{
  "resourceType" : "ValueSet",
  "id" : "at-lab-result-interpretation-vs",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet at-lab-result-interpretation-vs</b></p><a name=\"at-lab-result-interpretation-vs\"> </a><a name=\"hcat-lab-result-interpretation-vs\"> </a><ul><li>Include these codes as defined in <a href=\"http://terminology.hl7.org/7.1.0/CodeSystem-v3-ObservationInterpretation.html\"><code>http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation</code></a><span title=\"Version is explicitly stated to be 4.0.0\"> version &#x1F4CD;4.0.0</span><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a href=\"http://terminology.hl7.org/7.1.0/CodeSystem-v3-ObservationInterpretation.html#v3-ObservationInterpretation-N\">N</a></td><td>Normal</td><td>The result or observation value is within the reference range or expected norm (as defined for the respective test procedure).<br/><br/>\\[Note: Applies to numeric or non-numeric results.\\]</td></tr><tr><td><a href=\"http://terminology.hl7.org/7.1.0/CodeSystem-v3-ObservationInterpretation.html#v3-ObservationInterpretation-L\">L</a></td><td>Low</td><td>The result for a quantitative observation is below the lower limit of the reference range (as defined for the respective test procedure).<br/><br/>Synonym: Below low normal</td></tr><tr><td><a href=\"http://terminology.hl7.org/7.1.0/CodeSystem-v3-ObservationInterpretation.html#v3-ObservationInterpretation-H\">H</a></td><td>High</td><td>The result for a quantitative observation is above the upper limit of the reference range (as defined for the respective test procedure).<br/><br/>Synonym: Above high normal</td></tr><tr><td><a href=\"http://terminology.hl7.org/7.1.0/CodeSystem-v3-ObservationInterpretation.html#v3-ObservationInterpretation-LL\">LL</a></td><td>Critical low</td><td>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).<br/><br/>Synonym: Below lower panic limits.</td></tr><tr><td><a href=\"http://terminology.hl7.org/7.1.0/CodeSystem-v3-ObservationInterpretation.html#v3-ObservationInterpretation-HH\">HH</a></td><td>Critical high</td><td>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).<br/><br/>Synonym: Above upper panic limits.</td></tr><tr><td><a href=\"http://terminology.hl7.org/7.1.0/CodeSystem-v3-ObservationInterpretation.html#v3-ObservationInterpretation-A\">A</a></td><td>Abnormal</td><td>The result or observation value is outside the reference range or expected norm (as defined for the respective test procedure).<br/><br/>\\[Note: Typically applies to non-numeric results.\\]</td></tr><tr><td><a href=\"http://terminology.hl7.org/7.1.0/CodeSystem-v3-ObservationInterpretation.html#v3-ObservationInterpretation-AA\">AA</a></td><td>Critical abnormal</td><td>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).<br/><br/>\\[Note: Typically applies to non-numeric results. Analogous to critical/panic limits for numeric results.\\]</td></tr><tr><td><a href=\"http://terminology.hl7.org/7.1.0/CodeSystem-v3-ObservationInterpretation.html#v3-ObservationInterpretation-R\">R</a></td><td>Resistant</td><td>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<br/><br/>\\[Note 1: Bacterial strains are categorized as resistant by applying the appropriate breakpoints in a defined phenotypic test system.\\]<br/><br/>\\[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).\\]</td></tr><tr><td><a href=\"http://terminology.hl7.org/7.1.0/CodeSystem-v3-ObservationInterpretation.html#v3-ObservationInterpretation-S\">S</a></td><td>Susceptible</td><td>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<br/><br/>\\[Note 1: Bacterial strains are categorized as susceptible by applying the appropriate breakpoints in a defined phenotypic system.\\]<br/><br/>\\[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).\\]</td></tr><tr><td><a href=\"http://terminology.hl7.org/7.1.0/CodeSystem-v3-ObservationInterpretation.html#v3-ObservationInterpretation-I\">I</a></td><td>Intermediate</td><td>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<br/><br/>\\[Note 1: Bacterial strains are categorized as intermediate by applying the appropriate breakpoints in a defined phenotypic test system.\\]<br/><br/>\\[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.\\]<br/><br/>\\[Note 3: This class also indicates a &quot;buffer zone,&quot; to prevent small, uncontrolled, technical factors from causing major discrepancies in interpretations.\\]<br/><br/>\\[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).\\]</td></tr><tr><td><a href=\"http://terminology.hl7.org/7.1.0/CodeSystem-v3-ObservationInterpretation.html#v3-ObservationInterpretation-POS\">POS</a></td><td>Positive</td><td>A presence finding of the specified component / analyte, organism or clinical sign based on the established threshold of the performed test or procedure.</td></tr><tr><td><a href=\"http://terminology.hl7.org/7.1.0/CodeSystem-v3-ObservationInterpretation.html#v3-ObservationInterpretation-NEG\">NEG</a></td><td>Negative</td><td>An absence finding of the specified component / analyte, organism or clinical sign based on the established threshold of the performed test or procedure.<br/><br/>\\[Note: Negative does not necessarily imply the complete absence of the specified item.\\]</td></tr><tr><td><a href=\"http://terminology.hl7.org/7.1.0/CodeSystem-v3-ObservationInterpretation.html#v3-ObservationInterpretation-IND\">IND</a></td><td>Indeterminate</td><td>The specified component / analyte, organism or clinical sign could neither be declared positive / negative nor detected / not detected by the performed test or procedure.<br/><br/>*Usage Note:* For example, if the specimen was degraded, poorly processed, or was missing the required anatomic structures, then &quot;indeterminate&quot; (i.e. &quot;cannot be determined&quot;) is the appropriate response, not &quot;equivocal&quot;.</td></tr><tr><td><a href=\"http://terminology.hl7.org/7.1.0/CodeSystem-v3-ObservationInterpretation.html#v3-ObservationInterpretation-E\">E</a></td><td>Equivocal</td><td>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.</td></tr><tr><td><a href=\"http://terminology.hl7.org/7.1.0/CodeSystem-v3-ObservationInterpretation.html#v3-ObservationInterpretation-D\">D</a></td><td>Significant change down</td><td>The current result has decreased from the previous result for a quantitative observation (the change is significant as defined in the respective test procedure).</td></tr><tr><td><a href=\"http://terminology.hl7.org/7.1.0/CodeSystem-v3-ObservationInterpretation.html#v3-ObservationInterpretation-U\">U</a></td><td>Significant change up</td><td>The current result has increased from the previous result for a quantitative observation (the change is significant as defined in the respective test procedure).</td></tr></table></li></ul></div>"
  },
  "url" : "https://fhir.hl7.at/elga-labor/ValueSet/at-lab-result-interpretation-vs",
  "version" : "0.1.0",
  "name" : "ATLabResultInterpretationVS",
  "title" : "AT ELGA Laboratory Result Interpretation Value Set",
  "status" : "draft",
  "experimental" : true,
  "date" : "2026-05-04T08:38:39+00:00",
  "publisher" : "HL7 Austria",
  "contact" : [{
    "name" : "HL7 Austria",
    "telecom" : [{
      "system" : "url",
      "value" : "https://www.hl7.at"
    },
    {
      "system" : "email",
      "value" : "office@hl7.at"
    }]
  },
  {
    "name" : "HL7 Austria TC FHIR",
    "telecom" : [{
      "system" : "url",
      "value" : "https://www.hl7.at"
    },
    {
      "system" : "email",
      "value" : "office@hl7.at"
    }]
  }],
  "description" : "Value set for laboratory result interpretations used in Austrian ELGA\nLaboratory Reports. Aligned with the HL7 ObservationInterpretation code system.",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "urn:iso:std:iso:3166",
      "code" : "AT",
      "display" : "Austria"
    }]
  }],
  "compose" : {
    "include" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
      "version" : "4.0.0",
      "concept" : [{
        "code" : "N",
        "display" : "Normal"
      },
      {
        "code" : "L",
        "display" : "Low"
      },
      {
        "code" : "H",
        "display" : "High"
      },
      {
        "code" : "LL",
        "display" : "Critical low"
      },
      {
        "code" : "HH",
        "display" : "Critical high"
      },
      {
        "code" : "A",
        "display" : "Abnormal"
      },
      {
        "code" : "AA",
        "display" : "Critical abnormal"
      },
      {
        "code" : "R",
        "display" : "Resistant"
      },
      {
        "code" : "S",
        "display" : "Susceptible"
      },
      {
        "code" : "I",
        "display" : "Intermediate"
      },
      {
        "code" : "POS",
        "display" : "Positive"
      },
      {
        "code" : "NEG",
        "display" : "Negative"
      },
      {
        "code" : "IND",
        "display" : "Indeterminate"
      },
      {
        "code" : "E",
        "display" : "Equivocal"
      },
      {
        "code" : "D",
        "display" : "Significant change down"
      },
      {
        "code" : "U",
        "display" : "Significant change up"
      }]
    }]
  }
}