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This example shows how to tabulate data for a bilateral organ, where both sides were examined and only 1 result was reported.

One side was unremarkable and the other side had a finding. "UNREMARKABLE" was not tabulated; only the finding was included. Per schedule, both sides of the kidney were examined, so MILAT is "BOTH". Because the finding is reported for 1 unspecified side (unilateral), this is the result location, consequently tabulated as a result modifier (see MIRESMOD example below).


mi.xpt

mi.xpt

RowSTUDYIDDOMAINUSUBJIDMISEQMITESTCDMITESTMIORRESMISTRESCMICHRONMIDISTRMISPECMISPCCNDMISPCUFLMILATMISEVMIDTCMIDY
1ABCMIABC-1011MIEXAMMicroscopic ExaminationAcute focal glomerular hemorrhage, unilateralHEMORRHAGEACUTEFOCALKIDNEY

BOTH
2015-10-2742
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This row shows the supplemental qualifier record for the modifiers associated with the findings in MI.

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suppmi.xpt

RowSTUDYIDRDOMAINUSUBJIDIDVARIDVARVALQNAMQLABELQVALQORIGQEVAL
1ABCMIABC-101MISEQ1MIRESMODResult Modifiersglomerular; unilateralCOLLECTEDPATHOLOGIST
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