FHIR Release 3 (STU)

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V2-0078.cs.xml

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Raw XML (canonical form)

FHIR Value set/code system definition for HL7 v2 table 0078 ( Interpretation Codes)

<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="v2-0078"/> 
  <meta> 
    <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"/> 
  </meta> 
  <text> 
    <status value="additional"/> 
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p> Interpretation Codes</p> 

      <table class="grid">
        <tr> 
          <td> 
            <b> Code</b> 
          </td> 
          <td> 
            <b> Description</b> 
          </td> 
          <td> 
            <b> Deutsch (German)</b> 
          </td> 
          <td> 
            <b> Nederlands (Dutch)</b> 
          </td> 
          <td> 
            <b> Comment</b> 
          </td> 
          <td> 
            <b> Version</b> 
          </td> 
        </tr> 
        <tr> 
          <td> &lt;
            <a name=".60"> </a> 
          </td> 
          <td> Off scale low</td> 
          <td> Unter Meßbereich (Extremwertverletzung)</td> 
          <td> Onder absolute ondergrens instrumentschaal</td> 
          <td> The result is below the minimum detection limit (the test procedure or equipment is the
               limiting factor).&lt;p&gt;Synonyms: Below analytical limit, low off scale</td> 
          <td> from v2.1</td> 
        </tr> 
        <tr> 
          <td> &gt;
            <a name=".62"> </a> 
          </td> 
          <td> Off scale high</td> 
          <td> Über Meßbereich (Extremwertverletzung)</td> 
          <td> Boven absolute bovengrens instrumentschaal</td> 
          <td> The result is above the maximum quantifiable limit (the test procedure or equipment is
               the limiting factor).&lt;p&gt;Synonyms: Above analytical limit, high off scale</td> 
          <td> added v2.2</td> 
        </tr> 
        <tr> 
          <td> A
            <a name="A"> </a> 
          </td> 
          <td> Abnormal</td> 
          <td> anormal (nicht numerisch)</td> 
          <td> Abnormaal</td> 
          <td> The result or observation value is outside the reference range or expected norm (as defined
               for the respective test procedure).&lt;p&gt;Note: Typically applies to non-numeric results.</td> 
          <td> from v2.1</td> 
        </tr> 
        <tr> 
          <td> AA
            <a name="AA"> </a> 
          </td> 
          <td> Critically abnormal</td> 
          <td> Pathologisch (nicht numerisch)</td> 
          <td> Kritiek abnormaal</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).&lt;p&gt;[Note: Typically applies to non-numeric results. 
               </td> 
          <td> from v2.1</td> 
        </tr> 
        <tr> 
          <td> AC
            <a name="AC"> </a> 
          </td> 
          <td> Anti-complementary substances present</td> 
          <td/>  
          <td> Anti-complementaire stoffen aanwezig</td> 
          <td> Deprecated</td> 
          <td> added v2.7</td> 
        </tr> 
        <tr> 
          <td> B
            <a name="B"> </a> 
          </td> 
          <td> Better</td> 
          <td> Verbesserung</td> 
          <td> Beter</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).&lt;p&gt;N
              ote: This can be applied to quantitative or qualitative observations.</td> 
          <td> added v2.2</td> 
        </tr> 
        <tr> 
          <td> D
            <a name="D"> </a> 
          </td> 
          <td> Significant change down</td> 
          <td> Deutlicher Trend nach unten</td> 
          <td> Significante wijzging omlaag</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> 
          <td> from v2.1</td> 
        </tr> 
        <tr> 
          <td> DET
            <a name="DET"> </a> 
          </td> 
          <td> Detected</td> 
          <td/>  
          <td> Gedetecteerd</td> 
          <td> The measurement of the specified component / analyte, organism or clinical sign above
               the limit of detection of the performed test or procedure.</td> 
          <td> added v2.7</td> 
        </tr> 
        <tr> 
          <td> H
            <a name="H"> </a> 
          </td> 
          <td> High</td> 
          <td> Oberhalb oberer Grenze Referenzbereich</td> 
          <td> Hoog</td> 
          <td> The result for a quantitative observation is above the upper limit of the reference range
               (as defined for the respective test procedure).&lt;p&gt;Synonym: Above high normal</td> 
          <td> from v2.1</td> 
        </tr> 
        <tr> 
          <td> HH
            <a name="HH"> </a> 
          </td> 
          <td> Critically high</td> 
          <td> Oberhalb oberer pathologischer Grenze</td> 
          <td> Kritiek hoog</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).&lt;p&
              gt;Synonym: Above upper panic limits</td> 
          <td> from v2.1</td> 
        </tr> 
        <tr> 
          <td> HM
            <a name="HM"> </a> 
          </td> 
          <td> Hold for Medical Review</td> 
          <td/>  
          <td> Vastgehouden voor medische review</td> 
          <td> Deprecated</td> 
          <td> added v2.8</td> 
        </tr> 
        <tr> 
          <td> HU
            <a name="HU"> </a> 
          </td> 
          <td> Very high</td> 
          <td/>  
          <td> Zeer hoog</td> 
          <td> Significantly high: A test result that is significantly higher than the reference (normal)
               or therapeutic interval, but has not reached the critically high value and might
               need special attention, as defined by the laboratory or the clinician.&lt;p&gt;Note:</td> 
          <td> added v2.8.2</td> 
        </tr> 
        <tr> 
          <td> I
            <a name="I"> </a> 
          </td> 
          <td> Intermediate</td> 
          <td> Intermediär</td> 
          <td> Gemiddeld</td> 
          <td> Bacterial strain inhibited in vitro by a&lt;p&gt;concentration of an antimicrobial agent
               that is associated with&lt;p&gt;uncertain therapeutic effect.&lt;p&gt;Reference: CLSI
               (http://www.clsi.org/Content/NavigationMenu/Resources/HarmonizedTerminologyDatabase/Harmonized_Ter</td> 
          <td> from v2.1</td> 
        </tr> 
        <tr> 
          <td> IE
            <a name="IE"> </a> 
          </td> 
          <td> Insufficient evidence</td> 
          <td/>  
          <td> Onvoldoende bewijs</td> 
          <td> There is insufficient evidence that the species in question is a good target for therapy
               with the drug.  A categorical interpretation is not possible.&lt;p&gt;Reference: EUCAST&lt;p&gt;Note
              : A MIC with &quot;IE&quot; and/or a comment may be reported (without an accompanying S,</td> 
          <td> added v2.8.2</td> 
        </tr> 
        <tr> 
          <td> IND
            <a name="IND"> </a> 
          </td> 
          <td> Indeterminate</td> 
          <td/>  
          <td> Onbepaald</td> 
          <td> The specified component / analyte, organism or clinical sign could neither be declared
               positive / negative or detected / not detected by the performed test or procedure.</td> 
          <td> added v2.7</td> 
        </tr> 
        <tr> 
          <td> L
            <a name="L"> </a> 
          </td> 
          <td> Low</td> 
          <td> Unterhalb unterer Grenze Referenzbereich</td> 
          <td> Laag</td> 
          <td> The result for a quantitative observation is below the lower limit of the reference range
               (as defined for the respective test procedure).&lt;p&gt;Synonym: Below low normal</td> 
          <td> added v2.2</td> 
        </tr> 
        <tr> 
          <td> LL
            <a name="LL"> </a> 
          </td> 
          <td> Critically low</td> 
          <td> Unterhalb unterer pathologischer Grenze</td> 
          <td> Kritiek laag</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).&lt;p&
              gt;Synonym: Below lower panic limits</td> 
          <td> from v2.1</td> 
        </tr> 
        <tr> 
          <td> LU
            <a name="LU"> </a> 
          </td> 
          <td> Very low</td> 
          <td/>  
          <td> Zeer laag</td> 
          <td> Significantly low: A test result that is significantly lower than the reference (normal)
               or therapeutic interval, but has not reached the critically low value and might need
               special attention, as defined by the laboratory or the clinician.&lt;p&gt;Note: T</td> 
          <td> added v2.8.2</td> 
        </tr> 
        <tr> 
          <td> MS
            <a name="MS"> </a> 
          </td> 
          <td> Moderately susceptible. Indicates for microbiology susceptibilities only.</td> 
          <td> mäßig empfindlich</td> 
          <td> Gemiddeld gevoelig. Alleen voor microbiologische gevoeligheid.</td> 
          <td> Deprecated - CLSI now only supports S, I &amp; R. This information can be found in CLSI
               document M100-S22;  Vol. 32 No.3;  CLSI Performance&lt;p&gt;Standards for Antimicrobial
               Susceptibility Testing; Twenty-Second Informational Supplement.  Jan 2012.</td> 
          <td> from v2.1</td> 
        </tr> 
        <tr> 
          <td> N
            <a name="N"> </a> 
          </td> 
          <td> Normal</td> 
          <td> Normal (nicht numerisch)</td> 
          <td> Normaal</td> 
          <td> The result or observation value is within the reference range or expected norm (as defined
               for the respective test procedure).&lt;p&gt;Note: Applies to numeric or non-numeric results.</td> 
          <td> added v2.2</td> 
        </tr> 
        <tr> 
          <td> ND
            <a name="ND"> </a> 
          </td> 
          <td> Not Detected</td> 
          <td/>  
          <td> Niet-gedetecteerd</td> 
          <td> The presence of the specified component / analyte, organism or clinical sign could not
               be determined  within the limit of detection of the performed test or procedure.</td> 
          <td> added v2.7</td> 
        </tr> 
        <tr> 
          <td> NEG
            <a name="NEG"> </a> 
          </td> 
          <td> Negative</td> 
          <td/>  
          <td> Negatief</td> 
          <td> An absence finding of the specified component / analyte, organism or clinical sign based
               on the established threshold of the performed test or procedure.&lt;p&gt;Note: Negative
               does not necessarily imply the complete absence of the specified item.</td> 
          <td> added v2.7</td> 
        </tr> 
        <tr> 
          <td> NR
            <a name="NR"> </a> 
          </td> 
          <td> Non-reactive</td> 
          <td/>  
          <td> Niet-reactief</td> 
          <td> An absence finding used to indicate that the specified component / analyte did not react
               measurably with the reagent.</td> 
          <td> added v2.7</td> 
        </tr> 
        <tr> 
          <td> NS
            <a name="NS"> </a> 
          </td> 
          <td> Non-susceptible</td> 
          <td/>  
          <td> Niet-gevoelig</td> 
          <td> A category used for isolates for which only a susceptible interpretive criterion has been
               designated because of the absence or rare occurrence of resistant strains. Isolates that
               have MICs above or zone diameters below the value indicated for the suscepti</td> 
          <td> added v2.8.2</td> 
        </tr> 
        <tr> 
          <td> null
            <a name="null"> </a> 
          </td> 
          <td> No range defined, or normal ranges don't apply</td> 
          <td> Kein Referenzbereich / Referenzbereich nicht anwendbar</td> 
          <td> Geen referentiewaarden gedefinieerd of normale waarden niet van toepassing</td> 
          <td> Deprecated</td> 
          <td> from v2.1</td> 
        </tr> 
        <tr> 
          <td> OBX
            <a name="OBX"> </a> 
          </td> 
          <td> Interpretation qualifiers in separate OBX segments</td> 
          <td/>  
          <td> Interpretatie qualifiers in afzonderlijke OBX-segmenten</td> 
          <td> Deprecated</td> 
          <td> added v2.8</td> 
        </tr> 
        <tr> 
          <td> POS
            <a name="POS"> </a> 
          </td> 
          <td> Positive</td> 
          <td/>  
          <td> Positief</td> 
          <td> A presence finding of the specified component / analyte, organism or clinical sign based
               on the established threshold of the performed test or procedure.</td> 
          <td> added v2.7</td> 
        </tr> 
        <tr> 
          <td> QCF
            <a name="QCF"> </a> 
          </td> 
          <td> Quality Control Failure</td> 
          <td/>  
          <td> Kwaliteitscontrole fout</td> 
          <td> Deprecated</td> 
          <td> added v2.7</td> 
        </tr> 
        <tr> 
          <td> R
            <a name="R"> </a> 
          </td> 
          <td> Resistant</td> 
          <td> Resistent</td> 
          <td> Resistent</td> 
          <td> Bacterial strain inhibited in vitro by a concentration of an antimicrobial agent that
               is associated with a high likelihood of therapeutic failure.&lt;p&gt;Reference: CLSI (http://www.cls
              i.org/Content/NavigationMenu/Resources/HarmonizedTerminologyDatabase/Harmon</td> 
          <td> from v2.1</td> 
        </tr> 
        <tr> 
          <td> RR
            <a name="RR"> </a> 
          </td> 
          <td> Reactive</td> 
          <td/>  
          <td> Reactief</td> 
          <td> A presence finding used to indicate that the specified component / analyte reacted with
               the reagent above the reliably measurable limit of the performed test.</td> 
          <td> added v2.7</td> 
        </tr> 
        <tr> 
          <td> S
            <a name="S"> </a> 
          </td> 
          <td> Susceptible</td> 
          <td> Empfindlich</td> 
          <td> Gevoelig</td> 
          <td> Bacterial strain inhibited by in vitro concentration of an antimicrobial agent that is
               associated with a high likelihood of therapeutic success.&lt;p&gt;Reference: CLSI (http://www.clsi.o
              rg/Content/NavigationMenu/Resources/HarmonizedTerminologyDatabase/Harmoniz</td> 
          <td> from v2.1</td> 
        </tr> 
        <tr> 
          <td> SDD
            <a name="SDD"> </a> 
          </td> 
          <td> Susceptible-dose dependent</td> 
          <td/>  
          <td> Gevoelig dosis-afhankelijk</td> 
          <td> A category that includes isolates with antimicrobial agent minimum inhibitory concentrations
               (MICs) that approach usually attainable blood and tissue levels and for which response
               rates may be lower than for susceptible isolates.&lt;p&gt;Reference: CLSI documen</td> 
          <td> added v2.8.2</td> 
        </tr> 
        <tr> 
          <td> SYN-R
            <a name="SYN-R"> </a> 
          </td> 
          <td> Synergy - resistant</td> 
          <td/>  
          <td> Synergie - resistent</td> 
          <td> A category for isolates where the bacteria (e.g. enterococci) are not susceptible in vitro
               to a combination therapy (e.g. high-level aminoglycoside and cell wall active agent).
               This is predictive that this combination therapy will not be effective.&lt;p&gt;Usa</td> 
          <td> added v2.8.2</td> 
        </tr> 
        <tr> 
          <td> SYN-S
            <a name="SYN-S"> </a> 
          </td> 
          <td> Synergy - susceptible</td> 
          <td/>  
          <td> Synergie - gevoelig</td> 
          <td> A category for isolates where the bacteria (e.g. enterococci) are susceptible in vitro
               to a combination therapy (e.g. high-level aminoglycoside and cell wall active agent).
               This is predictive that this combination therapy will be effective.&lt;p&gt;Usage Note:</td> 
          <td> added v2.8.2</td> 
        </tr> 
        <tr> 
          <td> TOX
            <a name="TOX"> </a> 
          </td> 
          <td> Cytotoxic substance present</td> 
          <td/>  
          <td> Cytotoxische stoffen aanwezig</td> 
          <td> Deprecated</td> 
          <td> added v2.7</td> 
        </tr> 
        <tr> 
          <td> U
            <a name="U"> </a> 
          </td> 
          <td> Significant change up</td> 
          <td> Deutlicher Trend nach oben</td> 
          <td> Significante wijzging omhoog</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> 
          <td> from v2.1</td> 
        </tr> 
        <tr> 
          <td> VS
            <a name="VS"> </a> 
          </td> 
          <td> Very susceptible. Indicates for microbiology susceptibilities only.</td> 
          <td> Sehr empfindlich</td> 
          <td> Zeer gevoelig. Alleen voor microbiologische gevoeligheid.</td> 
          <td> Deprecated - CLSI now only supports S, I &amp; R. This information can be found in CLSI
               document M100-S22;  Vol. 32 No.3;  CLSI Performance&lt;p&gt;Standards for Antimicrobial
               Susceptibility Testing; Twenty-Second Informational Supplement.  Jan 2012.</td> 
          <td> from v2.1</td> 
        </tr> 
        <tr> 
          <td> W
            <a name="W"> </a> 
          </td> 
          <td> Worse</td> 
          <td> Verschlechterung</td> 
          <td> Slechter</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).&lt;p&gt;N
              ote: This can be applied to quantitative or qualitative observations.</td> 
          <td> added v2.2</td> 
        </tr> 
        <tr> 
          <td> WR
            <a name="WR"> </a> 
          </td> 
          <td> Weakly reactive</td> 
          <td/>  
          <td> Zwak reactief</td> 
          <td> A weighted presence finding used to indicate that the specified component / analyte reacted
               with the reagent, but below the reliably measurable limit of the performed test.</td> 
          <td> added v2.7</td> 
        </tr> 
      </table> 

    </div> 
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  <identifier> 
    <system value="urn:ietf:rfc:3986"/> 
    <value value="urn:oid:2.16.840.1.113883.18.31"/> 
  </identifier> 
  <version value="2.8.2"/> 
  <name value="v2 Interpretation Codes"/> 
  <status value="active"/> 
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  <publisher value="HL7, Inc"/> 
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  <description value="FHIR Value set/code system definition for HL7 v2 table 0078 ( Interpretation Codes)"/> 
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  <concept> 
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         limiting factor).&lt;p&gt;Synonyms: Below analytical limit, low off scale"/> 
    </extension> 
    <code value="&lt;"/> 
    <display value="Off scale low"/> 
    <designation> 
      <language value="de"/> 
      <value value="Unter Meßbereich (Extremwertverletzung)"/> 
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    <designation> 
      <language value="nl"/> 
      <value value="Onder absolute ondergrens instrumentschaal"/> 
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  <concept> 
    <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-comments">
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    <code value="&gt;"/> 
    <display value="Off scale high"/> 
    <designation> 
      <language value="de"/> 
      <value value="Über Meßbereich (Extremwertverletzung)"/> 
    </designation> 
    <designation> 
      <language value="nl"/> 
      <value value="Boven absolute bovengrens instrumentschaal"/> 
    </designation> 
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  <concept> 
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    <display value="Abnormal"/> 
    <designation> 
      <language value="de"/> 
      <value value="anormal (nicht numerisch)"/> 
    </designation> 
    <designation> 
      <language value="nl"/> 
      <value value="Abnormaal"/> 
    </designation> 
  </concept> 
  <concept> 
    <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-comments">
      <valueString value="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).&lt;p&gt;[Note: Typically applies to non-numeric results. 
         "/> 
    </extension> 
    <code value="AA"/> 
    <display value="Critically abnormal"/> 
    <designation> 
      <language value="de"/> 
      <value value="Pathologisch (nicht numerisch)"/> 
    </designation> 
    <designation> 
      <language value="nl"/> 
      <value value="Kritiek abnormaal"/> 
    </designation> 
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  <concept> 
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    </extension> 
    <code value="AC"/> 
    <display value="Anti-complementary substances present"/> 
    <designation> 
      <language value="nl"/> 
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    </designation> 
    <property> 
      <code value="deprecated"/> 
      <valueDateTime value="2015-09"/> 
    </property> 
  </concept> 
  <concept> 
    <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-comments">
      <valueString value="The current result or observation value has improved compared to the previous result or
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        ote: This can be applied to quantitative or qualitative observations."/> 
    </extension> 
    <code value="B"/> 
    <display value="Better"/> 
    <designation> 
      <language value="de"/> 
      <value value="Verbesserung"/> 
    </designation> 
    <designation> 
      <language value="nl"/> 
      <value value="Beter"/> 
    </designation> 
  </concept> 
  <concept> 
    <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-comments">
      <valueString value="The current result has decreased from the previous result for a quantitative observation
         (the change is significant as defined in the respective test procedure)."/> 
    </extension> 
    <code value="D"/> 
    <display value="Significant change down"/> 
    <designation> 
      <language value="de"/> 
      <value value="Deutlicher Trend nach unten"/> 
    </designation> 
    <designation> 
      <language value="nl"/> 
      <value value="Significante wijzging omlaag"/> 
    </designation> 
  </concept> 
  <concept> 
    <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-comments">
      <valueString value="The measurement of the specified component / analyte, organism or clinical sign above
         the limit of detection of the performed test or procedure."/> 
    </extension> 
    <code value="DET"/> 
    <display value="Detected"/> 
    <designation> 
      <language value="nl"/> 
      <value value="Gedetecteerd"/> 
    </designation> 
  </concept> 
  <concept> 
    <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-comments">
      <valueString value="The result for a quantitative observation is above the upper limit of the reference range
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    </extension> 
    <code value="H"/> 
    <display value="High"/> 
    <designation> 
      <language value="de"/> 
      <value value="Oberhalb oberer Grenze Referenzbereich"/> 
    </designation> 
    <designation> 
      <language value="nl"/> 
      <value value="Hoog"/> 
    </designation> 
  </concept> 
  <concept> 
    <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-comments">
      <valueString value="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).&lt;p&
        gt;Synonym: Above upper panic limits"/> 
    </extension> 
    <code value="HH"/> 
    <display value="Critically high"/> 
    <designation> 
      <language value="de"/> 
      <value value="Oberhalb oberer pathologischer Grenze"/> 
    </designation> 
    <designation> 
      <language value="nl"/> 
      <value value="Kritiek hoog"/> 
    </designation> 
  </concept> 
  <concept> 
    <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-comments">
      <valueString value="Deprecated"/> 
    </extension> 
    <code value="HM"/> 
    <display value="Hold for Medical Review"/> 
    <designation> 
      <language value="nl"/> 
      <value value="Vastgehouden voor medische review"/> 
    </designation> 
    <property> 
      <code value="deprecated"/> 
      <valueDateTime value="2015-09"/> 
    </property> 
  </concept> 
  <concept> 
    <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-comments">
      <valueString value="Significantly high: A test result that is significantly higher than the reference (normal)
         or therapeutic interval, but has not reached the critically high value and might
         need special attention, as defined by the laboratory or the clinician.&lt;p&gt;Note:"/> 
    </extension> 
    <code value="HU"/> 
    <display value="Very high"/> 
    <designation> 
      <language value="nl"/> 
      <value value="Zeer hoog"/> 
    </designation> 
  </concept> 
  <concept> 
    <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-comments">
      <valueString value="Bacterial strain inhibited in vitro by a&lt;p&gt;concentration of an antimicrobial agent
         that is associated with&lt;p&gt;uncertain therapeutic effect.&lt;p&gt;Reference: CLSI
         (http://www.clsi.org/Content/NavigationMenu/Resources/HarmonizedTerminologyDatabase/Harmonized_Ter"/> 
    </extension> 
    <code value="I"/> 
    <display value="Intermediate"/> 
    <designation> 
      <language value="de"/> 
      <value value="Intermediär"/> 
    </designation> 
    <designation> 
      <language value="nl"/> 
      <value value="Gemiddeld"/> 
    </designation> 
  </concept> 
  <concept> 
    <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-comments">
      <valueString value="There is insufficient evidence that the species in question is a good target for therapy
         with the drug.  A categorical interpretation is not possible.&lt;p&gt;Reference: EUCAST&lt;p&gt;Note
        : A MIC with &quot;IE&quot; and/or a comment may be reported (without an accompanying S,"/> 
    </extension> 
    <code value="IE"/> 
    <display value="Insufficient evidence"/> 
    <designation> 
      <language value="nl"/> 
      <value value="Onvoldoende bewijs"/> 
    </designation> 
  </concept> 
  <concept> 
    <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-comments">
      <valueString value="The specified component / analyte, organism or clinical sign could neither be declared
         positive / negative or detected / not detected by the performed test or procedure."/> 
    </extension> 
    <code value="IND"/> 
    <display value="Indeterminate"/> 
    <designation> 
      <language value="nl"/> 
      <value value="Onbepaald"/> 
    </designation> 
  </concept> 
  <concept> 
    <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-comments">
      <valueString value="The result for a quantitative observation is below the lower limit of the reference range
         (as defined for the respective test procedure).&lt;p&gt;Synonym: Below low normal"/> 
    </extension> 
    <code value="L"/> 
    <display value="Low"/> 
    <designation> 
      <language value="de"/> 
      <value value="Unterhalb unterer Grenze Referenzbereich"/> 
    </designation> 
    <designation> 
      <language value="nl"/> 
      <value value="Laag"/> 
    </designation> 
  </concept> 
  <concept> 
    <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-comments">
      <valueString value="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).&lt;p&
        gt;Synonym: Below lower panic limits"/> 
    </extension> 
    <code value="LL"/> 
    <display value="Critically low"/> 
    <designation> 
      <language value="de"/> 
      <value value="Unterhalb unterer pathologischer Grenze"/> 
    </designation> 
    <designation> 
      <language value="nl"/> 
      <value value="Kritiek laag"/> 
    </designation> 
  </concept> 
  <concept> 
    <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-comments">
      <valueString value="Significantly low: A test result that is significantly lower than the reference (normal)
         or therapeutic interval, but has not reached the critically low value and might need
         special attention, as defined by the laboratory or the clinician.&lt;p&gt;Note: T"/> 
    </extension> 
    <code value="LU"/> 
    <display value="Very low"/> 
    <designation> 
      <language value="nl"/> 
      <value value="Zeer laag"/> 
    </designation> 
  </concept> 
  <concept> 
    <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-comments">
      <valueString value="Deprecated - CLSI now only supports S, I &amp; R. This information can be found in CLSI
         document M100-S22;  Vol. 32 No.3;  CLSI Performance&lt;p&gt;Standards for Antimicrobial
         Susceptibility Testing; Twenty-Second Informational Supplement.  Jan 2012."/> 
    </extension> 
    <code value="MS"/> 
    <display value="Moderately susceptible. Indicates for microbiology susceptibilities only."/> 
    <designation> 
      <language value="de"/> 
      <value value="mäßig empfindlich"/> 
    </designation> 
    <designation> 
      <language value="nl"/> 
      <value value="Gemiddeld gevoelig. Alleen voor microbiologische gevoeligheid."/> 
    </designation> 
  </concept> 
  <concept> 
    <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-comments">
      <valueString value="The result or observation value is within the reference range or expected norm (as defined
         for the respective test procedure).&lt;p&gt;Note: Applies to numeric or non-numeric results."/> 
    </extension> 
    <code value="N"/> 
    <display value="Normal"/> 
    <designation> 
      <language value="de"/> 
      <value value="Normal (nicht numerisch)"/> 
    </designation> 
    <designation> 
      <language value="nl"/> 
      <value value="Normaal"/> 
    </designation> 
  </concept> 
  <concept> 
    <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-comments">
      <valueString value="The presence of the specified component / analyte, organism or clinical sign could not
         be determined  within the limit of detection of the performed test or procedure."/> 
    </extension> 
    <code value="ND"/> 
    <display value="Not Detected"/> 
    <designation> 
      <language value="nl"/> 
      <value value="Niet-gedetecteerd"/> 
    </designation> 
  </concept> 
  <concept> 
    <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-comments">
      <valueString value="An absence finding of the specified component / analyte, organism or clinical sign based
         on the established threshold of the performed test or procedure.&lt;p&gt;Note: Negative
         does not necessarily imply the complete absence of the specified item."/> 
    </extension> 
    <code value="NEG"/> 
    <display value="Negative"/> 
    <designation> 
      <language value="nl"/> 
      <value value="Negatief"/> 
    </designation> 
  </concept> 
  <concept> 
    <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-comments">
      <valueString value="An absence finding used to indicate that the specified component / analyte did not react
         measurably with the reagent."/> 
    </extension> 
    <code value="NR"/> 
    <display value="Non-reactive"/> 
    <designation> 
      <language value="nl"/> 
      <value value="Niet-reactief"/> 
    </designation> 
  </concept> 
  <concept> 
    <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-comments">
      <valueString value="A category used for isolates for which only a susceptible interpretive criterion has been
         designated because of the absence or rare occurrence of resistant strains. Isolates that
         have MICs above or zone diameters below the value indicated for the suscepti"/> 
    </extension> 
    <code value="NS"/> 
    <display value="Non-susceptible"/> 
    <designation> 
      <language value="nl"/> 
      <value value="Niet-gevoelig"/> 
    </designation> 
  </concept> 
  <concept> 
    <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-comments">
      <valueString value="Deprecated"/> 
    </extension> 
    <code value="null"/> 
    <display value="No range defined, or normal ranges don't apply"/> 
    <designation> 
      <language value="de"/> 
      <value value="Kein Referenzbereich / Referenzbereich nicht anwendbar"/> 
    </designation> 
    <designation> 
      <language value="nl"/> 
      <value value="Geen referentiewaarden gedefinieerd of normale waarden niet van toepassing"/> 
    </designation> 
    <property> 
      <code value="deprecated"/> 
      <valueDateTime value="2015-09"/> 
    </property> 
  </concept> 
  <concept> 
    <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-comments">
      <valueString value="Deprecated"/> 
    </extension> 
    <code value="OBX"/> 
    <display value="Interpretation qualifiers in separate OBX segments"/> 
    <designation> 
      <language value="nl"/> 
      <value value="Interpretatie qualifiers in afzonderlijke OBX-segmenten"/> 
    </designation> 
    <property> 
      <code value="deprecated"/> 
      <valueDateTime value="2015-09"/> 
    </property> 
  </concept> 
  <concept> 
    <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-comments">
      <valueString value="A presence finding of the specified component / analyte, organism or clinical sign based
         on the established threshold of the performed test or procedure."/> 
    </extension> 
    <code value="POS"/> 
    <display value="Positive"/> 
    <designation> 
      <language value="nl"/> 
      <value value="Positief"/> 
    </designation> 
  </concept> 
  <concept> 
    <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-comments">
      <valueString value="Deprecated"/> 
    </extension> 
    <code value="QCF"/> 
    <display value="Quality Control Failure"/> 
    <designation> 
      <language value="nl"/> 
      <value value="Kwaliteitscontrole fout"/> 
    </designation> 
    <property> 
      <code value="deprecated"/> 
      <valueDateTime value="2015-09"/> 
    </property> 
  </concept> 
  <concept> 
    <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-comments">
      <valueString value="Bacterial strain inhibited in vitro by a concentration of an antimicrobial agent that
         is associated with a high likelihood of therapeutic failure.&lt;p&gt;Reference: CLSI (http://www.cls
        i.org/Content/NavigationMenu/Resources/HarmonizedTerminologyDatabase/Harmon"/> 
    </extension> 
    <code value="R"/> 
    <display value="Resistant"/> 
    <designation> 
      <language value="de"/> 
      <value value="Resistent"/> 
    </designation> 
    <designation> 
      <language value="nl"/> 
      <value value="Resistent"/> 
    </designation> 
  </concept> 
  <concept> 
    <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-comments">
      <valueString value="A presence finding used to indicate that the specified component / analyte reacted with
         the reagent above the reliably measurable limit of the performed test."/> 
    </extension> 
    <code value="RR"/> 
    <display value="Reactive"/> 
    <designation> 
      <language value="nl"/> 
      <value value="Reactief"/> 
    </designation> 
  </concept> 
  <concept> 
    <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-comments">
      <valueString value="Bacterial strain inhibited by in vitro concentration of an antimicrobial agent that is
         associated with a high likelihood of therapeutic success.&lt;p&gt;Reference: CLSI (http://www.clsi.o
        rg/Content/NavigationMenu/Resources/HarmonizedTerminologyDatabase/Harmoniz"/> 
    </extension> 
    <code value="S"/> 
    <display value="Susceptible"/> 
    <designation> 
      <language value="de"/> 
      <value value="Empfindlich"/> 
    </designation> 
    <designation> 
      <language value="nl"/> 
      <value value="Gevoelig"/> 
    </designation> 
  </concept> 
  <concept> 
    <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-comments">
      <valueString value="A category that includes isolates with antimicrobial agent minimum inhibitory concentrations
         (MICs) that approach usually attainable blood and tissue levels and for which response
         rates may be lower than for susceptible isolates.&lt;p&gt;Reference: CLSI documen"/> 
    </extension> 
    <code value="SDD"/> 
    <display value="Susceptible-dose dependent"/> 
    <designation> 
      <language value="nl"/> 
      <value value="Gevoelig dosis-afhankelijk"/> 
    </designation> 
  </concept> 
  <concept> 
    <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-comments">
      <valueString value="A category for isolates where the bacteria (e.g. enterococci) are not susceptible in vitro
         to a combination therapy (e.g. high-level aminoglycoside and cell wall active agent).
         This is predictive that this combination therapy will not be effective.&lt;p&gt;Usa"/> 
    </extension> 
    <code value="SYN-R"/> 
    <display value="Synergy - resistant"/> 
    <designation> 
      <language value="nl"/> 
      <value value="Synergie - resistent"/> 
    </designation> 
  </concept> 
  <concept> 
    <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-comments">
      <valueString value="A category for isolates where the bacteria (e.g. enterococci) are susceptible in vitro
         to a combination therapy (e.g. high-level aminoglycoside and cell wall active agent).
         This is predictive that this combination therapy will be effective.&lt;p&gt;Usage Note:"/> 
    </extension> 
    <code value="SYN-S"/> 
    <display value="Synergy - susceptible"/> 
    <designation> 
      <language value="nl"/> 
      <value value="Synergie - gevoelig"/> 
    </designation> 
  </concept> 
  <concept> 
    <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-comments">
      <valueString value="Deprecated"/> 
    </extension> 
    <code value="TOX"/> 
    <display value="Cytotoxic substance present"/> 
    <designation> 
      <language value="nl"/> 
      <value value="Cytotoxische stoffen aanwezig"/> 
    </designation> 
    <property> 
      <code value="deprecated"/> 
      <valueDateTime value="2015-09"/> 
    </property> 
  </concept> 
  <concept> 
    <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-comments">
      <valueString value="The current result has increased from the previous result for a quantitative observation
         (the change is significant as defined in the respective test procedure)."/> 
    </extension> 
    <code value="U"/> 
    <display value="Significant change up"/> 
    <designation> 
      <language value="de"/> 
      <value value="Deutlicher Trend nach oben"/> 
    </designation> 
    <designation> 
      <language value="nl"/> 
      <value value="Significante wijzging omhoog"/> 
    </designation> 
  </concept> 
  <concept> 
    <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-comments">
      <valueString value="Deprecated - CLSI now only supports S, I &amp; R. This information can be found in CLSI
         document M100-S22;  Vol. 32 No.3;  CLSI Performance&lt;p&gt;Standards for Antimicrobial
         Susceptibility Testing; Twenty-Second Informational Supplement.  Jan 2012."/> 
    </extension> 
    <code value="VS"/> 
    <display value="Very susceptible. Indicates for microbiology susceptibilities only."/> 
    <designation> 
      <language value="de"/> 
      <value value="Sehr empfindlich"/> 
    </designation> 
    <designation> 
      <language value="nl"/> 
      <value value="Zeer gevoelig. Alleen voor microbiologische gevoeligheid."/> 
    </designation> 
  </concept> 
  <concept> 
    <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-comments">
      <valueString value="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).&lt;p&gt;N
        ote: This can be applied to quantitative or qualitative observations."/> 
    </extension> 
    <code value="W"/> 
    <display value="Worse"/> 
    <designation> 
      <language value="de"/> 
      <value value="Verschlechterung"/> 
    </designation> 
    <designation> 
      <language value="nl"/> 
      <value value="Slechter"/> 
    </designation> 
  </concept> 
  <concept> 
    <extension url="http://hl7.org/fhir/StructureDefinition/codesystem-comments">
      <valueString value="A weighted presence finding used to indicate that the specified component / analyte reacted
         with the reagent, but below the reliably measurable limit of the performed test."/> 
    </extension> 
    <code value="WR"/> 
    <display value="Weakly reactive"/> 
    <designation> 
      <language value="nl"/> 
      <value value="Zwak reactief"/> 
    </designation> 
  </concept> 
</CodeSystem>

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.