{"caseSensitive":true,"concept":[{"code":"human","definition":"Glycosylation pattern from human cell lines (e.g. HEK293, PER.C6). No non-human glycan epitopes.","display":"Human"},{"code":"mammalian","definition":"Glycosylation pattern from non-human mammalian cell lines such as CHO, BHK or NS0. The most common pattern for therapeutic monoclonal antibodies.","display":"Mammalian (non-human)"},{"code":"old-world-monkey","definition":"Glycosylation pattern from old world monkey cell lines such as Vero or COS. Often used for vaccine production.","display":"Old World Monkey"},{"code":"mouse","definition":"Glycosylation pattern from murine cell lines such as NS0 or SP2/0 hybridoma. Carries the alpha-1,3-galactose epitope which can be immunogenic in humans.","display":"Murine"},{"code":"mammalian-afucosylated","definition":"Glycosylation pattern from engineered mammalian cell lines lacking fucosyltransferase (e.g. Potelligent), producing antibodies with enhanced ADCC activity.","display":"Mammalian, afucosylated"},{"code":"avian","definition":"Glycosylation pattern from egg-derived or avian cell line production. Common for influenza vaccines.","display":"Avian"},{"code":"insect","definition":"Glycosylation pattern from insect cell expression systems such as baculovirus/Sf9. Used for some recombinant proteins and vaccines.","display":"Insect cell"},{"code":"yeast","definition":"Native yeast glycosylation pattern (e.g. Saccharomyces cerevisiae). Examples include insulin and hepatitis B surface antigen.","display":"Yeast"},{"code":"yeast-humanised","definition":"Glycosylation pattern from glyco-engineered yeast (e.g. Pichia pastoris GlycoFi systems) that produces human-like glycan structures.","display":"Yeast, humanised"},{"code":"plant","definition":"Glycosylation pattern from plant or plant cell culture production (e.g. taliglucerase alfa from carrot cells).","display":"Plant"},{"code":"bacterial","definition":"Bacterial expression (typically E. coli). Generally unglycosylated; included for completeness when the substance has been characterised as such.","display":"Bacterial"}],"contact":[{"telecom":[{"system":"url","value":"http://hl7.org/fhir"},{"system":"email","value":"fhir@lists.hl7.org"}]}],"content":"complete","date":"2026-06-30","description":"A categorical pattern of glycosylation for a substance, typically derived from the production cell line or source organism. Applicable to proteins and structurally diverse substances (notably vaccines) per ISO 11238.","experimental":true,"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode":"brr"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status","valueCode":"informative"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm","valueInteger":1}],"id":"substance-glycosylation-type","jurisdiction":[{"coding":[{"code":"001","display":"World","system":"http://unstats.un.org/unsd/methods/m49/m49.htm"}]}],"meta":{"lastUpdated":"2026-07-04T18:53:58.933+00:00"},"name":"SubstanceGlycosylationTypeExample","publisher":"HL7 (FHIR Project)","resourceType":"CodeSystem","status":"active","text":{"div":"<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem substance-glycosylation-type</b></p><a name=\"substance-glycosylation-type\"> </a><a name=\"hcsubstance-glycosylation-type\"> </a><p>This case-sensitive code system <code>http://hl7.org/fhir/substance-glycosylation-type</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">human<a name=\"substance-glycosylation-type-human\"> </a></td><td>Human</td><td>Glycosylation pattern from human cell lines (e.g. HEK293, PER.C6). No non-human glycan epitopes.</td></tr><tr><td style=\"white-space:nowrap\">mammalian<a name=\"substance-glycosylation-type-mammalian\"> </a></td><td>Mammalian (non-human)</td><td>Glycosylation pattern from non-human mammalian cell lines such as CHO, BHK or NS0. The most common pattern for therapeutic monoclonal antibodies.</td></tr><tr><td style=\"white-space:nowrap\">old-world-monkey<a name=\"substance-glycosylation-type-old-world-monkey\"> </a></td><td>Old World Monkey</td><td>Glycosylation pattern from old world monkey cell lines such as Vero or COS. Often used for vaccine production.</td></tr><tr><td style=\"white-space:nowrap\">mouse<a name=\"substance-glycosylation-type-mouse\"> </a></td><td>Murine</td><td>Glycosylation pattern from murine cell lines such as NS0 or SP2/0 hybridoma. Carries the alpha-1,3-galactose epitope which can be immunogenic in humans.</td></tr><tr><td style=\"white-space:nowrap\">mammalian-afucosylated<a name=\"substance-glycosylation-type-mammalian-afucosylated\"> </a></td><td>Mammalian, afucosylated</td><td>Glycosylation pattern from engineered mammalian cell lines lacking fucosyltransferase (e.g. Potelligent), producing antibodies with enhanced ADCC activity.</td></tr><tr><td style=\"white-space:nowrap\">avian<a name=\"substance-glycosylation-type-avian\"> </a></td><td>Avian</td><td>Glycosylation pattern from egg-derived or avian cell line production. Common for influenza vaccines.</td></tr><tr><td style=\"white-space:nowrap\">insect<a name=\"substance-glycosylation-type-insect\"> </a></td><td>Insect cell</td><td>Glycosylation pattern from insect cell expression systems such as baculovirus/Sf9. Used for some recombinant proteins and vaccines.</td></tr><tr><td style=\"white-space:nowrap\">yeast<a name=\"substance-glycosylation-type-yeast\"> </a></td><td>Yeast</td><td>Native yeast glycosylation pattern (e.g. Saccharomyces cerevisiae). Examples include insulin and hepatitis B surface antigen.</td></tr><tr><td style=\"white-space:nowrap\">yeast-humanised<a name=\"substance-glycosylation-type-yeast-humanised\"> </a></td><td>Yeast, humanised</td><td>Glycosylation pattern from glyco-engineered yeast (e.g. Pichia pastoris GlycoFi systems) that produces human-like glycan structures.</td></tr><tr><td style=\"white-space:nowrap\">plant<a name=\"substance-glycosylation-type-plant\"> </a></td><td>Plant</td><td>Glycosylation pattern from plant or plant cell culture production (e.g. taliglucerase alfa from carrot cells).</td></tr><tr><td style=\"white-space:nowrap\">bacterial<a name=\"substance-glycosylation-type-bacterial\"> </a></td><td>Bacterial</td><td>Bacterial expression (typically E. coli). Generally unglycosylated; included for completeness when the substance has been characterised as such.</td></tr></table></div>","status":"generated"},"title":"Substance Glycosylation Type","url":"http://hl7.org/fhir/substance-glycosylation-type","valueSet":"http://hl7.org/fhir/ValueSet/substance-glycosylation-type","version":"6.0.0-ballot4"}