HL7 Austria ELGA Laboratory Report R4 Implementation Guide
0.1.0 - ci-build Austria flag

HL7 Austria ELGA Laboratory Report R4 Implementation Guide, published by HL7 Austria. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/gabriel0316/test-laboratory/ and changes regularly. See the Directory of published versions

ValueSet: AT ELGA Laboratory Result Interpretation Value Set (Experimental)

Official URL: https://fhir.hl7.at/elga-labor/ValueSet/at-lab-result-interpretation-vs Version: 0.1.0
Draft as of 2026-05-04 Computable Name: ATLabResultInterpretationVS

Value set for laboratory result interpretations used in Austrian ELGA Laboratory Reports. Aligned with the HL7 ObservationInterpretation code system.

References

This value set is not used here; it may be used elsewhere (e.g. specifications and/or implementations that use this content)

Logical Definition (CLD)

  • Include these codes as defined in http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation version 📍4.0.0
    CodeDisplayDefinition
    NNormalThe result or observation value is within the reference range or expected norm (as defined for the respective test procedure).

    \[Note: Applies to numeric or non-numeric results.\]
    LLowThe result for a quantitative observation is below the lower limit of the reference range (as defined for the respective test procedure).

    Synonym: Below low normal
    HHighThe result for a quantitative observation is above the upper limit of the reference range (as defined for the respective test procedure).

    Synonym: Above high normal
    LLCritical lowThe 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).

    Synonym: Below lower panic limits.
    HHCritical highThe 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).

    Synonym: Above upper panic limits.
    AAbnormalThe result or observation value is outside the reference range or expected norm (as defined for the respective test procedure).

    \[Note: Typically applies to non-numeric results.\]
    AACritical abnormalThe 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).

    \[Note: Typically applies to non-numeric results. Analogous to critical/panic limits for numeric results.\]
    RResistantBacterial strain inhibited in vitro by a concentration of an antimicrobial agent that is associated with a high likelihood of therapeutic failure. Reference: CLSI (http://www.clsi.org/Content/NavigationMenu/Resources/HarmonizedTerminologyDatabase/Harmonized\_Terminolo.htm) Projects: ISO 20776-1, ISO 20776-2

    \[Note 1: Bacterial strains are categorized as resistant by applying the appropriate breakpoints in a defined phenotypic test system.\]

    \[Note 2: This breakpoint can be altered due to changes in circumstances (e.g., changes in commonly used drug dosages, emergence of new resistance mechanisms).\]
    SSusceptibleBacterial strain inhibited by in vitro concentration of an antimicrobial agent that is associated with a high likelihood of therapeutic success. Reference: CLSI (http://www.clsi.org/Content/NavigationMenu/Resources/HarmonizedTerminologyDatabase/Harmonized\_Terminolo.htm) Synonym (earlier term): Sensitive Projects: ISO 20776-1, ISO 20776-2

    \[Note 1: Bacterial strains are categorized as susceptible by applying the appropriate breakpoints in a defined phenotypic system.\]

    \[Note 2: This breakpoint can be altered due to changes in circumstances (e.g., changes in commonly used drug dosages, emergence of new resistance mechanisms).\]
    IIntermediateBacterial strain inhibited in vitro by a concentration of an antimicrobial agent that is associated with uncertain therapeutic effect. Reference: CLSI (http://www.clsi.org/Content/NavigationMenu/Resources/HarmonizedTerminologyDatabase/Harmonized\_Terminolo.htm) Projects: ISO 20776-1, ISO 20776-2

    \[Note 1: Bacterial strains are categorized as intermediate by applying the appropriate breakpoints in a defined phenotypic test system.\]

    \[Note 2: This class of susceptibility implies that an infection due to the isolate can be appropriately treated in body sites where the drugs are physiologically concentrated or when a high dosage of drug can be used.\]

    \[Note 3: This class also indicates a "buffer zone," to prevent small, uncontrolled, technical factors from causing major discrepancies in interpretations.\]

    \[Note 4: These breakpoints can be altered due to changes in circumstances (e.g., changes in commonly used drug dosages, emergence of new resistance mechanisms).\]
    POSPositiveA presence finding of the specified component / analyte, organism or clinical sign based on the established threshold of the performed test or procedure.
    NEGNegativeAn absence finding of the specified component / analyte, organism or clinical sign based on the established threshold of the performed test or procedure.

    \[Note: Negative does not necessarily imply the complete absence of the specified item.\]
    INDIndeterminateThe specified component / analyte, organism or clinical sign could neither be declared positive / negative nor detected / not detected by the performed test or procedure.

    *Usage Note:* For example, if the specimen was degraded, poorly processed, or was missing the required anatomic structures, then "indeterminate" (i.e. "cannot be determined") is the appropriate response, not "equivocal".
    EEquivocalThe test or procedure was successfully performed, but the results are borderline and can neither be declared positive / negative nor detected / not detected according to the current established criteria.
    DSignificant change downThe current result has decreased from the previous result for a quantitative observation (the change is significant as defined in the respective test procedure).
    USignificant change upThe current result has increased from the previous result for a quantitative observation (the change is significant as defined in the respective test procedure).

 

Expansion

Expansion performed internally based on codesystem ObservationInterpretation v4.0.0 (CodeSystem)

This value set contains 16 concepts

SystemCodeDisplay (de)DefinitionJSONXML
http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation  NNormal

The result or observation value is within the reference range or expected norm (as defined for the respective test procedure).

[Note: Applies to numeric or non-numeric results.]

http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation  LLow

The result for a quantitative observation is below the lower limit of the reference range (as defined for the respective test procedure).

Synonym: Below low normal

http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation  HHigh

The result for a quantitative observation is above the upper limit of the reference range (as defined for the respective test procedure).

Synonym: Above high normal

http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation  LLCritical low

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).

Synonym: Below lower panic limits.

http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation  HHCritical high

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).

Synonym: Above upper panic limits.

http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation  AAbnormal

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  AACritical 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  RResistant

Bacterial strain inhibited in vitro by a concentration of an antimicrobial agent that is associated with a high likelihood of therapeutic failure. Reference: CLSI (http://www.clsi.org/Content/NavigationMenu/Resources/HarmonizedTerminologyDatabase/Harmonized_Terminolo.htm) Projects: ISO 20776-1, ISO 20776-2

[Note 1: Bacterial strains are categorized as resistant by applying the appropriate breakpoints in a defined phenotypic test system.]

[Note 2: This breakpoint can be altered due to changes in circumstances (e.g., changes in commonly used drug dosages, emergence of new resistance mechanisms).]

http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation  SSusceptible

Bacterial strain inhibited by in vitro concentration of an antimicrobial agent that is associated with a high likelihood of therapeutic success. Reference: CLSI (http://www.clsi.org/Content/NavigationMenu/Resources/HarmonizedTerminologyDatabase/Harmonized_Terminolo.htm) Synonym (earlier term): Sensitive Projects: ISO 20776-1, ISO 20776-2

[Note 1: Bacterial strains are categorized as susceptible by applying the appropriate breakpoints in a defined phenotypic system.]

[Note 2: This breakpoint can be altered due to changes in circumstances (e.g., changes in commonly used drug dosages, emergence of new resistance mechanisms).]

http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation  IIntermediate

Bacterial strain inhibited in vitro by a concentration of an antimicrobial agent that is associated with uncertain therapeutic effect. Reference: CLSI (http://www.clsi.org/Content/NavigationMenu/Resources/HarmonizedTerminologyDatabase/Harmonized_Terminolo.htm) Projects: ISO 20776-1, ISO 20776-2

[Note 1: Bacterial strains are categorized as intermediate by applying the appropriate breakpoints in a defined phenotypic test system.]

[Note 2: This class of susceptibility implies that an infection due to the isolate can be appropriately treated in body sites where the drugs are physiologically concentrated or when a high dosage of drug can be used.]

[Note 3: This class also indicates a "buffer zone," to prevent small, uncontrolled, technical factors from causing major discrepancies in interpretations.]

[Note 4: These breakpoints can be altered due to changes in circumstances (e.g., changes in commonly used drug dosages, emergence of new resistance mechanisms).]

http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation  POSPositive

A presence finding of the specified component / analyte, organism or clinical sign based on the established threshold of the performed test or procedure.

http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation  NEGNegative

An absence finding of the specified component / analyte, organism or clinical sign based on the established threshold of the performed test or procedure.

[Note: Negative does not necessarily imply the complete absence of the specified item.]

http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation  INDIndeterminate

The specified component / analyte, organism or clinical sign could neither be declared positive / negative nor detected / not detected by the performed test or procedure.

Usage Note: For example, if the specimen was degraded, poorly processed, or was missing the required anatomic structures, then "indeterminate" (i.e. "cannot be determined") is the appropriate response, not "equivocal".

http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation  EEquivocal

The test or procedure was successfully performed, but the results are borderline and can neither be declared positive / negative nor detected / not detected according to the current established criteria.

http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation  DSignificant change down

The current result has decreased from the previous result for a quantitative observation (the change is significant as defined in the respective test procedure).

http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation  USignificant change up

The current result has increased from the previous result for a quantitative observation (the change is significant as defined in the respective test procedure).


Explanation of the columns that may appear on this page:

Level A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
System The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code The code (used as the code in the resource instance)
Display The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition An explanation of the meaning of the concept
Comments Additional notes about how to use the code