LOINC
Version 2.72

24343-6Gas and Carbon monoxide panel - BloodActive

Term Description

Knowing the concentration of inspired O2 is important for interpreting PO2 results. Inspired O2 can be recorded in two ways: 1) as percent of O2 delivered to the patient (Venturi mask, re-breather mask, or ventilator); or 2) as liters of oxygen per minute (nasal cannula). This panel includes terms for recording the inspired O2 in either fashion. But because only one will apply and labs do not always receive this information they are designated as optional.

The term "oxygen saturation" is often used to refer to two distinctly different quantities, hemoglobin oxygen saturation (recommended symbol = sO2) and fractional oxyhemoglobin (recommended symbol = FO2Hb). The former is sometimes called functional oxygen saturation and the latter, fractional oxygen saturation

Hemoglobin oxygen saturation = the amount of oxyhemoglobin expressed as a percent of the hemoglobin able to bind oxygen, i.e. oxyhemoglobin (O2Hb) + deoxyhemoglobin (HHb).
sO2 = 100 x O2Hb/ (O2Hb + HHb)
Fractional oxyhemoglobin = the amount of oxyhemoglobin expressed as a percent of the total hemoglobin, where tHb = O2Hb + HHb + [COHb + MetHb + SulfHb]. Note that COHb, MetHb, and SulfHb, cannot carry oxygen and are thus called dyshemoglobins.
FO2Hb = O2Hb/tHb

Gas machines that can measure carbon monoxide, could, in principle, also report FO2Hb, and we had assumed that they would. However, at least some machines that do measure COHb and MetHb provide no option for reporting FO2Hb, and report only sO2. When mapping blood gas panels that report COHb% and also report FO2Hb, map that term to the LOINC term with the component of "Oxyhemoglobin/Total hemoglobin". If such an instrument reports only "oxygen saturation", verify with the lab that they are really reporting a functional O2 sat (sO2) and not the fractional oxyhemoglobin, because the two are not always correctly labeled. If it is sO2 then map it to the LOINC term with a component of "Oxygen saturation".

When you are mapping data from a simpler Blood gas instrument (one that can read fewer than 4 wave lengths), then the O2 saturation will likely be an sO2. So also map that variable to the LOINC with a component of "Oxygen saturation".

(Source: McD derived from Gill and McD- 2009 09)
Source: Regenstrief LOINC

Panel Hierarchy
Details for each LOINC in Panel LHC-Forms

LOINC Name R/O/C Cardinality Example UCUM Units
24343-6 Gas and Carbon monoxide panel - Blood
Indent11558-4 pH of Blood R [pH]
Indent49701-6 pH of Blood adjusted to patient's actual temperature O [pH]
Indent11557-6 Carbon dioxide [Partial pressure] in Blood R mm[Hg]
Indent34705-4 Carbon dioxide [Partial pressure] adjusted to patient's actual temperature in Blood O mm[Hg]
Indent11556-8 Oxygen [Partial pressure] in Blood R mm[Hg]
Indent19254-2 Oxygen [Partial pressure] adjusted to patient's actual temperature in Blood O mm[Hg]
Indent57800-5 Oxygen content in Blood by calculation mL/dL
Indent1959-6 Bicarbonate [Moles/volume] in Blood O mmol/L
Indent20565-8 Carbon dioxide, total [Moles/volume] in Blood C mmol/L
Indent11555-0 Base excess in Blood by calculation O mmol/L
Indent30318-0 Base deficit in Blood O mmol/L
Indent11559-2 Fractional oxyhemoglobin in Blood R %
Indent20564-1 Oxygen saturation in Blood C %
Indent20563-3 Carboxyhemoglobin/Hemoglobin.total in Blood R %
Indent2614-6 Methemoglobin/Hemoglobin.total in Blood O %
Indent718-7 Hemoglobin [Mass/volume] in Blood O g/dL
Indent3150-0 Inhaled oxygen concentration C %
Indent3151-8 Inhaled oxygen flow rate C L/min
Indent8310-5 Body temperature O Cel

Fully-Specified Name

Component
Gas & CO panel
Property
-
Time
Pt
System
Bld
Scale
Qn
Method

Additional Names

Short Name
Gas + CO Pnl Bld
Display Name
Gas and Carbon monoxide panel (Bld)
Consumer Name Alpha
Gas and Carbon monoxide panel, Blood

Basic Attributes

Class
PANEL.CHEM
Type
Laboratory
First Released
Version 1.0o
Last Updated
Version 2.67
Change Reason
Release 2.67: DefinitionDescription: Corrected typos and updated text for clarity.
Order vs. Observation
Order
Common Orders Rank
3
Panel Type
Panel

Language Variants Get Info

zh-CNChinese (China)
气体与一氧化碳组套:-:时间点:全血:定量型:
nl-NLDutch (Netherlands)
gassen & koolmonoxide panel:-:moment:bloed:kwantitatief:
fr-BEFrench (Belgium)
Gaz sanguins & Carboxyhémoglobine:-:Temps ponctuel:Sang:Quantitatif:
fr-CAFrench (Canada)
Gaz sanguins & Carboxyhémoglobine:-:Temps ponctuel:Sang:Quantitatif:
fr-FRFrench (France)
Gaz du sang et monoxyde de carbone panel:-:Ponctuel:Sang:Numérique:
el-GRGreek (Greece)
Έλεγχος αερίων και μονοξειδίου:-:Χρονική στιγμή:Αίμα:Ποσοτική:
it-ITItalian (Italy)
Gas & CO, panel:-:Pt:Sangue:Qn:
pt-BRPortuguese (Brazil)
Gasometria painel:-:Pt:SgTotal:Qn:
ru-RURussian (Russian Federation)
Газы & CO панель:-:ТчкВрм:Кр:Колич:
es-ARSpanish (Argentina)
pruebas analíticas de gases y monóxido de carbono:-:punto en el tiempo:sangre:cuantitativo:
es-MXSpanish (Mexico)
Panel de gas y CO:-:Punto temporal:Sangre:Cuantitativo:
es-ESSpanish (Spain)
Perfil gases y Co-oximetría:Propiedades mixtas (sólo paneles):Punto temporal:Sangre:Qn:
tr-TRTurkish (Turkey)
Gaz ve CO paneli:-:Zmlı:Kan:Kant:

LOINC FHIR® API Example - CodeSystem and Questionnaire Requests Get Info

https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=24343-6 https://fhir.loinc.org/Questionnaire/?url=http://loinc.org/q/24343-6