{
  "resourceType" : "ValueSet",
  "id" : "R5-v3-ObservationInterpretationExceptions-for-R4",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet R5-v3-ObservationInterpretationExceptions-for-R4</b></p><a name=\"R5-v3-ObservationInterpretationExceptions-for-R4\"> </a><a name=\"hcR5-v3-ObservationInterpretationExceptions-for-R4\"> </a><p>This value set expansion contains 6 concepts.</p><table class=\"codes\"><tr><td><b>System</b></td><td><b>Version</b></td><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a name=\"R5-v3-ObservationInterpretationExceptions-for-R4-http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation-|3c\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ObservationInterpretation.html#v3-ObservationInterpretation-.60\">&lt;</a></td><td>Off scale low</td><td><div><p>The result is below the minimum detection limit (the test procedure or equipment is the limiting factor).</p>\n<p>Synonyms: Below analytical limit, low off scale.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ObservationInterpretationExceptions-for-R4-http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation-|3e\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ObservationInterpretation.html#v3-ObservationInterpretation-.62\">&gt;</a></td><td>Off scale high</td><td><div><p>The result is above the maximum quantifiable limit (the test procedure or equipment is the limiting factor).</p>\n<p>Synonyms: Above analytical limit, high off scale.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ObservationInterpretationExceptions-for-R4-http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation-AC\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ObservationInterpretation.html#v3-ObservationInterpretation-AC\">AC</a></td><td>Anti-complementary substances present</td><td><div><p>A valid result cannot be obtained for the specified component / analyte due to the presence of anti-complementary substances in the sample.</p>\n<p><em><strong>Deprecation Comment:</strong></em> This code is being deprecated to match the status in V2 Table 0078 &quot;Interpretation Codes.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ObservationInterpretationExceptions-for-R4-http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation-IE\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ObservationInterpretation.html#v3-ObservationInterpretation-IE\">IE</a></td><td>Insufficient evidence</td><td><div><p>There is insufficient evidence that the species in question is a good target for therapy with the drug. A categorical interpretation is not possible.</p>\n<p>[Note: A MIC with &quot;IE&quot; and/or a comment may be reported (without an accompanying S, I or R-categorization).]</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ObservationInterpretationExceptions-for-R4-http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation-QCF\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ObservationInterpretation.html#v3-ObservationInterpretation-QCF\">QCF</a></td><td>Quality control failure</td><td><div><p>A result cannot be considered valid for the specified component / analyte or organism due to failure in the quality control testing component.</p>\n<p><em><strong>Deprecation Comment:</strong></em> This code is being deprecated to match the status in V2 Table 0078 &quot;Interpretation Codes.</p>\n</div></td></tr><tr><td><a name=\"R5-v3-ObservationInterpretationExceptions-for-R4-http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation-TOX\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-v3-ObservationInterpretation.html#v3-ObservationInterpretation-TOX\">TOX</a></td><td>Cytotoxic substance present</td><td><div><p>A valid result cannot be obtained for the specified organism or cell line due to the presence of cytotoxic substances in the sample or culture.</p>\n<p><em><strong>Deprecation Comment:</strong></em> This code is being deprecated to match the status in V2 Table 0078 &quot;Interpretation Codes.</p>\n</div></td></tr></table></div>"
  },
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode" : "fhir"
  },
  {
    "extension" : [{
      "url" : "packageId",
      "valueId" : "hl7.fhir.uv.xver-r5.r4"
    },
    {
      "url" : "version",
      "valueString" : "0.1.0"
    },
    {
      "url" : "uri",
      "valueUri" : "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r4"
    }],
    "url" : "http://hl7.org/fhir/StructureDefinition/package-source"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger" : 0,
    "_valueInteger" : {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
        "valueCanonical" : "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r4"
      }]
    }
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode" : "trial-use",
    "_valueCode" : {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
        "valueCanonical" : "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r4"
      }]
    }
  }],
  "url" : "http://hl7.org/fhir/uv/xver/ValueSet/R5-v3-ObservationInterpretationExceptions-for-R4",
  "version" : "0.1.0",
  "name" : "R5V3ObservationInterpretationExceptionsForR4",
  "title" : "Cross-version ValueSet R5.ObservationInterpretationExceptions for use in FHIR R4",
  "status" : "active",
  "experimental" : false,
  "date" : "2026-03-17T21:02:03.8104715+00:00",
  "publisher" : "FHIR Infrastructure",
  "contact" : [{
    "name" : "FHIR Infrastructure",
    "telecom" : [{
      "system" : "url",
      "value" : "http://www.hl7.org/Special/committees/fiwg"
    }]
  }],
  "description" : "This cross-version ValueSet represents content from `http://terminology.hl7.org/ValueSet/v3-ObservationInterpretationExceptions|2.0.0` for use in FHIR R4.",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
      "code" : "001",
      "display" : "World"
    }]
  }],
  "purpose" : "This value set is part of the cross-version definitions generated to enable use of the\r\nvalue set `http://terminology.hl7.org/ValueSet/v3-ObservationInterpretationExceptions|2.0.0` as defined in FHIR R5\r\nin FHIR R4.\r\n\r\nThe source value set is bound to the following FHIR R5 elements:\r\n* \r\n\r\nNote that all concepts are included in this cross-version definition because no concepts have compatible representations\r\n\r\nFollowing are the generation technical comments:\r\n\nFHIR ValueSet `http://terminology.hl7.org/ValueSet/v3-ObservationInterpretationExceptions|2.0.0`, defined in FHIR R5 does not have any mapping to FHIR R4",
  "compose" : {
    "include" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
      "version" : "2.1.0",
      "concept" : [{
        "code" : "<",
        "display" : "Off scale low"
      },
      {
        "code" : ">",
        "display" : "Off scale high"
      },
      {
        "code" : "AC",
        "display" : "Anti-complementary substances present"
      },
      {
        "code" : "IE",
        "display" : "Insufficient evidence"
      },
      {
        "code" : "QCF",
        "display" : "Quality control failure"
      },
      {
        "code" : "TOX",
        "display" : "Cytotoxic substance present"
      }]
    }]
  },
  "expansion" : {
    "timestamp" : "2026-03-17T21:02:03.8104715+00:00",
    "contains" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
      "version" : "2.1.0",
      "code" : "<",
      "display" : "Off scale low"
    },
    {
      "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
      "version" : "2.1.0",
      "code" : ">",
      "display" : "Off scale high"
    },
    {
      "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
      "version" : "2.1.0",
      "code" : "AC",
      "display" : "Anti-complementary substances present"
    },
    {
      "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
      "version" : "2.1.0",
      "code" : "IE",
      "display" : "Insufficient evidence"
    },
    {
      "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
      "version" : "2.1.0",
      "code" : "QCF",
      "display" : "Quality control failure"
    },
    {
      "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
      "version" : "2.1.0",
      "code" : "TOX",
      "display" : "Cytotoxic substance present"
    }]
  }
}