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: Table HL70078 to V3 ObservationInterpretation Map - XML Representation

Active as of 2023-12-19

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<ConceptMap xmlns="http://hl7.org/fhir">
  <id value="table-hl70078-to-v3-observationinterpretation"/>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p>Mapping from HL70078 to <a href="http://terminology.hl7.org/5.3.0/CodeSystem-v3-ObservationInterpretation.html">http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation</a></p><p>ACTIVE (not intended for production usage). Published on 2023-12-19 by HL7 International / Orders and Observations (HL7 Orders and Observations Workgroup: <a href="http://www.hl7.org/Special/committees/orders">http://www.hl7.org/Special/com...</a>, Keith W. Boone: <a href="mailto:kboone@ainq.com">kboone@ainq.com</a>, Rob Hausam: <a href="mailto:rrhausam@gmail.com">rrhausam@gmail.com</a>). Copyright (c) 2020, HL7 International, Inc., All Rights Reserved.</p><div><p>This ConceptMap represents a mapping from the HL7 V2 Table HL70078 to the FHIR V3 ObservationInterpretation Value Set.</p>
</div><br/><p><b>Group 1</b>Mapping from <code>unspecified code system</code> to <code>unspecified code system</code></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td></tr><tr><td>&lt; (Off scale low)</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#null"/></td><td>&lt; (Off scale low)</td></tr><tr><td>&gt; (Off scale high)</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#null"/></td><td>&gt; (Off scale high)</td></tr><tr><td>A (Abnormal)</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#null"/></td><td>A (Abnormal)</td></tr><tr><td>AA (Critically abnormal)</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#null"/></td><td>AA (Critical abnormal)</td></tr><tr><td>AC (Anti-complementary substances present)</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#null"/></td><td>AC (Anti-complementary substances present)</td></tr><tr><td>B (Better)</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#null"/></td><td>B (Better)</td></tr><tr><td>CAR (Carrier)</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#null"/></td><td>CAR (Carrier)</td></tr><tr><td>D (Significant change down)</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#null"/></td><td>D (Significant change down)</td></tr><tr><td>DET (Detected)</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#null"/></td><td>DET (Detected)</td></tr><tr><td>E (Equivocal)</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#null"/></td><td>E (Equivocal)</td></tr><tr><td>EX (outside threshold)</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#null"/></td><td>EX (outside threshold)</td></tr><tr><td>EXP (Expected)</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#null"/></td><td>EXP (Expected)</td></tr><tr><td>H (High)</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#null"/></td><td>H (High)</td></tr><tr><td>HH (Critically high)</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#null"/></td><td>HH (Critical high)</td></tr><tr><td>HM (Hold for Medical Review)</td><td colspan="2" style="background-color: #efefef">(not mapped)</td></tr><tr><td>HU (Very high)</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#null"/></td><td>HU (Significantly high)</td></tr><tr><td>I (Intermediate)</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#null"/></td><td>I (Intermediate)</td></tr><tr><td>IE (Insufficient evidence)</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#null"/></td><td>IE (Insufficient evidence)</td></tr><tr><td>IND (Indeterminate)</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#null"/></td><td>IND (Indeterminate)</td></tr><tr><td>L (Low)</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#null"/></td><td>L (Low)</td></tr><tr><td>LL (Critically low)</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#null"/></td><td>LL (Critical low)</td></tr><tr><td>LU (Very low)</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#null"/></td><td>LU (Significantly low)</td></tr><tr><td>MS (Moderately susceptible. Indicates for microbiology susceptibilities only.)</td><td colspan="2" style="background-color: #efefef">(not mapped)</td></tr><tr><td>N (Normal)</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#null"/></td><td>N (Normal)</td></tr><tr><td>NCL (No CLSI defined breakpoint)</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#null"/></td><td>NCL (No CLSI defined breakpoint)</td></tr><tr><td>ND (Not Detected)</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#null"/></td><td>ND (Not detected)</td></tr><tr><td>NEG (Negative)</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#null"/></td><td>NEG (Negative)</td></tr><tr><td>NR (Non-reactive)</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#null"/></td><td>NR (Non-reactive)</td></tr><tr><td>NS (Non-susceptible)</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#null"/></td><td>NS (Non-susceptible)</td></tr><tr><td>null (No range defined, or normal ranges don’t apply)</td><td colspan="2" style="background-color: #efefef">(not mapped)</td></tr><tr><td>OBX (Interpretation qualifiers in separate OBX segments)</td><td colspan="2" style="background-color: #efefef">(not mapped)</td></tr><tr><td>POS (Positive)</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#null"/></td><td>POS (Positive)</td></tr><tr><td>QCF (Quality Control Failure)</td><td colspan="2" style="background-color: #efefef">(not mapped)</td></tr><tr><td>R (Resistant)</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#null"/></td><td>R (Resistant)</td></tr><tr><td>RR (Reactive)</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#null"/></td><td>RR (Reactive)</td></tr><tr><td>S (Susceptible)</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#null"/></td><td>S (Susceptible)</td></tr><tr><td>SDD (Susceptible-dose dependent)</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#null"/></td><td>SDD (Susceptible-dose dependent)</td></tr><tr><td>SYN-R (Synergy – resistant)</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#null"/></td><td>SYN-R (Synergy - resistant)</td></tr><tr><td>SYN-S (Synergy – susceptible)</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#null"/></td><td>SYN-S (Synergy - susceptible)</td></tr><tr><td>TOX (Cytotoxic substance present)</td><td colspan="2" style="background-color: #efefef">(not mapped)</td></tr><tr><td>U (Significant change up)</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#null"/></td><td>U (Significant change up)</td></tr><tr><td>VS (Very susceptible. Indicates for microbiology susceptibilities only.)</td><td colspan="2" style="background-color: #efefef">(not mapped)</td></tr><tr><td>UNE (Unexpected)</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#null"/></td><td>UNE (Unexpected)</td></tr><tr><td>W (Worse)</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#null"/></td><td>W (Worse)</td></tr><tr><td>WR (Weakly reactive)</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#null"/></td><td>WR (Weakly reactive)</td></tr></table></div>
  </text>
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      <valueCode value="derived-from"/>
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    <extension url="label">
      <valueString value="Table HL70078 to V3 ObservationInterpretation.fsh"/>
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      <valueUri
                value="https://docs.google.com/spreadsheets/d/1mxMfcCgpRM2gH6QBOxndzjZcy22MzlskspqEmNADLp8/edit#gid=0"/>
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  <extension
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    <valueCode value="oo"/>
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  <url
       value="http://hl7.org/fhir/uv/v2mappings/table-hl70078-to-v3-observationinterpretation"/>
  <version value="1.0.0-ballot"/>
  <name value="TableHL70078ToV3ObservationInterpretation"/>
  <title value="Table HL70078 to V3 ObservationInterpretation Map"/>
  <status value="active"/>
  <experimental value="true"/>
  <date value="2023-12-19"/>
  <publisher value="HL7 International / Orders and Observations"/>
  <contact>
    <name value="HL7 Orders and Observations Workgroup"/>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/orders"/>
    </telecom>
  </contact>
  <contact>
    <name value="Keith W. Boone"/>
    <telecom>
      <system value="email"/>
      <value value="kboone@ainq.com"/>
    </telecom>
  </contact>
  <contact>
    <name value="Rob Hausam"/>
    <telecom>
      <system value="email"/>
      <value value="rrhausam@gmail.com"/>
    </telecom>
  </contact>
  <description
               value="This ConceptMap represents a mapping from the HL7 V2 Table HL70078 to the FHIR V3 ObservationInterpretation Value Set."/>
  <jurisdiction>
    <coding>
      <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
      <code value="001"/>
    </coding>
  </jurisdiction>
  <copyright
             value="Copyright (c) 2020, HL7 International, Inc., All Rights Reserved."/>
  <sourceUri value="HL70078"/>
  <targetUri
             value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
  <group>
    <element>
      <code value="&lt;"/>
      <display value="Off scale low"/>
      <target>
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        <code value="&lt;"/>
        <display value="Off scale low"/>
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    <element>
      <code value="&gt;"/>
      <display value="Off scale high"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
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        <code value="&gt;"/>
        <display value="Off scale high"/>
        <equivalence value="equivalent"/>
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    <element>
      <code value="A"/>
      <display value="Abnormal"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
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        <code value="A"/>
        <display value="Abnormal"/>
        <equivalence value="equivalent"/>
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    <element>
      <code value="AA"/>
      <display value="Critically abnormal"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
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        <code value="AA"/>
        <display value="Critical abnormal"/>
        <equivalence value="equivalent"/>
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    </element>
    <element>
      <code value="AC"/>
      <display value="Anti-complementary substances present"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
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        <code value="AC"/>
        <display value="Anti-complementary substances present"/>
        <equivalence value="equivalent"/>
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    </element>
    <element>
      <code value="B"/>
      <display value="Better"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <code value="B"/>
        <display value="Better"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <code value="CAR"/>
      <display value="Carrier"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <code value="CAR"/>
        <display value="Carrier"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <code value="D"/>
      <display value="Significant change down"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
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        <code value="D"/>
        <display value="Significant change down"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <code value="DET"/>
      <display value="Detected"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
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        <code value="DET"/>
        <display value="Detected"/>
        <equivalence value="equivalent"/>
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    </element>
    <element>
      <code value="E"/>
      <display value="Equivocal"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
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        <code value="E"/>
        <display value="Equivocal"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <code value="EX"/>
      <display value="outside threshold"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <code value="EX"/>
        <display value="outside threshold"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <code value="EXP"/>
      <display value="Expected"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <code value="EXP"/>
        <display value="Expected"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <code value="H"/>
      <display value="High"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
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        <code value="H"/>
        <display value="High"/>
        <equivalence value="equivalent"/>
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    </element>
    <element>
      <code value="HH"/>
      <display value="Critically high"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
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        <code value="HH"/>
        <display value="Critical high"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <code value="HM"/>
      <display value="Hold for Medical Review"/>
      <target>
        <equivalence value="unmatched"/>
      </target>
    </element>
    <element>
      <code value="HU"/>
      <display value="Very high"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
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        <code value="HU"/>
        <display value="Significantly high"/>
        <equivalence value="equivalent"/>
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    <element>
      <code value="I"/>
      <display value="Intermediate"/>
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                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
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        <code value="I"/>
        <display value="Intermediate"/>
        <equivalence value="equivalent"/>
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    </element>
    <element>
      <code value="IE"/>
      <display value="Insufficient evidence"/>
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                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
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        <code value="IE"/>
        <display value="Insufficient evidence"/>
        <equivalence value="equivalent"/>
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    <element>
      <code value="IND"/>
      <display value="Indeterminate"/>
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                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
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        <code value="IND"/>
        <display value="Indeterminate"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <code value="L"/>
      <display value="Low"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
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        <code value="L"/>
        <display value="Low"/>
        <equivalence value="equivalent"/>
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    </element>
    <element>
      <code value="LL"/>
      <display value="Critically low"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
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        <code value="LL"/>
        <display value="Critical low"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <code value="LU"/>
      <display value="Very low"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
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        <code value="LU"/>
        <display value="Significantly low"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <code value="MS"/>
      <display
               value="Moderately susceptible. Indicates for microbiology susceptibilities only."/>
      <target>
        <equivalence value="unmatched"/>
      </target>
    </element>
    <element>
      <code value="N"/>
      <display value="Normal"/>
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        <code value="N"/>
        <display value="Normal"/>
        <equivalence value="equivalent"/>
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    </element>
    <element>
      <code value="NCL"/>
      <display value="No CLSI defined breakpoint"/>
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        <display value="No CLSI defined breakpoint"/>
        <equivalence value="equivalent"/>
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    </element>
    <element>
      <code value="ND"/>
      <display value="Not Detected"/>
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        <display value="Not detected"/>
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    <element>
      <code value="NEG"/>
      <display value="Negative"/>
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        <display value="Negative"/>
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    </element>
    <element>
      <code value="NR"/>
      <display value="Non-reactive"/>
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        <display value="Non-reactive"/>
        <equivalence value="equivalent"/>
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    <element>
      <code value="NS"/>
      <display value="Non-susceptible"/>
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                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
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        <code value="NS"/>
        <display value="Non-susceptible"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <code value="null"/>
      <display value="No range defined, or normal ranges don’t apply"/>
      <target>
        <equivalence value="unmatched"/>
      </target>
    </element>
    <element>
      <code value="OBX"/>
      <display value="Interpretation qualifiers in separate OBX segments"/>
      <target>
        <equivalence value="unmatched"/>
      </target>
    </element>
    <element>
      <code value="POS"/>
      <display value="Positive"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
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        <code value="POS"/>
        <display value="Positive"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <code value="QCF"/>
      <display value="Quality Control Failure"/>
      <target>
        <equivalence value="unmatched"/>
      </target>
    </element>
    <element>
      <code value="R"/>
      <display value="Resistant"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <code value="R"/>
        <display value="Resistant"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <code value="RR"/>
      <display value="Reactive"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <code value="RR"/>
        <display value="Reactive"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <code value="S"/>
      <display value="Susceptible"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <code value="S"/>
        <display value="Susceptible"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <code value="SDD"/>
      <display value="Susceptible-dose dependent"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <code value="SDD"/>
        <display value="Susceptible-dose dependent"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <code value="SYN-R"/>
      <display value="Synergy – resistant"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <code value="SYN-R"/>
        <display value="Synergy - resistant"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <code value="SYN-S"/>
      <display value="Synergy – susceptible"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <code value="SYN-S"/>
        <display value="Synergy - susceptible"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <code value="TOX"/>
      <display value="Cytotoxic substance present"/>
      <target>
        <equivalence value="unmatched"/>
      </target>
    </element>
    <element>
      <code value="U"/>
      <display value="Significant change up"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <code value="U"/>
        <display value="Significant change up"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <code value="VS"/>
      <display
               value="Very susceptible. Indicates for microbiology susceptibilities only."/>
      <target>
        <equivalence value="unmatched"/>
      </target>
    </element>
    <element>
      <code value="UNE"/>
      <display value="Unexpected"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <code value="UNE"/>
        <display value="Unexpected"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <code value="W"/>
      <display value="Worse"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <code value="W"/>
        <display value="Worse"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <code value="WR"/>
      <display value="Weakly reactive"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <code value="WR"/>
        <display value="Weakly reactive"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
  </group>
</ConceptMap>