{
  "description": "removed two codes that were not in the original code system version.",
  "compose": {
    "include": [ {
      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
      "concept": [ {
        "code": "<",
        "display": "Off scale low"
      }, {
        "code": ">",
        "display": "Off scale high"
      }, {
        "code": "A",
        "display": "Abnormal"
      }, {
        "code": "AA",
        "display": "Critical abnormal"
      }, {
        "code": "AC",
        "display": "Anti-complementary substances present"
      }, {
        "code": "B",
        "display": "Better"
      }, {
        "code": "CAR",
        "display": "Carrier"
      }, {
        "code": "Carrier",
        "display": "Carrier"
      }, {
        "code": "D",
        "display": "Significant change down"
      }, {
        "code": "DET",
        "display": "Detected"
      }, {
        "code": "E",
        "display": "Equivocal"
      }, {
        "code": "EX",
        "display": "outside threshold"
      }, {
        "code": "EXP",
        "display": "Expected"
      }, {
        "code": "H",
        "display": "High"
      }, {
        "code": "H>",
        "display": "Significantly high"
      }, {
        "code": "HH",
        "display": "Critical high"
      }, {
        "code": "HM",
        "display": "Hold for Medical Review"
      }, {
        "code": "HU",
        "display": "Significantly high"
      }, {
        "code": "HX",
        "display": "above high threshold"
      }, {
        "code": "I",
        "display": "Intermediate"
      }, {
        "code": "IE",
        "display": "Insufficient evidence"
      }, {
        "code": "IND",
        "display": "Indeterminate"
      }, {
        "code": "L",
        "display": "Low"
      }, {
        "code": "L<",
        "display": "Significantly low"
      }, {
        "code": "LL",
        "display": "Critical low"
      }, {
        "code": "LU",
        "display": "Significantly low"
      }, {
        "code": "LX",
        "display": "below low threshold"
      }, {
        "code": "MS",
        "display": "moderately susceptible"
      }, {
        "code": "N",
        "display": "Normal"
      }, {
        "code": "NCL",
        "display": "No CLSI defined breakpoint"
      }, {
        "code": "ND",
        "display": "Not detected"
      }, {
        "code": "NEG",
        "display": "Negative"
      }, {
        "code": "NR",
        "display": "Non-reactive"
      }, {
        "code": "NS",
        "display": "Non-susceptible"
      }, {
        "code": "OBX",
        "display": "Interpretation qualifiers in separate OBX segments"
      }, {
        "code": "ObservationInterpretationDetection",
        "display": "ObservationInterpretationDetection"
      }, {
        "code": "ObservationInterpretationExpectation",
        "display": "ObservationInterpretationExpectation"
      }, {
        "code": "POS",
        "display": "Positive"
      }, {
        "code": "QCF",
        "display": "Quality control failure"
      }, {
        "code": "R",
        "display": "Resistant"
      }, {
        "code": "RR",
        "display": "Reactive"
      }, {
        "code": "ReactivityObservationInterpretation",
        "display": "ReactivityObservationInterpretation"
      }, {
        "code": "S",
        "display": "Susceptible"
      }, {
        "code": "SDD",
        "display": "Susceptible-dose dependent"
      }, {
        "code": "SYN-R",
        "display": "Synergy - resistant"
      }, {
        "code": "SYN-S",
        "display": "Synergy - susceptible"
      }, {
        "code": "TOX",
        "display": "Cytotoxic substance present"
      }, {
        "code": "U",
        "display": "Significant change up"
      }, {
        "code": "UNE",
        "display": "Unexpected"
      }, {
        "code": "VS",
        "display": "very susceptible"
      }, {
        "code": "W",
        "display": "Worse"
      }, {
        "code": "WR",
        "display": "Weakly reactive"
      } ]
    } ]
  },
  "_filename": "ValueSet-2.16.840.1.113883.1.11.78.json",
  "package_name": "us.nlm.vsac",
  "date": "2024-06-06T01:23:01-04:00",
  "meta": {
    "profile": [ "http://hl7.org/fhir/StructureDefinition/shareablevalueset", "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-valueset-cqfm", "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-valueset-cqfm" ],
    "versionId": "36",
    "lastUpdated": "2024-06-06T01:23:01.000-04:00"
  },
  "publisher": "HL7 US Realm Program Management Steward",
  "jurisdiction": [ {
    "coding": [ {
      "code": "US",
      "system": "urn:iso:std:iso:3166"
    } ]
  } ],
  "purpose": "(Clinical Focus: Codes specifying a rough qualitative interpretation of the observation, such as \"normal\", \"abnormal\", \"below normal\", \"change up\", \"resistant\", \"susceptible\", etc.),(Data Element Scope: ),(Inclusion Criteria: all reportable codes in the code system ObservationInterpretation),(Exclusion Criteria: Collector codes in the code system)",
  "name": "ObservationInterpretationHL7",
  "type": null,
  "experimental": null,
  "resourceType": "ValueSet",
  "expansion": {
    "total": 52,
    "contains": [ {
      "code": "<",
      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
      "display": "Off scale low",
      "version": "2023-02-01"
    }, {
      "code": ">",
      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
      "display": "Off scale high",
      "version": "2023-02-01"
    }, {
      "code": "A",
      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
      "display": "Abnormal",
      "version": "2023-02-01"
    }, {
      "code": "AA",
      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
      "display": "Critical abnormal",
      "version": "2023-02-01"
    }, {
      "code": "AC",
      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
      "display": "Anti-complementary substances present",
      "version": "2023-02-01"
    }, {
      "code": "B",
      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
      "display": "Better",
      "version": "2023-02-01"
    }, {
      "code": "CAR",
      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
      "display": "Carrier",
      "version": "2023-02-01"
    }, {
      "code": "Carrier",
      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
      "display": "Carrier",
      "version": "2023-02-01"
    }, {
      "code": "D",
      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
      "display": "Significant change down",
      "version": "2023-02-01"
    }, {
      "code": "DET",
      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
      "display": "Detected",
      "version": "2023-02-01"
    }, {
      "code": "E",
      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
      "display": "Equivocal",
      "version": "2023-02-01"
    }, {
      "code": "EX",
      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
      "display": "outside threshold",
      "version": "2023-02-01"
    }, {
      "code": "EXP",
      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
      "display": "Expected",
      "version": "2023-02-01"
    }, {
      "code": "H",
      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
      "display": "High",
      "version": "2023-02-01"
    }, {
      "code": "H>",
      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
      "display": "Significantly high",
      "version": "2023-02-01"
    }, {
      "code": "HH",
      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
      "display": "Critical high",
      "version": "2023-02-01"
    }, {
      "code": "HM",
      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
      "display": "Hold for Medical Review",
      "version": "2023-02-01"
    }, {
      "code": "HU",
      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
      "display": "Significantly high",
      "version": "2023-02-01"
    }, {
      "code": "HX",
      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
      "display": "above high threshold",
      "version": "2023-02-01"
    }, {
      "code": "I",
      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
      "display": "Intermediate",
      "version": "2023-02-01"
    }, {
      "code": "IE",
      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
      "display": "Insufficient evidence",
      "version": "2023-02-01"
    }, {
      "code": "IND",
      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
      "display": "Indeterminate",
      "version": "2023-02-01"
    }, {
      "code": "L",
      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
      "display": "Low",
      "version": "2023-02-01"
    }, {
      "code": "L<",
      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
      "display": "Significantly low",
      "version": "2023-02-01"
    }, {
      "code": "LL",
      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
      "display": "Critical low",
      "version": "2023-02-01"
    }, {
      "code": "LU",
      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
      "display": "Significantly low",
      "version": "2023-02-01"
    }, {
      "code": "LX",
      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
      "display": "below low threshold",
      "version": "2023-02-01"
    }, {
      "code": "MS",
      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
      "display": "moderately susceptible",
      "version": "2023-02-01"
    }, {
      "code": "N",
      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
      "display": "Normal",
      "version": "2023-02-01"
    }, {
      "code": "NCL",
      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
      "display": "No CLSI defined breakpoint",
      "version": "2023-02-01"
    }, {
      "code": "ND",
      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
      "display": "Not detected",
      "version": "2023-02-01"
    }, {
      "code": "NEG",
      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
      "display": "Negative",
      "version": "2023-02-01"
    }, {
      "code": "NR",
      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
      "display": "Non-reactive",
      "version": "2023-02-01"
    }, {
      "code": "NS",
      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
      "display": "Non-susceptible",
      "version": "2023-02-01"
    }, {
      "code": "OBX",
      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
      "display": "Interpretation qualifiers in separate OBX segments",
      "version": "2023-02-01"
    }, {
      "code": "ObservationInterpretationDetection",
      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
      "display": "ObservationInterpretationDetection",
      "version": "2023-02-01"
    }, {
      "code": "ObservationInterpretationExpectation",
      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
      "display": "ObservationInterpretationExpectation",
      "version": "2023-02-01"
    }, {
      "code": "POS",
      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
      "display": "Positive",
      "version": "2023-02-01"
    }, {
      "code": "QCF",
      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
      "display": "Quality control failure",
      "version": "2023-02-01"
    }, {
      "code": "R",
      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
      "display": "Resistant",
      "version": "2023-02-01"
    }, {
      "code": "RR",
      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
      "display": "Reactive",
      "version": "2023-02-01"
    }, {
      "code": "ReactivityObservationInterpretation",
      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
      "display": "ReactivityObservationInterpretation",
      "version": "2023-02-01"
    }, {
      "code": "S",
      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
      "display": "Susceptible",
      "version": "2023-02-01"
    }, {
      "code": "SDD",
      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
      "display": "Susceptible-dose dependent",
      "version": "2023-02-01"
    }, {
      "code": "SYN-R",
      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
      "display": "Synergy - resistant",
      "version": "2023-02-01"
    }, {
      "code": "SYN-S",
      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
      "display": "Synergy - susceptible",
      "version": "2023-02-01"
    }, {
      "code": "TOX",
      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
      "display": "Cytotoxic substance present",
      "version": "2023-02-01"
    }, {
      "code": "U",
      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
      "display": "Significant change up",
      "version": "2023-02-01"
    }, {
      "code": "UNE",
      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
      "display": "Unexpected",
      "version": "2023-02-01"
    }, {
      "code": "VS",
      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
      "display": "very susceptible",
      "version": "2023-02-01"
    }, {
      "code": "W",
      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
      "display": "Worse",
      "version": "2023-02-01"
    }, {
      "code": "WR",
      "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
      "display": "Weakly reactive",
      "version": "2023-02-01"
    } ],
    "timestamp": "2024-06-14T15:13:06-04:00",
    "identifier": "urn:uuid:f191693b-3b63-4cb0-b85d-056838715825"
  },
  "title": "Observation Interpretation (HL7)",
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  "extension": [ {
    "url": "http://hl7.org/fhir/StructureDefinition/valueset-author",
    "valueString": "HL7 US Realm Program Management Author"
  }, {
    "url": "http://hl7.org/fhir/StructureDefinition/resource-lastReviewDate",
    "valueDate": "2024-06-06"
  }, {
    "url": "http://hl7.org/fhir/StructureDefinition/valueset-effectiveDate",
    "valueDate": "2024-06-06"
  } ],
  "status": "active",
  "id": "0dc0efd7-d8f6-461b-8832-cc55c89f2bdf",
  "kind": null,
  "url": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.78",
  "identifier": [ {
    "value": "urn:oid:2.16.840.1.113883.1.11.78",
    "system": "urn:ietf:rfc:3986"
  } ],
  "version": "20240606"
}