This is the Continuous Integration Build of FHIR (will be incorrect/inconsistent at times).
See the Directory of published versions 
Responsible Owner: Biomedical Research and Regulation Work Group |
Informative | Use Context: Country: World |
Official URL: http://hl7.org/fhir/ValueSet/protein-modification-type
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Version: 6.0.0-ballot4 | |||
| active as of 2026-06-30 | Computable Name: ProteinModificationType | |||
| Flags: Immutable | OID: | |||
This value set is used in the following places:
A high-level summary of how a protein has been modified.
Generated Narrative: ValueSet protein-modification-type
Last updated: 2026-07-04T18:53:58.933Z
http://hl7.org/fhir/protein-modification-type version 📦6.0.0-ballot4
This expansion generated 04 Jul 2026
ValueSet
Expansion performed internally based on codesystem Protein Modification Type v6.0.0-ballot4 (CodeSystem)
This value set contains 11 concepts
| System | Code | Display | Definition |
http://hl7.org/fhir/protein-modification-type |
PEGylated | PEGylated | Conjugated to one or more polyethylene glycol (PEG) chains for half-life extension. Examples: pegfilgrastim, peginterferon, certolizumab pegol. |
http://hl7.org/fhir/protein-modification-type |
lipidated | Lipidated | Conjugated to a fatty acid chain (acylation) for half-life extension via albumin binding. Examples: semaglutide, liraglutide, insulin detemir, insulin degludec. |
http://hl7.org/fhir/protein-modification-type |
Fc-fused | Fc fusion | Fused to an immunoglobulin Fc region for half-life extension and effector function. Examples: etanercept, abatacept, aflibercept, dulaglutide. |
http://hl7.org/fhir/protein-modification-type |
albumin-fused | Albumin fusion | Fused to human serum albumin for half-life extension. Example: albiglutide. |
http://hl7.org/fhir/protein-modification-type |
drug-conjugated | Drug-conjugated (ADC) | Conjugated to a small-molecule drug payload via a linker (antibody-drug conjugate). Examples: trastuzumab emtansine, brentuximab vedotin, gemtuzumab ozogamicin. |
http://hl7.org/fhir/protein-modification-type |
polysaccharide-conjugated | Polysaccharide-conjugated | Conjugated to a polysaccharide antigen for vaccine immunogenicity. Examples: Hib, pneumococcal and meningococcal conjugate vaccines. |
http://hl7.org/fhir/protein-modification-type |
glycoengineered | Glycoengineered | Glycan structure engineered (e.g. afucosylated) to alter biological activity. Examples: obinutuzumab, mogamulizumab (enhanced ADCC). |
http://hl7.org/fhir/protein-modification-type |
amino-acid-substituted | Amino acid substituted | Sequence carries one or more amino acid substitutions relative to a natural or parent protein. Examples: insulin analogs lispro, aspart, glargine. |
http://hl7.org/fhir/protein-modification-type |
truncated | Truncated | Sequence is shortened relative to the parent protein. |
http://hl7.org/fhir/protein-modification-type |
biotinylated | Biotinylated | Covalently labelled with biotin. Typical for research or diagnostic reagents. |
http://hl7.org/fhir/protein-modification-type |
fluorescent-labeled | Fluorescent labelled | Covalently labelled with a fluorescent dye. Typical for imaging or flow-cytometry reagents. |
See the full registry of value sets defined as part of FHIR.
Explanation of the columns that may appear on this page:
| Lvl | A few code lists that FHIR defines are hierarchical - each code is assigned a level. For value sets, levels are mostly used to organize codes for user convenience, but may follow code system hierarchy - see Code System for further information |
| Source | 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). If the code is in italics, this indicates that the code is not selectable ('Abstract') |
| 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 |