HL7 Austria ELGA Laboratory Report R4 Implementation Guide
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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

: AT ELGA Laboratory Result Interpretation Value Set - XML Representation

Draft as of 2026-05-04

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<ValueSet xmlns="http://hl7.org/fhir">
  <id value="at-lab-result-interpretation-vs"/>
  <text>
    <status value="extensions"/>
    <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>
  </text>
  <url
       value="https://fhir.hl7.at/elga-labor/ValueSet/at-lab-result-interpretation-vs"/>
  <version value="0.1.0"/>
  <name value="ATLabResultInterpretationVS"/>
  <title value="AT ELGA Laboratory Result Interpretation Value Set"/>
  <status value="draft"/>
  <experimental value="true"/>
  <date value="2026-05-04T08:38:39+00:00"/>
  <publisher value="HL7 Austria"/>
  <contact>
    <name value="HL7 Austria"/>
    <telecom>
      <system value="url"/>
      <value value="https://www.hl7.at"/>
    </telecom>
    <telecom>
      <system value="email"/>
      <value value="office@hl7.at"/>
    </telecom>
  </contact>
  <contact>
    <name value="HL7 Austria TC FHIR"/>
    <telecom>
      <system value="url"/>
      <value value="https://www.hl7.at"/>
    </telecom>
    <telecom>
      <system value="email"/>
      <value value="office@hl7.at"/>
    </telecom>
  </contact>
  <description
               value="Value set for laboratory result interpretations used in Austrian ELGA
Laboratory Reports. Aligned with the HL7 ObservationInterpretation code system."/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="AT"/>
      <display value="Austria"/>
    </coding>
  </jurisdiction>
  <compose>
    <include>
      <system
              value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
      <version value="4.0.0"/>
      <concept>
        <code value="N"/>
        <display value="Normal"/>
      </concept>
      <concept>
        <code value="L"/>
        <display value="Low"/>
      </concept>
      <concept>
        <code value="H"/>
        <display value="High"/>
      </concept>
      <concept>
        <code value="LL"/>
        <display value="Critical low"/>
      </concept>
      <concept>
        <code value="HH"/>
        <display value="Critical high"/>
      </concept>
      <concept>
        <code value="A"/>
        <display value="Abnormal"/>
      </concept>
      <concept>
        <code value="AA"/>
        <display value="Critical abnormal"/>
      </concept>
      <concept>
        <code value="R"/>
        <display value="Resistant"/>
      </concept>
      <concept>
        <code value="S"/>
        <display value="Susceptible"/>
      </concept>
      <concept>
        <code value="I"/>
        <display value="Intermediate"/>
      </concept>
      <concept>
        <code value="POS"/>
        <display value="Positive"/>
      </concept>
      <concept>
        <code value="NEG"/>
        <display value="Negative"/>
      </concept>
      <concept>
        <code value="IND"/>
        <display value="Indeterminate"/>
      </concept>
      <concept>
        <code value="E"/>
        <display value="Equivocal"/>
      </concept>
      <concept>
        <code value="D"/>
        <display value="Significant change down"/>
      </concept>
      <concept>
        <code value="U"/>
        <display value="Significant change up"/>
      </concept>
    </include>
  </compose>
</ValueSet>