R5-v3-ObservationInterpretation-for-R4
type: ValueSet
node role: treeRoot
id:
  v: R5-v3-ObservationInterpretation-for-R4
text:
  status:
    v: generated
  div:
    v: Generated Narrative: ValueSet R5-v3-ObservationInterpretation-for-R4 This value set expansion contains 57 concepts. System Version Code Display Definition http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation 2.1.0 < Off scale low The result is below the minimum detection limit (the test procedure or equipment is the limiting factor). Synonyms: Below analytical limit, low off scale. http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation 2.1.0 > Off scale high The result is above the maximum quantifiable limit (the test procedure or equipment is the limiting factor). Synonyms: Above analytical limit, high off scale. http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation 2.1.0 A Abnormal The result or observation value is outside the reference range or expected norm (as defined for the respective test procedure). [Note: Typically applies to non-numeric results.] http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation 2.1.0 AA Critical abnormal 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). [Note: Typically applies to non-numeric results. Analogous to critical/panic limits for numeric results.] http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation 2.1.0 AC Anti-complementary substances present A valid result cannot be obtained for the specified component / analyte due to the presence of anti-complementary substances in the sample. Deprecation Comment: This code is being deprecated to match the status in V2 Table 0078 "Interpretation Codes. http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation 2.1.0 B Better 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). [Note: This can be applied to quantitative or qualitative obs…
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-wg
    l: structuredefinition-wg
  value: Code
    v: fhir
extension:
  extension:
    url:
      v: packageId
      l: packageId
    value: Id
      v: hl7.fhir.uv.xver-r5.r4
  extension:
    url:
      v: version
      l: version
    value: String
      v: 0.1.0
  extension:
    url:
      v: uri
      l: uri
    value: Uri
      v: http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r4
      l: hl7.fhir.uv.xver-r5.r4
  url:
    v: http://hl7.org/fhir/StructureDefinition/package-source
    l: package-source
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm
    l: structuredefinition-fmm
  value: Integer
    v: 0
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom
        l: structuredefinition-conformance-derivedFrom
      value: Canonical
        v: http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r4
        l: hl7.fhir.uv.xver-r5.r4
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: trial-use
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom
        l: structuredefinition-conformance-derivedFrom
      value: Canonical
        v: http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r4
        l: hl7.fhir.uv.xver-r5.r4
url:
  v: http://hl7.org/fhir/uv/xver/ValueSet/R5-v3-ObservationInterpretation-for-R4
  l: R5-v3-ObservationInterpretation-for-R4
version:
  v: 0.1.0
name:
  v: R5V3ObservationInterpretationForR4
title:
  v: Cross-version ValueSet R5.ObservationInterpretation for use in FHIR R4
status:
  v: active
experimental:
  v: false
date:
  v: 2026-03-17T21:02:03.8104715+00:00
publisher:
  v: FHIR Infrastructure
contact:
  name:
    v: FHIR Infrastructure
  telecom:
    system:
      v: url
    value:
      v: http://www.hl7.org/Special/committees/fiwg
description:
  v: This cross-version ValueSet represents content from `http://terminology.hl7.org/ValueSet/v3-ObservationInterpretation|2.0.0` for use in FHIR R4.
jurisdiction:
  coding:
    system:
      v: http://unstats.un.org/unsd/methods/m49/m49.htm
      l: m49.htm
    code:
      v: 001
    display:
      v: World
purpose:
  v: This value set is part of the cross-version definitions generated to enable use of the value set `http://terminology.hl7.org/ValueSet/v3-ObservationInterpretation|2.0.0` as defined in FHIR R5 in FHIR R4. The source value set is bound to the following FHIR R5 elements: * Note that all concepts are included in this cross-version definition because no concepts have compatible representations Following are the generation technical comments: FHIR ValueSet `http://terminology.hl7.org/ValueSet/v3-ObservationInterpretation|2.0.0`, defined in FHIR R5 does not have any mapping to FHIR R4
compose:
  include:
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
      l: v3-ObservationInterpretation
    version:
      v: 2.1.0
    concept:
      code:
        v: <
      display:
        v: Off scale low
    concept:
      code:
        v: >
      display:
        v: Off scale high
    concept:
      code:
        v: A
      display:
        v: Abnormal
    concept:
      code:
        v: AA
      display:
        v: Critical abnormal
    concept:
      code:
        v: AC
      display:
        v: Anti-complementary substances present
    concept:
      code:
        v: B
      display:
        v: Better
    concept:
      code:
        v: CAR
      display:
        v: Carrier
    concept:
      code:
        v: Carrier
      display:
        v: Carrier
    concept:
      code:
        v: D
      display:
        v: Significant change down
    concept:
      code:
        v: DET
      display:
        v: Detected
    concept:
      code:
        v: E
      display:
        v: Equivocal
    concept:
      code:
        v: EX
      display:
        v: outside threshold
    concept:
      code:
        v: EXP
      display:
        v: Expected
    concept:
      code:
        v: H
      display:
        v: High
    concept:
      code:
        v: H>
      display:
        v: Significantly high
    concept:
      code:
        v: HH
      display:
        v: Critical high
    concept:
      code:
        v: HM
      display:
        v: Hold for Medical Review
    concept:
      code:
        v: HU
      display:
        v: Significantly high
    concept:
      code:
        v: HX
      display:
        v: above high threshold

code:
  v: I
display:
  v: Intermediate

code:
  v: IE
display:
  v: Insufficient evidence

code:
  v: IND
display:
  v: Indeterminate

code:
  v: L
display:
  v: Low

code:
  v: L<
display:
  v: Significantly low

code:
  v: LL
display:
  v: Critical low

code:
  v: LU
display:
  v: Significantly low

code:
  v: LX
display:
  v: below low threshold

code:
  v: MS
display:
  v: moderately susceptible

code:
  v: N
display:
  v: Normal

code:
  v: NCL
display:
  v: No CLSI defined breakpoint

code:
  v: ND
display:
  v: Not detected

code:
  v: NEG
display:
  v: Negative

code:
  v: NR
display:
  v: Non-reactive

code:
  v: NS
display:
  v: Non-susceptible

code:
  v: OBX
display:
  v: Interpretation qualifiers in separate OBX segments

code:
  v: ObservationInterpretationDetection
display:
  v: ObservationInterpretationDetection

code:
  v: ObservationInterpretationExpectation
display:
  v: ObservationInterpretationExpectation

code:
  v: POS
display:
  v: Positive

code:
  v: QCF
display:
  v: Quality control failure

code:
  v: R
display:
  v: Resistant

code:
  v: RR
display:
  v: Reactive

code:
  v: ReactivityObservationInterpretation
display:
  v: ReactivityObservationInterpretation

code:
  v: S
display:
  v: Susceptible

code:
  v: SDD
display:
  v: Susceptible-dose dependent

code:
  v: SYN-R
display:
  v: Synergy - resistant

code:
  v: SYN-S
display:
  v: Synergy - susceptible

code:
  v: TOX
display:
  v: Cytotoxic substance present

code:
  v: U
display:
  v: Significant change up

code:
  v: UNE
display:
  v: Unexpected

code:
  v: VS
display:
  v: very susceptible

code:
  v: W
display:
  v: Worse

code:
  v: WR
display:
  v: Weakly reactive

code:
  v: _GeneticObservationInterpretation
display:
  v: GeneticObservationInterpretation

code:
  v: _ObservationInterpretationChange
display:
  v: ObservationInterpretationChange

code:
  v: _ObservationInterpretationExceptions
display:
  v: ObservationInterpretationExceptions

code:
  v: _ObservationInterpretationNormality
display:
  v: ObservationInterpretationNormality

code:
  v: _ObservationInterpretationSusceptibility
display:
  v: ObservationInterpretationSusceptibility

timestamp:
  v: 2026-03-17T21:02:03.8104715+00:00
contains:
  system:
    v: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
    l: v3-ObservationInterpretation
  version:
    v: 2.1.0
  code:
    v: <
  display:
    v: Off scale low
contains:
  system:
    v: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
    l: v3-ObservationInterpretation
  version:
    v: 2.1.0
  code:
    v: >
  display:
    v: Off scale high
contains:
  system:
    v: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
    l: v3-ObservationInterpretation
  version:
    v: 2.1.0
  code:
    v: A
  display:
    v: Abnormal
contains:
  system:
    v: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
    l: v3-ObservationInterpretation
  version:
    v: 2.1.0
  code:
    v: AA
  display:
    v: Critical abnormal
contains:
  system:
    v: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
    l: v3-ObservationInterpretation
  version:
    v: 2.1.0
  code:
    v: AC
  display:
    v: Anti-complementary substances present
contains:
  system:
    v: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
    l: v3-ObservationInterpretation
  version:
    v: 2.1.0
  code:
    v: B
  display:
    v: Better
contains:
  system:
    v: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
    l: v3-ObservationInterpretation
  version:
    v: 2.1.0
  code:
    v: CAR
  display:
    v: Carrier
contains:
  system:
    v: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
    l: v3-ObservationInterpretation
  version:
    v: 2.1.0
  code:
    v: Carrier
  display:
    v: Carrier
contains:
  system:
    v: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
    l: v3-ObservationInterpretation
  version:
    v: 2.1.0
  code:
    v: D
  display:
    v: Significant change down
contains:
  system:
    v: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
    l: v3-ObservationInterpretation
  version:
    v: 2.1.0
  code:
    v: DET
  display:
    v: Detected
contains:
  system:
    v: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
    l: v3-ObservationInterpretation
  version:
    v: 2.1.0
  code:
    v: E
  display:
    v: Equivocal
contains:
  system:
    v: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
    l: v3-ObservationInterpretation
  version:
    v: 2.1.0
  code:
    v: EX
  display:
    v: outside threshold
contains:
  system:
    v: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
    l: v3-ObservationInterpretation
  version:
    v: 2.1.0
  code:
    v: EXP
  display:
    v: Expected
contains:
  system:
    v: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
    l: v3-ObservationInterpretation
  version:
    v: 2.1.0
  code:
    v: H
  display:
    v: High
contains:
  system:
    v: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
    l: v3-ObservationInterpretation
  version:
    v: 2.1.0
  code:
    v: H>
  display:
    v: Significantly high
contains:
  system:
    v: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
    l: v3-ObservationInterpretation
  version:
    v: 2.1.0
  code:
    v: HH
  display:
    v: Critical high
contains:
  system:
    v: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
    l: v3-ObservationInterpretation
  version:
    v: 2.1.0
  code:
    v: HM
  display:
    v: Hold for Medical Review
contains:
  system:
    v: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
    l: v3-ObservationInterpretation
  version:
    v: 2.1.0
  code:
    v: HU
  display:
    v: Significantly high
contains:
  system:
    v: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
    l: v3-ObservationInterpretation
  version:
    v: 2.1.0
  code:
    v: HX
  display:
    v: above high threshold
contains:
  system:
    v: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
    l: v3-ObservationInterpretation
  version:
    v: 2.1.0
  code:
    v: I
  display:
    v: Intermediate

system:
  v: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
  l: v3-ObservationInterpretation
version:
  v: 2.1.0
code:
  v: IE
display:
  v: Insufficient evidence

system:
  v: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
  l: v3-ObservationInterpretation
version:
  v: 2.1.0
code:
  v: IND
display:
  v: Indeterminate

system:
  v: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
  l: v3-ObservationInterpretation
version:
  v: 2.1.0
code:
  v: L
display:
  v: Low

system:
  v: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
  l: v3-ObservationInterpretation
version:
  v: 2.1.0
code:
  v: L<
display:
  v: Significantly low

system:
  v: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
  l: v3-ObservationInterpretation
version:
  v: 2.1.0
code:
  v: LL
display:
  v: Critical low

system:
  v: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
  l: v3-ObservationInterpretation
version:
  v: 2.1.0
code:
  v: LU
display:
  v: Significantly low

system:
  v: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
  l: v3-ObservationInterpretation
version:
  v: 2.1.0
code:
  v: LX
display:
  v: below low threshold

system:
  v: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
  l: v3-ObservationInterpretation
version:
  v: 2.1.0
code:
  v: MS
display:
  v: moderately susceptible

system:
  v: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
  l: v3-ObservationInterpretation
version:
  v: 2.1.0
code:
  v: N
display:
  v: Normal

system:
  v: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
  l: v3-ObservationInterpretation
version:
  v: 2.1.0
code:
  v: NCL
display:
  v: No CLSI defined breakpoint

system:
  v: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
  l: v3-ObservationInterpretation
version:
  v: 2.1.0
code:
  v: ND
display:
  v: Not detected

system:
  v: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
  l: v3-ObservationInterpretation
version:
  v: 2.1.0
code:
  v: NEG
display:
  v: Negative

system:
  v: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
  l: v3-ObservationInterpretation
version:
  v: 2.1.0
code:
  v: NR
display:
  v: Non-reactive

system:
  v: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
  l: v3-ObservationInterpretation
version:
  v: 2.1.0
code:
  v: NS
display:
  v: Non-susceptible

system:
  v: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
  l: v3-ObservationInterpretation
version:
  v: 2.1.0
code:
  v: OBX
display:
  v: Interpretation qualifiers in separate OBX segments

system:
  v: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
  l: v3-ObservationInterpretation
version:
  v: 2.1.0
code:
  v: ObservationInterpretationDetection
display:
  v: ObservationInterpretationDetection

system:
  v: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
  l: v3-ObservationInterpretation
version:
  v: 2.1.0
code:
  v: ObservationInterpretationExpectation
display:
  v: ObservationInterpretationExpectation

system:
  v: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
  l: v3-ObservationInterpretation
version:
  v: 2.1.0
code:
  v: POS
display:
  v: Positive

system:
  v: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
  l: v3-ObservationInterpretation
version:
  v: 2.1.0
code:
  v: QCF
display:
  v: Quality control failure

system:
  v: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
  l: v3-ObservationInterpretation
version:
  v: 2.1.0
code:
  v: R
display:
  v: Resistant

system:
  v: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
  l: v3-ObservationInterpretation
version:
  v: 2.1.0
code:
  v: RR
display:
  v: Reactive

system:
  v: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
  l: v3-ObservationInterpretation
version:
  v: 2.1.0
code:
  v: ReactivityObservationInterpretation
display:
  v: ReactivityObservationInterpretation

system:
  v: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
  l: v3-ObservationInterpretation
version:
  v: 2.1.0
code:
  v: S
display:
  v: Susceptible

system:
  v: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
  l: v3-ObservationInterpretation
version:
  v: 2.1.0
code:
  v: SDD
display:
  v: Susceptible-dose dependent

system:
  v: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
  l: v3-ObservationInterpretation
version:
  v: 2.1.0
code:
  v: SYN-R
display:
  v: Synergy - resistant

system:
  v: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
  l: v3-ObservationInterpretation
version:
  v: 2.1.0
code:
  v: SYN-S
display:
  v: Synergy - susceptible

system:
  v: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
  l: v3-ObservationInterpretation
version:
  v: 2.1.0
code:
  v: TOX
display:
  v: Cytotoxic substance present

system:
  v: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
  l: v3-ObservationInterpretation
version:
  v: 2.1.0
code:
  v: U
display:
  v: Significant change up

system:
  v: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
  l: v3-ObservationInterpretation
version:
  v: 2.1.0
code:
  v: UNE
display:
  v: Unexpected

system:
  v: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
  l: v3-ObservationInterpretation
version:
  v: 2.1.0
code:
  v: VS
display:
  v: very susceptible

system:
  v: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
  l: v3-ObservationInterpretation
version:
  v: 2.1.0
code:
  v: W
display:
  v: Worse

system:
  v: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
  l: v3-ObservationInterpretation
version:
  v: 2.1.0
code:
  v: WR
display:
  v: Weakly reactive

system:
  v: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
  l: v3-ObservationInterpretation
version:
  v: 2.1.0
code:
  v: _GeneticObservationInterpretation
display:
  v: GeneticObservationInterpretation

system:
  v: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
  l: v3-ObservationInterpretation
version:
  v: 2.1.0
code:
  v: _ObservationInterpretationChange
display:
  v: ObservationInterpretationChange

system:
  v: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
  l: v3-ObservationInterpretation
version:
  v: 2.1.0
code:
  v: _ObservationInterpretationExceptions
display:
  v: ObservationInterpretationExceptions

system:
  v: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
  l: v3-ObservationInterpretation
version:
  v: 2.1.0
code:
  v: _ObservationInterpretationNormality
display:
  v: ObservationInterpretationNormality

system:
  v: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
  l: v3-ObservationInterpretation
version:
  v: 2.1.0
code:
  v: _ObservationInterpretationSusceptibility
display:
  v: ObservationInterpretationSusceptibility