Laboratory | Core Data Elements for Case Notification

Laboratory (lab) data capture information from clinical diagnostic tests, including patient details, test type, results, specimen type, and collection or result dates. Lab data are often the first notification a public health agency receives of a potential case of disease or infection and are therefore a key part of the public health surveillance lifecycle. These data are crucial to move case investigations forward, to determine any need for public health actions, and to accurately classify cases according to case definitions in public health surveillance. 

Core Surveillance Data Elements in the Death Data Class 

Data Element

Definition

Data Element

Test Performed 

Definition

Code for the lab test or analysis that was performed on the specimen.  

Data Element

Test Result 

Definition

Qualitative or quantitative results for test performed. This can include various types of results such as numeric, coded, text, or other types relevant to the specific result.  

Data Element

Units of Measure 

Definition

Units of measure for the test result value, if applicable.  

Data Element

Specimen Type 

Definition

The type of specimen used in testing the resulted lab test  

Data Element

Specimen Source Site 

Definition

Indicator of the anatomical source of the specimen tested  

Data Element

Specimen Collection Date/Time 

Definition

Date (and time as available) a clinical specimen was collected from the person for the laboratory testing relevant to the disease or condition being reported to a public health agency.  

Data Element

Date/Time of Lab Result 

Definition

Date (and time as available) the latest result was released for reporting 

For complete definitions, value sets, data structure notes and implementation recommendations, please review the full document drafted by the Data Standardization Working Group (DSWG).