FHIR Release 3 (STU)

This page is part of the FHIR Specification (v3.0.2: STU 3). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R4 R3

V2-0078.cs.json

Vocabulary Work GroupMaturity Level: N/ABallot Status: Informative

Raw JSON (canonical form)

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

{
  "resourceType": "CodeSystem",
  "id": "v2-0078",
  "meta": {
    "profile": [
      "http://hl7.org/fhir/StructureDefinition/shareablecodesystem"
    ]
  },
  "text": {
    "status": "additional",
    "div": "<div>!-- Snipped for Brevity --></div>"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status",
      "valueString": "External"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger": 0
    }
  ],
  "url": "http://hl7.org/fhir/v2/0078",
  "identifier": {
    "system": "urn:ietf:rfc:3986",
    "value": "urn:oid:2.16.840.1.113883.18.31"
  },
  "version": "2.8.2",
  "name": "v2 Interpretation Codes",
  "status": "active",
  "experimental": false,
  "publisher": "HL7, Inc",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "http://hl7.org"
        }
      ]
    }
  ],
  "description": "FHIR Value set/code system definition for HL7 v2 table 0078 ( Interpretation Codes)",
  "caseSensitive": false,
  "valueSet": "http://hl7.org/fhir/ValueSet/v2-0078",
  "content": "complete",
  "property": [
    {
      "code": "deprecated",
      "uri": "http://hl7.org/fhir/concept-properties#deprecated",
      "description": "The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged",
      "type": "dateTime"
    }
  ],
  "concept": [
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/codesystem-comments",
          "valueString": "The result is below the minimum detection limit (the test procedure or equipment is the limiting factor).<p>Synonyms: Below analytical limit, low off scale"
        }
      ],
      "code": "<",
      "display": "Off scale low",
      "designation": [
        {
          "language": "de",
          "value": "Unter Meßbereich (Extremwertverletzung)"
        },
        {
          "language": "nl",
          "value": "Onder absolute ondergrens instrumentschaal"
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/codesystem-comments",
          "valueString": "The result is above the maximum quantifiable limit (the test procedure or equipment is the limiting factor).<p>Synonyms: Above analytical limit, high off scale"
        }
      ],
      "code": ">",
      "display": "Off scale high",
      "designation": [
        {
          "language": "de",
          "value": "Über Meßbereich (Extremwertverletzung)"
        },
        {
          "language": "nl",
          "value": "Boven absolute bovengrens instrumentschaal"
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/codesystem-comments",
          "valueString": "The result or observation value is outside the reference range or expected norm (as defined for the respective test procedure).<p>Note: Typically applies to non-numeric results."
        }
      ],
      "code": "A",
      "display": "Abnormal",
      "designation": [
        {
          "language": "de",
          "value": "anormal (nicht numerisch)"
        },
        {
          "language": "nl",
          "value": "Abnormaal"
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/codesystem-comments",
          "valueString": "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).<p>[Note: Typically applies to non-numeric results.  "
        }
      ],
      "code": "AA",
      "display": "Critically abnormal",
      "designation": [
        {
          "language": "de",
          "value": "Pathologisch (nicht numerisch)"
        },
        {
          "language": "nl",
          "value": "Kritiek abnormaal"
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/codesystem-comments",
          "valueString": "Deprecated"
        }
      ],
      "code": "AC",
      "display": "Anti-complementary substances present",
      "designation": [
        {
          "language": "nl",
          "value": "Anti-complementaire stoffen aanwezig"
        }
      ],
      "property": [
        {
          "code": "deprecated",
          "valueDateTime": "2015-09"
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/codesystem-comments",
          "valueString": "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).<p>Note: This can be applied to quantitative or qualitative observations."
        }
      ],
      "code": "B",
      "display": "Better",
      "designation": [
        {
          "language": "de",
          "value": "Verbesserung"
        },
        {
          "language": "nl",
          "value": "Beter"
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/codesystem-comments",
          "valueString": "The current result has decreased from the previous result for a quantitative observation (the change is significant as defined in the respective test procedure)."
        }
      ],
      "code": "D",
      "display": "Significant change down",
      "designation": [
        {
          "language": "de",
          "value": "Deutlicher Trend nach unten"
        },
        {
          "language": "nl",
          "value": "Significante wijzging omlaag"
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/codesystem-comments",
          "valueString": "The measurement of the specified component / analyte, organism or clinical sign above the limit of detection of the performed test or procedure."
        }
      ],
      "code": "DET",
      "display": "Detected",
      "designation": [
        {
          "language": "nl",
          "value": "Gedetecteerd"
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/codesystem-comments",
          "valueString": "The result for a quantitative observation is above the upper limit of the reference range (as defined for the respective test procedure).<p>Synonym: Above high normal"
        }
      ],
      "code": "H",
      "display": "High",
      "designation": [
        {
          "language": "de",
          "value": "Oberhalb oberer Grenze Referenzbereich"
        },
        {
          "language": "nl",
          "value": "Hoog"
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/codesystem-comments",
          "valueString": "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).<p>Synonym: Above upper panic limits"
        }
      ],
      "code": "HH",
      "display": "Critically high",
      "designation": [
        {
          "language": "de",
          "value": "Oberhalb oberer pathologischer Grenze"
        },
        {
          "language": "nl",
          "value": "Kritiek hoog"
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/codesystem-comments",
          "valueString": "Deprecated"
        }
      ],
      "code": "HM",
      "display": "Hold for Medical Review",
      "designation": [
        {
          "language": "nl",
          "value": "Vastgehouden voor medische review"
        }
      ],
      "property": [
        {
          "code": "deprecated",
          "valueDateTime": "2015-09"
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/codesystem-comments",
          "valueString": "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.<p>Note:"
        }
      ],
      "code": "HU",
      "display": "Very high",
      "designation": [
        {
          "language": "nl",
          "value": "Zeer hoog"
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/codesystem-comments",
          "valueString": "Bacterial strain inhibited in vitro by a<p>concentration of an antimicrobial agent that is associated with<p>uncertain therapeutic effect.<p>Reference: CLSI (http://www.clsi.org/Content/NavigationMenu/Resources/HarmonizedTerminologyDatabase/Harmonized_Ter"
        }
      ],
      "code": "I",
      "display": "Intermediate",
      "designation": [
        {
          "language": "de",
          "value": "Intermediär"
        },
        {
          "language": "nl",
          "value": "Gemiddeld"
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/codesystem-comments",
          "valueString": "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>Reference: EUCAST<p>Note: A MIC with \"IE\" and/or a comment may be reported (without an accompanying S,"
        }
      ],
      "code": "IE",
      "display": "Insufficient evidence",
      "designation": [
        {
          "language": "nl",
          "value": "Onvoldoende bewijs"
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/codesystem-comments",
          "valueString": "The specified component / analyte, organism or clinical sign could neither be declared positive / negative or detected / not detected by the performed test or procedure."
        }
      ],
      "code": "IND",
      "display": "Indeterminate",
      "designation": [
        {
          "language": "nl",
          "value": "Onbepaald"
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/codesystem-comments",
          "valueString": "The result for a quantitative observation is below the lower limit of the reference range (as defined for the respective test procedure).<p>Synonym: Below low normal"
        }
      ],
      "code": "L",
      "display": "Low",
      "designation": [
        {
          "language": "de",
          "value": "Unterhalb unterer Grenze Referenzbereich"
        },
        {
          "language": "nl",
          "value": "Laag"
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/codesystem-comments",
          "valueString": "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).<p>Synonym: Below lower panic limits"
        }
      ],
      "code": "LL",
      "display": "Critically low",
      "designation": [
        {
          "language": "de",
          "value": "Unterhalb unterer pathologischer Grenze"
        },
        {
          "language": "nl",
          "value": "Kritiek laag"
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/codesystem-comments",
          "valueString": "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.<p>Note: T"
        }
      ],
      "code": "LU",
      "display": "Very low",
      "designation": [
        {
          "language": "nl",
          "value": "Zeer laag"
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/codesystem-comments",
          "valueString": "Deprecated - CLSI now only supports S, I & R. This information can be found in CLSI document M100-S22;  Vol. 32 No.3;  CLSI Performance<p>Standards for Antimicrobial Susceptibility Testing; Twenty-Second Informational Supplement.  Jan 2012."
        }
      ],
      "code": "MS",
      "display": "Moderately susceptible. Indicates for microbiology susceptibilities only.",
      "designation": [
        {
          "language": "de",
          "value": "mäßig empfindlich"
        },
        {
          "language": "nl",
          "value": "Gemiddeld gevoelig. Alleen voor microbiologische gevoeligheid."
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/codesystem-comments",
          "valueString": "The result or observation value is within the reference range or expected norm (as defined for the respective test procedure).<p>Note: Applies to numeric or non-numeric results."
        }
      ],
      "code": "N",
      "display": "Normal",
      "designation": [
        {
          "language": "de",
          "value": "Normal (nicht numerisch)"
        },
        {
          "language": "nl",
          "value": "Normaal"
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/codesystem-comments",
          "valueString": "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."
        }
      ],
      "code": "ND",
      "display": "Not Detected",
      "designation": [
        {
          "language": "nl",
          "value": "Niet-gedetecteerd"
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/codesystem-comments",
          "valueString": "An absence finding of the specified component / analyte, organism or clinical sign based on the established threshold of the performed test or procedure.<p>Note: Negative does not necessarily imply the complete absence of the specified item."
        }
      ],
      "code": "NEG",
      "display": "Negative",
      "designation": [
        {
          "language": "nl",
          "value": "Negatief"
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/codesystem-comments",
          "valueString": "An absence finding used to indicate that the specified component / analyte did not react measurably with the reagent."
        }
      ],
      "code": "NR",
      "display": "Non-reactive",
      "designation": [
        {
          "language": "nl",
          "value": "Niet-reactief"
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/codesystem-comments",
          "valueString": "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"
        }
      ],
      "code": "NS",
      "display": "Non-susceptible",
      "designation": [
        {
          "language": "nl",
          "value": "Niet-gevoelig"
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/codesystem-comments",
          "valueString": "Deprecated"
        }
      ],
      "code": "null",
      "display": "No range defined, or normal ranges don't apply",
      "designation": [
        {
          "language": "de",
          "value": "Kein Referenzbereich / Referenzbereich nicht anwendbar"
        },
        {
          "language": "nl",
          "value": "Geen referentiewaarden gedefinieerd of normale waarden niet van toepassing"
        }
      ],
      "property": [
        {
          "code": "deprecated",
          "valueDateTime": "2015-09"
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/codesystem-comments",
          "valueString": "Deprecated"
        }
      ],
      "code": "OBX",
      "display": "Interpretation qualifiers in separate OBX segments",
      "designation": [
        {
          "language": "nl",
          "value": "Interpretatie qualifiers in afzonderlijke OBX-segmenten"
        }
      ],
      "property": [
        {
          "code": "deprecated",
          "valueDateTime": "2015-09"
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/codesystem-comments",
          "valueString": "A presence finding of the specified component / analyte, organism or clinical sign based on the established threshold of the performed test or procedure."
        }
      ],
      "code": "POS",
      "display": "Positive",
      "designation": [
        {
          "language": "nl",
          "value": "Positief"
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/codesystem-comments",
          "valueString": "Deprecated"
        }
      ],
      "code": "QCF",
      "display": "Quality Control Failure",
      "designation": [
        {
          "language": "nl",
          "value": "Kwaliteitscontrole fout"
        }
      ],
      "property": [
        {
          "code": "deprecated",
          "valueDateTime": "2015-09"
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/codesystem-comments",
          "valueString": "Bacterial strain inhibited in vitro by a concentration of an antimicrobial agent that is associated with a high likelihood of therapeutic failure.<p>Reference: CLSI (http://www.clsi.org/Content/NavigationMenu/Resources/HarmonizedTerminologyDatabase/Harmon"
        }
      ],
      "code": "R",
      "display": "Resistant",
      "designation": [
        {
          "language": "de",
          "value": "Resistent"
        },
        {
          "language": "nl",
          "value": "Resistent"
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/codesystem-comments",
          "valueString": "A presence finding used to indicate that the specified component / analyte reacted with the reagent above the reliably measurable limit of the performed test."
        }
      ],
      "code": "RR",
      "display": "Reactive",
      "designation": [
        {
          "language": "nl",
          "value": "Reactief"
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/codesystem-comments",
          "valueString": "Bacterial strain inhibited by in vitro concentration of an antimicrobial agent that is associated with a high likelihood of therapeutic success.<p>Reference: CLSI (http://www.clsi.org/Content/NavigationMenu/Resources/HarmonizedTerminologyDatabase/Harmoniz"
        }
      ],
      "code": "S",
      "display": "Susceptible",
      "designation": [
        {
          "language": "de",
          "value": "Empfindlich"
        },
        {
          "language": "nl",
          "value": "Gevoelig"
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/codesystem-comments",
          "valueString": "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.<p>Reference: CLSI documen"
        }
      ],
      "code": "SDD",
      "display": "Susceptible-dose dependent",
      "designation": [
        {
          "language": "nl",
          "value": "Gevoelig dosis-afhankelijk"
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/codesystem-comments",
          "valueString": "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.<p>Usa"
        }
      ],
      "code": "SYN-R",
      "display": "Synergy - resistant",
      "designation": [
        {
          "language": "nl",
          "value": "Synergie - resistent"
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/codesystem-comments",
          "valueString": "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.<p>Usage Note:"
        }
      ],
      "code": "SYN-S",
      "display": "Synergy - susceptible",
      "designation": [
        {
          "language": "nl",
          "value": "Synergie - gevoelig"
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/codesystem-comments",
          "valueString": "Deprecated"
        }
      ],
      "code": "TOX",
      "display": "Cytotoxic substance present",
      "designation": [
        {
          "language": "nl",
          "value": "Cytotoxische stoffen aanwezig"
        }
      ],
      "property": [
        {
          "code": "deprecated",
          "valueDateTime": "2015-09"
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/codesystem-comments",
          "valueString": "The current result has increased from the previous result for a quantitative observation (the change is significant as defined in the respective test procedure)."
        }
      ],
      "code": "U",
      "display": "Significant change up",
      "designation": [
        {
          "language": "de",
          "value": "Deutlicher Trend nach oben"
        },
        {
          "language": "nl",
          "value": "Significante wijzging omhoog"
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/codesystem-comments",
          "valueString": "Deprecated - CLSI now only supports S, I & R. This information can be found in CLSI document M100-S22;  Vol. 32 No.3;  CLSI Performance<p>Standards for Antimicrobial Susceptibility Testing; Twenty-Second Informational Supplement.  Jan 2012."
        }
      ],
      "code": "VS",
      "display": "Very susceptible. Indicates for microbiology susceptibilities only.",
      "designation": [
        {
          "language": "de",
          "value": "Sehr empfindlich"
        },
        {
          "language": "nl",
          "value": "Zeer gevoelig. Alleen voor microbiologische gevoeligheid."
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/codesystem-comments",
          "valueString": "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).<p>Note: This can be applied to quantitative or qualitative observations."
        }
      ],
      "code": "W",
      "display": "Worse",
      "designation": [
        {
          "language": "de",
          "value": "Verschlechterung"
        },
        {
          "language": "nl",
          "value": "Slechter"
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/codesystem-comments",
          "valueString": "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."
        }
      ],
      "code": "WR",
      "display": "Weakly reactive",
      "designation": [
        {
          "language": "nl",
          "value": "Zwak reactief"
        }
      ]
    }
  ]
}

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.