HL7 Austria ELGA Laboratory Report R4 Implementation Guide
0.1.0 - ci-build
HL7 Austria ELGA Laboratory Report R4 Implementation Guide
0.1.0 - ci-build
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
| Draft as of 2026-05-04 |
{
"resourceType" : "ValueSet",
"id" : "at-lab-result-interpretation-vs",
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"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 📍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 "buffer zone," 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 "indeterminate" (i.e. "cannot be determined") is the appropriate response, not "equivocal".</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"
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],
"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"
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],
"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"
}
]
}
]
}
}