{
  "resourceType" : "CodeSystem",
  "id" : "observationInterpretation",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><ul><li>Include all codes defined in <a href=\"CodeSystem-observationInterpretation.html\"><code>http://terminology.hl7.org/v2plusvocab/CodeSystem/observationInterpretation</code></a></li></ul></div>"
  },
  "extension" : [{
    "url" : "http://terminology.hl7.org/v2plusvocab/StructureDefinition/codesystem-v2versionCreated",
    "valueString" : "2.8.2"
  },
  {
    "url" : "http://terminology.hl7.org/v2plusvocab/StructureDefinition/codesystem-versionHistory",
    "valueString" : "generate correct history somehow"
  },
  {
    "url" : "http://terminology.hl7.org/v2plusvocab/StructureDefinition/codesystem-tableNo",
    "valueString" : "0078"
  }],
  "url" : "http://terminology.hl7.org/v2plusvocab/CodeSystem/observationInterpretation",
  "identifier" : [{
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:oid:2.16.840.1.113883.5.83"
  },
  {
    "system" : "urn:ietf:rfc:3986",
    "value" : "http://terminology.hl7.org/v2plusvocab/CodeSystem/v2-0078"
  }],
  "version" : "2.2.0",
  "name" : "ObservationInterpretation",
  "title" : "Interpretation Codes (2.8.2 - 2.2.0)",
  "status" : "active",
  "experimental" : true,
  "date" : "2026-03-13T11:11:43+00:00",
  "publisher" : "HL7/FO",
  "contact" : [{
    "name" : "HL7/FO",
    "telecom" : [{
      "system" : "url",
      "value" : "http://www.hl7.org"
    }]
  }],
  "description" : "HL7-defined code system of concepts which specify a categorical assessment of an observation value.  Used in HL7 Version 2.x messaging in the OBX segment.\r\nNotes: This is being communicated in v2.x in OBX-8, in v3 in ObservationInterpretation (CWE) in R1 (Representative Realm) and in FHIR Observation.interpretation.",
  "copyright" : "HL7 Inc., 2026",
  "caseSensitive" : true,
  "compositional" : false,
  "content" : "complete",
  "property" : [{
    "code" : "versionIntroduced",
    "uri" : "http://terminology.hl7.org/v2plusvocab/CodeSystem/Property#versionIntroduced",
    "description" : "version when was this code introduced",
    "type" : "string"
  },
  {
    "code" : "versionDeprecated",
    "uri" : "http://terminology.hl7.org/v2plusvocab/CodeSystem/Property#versionDeprecated",
    "description" : "version when was this code deprecated",
    "type" : "string"
  },
  {
    "code" : "status",
    "uri" : "http://hl7.org/fhir/concept-properties#status",
    "description" : "A code that indicates the status of the concept. Typical values are active, experimental, deprecated, and retired",
    "type" : "code"
  },
  {
    "code" : "comment",
    "uri" : "http://terminology.hl7.org/v2plusvocab/CodeSystem/Property#comment",
    "description" : "A string that provides additional detail pertinent to the use or understanding of the concept",
    "type" : "string"
  },
  {
    "code" : "usage",
    "uri" : "http://terminology.hl7.org/v2plusvocab/CodeSystem/Property#usage",
    "description" : "usage notes for this code",
    "type" : "string"
  },
  {
    "code" : "modified",
    "uri" : "http://terminology.hl7.org/v2plusvocab/CodeSystem/Property#modified",
    "description" : "date of last modification",
    "type" : "dateTime"
  }],
  "concept" : [{
    "code" : "<",
    "display" : "Off scale low",
    "definition" : "Off scale low",
    "property" : [{
      "code" : "modified",
      "valueDateTime" : "2015-07-13"
    },
    {
      "code" : "versionIntroduced",
      "valueString" : "2.1"
    }]
  },
  {
    "code" : ">",
    "display" : "Off scale high",
    "definition" : "Off scale high",
    "property" : [{
      "code" : "modified",
      "valueDateTime" : "2015-07-13"
    },
    {
      "code" : "versionIntroduced",
      "valueString" : "2.2"
    }]
  },
  {
    "code" : "A",
    "display" : "Abnormal",
    "definition" : "Abnormal",
    "designation" : [{
      "language" : "de",
      "value" : "anormal"
    }],
    "property" : [{
      "code" : "modified",
      "valueDateTime" : "2015-07-13"
    },
    {
      "code" : "versionIntroduced",
      "valueString" : "2.1"
    }]
  },
  {
    "code" : "AA",
    "display" : "Critically abnormal",
    "definition" : "Critically abnormal",
    "property" : [{
      "code" : "modified",
      "valueDateTime" : "2015-07-13"
    },
    {
      "code" : "versionIntroduced",
      "valueString" : "2.1"
    }]
  },
  {
    "code" : "AC",
    "display" : "Anti-complementary substances present",
    "definition" : "Anti-complementary substances present",
    "property" : [{
      "code" : "modified",
      "valueDateTime" : "2015-07-13"
    },
    {
      "code" : "versionIntroduced",
      "valueString" : "2.7"
    }]
  },
  {
    "code" : "B",
    "display" : "Better",
    "definition" : "Better (use when direction not relevant)",
    "designation" : [{
      "language" : "de",
      "value" : "besser"
    }],
    "property" : [{
      "code" : "modified",
      "valueDateTime" : "2025-08-02"
    },
    {
      "code" : "versionIntroduced",
      "valueString" : "2.2"
    }]
  },
  {
    "code" : "D",
    "display" : "Significant change down",
    "definition" : "Significant change down",
    "designation" : [{
      "language" : "de",
      "value" : "Deutlicher Trend nach unten"
    }],
    "property" : [{
      "code" : "modified",
      "valueDateTime" : "2015-07-13"
    },
    {
      "code" : "versionIntroduced",
      "valueString" : "2.1"
    }]
  },
  {
    "code" : "DET",
    "display" : "Detected",
    "definition" : "Detected",
    "property" : [{
      "code" : "modified",
      "valueDateTime" : "2015-07-13"
    },
    {
      "code" : "versionIntroduced",
      "valueString" : "2.7"
    }]
  },
  {
    "code" : "H",
    "display" : "High",
    "definition" : "High",
    "property" : [{
      "code" : "modified",
      "valueDateTime" : "2015-07-13"
    },
    {
      "code" : "versionIntroduced",
      "valueString" : "2.1"
    }]
  },
  {
    "code" : "HH",
    "display" : "Critically high",
    "definition" : "Critically high",
    "property" : [{
      "code" : "modified",
      "valueDateTime" : "2015-07-13"
    },
    {
      "code" : "versionIntroduced",
      "valueString" : "2.1"
    }]
  },
  {
    "code" : "HM",
    "display" : "Hold for Medical Review",
    "definition" : "Hold for Medical Review",
    "property" : [{
      "code" : "modified",
      "valueDateTime" : "2015-07-13"
    },
    {
      "code" : "versionIntroduced",
      "valueString" : "2.8"
    }]
  },
  {
    "code" : "HU",
    "display" : "Very high",
    "definition" : "Very high",
    "property" : [{
      "code" : "modified",
      "valueDateTime" : "2015-07-13"
    }]
  },
  {
    "code" : "I",
    "display" : "Intermediate",
    "definition" : "Intermediate",
    "property" : [{
      "code" : "modified",
      "valueDateTime" : "2015-07-13"
    },
    {
      "code" : "versionIntroduced",
      "valueString" : "2.1"
    }]
  },
  {
    "code" : "IE",
    "display" : "Insufficient evidence",
    "definition" : "Insufficient evidence",
    "property" : [{
      "code" : "modified",
      "valueDateTime" : "2015-07-13"
    }]
  },
  {
    "code" : "IND",
    "display" : "Indeterminate",
    "definition" : "Indeterminate",
    "property" : [{
      "code" : "modified",
      "valueDateTime" : "2015-07-13"
    },
    {
      "code" : "versionIntroduced",
      "valueString" : "2.7"
    }]
  },
  {
    "code" : "L",
    "display" : "Low",
    "definition" : "Low",
    "property" : [{
      "code" : "modified",
      "valueDateTime" : "2015-07-13"
    },
    {
      "code" : "versionIntroduced",
      "valueString" : "2.2"
    }]
  },
  {
    "code" : "LL",
    "display" : "Critically low",
    "definition" : "Critically low",
    "property" : [{
      "code" : "modified",
      "valueDateTime" : "2015-07-13"
    },
    {
      "code" : "versionIntroduced",
      "valueString" : "2.1"
    }]
  },
  {
    "code" : "LU",
    "display" : "Very low",
    "definition" : "Very low",
    "property" : [{
      "code" : "modified",
      "valueDateTime" : "2015-07-13"
    }]
  },
  {
    "code" : "MS",
    "display" : "Moderately susceptible",
    "definition" : "Moderately susceptible. Indicates for microbiology susceptibilities only.",
    "designation" : [{
      "language" : "de",
      "value" : "mäßig empfindlich"
    }],
    "property" : [{
      "code" : "modified",
      "valueDateTime" : "2015-07-13"
    },
    {
      "code" : "versionIntroduced",
      "valueString" : "2.1"
    }]
  },
  {
    "code" : "N",
    "display" : "Normal",
    "definition" : "Normal",
    "property" : [{
      "code" : "modified",
      "valueDateTime" : "2015-07-13"
    },
    {
      "code" : "versionIntroduced",
      "valueString" : "2.2"
    }]
  },
  {
    "code" : "ND",
    "display" : "Not Detected",
    "definition" : "Not Detected",
    "property" : [{
      "code" : "modified",
      "valueDateTime" : "2015-07-13"
    },
    {
      "code" : "versionIntroduced",
      "valueString" : "2.7"
    }]
  },
  {
    "code" : "NEG",
    "display" : "Negative",
    "definition" : "Negative",
    "property" : [{
      "code" : "modified",
      "valueDateTime" : "2015-07-13"
    },
    {
      "code" : "versionIntroduced",
      "valueString" : "2.7"
    }]
  },
  {
    "code" : "NR",
    "display" : "Non-reactive",
    "definition" : "Non-reactive",
    "property" : [{
      "code" : "modified",
      "valueDateTime" : "2015-07-13"
    },
    {
      "code" : "versionIntroduced",
      "valueString" : "2.7"
    }]
  },
  {
    "code" : "NS",
    "display" : "Non-susceptible",
    "definition" : "Non-susceptible",
    "property" : [{
      "code" : "modified",
      "valueDateTime" : "2015-07-13"
    }]
  },
  {
    "code" : "OBX",
    "display" : "Interpretation qualifiers in separate OBX segments",
    "definition" : "Interpretation qualifiers in separate OBX segments",
    "property" : [{
      "code" : "modified",
      "valueDateTime" : "2015-07-13"
    },
    {
      "code" : "versionIntroduced",
      "valueString" : "2.8"
    }]
  },
  {
    "code" : "POS",
    "display" : "Positive",
    "definition" : "Positive",
    "property" : [{
      "code" : "modified",
      "valueDateTime" : "2015-07-13"
    },
    {
      "code" : "versionIntroduced",
      "valueString" : "2.7"
    }]
  },
  {
    "code" : "QCF",
    "display" : "Quality Control Failure",
    "definition" : "Quality Control Failure",
    "property" : [{
      "code" : "modified",
      "valueDateTime" : "2015-07-13"
    },
    {
      "code" : "versionIntroduced",
      "valueString" : "2.7"
    }]
  },
  {
    "code" : "R",
    "display" : "Resistant",
    "definition" : "Resistant",
    "property" : [{
      "code" : "modified",
      "valueDateTime" : "2015-07-13"
    },
    {
      "code" : "versionIntroduced",
      "valueString" : "2.1"
    }]
  },
  {
    "code" : "RR",
    "display" : "Reactive",
    "definition" : "Reactive",
    "property" : [{
      "code" : "modified",
      "valueDateTime" : "2015-07-13"
    },
    {
      "code" : "versionIntroduced",
      "valueString" : "2.7"
    }]
  },
  {
    "code" : "S",
    "display" : "Susceptible",
    "definition" : "Susceptible",
    "property" : [{
      "code" : "modified",
      "valueDateTime" : "2015-07-13"
    },
    {
      "code" : "versionIntroduced",
      "valueString" : "2.1"
    }]
  },
  {
    "code" : "SDD",
    "display" : "Susceptible",
    "definition" : "Susceptible-dose dependent",
    "property" : [{
      "code" : "modified",
      "valueDateTime" : "2015-07-13"
    }]
  },
  {
    "code" : "SYN-R",
    "display" : "Synergy - resistant",
    "definition" : "Synergy - resistant",
    "property" : [{
      "code" : "modified",
      "valueDateTime" : "2015-07-13"
    }]
  },
  {
    "code" : "SYN-S",
    "display" : "Synergy - susceptible",
    "definition" : "Synergy - susceptible",
    "property" : [{
      "code" : "modified",
      "valueDateTime" : "2015-07-13"
    }]
  },
  {
    "code" : "TOX",
    "display" : "Cytotoxic substance present",
    "definition" : "Cytotoxic substance present",
    "property" : [{
      "code" : "modified",
      "valueDateTime" : "2015-07-13"
    },
    {
      "code" : "versionIntroduced",
      "valueString" : "2.7"
    }]
  },
  {
    "code" : "U",
    "display" : "Significant change up",
    "definition" : "Significant change up",
    "designation" : [{
      "language" : "de",
      "value" : "Deutlicher Trend nach oben"
    }],
    "property" : [{
      "code" : "modified",
      "valueDateTime" : "2015-07-13"
    },
    {
      "code" : "versionIntroduced",
      "valueString" : "2.1"
    }]
  },
  {
    "code" : "VS",
    "display" : "Very susceptible",
    "definition" : "Very susceptible. Indicates for microbiology susceptibilities only.",
    "designation" : [{
      "language" : "de",
      "value" : "Sehr empfindlich"
    }],
    "property" : [{
      "code" : "modified",
      "valueDateTime" : "2025-08-02"
    },
    {
      "code" : "versionIntroduced",
      "valueString" : "2.1"
    }]
  },
  {
    "code" : "W",
    "display" : "Worse",
    "definition" : "Worse",
    "designation" : [{
      "language" : "de",
      "value" : "Verschlechterung"
    }],
    "property" : [{
      "code" : "modified",
      "valueDateTime" : "2015-07-13"
    },
    {
      "code" : "versionIntroduced",
      "valueString" : "2.2"
    }]
  },
  {
    "code" : "WR",
    "display" : "Weakly reactive",
    "definition" : "Weakly reactive",
    "property" : [{
      "code" : "modified",
      "valueDateTime" : "2015-07-13"
    },
    {
      "code" : "versionIntroduced",
      "valueString" : "2.7"
    }]
  },
  {
    "code" : "null",
    "display" : "No range defined, or normal ranges don't apply",
    "definition" : "No range defined, or normal ranges don't apply",
    "designation" : [{
      "language" : "de",
      "value" : "Kein Referenzbereich / Referenzbereich nicht anwendbar"
    }],
    "property" : [{
      "code" : "modified",
      "valueDateTime" : "2015-07-13"
    },
    {
      "code" : "versionIntroduced",
      "valueString" : "2.1"
    }]
  }]
}