5671-3  Lead [Mass/​volume] in BloodLead [Mass/​volume] in BloodLead: MCnc: Pt: Bld: Qn: Map To: [Multiple] 

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Lead  MCnc  Pt  Bld  Qn 
  Long Common Name:  Lead [Mass/volume] in Blood
  Short Name:  Lead Bld-mCnc
  Display Name:  Lead (Bld) [Mass/Vol]

PART DEFINITION/DESCRIPTION(S)
  Part: Lead
  Lead is toxic to many organs and tissues including the heart, bones, intestines, kidneys, and reproductive and nervous systems. It interferes with the development of the nervous system and is particularly toxic to children, causing potentially permanent learning and behavior disorders. Symptoms include abdominal pain, confusion, headache, anemia, irritability, and in severe cases seizures, coma, and death. Routes of exposure include contaminated air, water, soil, food, and consumer products. Occupational exposure is a common cause of lead poisoning in adults. The National Institute of Occupational Safety and Health (NIOSH) estimates that more than 3 million workers in the United States are potentially exposed to lead in the workplace. One of the largest threats to children is lead paint that exists in many older homes. Blood lead levels screen for lead poisoning and monitor treatment as well. The Centers for Disease Control (US) has set the standard elevated blood lead level for adults to be 10 µg/dl of the whole blood. For children the number is set much lower at 5 µg/dl of blood as of 2012 down from a previous 10 µg/dl. The major treatments are removal of the source of lead and chelation therapy. [Wikipedia: Lead_poisoning] Both capillary and venous blood specimens are used for lead testing and they have different reference ranges, so it is important to distinguish the specimen type for both clinical and public health reporting. Capillary samples are more likely to be contaminated by environmental residues present on the skin. Venous blood collected using evacuated tubes and needles certified as lead-free is preferred (NCCLS.2001), however obtaining venous samples from pediatric patients may be be difficult, capillary blood from a finger puncture may be used for screening purposes. If an elevated lead level is detected in capillary blood, a second test on a venous sample is necessary.
  Copyright: Text is available under the Creative Commons Attribution/Share-Alike License. See http://creativecommons.org/licenses/by-sa/3.0/ for details.
 
 
  Part: Lead
  Lead, atomic number 82, atomic weight 207.19, symbol Pb, is a soft, grayish metal with poisonous salts. (Dorland, 28th)
 
 

BASIC ATTRIBUTES
  Class/Type: DRUG/TOX/Lab
  Common Lab Results Rank: #266
  Common Orders Rank: #143
  First Released in Version: 1.0
  Last Updated in Version: 2.56
  Mass or Substance Property: M
  Order vs. Obs.: Both

STATUS
  Discourage use.
Change Reason: Discouraged as a more specific specimen should be selected because reference ranges for venous and capillary blood are different. Added Demographics Panel.
Reason for status: Use venous or capillary as reference ranges are different.
   
REPLACE WITH
  LOINC # LOINC Name   Guidance for Mapping
  10368-9 Lead [Mass/volume] in Capillary blood   Use this term for capillary (finger stick) specimens.
  10368-9 Lead [Mass/volume] in Capillary blood   Use this term for capillary (finger stick) specimens.
  10368-9 Lead: MCnc: Pt: BldC: Qn:   Use this term for capillary (finger stick) specimens.
  77307-7 Lead [Mass/volume] in Venous blood   Use this term for venous (venipuncture) specimens.
  77307-7 Lead [Mass/volume] in Venous blood   Use this term for venous (venipuncture) specimens.
  77307-7 Lead: MCnc: Pt: BldV: Qn:   Use this term for venous (venipuncture) specimens.

ASK AT ORDER ENTRY

  LOINC#   LOINC Name R/O/C  Cardinality  Ex. UCUM Units 
  80399-9   Occupational exposure information panelOccupational exposure information panelOccupational exposure information panel: -: Pt: ^Patient: -:    
       67098-4   Reason for test    
       53903-1   Collection method - SpecimenCollection method - SpecimenCollection method: Type: Pt: Specimen: Nom:    
       31208-2   Specimen source identifiedSpecimen source identifiedSpecimen source: Prid: Pt: XXX: Nom:    
       79191-3   Patient demographics panelPatient demographics panelPatient demographics panel: -: Pt: ^Patient: -:    
            45392-8   First nameFirst nameFirst name: Pn: Pt: ^Patient: Nom:    
            45394-4   Last nameLast nameLast name: Pn: Pt: ^Patient: Nom:    
            56799-0   AddressAddressAddress: Addr: Pt: ^Patient: Nom:    
            68997-6   CityCityCity: Loc: Pt: ^Patient: Nom:    
            46499-0   State of residenceState of residenceState of residence: Loc: Pt: ^Patient: Nom:    
            45401-7   Postal code [Location]Postal code [Location]Postal code: Loc: Pt: ^Patient: Nom:    
            87721-7   County of residence [Location]County of residence [Location]County of residence: Loc: Pt: ^Patient: Nom:    
            66477-1   Country of current residenceCountry of current residenceCountry of current residence: Find: Pt: ^Patient: Nom:    
            79183-0   First name of Guardian or legally authorized representativeFirst name of Guardian or legally authorized representativeFirst name: Pn: Pt: ^Guardian or legally authorized representative: Nom:    
            79184-8   Last name of Guardian or legally authorized representativeLast name of Guardian or legally authorized representativeLast name: Pn: Pt: ^Guardian or legally authorized representative: Nom:    
            42077-8   Patient phone numberPatient phone numberPhone number: Tele: Pt: ^Patient: Nom:    
            76458-9   Patient Email addressPatient Email addressEmail address: EmailAddr: Pt: ^Patient: Nom:    
            32624-9   RaceRaceRace: Type: Pt: ^Patient: Nom:    
            69490-1   Ethnicity OMB.1997Ethnicity OMB.1997Ethnicity: Type: Pt: ^Patient: Nom: OMB.1997    
       80400-5   Testing facility panelTesting facility panelTesting facility panel: -: Pt: Facility: -:    
            65652-0   Testing facility name    
            65833-6   Facility AddressFacility AddressAddress: Addr: Pt: Facility: Nom:    
            65647-0   City    
            68488-6   State location of FacilityState location of FacilityState: Loc: Pt: Facility: Nom:    
            52831-5   Postal code [Location] FacilityPostal code [Location] FacilityPostal code: Loc: Pt: Facility: Nom:    
            65649-6   Country    
            65651-2   Phone number    
            65650-4   E-mail    
       80401-3   Employment information panelEmployment information panelEmployment information panel: -: Pt: ^Patient: -:    
            74288-2   The occupational industry associated with the patient's work environment.    
            74159-5   Work schedule NIOSHWork schedule NIOSHWork schedule: Find: Pt: ^Patient: Nom: NIOSH    
            63746-2   Job duration   d;wk;mo;a 
            80427-8   Employer name [Identifier]Employer name [Identifier]Employer name: ID: Pt: ^Patient: Nom:    
            80429-4   Employer addressEmployer addressEmployer address: Addr: Pt: ^Patient: Nom:    
            80431-0   Employer cityEmployer cityEmployer city: Loc: Pt: ^Patient: Nom:    
            80433-6   Employer stateEmployer stateEmployer state: Loc: Pt: ^Patient: Nom:    
            80435-1   Employer postal code [Location]Employer postal code [Location]Employer postal code: Loc: Pt: ^Patient: Nom:    
            80437-7   Employer country [Location]Employer country [Location]Employer country: Loc: Pt: ^Patient: Nom:    
            21844-6   Usual industry    
            21843-8   Usual occupation    
            74162-9   Usual industry durationUsual industry durationUsual industry duration: Time: Pt: ^Patient: Qn:  
            74163-7   Usual occupation durationUsual occupation durationUsual occupation duration: Time: Pt: ^Patient: Qn:  
            80428-6   Past employer name [Identifier]Past employer name [Identifier]Past employer name: ID: Pt: ^Patient: Nom:    
            80430-2   Past employer addressPast employer addressPast employer address: Addr: Pt: ^Patient: Nom:    
            80432-8   Past employer cityPast employer cityPast employer city: Loc: Pt: ^Patient: Nom:    
            80434-4   Past employer statePast employer statePast employer state: Loc: Pt: ^Patient: Nom:    
            80436-9   Past employer postal code [Location]Past employer postal code [Location]Past employer postal code: Loc: Pt: ^Patient: Nom:    
            80438-5   Past employer country [Location]Past employer country [Location]Past employer country: Loc: Pt: ^Patient: Nom:    
 

ASSOCIATED OBSERVATIONS

  LOINC#   LOINC Name R/O/C  Cardinality  Ex. UCUM Units 
  79191-3   Patient demographics panelPatient demographics panelPatient demographics panel: -: Pt: ^Patient: -:    
       45392-8   First nameFirst nameFirst name: Pn: Pt: ^Patient: Nom:    
       45394-4   Last nameLast nameLast name: Pn: Pt: ^Patient: Nom:    
       56799-0   AddressAddressAddress: Addr: Pt: ^Patient: Nom:    
       68997-6   CityCityCity: Loc: Pt: ^Patient: Nom:    
       46499-0   State of residenceState of residenceState of residence: Loc: Pt: ^Patient: Nom:    
       45401-7   Postal code [Location]Postal code [Location]Postal code: Loc: Pt: ^Patient: Nom:    
       87721-7   County of residence [Location]County of residence [Location]County of residence: Loc: Pt: ^Patient: Nom:    
       66477-1   Country of current residenceCountry of current residenceCountry of current residence: Find: Pt: ^Patient: Nom:    
       79183-0   First name of Guardian or legally authorized representativeFirst name of Guardian or legally authorized representativeFirst name: Pn: Pt: ^Guardian or legally authorized representative: Nom:    
       79184-8   Last name of Guardian or legally authorized representativeLast name of Guardian or legally authorized representativeLast name: Pn: Pt: ^Guardian or legally authorized representative: Nom:    
       42077-8   Patient phone numberPatient phone numberPhone number: Tele: Pt: ^Patient: Nom:    
       76458-9   Patient Email addressPatient Email addressEmail address: EmailAddr: Pt: ^Patient: Nom:    
       32624-9   RaceRaceRace: Type: Pt: ^Patient: Nom:    
       69490-1   Ethnicity OMB.1997Ethnicity OMB.1997Ethnicity: Type: Pt: ^Patient: Nom: OMB.1997    
 

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  29588-1 Heavy metals panel - Blood
  39294-4 Children's preventive health services attachment Set
  54037-7 HEDIS 2009 panel
  57820-3 HEDIS 2010 panel
  60442-1 HEDIS 2011 panel
  67767-4 HEDIS 2012 panel
  72199-3 HEDIS 2013 panel
  74234-6 HEDIS 2014 Value Sets
  75868-0 HEDIS 2015 Value Sets
  79544-3 HEDIS 2016 Value Sets
  82955-6 HEDIS 2017 Value Sets
  87625-0 HEDIS 2018 Value Sets
  90766-7 HEDIS 2019 Value Sets
  

MEMBER OF THESE EQUIVALENCE GROUPS
  LG140-0  Lead|MCnc|Pt|ANYBldSerPl
  LG50034-4  Lead|Pt|Bld|207.2 g/mole

PARTS

Part Type    Part No.  Part Name   
Component   LP14259-3  Lead 
Property   LP6827-2  MCnc   [Mass Concentration] 
Time   LP6960-1  Pt   [Point in time (spot)] 
System   LP7057-5  Bld   [Blood] 
Scale   LP7753-9  Qn 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  铅:质量浓度:时间点:全血:定量型:铅:质量浓度:时间点:全血:定量型:
  Dutch (NETHERLANDS)  (From: Regenstrief-generated full translation based on part translation provided by NVKC, Dutch Society for Clinical Chemistry and Laboratory Medicine, The Netherlands)
 
  lood:massa/​volume:moment:bloed:kwantitatief:lood:massa/​volume:moment:bloed:kwantitatief:
  Estonian (ESTONIA)  (From: Regenstrief-generated full translation based on part translation provided by Estonian E-Health Foundation)
 
  Plii:MCnc:Pt:B:Qn:Plii:MCnc:Pt:B:Qn:
  French (BELGIUM)  (From: Regenstrief-generated full translation based on part translation provided by Jean M. Prevost, MD, Biopathology)
 
  Plomb:Concentration de masse:Temps ponctuel:Sang:Quantitatif:Plomb:Concentration de masse:Temps ponctuel:Sang:Quantitatif:
  French (CANADA)  (From: Regenstrief-generated full translation based on part translation provided by Canada Health Infoway Inc.)
 
  Plomb:Concentration de masse:Temps ponctuel:Sang:Quantitatif:Plomb:Concentration de masse:Temps ponctuel:Sang:Quantitatif:
  Greek (GREECE)  (From: Regenstrief-generated full translation based on part translation provided by Efstratia Kontaxi, MD, MSc, and Evripidis Stefanidis, MD, with technical support from Panagiotis Kontaxis, Diploma of Electrical and Computer Engineering.)
 
  Μόλυβδος:Συγκέντρωση μάζας:Χρονική στιγμή:Αίμα:Ποσοτική:Μόλυβδος:Συγκέντρωση μάζας:Χρονική στιγμή:Αίμα:Ποσοτική:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Piombo:MCnc:Pt:Sangue:Qn:Piombo:MCnc:Pt:Sangue:Qn:
  Korean (KOREA, REPUBLIC OF)  (From: Korean Ministry for Health, Welfare, and Family Affairs)
 
  납:질량농도:검사시점:전혈:정량:납:질량농도:검사시점:전혈:정량:
  Portuguese (BRAZIL)  (From: HL7 Brazil Institute)
 
  Chumbo:MCnc:Pt:SgTotal:Qn:Chumbo:MCnc:Pt:SgTotal:Qn:
  Russian (RUSSIAN FEDERATION)  (From: Regenstrief-generated full translation based on part translation provided by Yaroslavl State Medical Academy)
 
  Свинец:МассКонц:ТчкВрм:Кр:Колич:Свинец:МассКонц:ТчкВрм:Кр:Колич:
  Spanish (ARGENTINA)  (From: Conceptum Medical Terminology Center)
 
  LEAD:concentración de masa:punto en el tiempo:sangre:cuantitativo:LEAD:concentración de masa:punto en el tiempo:sangre:cuantitativo:
  Spanish (SPAIN)  (From: Regenstrief-generated full translation based on part translation provided by the Clinical Laboratory Committee of SERVICIO EXTREMEÑO DE SALUD, with the support of BITAC MAP.)
 
  Plomo:Concentración de masa:Punto temporal:Sangre:Qn:Plomo:Concentración de masa:Punto temporal:Sangre:Qn:
  Turkish (TURKEY)  (From: Regenstrief-generated full translation based on part translation provided by LOINC Turkish Translation Group and the Turkish Ministry of Health)
 
  Kurşun:KütlKons:Zmlı:Kan:Kant:Kurşun:KütlKons:Zmlı:Kan:Kant:

RELATED NAMES
  Blood PB Quantitative
  DRUG/TOXICOLOGY Plumbism Random
  Drugs Point in time WB
  Level QNT Whole blood
  Mass concentration Quan  
  Painter's colic Quant  

EXAMPLE UNITS
  Unit  Source Type
  mcg/dL  REGENSTRIEF 
  ug/dL  EXAMPLE UCUM UNITS 

UNITS (INTERNAL DETAILS)
  Source Type:  REGENSTRIEF 
  Unit:  mcg/dL 
  Source Type:  EXAMPLE UCUM UNITS 
  Unit:  ug/dL 

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 4:38:17 PM
  Attachment Units Required: Y
  Long Common Name: Lead [Mass/volume] in Blood
  Shortname: Lead Bld-mCnc
  Fully Specified Name: Lead: MCnc: Pt: Bld: Qn:
     
  Component Word Count: 1
  ID: 51276
  # of Panel Elements: 15
  Status (Raw): DISCOURAGED