Clinical Document Architecture
2.0.0-sd - release

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: CDAObservationInterpretation - XML Representation

Draft as of 2024-05-17

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<ValueSet xmlns="http://hl7.org/fhir">
  <id value="CDAObservationInterpretation"/>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><ul><li>Include these codes as defined in <a href="http://terminology.hl7.org/5.2.0/CodeSystem-v3-ObservationInterpretation.html"><code>http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation</code></a><table class="none"><tr><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a href="http://terminology.hl7.org/5.2.0/CodeSystem-v3-ObservationInterpretation.html#v3-ObservationInterpretation-B">B</a></td><td style="color: #cccccc">Better</td><td>The current result or observation value has improved compared to the previous result or observation value (the change is significant as defined in the respective test procedure).<br/><br/>\[Note: This can be applied to quantitative or qualitative observations.\]</td></tr><tr><td><a href="http://terminology.hl7.org/5.2.0/CodeSystem-v3-ObservationInterpretation.html#v3-ObservationInterpretation-D">D</a></td><td style="color: #cccccc">Significant change down</td><td>The current result has decreased from the previous result for a quantitative observation (the change is significant as defined in the respective test procedure).</td></tr><tr><td><a href="http://terminology.hl7.org/5.2.0/CodeSystem-v3-ObservationInterpretation.html#v3-ObservationInterpretation-U">U</a></td><td style="color: #cccccc">Significant change up</td><td>The current result has increased from the previous result for a quantitative observation (the change is significant as defined in the respective test procedure).</td></tr><tr><td><a href="http://terminology.hl7.org/5.2.0/CodeSystem-v3-ObservationInterpretation.html#v3-ObservationInterpretation-W">W</a></td><td style="color: #cccccc">Worse</td><td>The current result or observation value has degraded compared to the previous result or observation value (the change is significant as defined in the respective test procedure).<br/><br/>\[Note: This can be applied to quantitative or qualitative observations.\]</td></tr><tr><td><a href="http://terminology.hl7.org/5.2.0/CodeSystem-v3-ObservationInterpretation.html#v3-ObservationInterpretation-.60">&lt;</a></td><td style="color: #cccccc">Off scale low</td><td>The result is below the minimum detection limit (the test procedure or equipment is the limiting factor).<br/><br/>Synonyms: Below analytical limit, low off scale.</td></tr><tr><td><a href="http://terminology.hl7.org/5.2.0/CodeSystem-v3-ObservationInterpretation.html#v3-ObservationInterpretation-.62">&gt;</a></td><td style="color: #cccccc">Off scale high</td><td>The result is above the maximum quantifiable limit (the test procedure or equipment is the limiting factor).<br/><br/>Synonyms: Above analytical limit, high off scale.</td></tr><tr><td><a href="http://terminology.hl7.org/5.2.0/CodeSystem-v3-ObservationInterpretation.html#v3-ObservationInterpretation-A">A</a></td><td style="color: #cccccc">Abnormal</td><td>The result or observation value is outside the reference range or expected norm (as defined for the respective test procedure).<br/><br/>\[Note: Typically applies to non-numeric results.\]</td></tr><tr><td><a href="http://terminology.hl7.org/5.2.0/CodeSystem-v3-ObservationInterpretation.html#v3-ObservationInterpretation-AA">AA</a></td><td style="color: #cccccc">Critical abnormal</td><td>The result or observation value is outside a reference range or expected norm at a level at which immediate action should be considered for patient safety (as defined for the respective test procedure).<br/><br/>\[Note: Typically applies to non-numeric results. Analogous to critical/panic limits for numeric results.\]</td></tr><tr><td><a href="http://terminology.hl7.org/5.2.0/CodeSystem-v3-ObservationInterpretation.html#v3-ObservationInterpretation-HH">HH</a></td><td style="color: #cccccc">Critical high</td><td>The result for a quantitative observation is above a reference level at which immediate action should be considered for patient safety (as defined for the respective test procedure).<br/><br/>Synonym: Above upper panic limits.</td></tr><tr><td><a href="http://terminology.hl7.org/5.2.0/CodeSystem-v3-ObservationInterpretation.html#v3-ObservationInterpretation-LL">LL</a></td><td style="color: #cccccc">Critical low</td><td>The result for a quantitative observation is below a reference level at which immediate action should be considered for patient safety (as defined for the respective test procedure).<br/><br/>Synonym: Below lower panic limits.</td></tr><tr><td><a href="http://terminology.hl7.org/5.2.0/CodeSystem-v3-ObservationInterpretation.html#v3-ObservationInterpretation-H">H</a></td><td style="color: #cccccc">High</td><td>The result for a quantitative observation is above the upper limit of the reference range (as defined for the respective test procedure).<br/><br/>Synonym: Above high normal</td></tr><tr><td><a href="http://terminology.hl7.org/5.2.0/CodeSystem-v3-ObservationInterpretation.html#v3-ObservationInterpretation-L">L</a></td><td style="color: #cccccc">Low</td><td>The result for a quantitative observation is below the lower limit of the reference range (as defined for the respective test procedure).<br/><br/>Synonym: Below low normal</td></tr><tr><td><a href="http://terminology.hl7.org/5.2.0/CodeSystem-v3-ObservationInterpretation.html#v3-ObservationInterpretation-N">N</a></td><td style="color: #cccccc">Normal</td><td>The result or observation value is within the reference range or expected norm (as defined for the respective test procedure).<br/><br/>\[Note: Applies to numeric or non-numeric results.\]</td></tr><tr><td><a href="http://terminology.hl7.org/5.2.0/CodeSystem-v3-ObservationInterpretation.html#v3-ObservationInterpretation-I">I</a></td><td style="color: #cccccc">Intermediate</td><td>Bacterial strain inhibited in vitro by a concentration of an antimicrobial agent that is associated with uncertain therapeutic effect. Reference: CLSI (http://www.clsi.org/Content/NavigationMenu/Resources/HarmonizedTerminologyDatabase/Harmonized\_Terminolo.htm) Projects: ISO 20776-1, ISO 20776-2<br/><br/>\[Note 1: Bacterial strains are categorized as intermediate by applying the appropriate breakpoints in a defined phenotypic test system.\]<br/><br/>\[Note 2: This class of susceptibility implies that an infection due to the isolate can be appropriately treated in body sites where the drugs are physiologically concentrated or when a high dosage of drug can be used.\]<br/><br/>\[Note 3: This class also indicates a &quot;buffer zone,&quot; to prevent small, uncontrolled, technical factors from causing major discrepancies in interpretations.\]<br/><br/>\[Note 4: These breakpoints can be altered due to changes in circumstances (e.g., changes in commonly used drug dosages, emergence of new resistance mechanisms).\]</td></tr><tr><td><a href="http://terminology.hl7.org/5.2.0/CodeSystem-v3-ObservationInterpretation.html#v3-ObservationInterpretation-MS">MS</a></td><td style="color: #cccccc">moderately susceptible</td><td>The patient is considered as carrier based on the testing results. A carrier is an individual who carries an altered form of a gene which can lead to having a child or offspring in future generations with a genetic disorder.<br/><br/>***Deprecation Comment:*** This antimicrobial susceptibility test interpretation concept is recommended by OO to be deprecated as it is no longer recommended for use in susceptibility testing by CLSI (reference CLSI document M100-S22; Vol. 32 No.3; CLSI Performance Standards for Antimicrobial Susceptibility Testing; Twenty-Second Informational Supplement. Jan 2012).</td></tr><tr><td><a href="http://terminology.hl7.org/5.2.0/CodeSystem-v3-ObservationInterpretation.html#v3-ObservationInterpretation-R">R</a></td><td style="color: #cccccc">Resistant</td><td>Bacterial strain inhibited in vitro by a concentration of an antimicrobial agent that is associated with a high likelihood of therapeutic failure. Reference: CLSI (http://www.clsi.org/Content/NavigationMenu/Resources/HarmonizedTerminologyDatabase/Harmonized\_Terminolo.htm) Projects: ISO 20776-1, ISO 20776-2<br/><br/>\[Note 1: Bacterial strains are categorized as resistant by applying the appropriate breakpoints in a defined phenotypic test system.\]<br/><br/>\[Note 2: This breakpoint can be altered due to changes in circumstances (e.g., changes in commonly used drug dosages, emergence of new resistance mechanisms).\]</td></tr><tr><td><a href="http://terminology.hl7.org/5.2.0/CodeSystem-v3-ObservationInterpretation.html#v3-ObservationInterpretation-S">S</a></td><td style="color: #cccccc">Susceptible</td><td>Bacterial strain inhibited by in vitro concentration of an antimicrobial agent that is associated with a high likelihood of therapeutic success. Reference: CLSI (http://www.clsi.org/Content/NavigationMenu/Resources/HarmonizedTerminologyDatabase/Harmonized\_Terminolo.htm) Synonym (earlier term): Sensitive Projects: ISO 20776-1, ISO 20776-2<br/><br/>\[Note 1: Bacterial strains are categorized as susceptible by applying the appropriate breakpoints in a defined phenotypic system.\]<br/><br/>\[Note 2: This breakpoint can be altered due to changes in circumstances (e.g., changes in commonly used drug dosages, emergence of new resistance mechanisms).\]</td></tr><tr><td><a href="http://terminology.hl7.org/5.2.0/CodeSystem-v3-ObservationInterpretation.html#v3-ObservationInterpretation-VS">VS</a></td><td style="color: #cccccc">very susceptible</td><td>The patient is considered as carrier based on the testing results. A carrier is an individual who carries an altered form of a gene which can lead to having a child or offspring in future generations with a genetic disorder.<br/><br/>***Deprecation Comment:*** This antimicrobial susceptibility test interpretation concept is recommended by OO to be deprecated as it is no longer recommended for use in susceptibility testing by CLSI (reference CLSI document M100-S22; Vol. 32 No.3; CLSI Performance Standards for Antimicrobial Susceptibility Testing; Twenty-Second Informational Supplement. Jan 2012).</td></tr></table></li></ul></div>
  </text>
  <url
       value="http://hl7.org/cda/stds/core/ValueSet/CDAObservationInterpretation"/>
  <version value="2.0.0-sd"/>
  <name value="CDAObservationInterpretation"/>
  <title value="CDAObservationInterpretation"/>
  <status value="draft"/>
  <experimental value="false"/>
  <date value="2024-05-17T05:57:28+10:00"/>
  <publisher value="Health Level 7"/>
  <contact>
    <name value="HL7 International - Structured Documents"/>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/structure"/>
    </telecom>
    <telecom>
      <system value="email"/>
      <value value="structdog@lists.HL7.org"/>
    </telecom>
  </contact>
  <description
               value="One or more codes providing a rough qualitative interpretation of the observation - limited to values available in original CDA"/>
  <compose>
    <include>
      <system
              value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
      <concept>
        <code value="B"/>
      </concept>
      <concept>
        <code value="D"/>
      </concept>
      <concept>
        <code value="U"/>
      </concept>
      <concept>
        <code value="W"/>
      </concept>
      <concept>
        <code value="&lt;"/>
      </concept>
      <concept>
        <code value="&gt;"/>
      </concept>
      <concept>
        <code value="A"/>
      </concept>
      <concept>
        <code value="AA"/>
      </concept>
      <concept>
        <code value="HH"/>
      </concept>
      <concept>
        <code value="LL"/>
      </concept>
      <concept>
        <code value="H"/>
      </concept>
      <concept>
        <code value="L"/>
      </concept>
      <concept>
        <code value="N"/>
      </concept>
      <concept>
        <code value="I"/>
      </concept>
      <concept>
        <code value="MS"/>
      </concept>
      <concept>
        <code value="R"/>
      </concept>
      <concept>
        <code value="S"/>
      </concept>
      <concept>
        <code value="VS"/>
      </concept>
    </include>
  </compose>
</ValueSet>