5: Human Rnase P XXX QL PCR
To report a single conclusion value:
Test LOINC : LOINC short name To report results for conclusion value LOINC, use the appropriate SNOMED result below:
To report all targets tested 48509-4: FLUAV + FLUBV RNA XXX PCR

260415000: Not detected

407480007: Influenza B virus

426959005: Influenza B virus Yamagata lineage

427672003: Influenza B virus Victoria lineage

PLR219: Inconclusive for Influenza B lineage

407479009 : Influenza A virus

446396002: Influenza A virus subtype H1

446645007 : Influenza A virus subtype H3

221000124104 : Influenza A virus subtype H1 2009pandemic

125154007 : Specimen unsatisfactory for evaluation

373121007 : Test not done

419984006 : Inconclusive

PLR19 : Influenza A (unsubtypeable)

941000124100 : inconclusive for Influenza A H1 2009pandemic

951000124103 : inconclusive for Influenza A virus subtype H5
PLR159 : Presumptive positive for Influenza A(H3N2)v

446648009: Influenza A virus type H7

PLR144 : Presumptive positive for Influenza A (H5)

Influenza B Yamagata + Victoria lineage targets 74784-0: FluV B lineage RNA XXX PCR
To report all A subtyping targets tested 59423-4: FLUAV HA RNA XXX PCR

*Combines Influenza A pdm A target and Influenza A pdm H1 target needed to test for influenza A 2009 H1N1 into one code (does not include the universal Influenza A target)

**Combines Influenza A H5a target and Influenza A H5b target needed to test for influenza A/H5 into one code (does not include the universal Influenza A target)

†Only use with 60494-2 or 38272-1

For questions or concerns about coding guidance, please contact flusupport@cdc.gov.

 
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
40982-1 FLUBV RNA XXX Ql PCR 260415000ˆNot detectedˆSCT
34487-9 FLUAV RNA XXX Ql PCR + 260373001ˆdetectedˆSCT
68993-5 RP + / −  
**OR**
48509-4 FLUAV + FLUBV RNA XXX PCR Influenza A detected
Subtyping not performed
407479009ˆInfluenza A virus
 
Example: Flu A + Flu B screen, with Flu B detected
40982-1 FLUBV RNA XXX Ql PCR + 260373001ˆdetectedˆSCT
34487-9 FLUAV RNA XXX Ql PCR 260415000ˆNot detectedˆSCT
68993-5 RP + / −  
**OR**
48509-4 FLUAV + FLUBV RNA XXX PCR Influenza B detected 407480007ˆInfluenza B virus
 
Example: Flu A + Flu B screen, Influenza not detected
40982-1 FLUBV RNA XXX Ql PCR 260415000ˆNot detectedˆSCT
34487-9 FLUAV RNA XXX Ql PCR 260415000ˆNot detectedˆSCT
68993-5 RP +  
**OR**
48509-4 FLUAV + FLUBV RNA XXX PCR Influenza NOT detected 260415000ˆNot detectedˆSCT
 
Example: Flu A + Flu A subtyping, with Flu A positive and Flu A subtyping for H3
34487-9 FLUAV RNA XXX Ql PCR + 260373001ˆdetectedˆSCT
55465-9 FLUAV H1 2009 pandemic RNA XXX Ql PCR 260415000ˆNot detectedˆSCT
55464-2 FLUAV swine origin RNA XXX Ql PCR 260415000ˆNot detectedˆSCT
49524-2 FLUAV H3 RNA XXX Ql PCR + 260373001ˆdetectedˆSCT
49521-8 FLUAV H1 RNA XXX Ql PCR 260415000ˆNot detectedˆSCT
68993-5 RP + / −  
**OR**
59423-4 FLUAV HA RNA XXX PCR Influenza A detected
Subtype: H3 detected
446645007ˆInfluenza A virus subtype H3ˆSCT
**OR**
48509-4 FLUAV + FLUBV RNA XXX PCR Influenza 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
34487-9 FLUAV RNA XXX Ql PCR + 260373001ˆdetectedˆSCT
55465-9 FLUAV H1 2009 pandemic RNA XXX Ql PCR + 260373001ˆdetectedˆSCT
55464-2 FLUAV swine origin RNA XXX Ql PCR + 260373001ˆdetectedˆSCT
49524-2 FLUAV H3 RNA XXX Ql PCR 260415000ˆNot detectedˆSCT
49521-8 FLUAV H1 RNA XXX Ql PCR 260415000ˆNot detectedˆSCT
68993-5 RP + / −  
**OR**
59423-4 FLUAV HA RNA XXX PCR Influenza A detected
Subtype: 2009 H1 detected
221000124104ˆInfluenza A virus subtype H1 2009 pandemic strainˆSCT
**OR**
48509-4 FLUAV + FLUBV RNA XXX PCR Influenza A detected
Subtype: 2009 H1 detected
221000124104ˆInfluenza A virus subtype H1 2009 pandemic strainˆSCT
 
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