Generated Narrative: ValueSet elga-observationinterpretation

This value set includes codes based on the following rules:

• Include these codes as defined in http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation version 2.1.0

  Code	Display	Definition	concept_beschreibung	hinweise	Deutsch (Österreich) (German (Austria), de)
  _ObservationInterpretationSusceptibility	ObservationInterpretationSusceptibility	Interpretations of anti-microbial susceptibility testing results (microbiology). At most one allowed.	Gruppierung der Antibiogramm-Ergebnisinterpretation	(wird nicht verwendet)	Antibiogramm-Ergebnisinterpretation
  I	Intermediate	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 \[Note 1: Bacterial strains are categorized as intermediate by applying the appropriate breakpoints in a defined phenotypic test system.\] \[Note 2: This class of susceptibility implies that an infection due to the isolate can be appropriately treated in body sites where the drugs are physiologically concentrated or when a high dosage of drug can be used.\] \[Note 3: This class also indicates a "buffer zone," to prevent small, uncontrolled, technical factors from causing major discrepancies in interpretations.\] \[Note 4: These breakpoints can be altered due to changes in circumstances (e.g., changes in commonly used drug dosages, emergence of new resistance mechanisms).\]	Antibiogramm: Intermediär	I	Intermediär
  R	Resistant	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 \[Note 1: Bacterial strains are categorized as resistant by applying the appropriate breakpoints in a defined phenotypic test system.\] \[Note 2: This breakpoint can be altered due to changes in circumstances (e.g., changes in commonly used drug dosages, emergence of new resistance mechanisms).\]	Antibiogramm: Resistent	R	Resistent
  S	Susceptible	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 \[Note 1: Bacterial strains are categorized as susceptible by applying the appropriate breakpoints in a defined phenotypic system.\] \[Note 2: This breakpoint can be altered due to changes in circumstances (e.g., changes in commonly used drug dosages, emergence of new resistance mechanisms).\]	Antibiogramm: Sensibel	S	Sensibel
  _ObservationInterpretationNormality	ObservationInterpretationNormality	Interpretation of normality or degree of abnormality (including critical or "alert" level). Concepts in this category are mutually exclusive, i.e., at most one is allowed.	Gruppierung der Ergebnisinterpretation	(wird nicht verwendet)	Ergebnisinterpretation
  N	Normal	The result or observation value is within the reference range or expected norm (as defined for the respective test procedure). \[Note: Applies to numeric or non-numeric results.\]	Wert im Referenzbereich (Normalbereich)	(leer lassen)	Normalbereich
  H	High	The result for a quantitative observation is above the upper limit of the reference range (as defined for the respective test procedure). Synonym: Above high normal	Wert oberhalb des Referenzbereiches	+	oberhalb des Referenzbereiches
  HH	Criticallyhigh	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). Synonym: Above upper panic limits.	Wert oberhalb des Alarmbereiches	++	oberhalb des Alarmbereiches
  L	Low	The result for a quantitative observation is below the lower limit of the reference range (as defined for the respective test procedure). Synonym: Below low normal	Wert unterhalb des Referenzbereiches	-	unterhalb des Referenzbereiches
  LL	Criticallylow	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). Synonym: Below lower panic limits.	Wert unterhalb des Alarmbereiches	--	unterhalb des Alarmbereiches
  A	Abnormal	The result or observation value is outside the reference range or expected norm (as defined for the respective test procedure). \[Note: Typically applies to non-numeric results.\]	Wert nicht im Referenzbereich (für ordinale oder nominale Werte)	*	nicht im Referenzbereich
  AA	Criticallyabnormal	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). \[Note: Typically applies to non-numeric results. Analogous to critical/panic limits for numeric results.\]	Wert im Alarmbereich (für ordinale oder nominale Werte)	**	im Alarmbereich
  U	Significantchangeup	The current result has increased from the previous result for a quantitative observation (the change is significant as defined in the respective test procedure).	Wert ist signifikant gegenüber der letzten Messung gestiegen (Verwendung zb für Deltacheck)	d+	gestiegen
  D	Significantchangedown	The current result has decreased from the previous result for a quantitative observation (the change is significant as defined in the respective test procedure).	Wert ist signifikant gegenüber der letzten Messung gefallen (Verwendung zb für Deltacheck)	d-	gesunken
  _ObservationInterpretationExceptions	ObservationInterpretationExceptions	Technical exceptions resulting in the inability to provide an interpretation. At most one allowed. Does not imply normality or severity.	Gruppierung der Ergebnisinterpretation für Ausnahmeergebnisse	(wird nicht verwendet)	Ergebnisinterpretation für Ausnahmeergebnisse
  EX	outsidethreshold	The observation/test result is interpreted as being outside the inclusion range for a particular protocol within which the result is being reported. **Example:** A positive result on a Hepatitis screening test. *Open Issue:* EX, HX, LX: These three concepts do not seem to meet a clear need in the vocabulary, and their use in observation interpretation appears likely to be covered by other existing concepts (e.g., A, H, L). The only apparent significant difference is their reference to use in protocols for exclusion of study subjects. These concepts/codes were proposed by RCRIM for use in the CTLaboratory message. They were submitted and approved in the November 2005 Harmonization cycle in proposal "030103C\_VOCAB\_RCRIM\_l\_quade\_RCRIM Obs Interp\_20051028154455". However, this proposal was not fully implemented in the vocabulary. The proposal recommended creation of the x\_ClinicalResearchExclusion domain in ObservationInterpretation with a value set including those three concepts/codes, but there is no subdomain of that name or equivalent with a binding to either of the value sets that contain these concepts/codes. Members of the OO WG have recently attempted to contact members of RCRIM regarding these concepts, both by email and at the recent WGM in Atlanta, without response. It is felt by OO that the best course of action to take at this time is to add this comprehensive Open Issue rather than deprecate these three concepts at this time, until further discussion is held.	Wert liegt außerhalb des definierten Messprotokolls (Code für die Interpretation von Ausname-Situationen: Optional zur Verwendung)	EX	außerhalb des definierten Messprotokolls
  >	Offscalehigh	The result is above the maximum quantifiable limit (the test procedure or equipment is the limiting factor). Synonyms: Above analytical limit, high off scale.	Wert ist höher als der Messbereich des Messgeräts (Code für die Interpretation von Ausname-Situationen: Optional zur Verwendung)	>	höher als der Messbereich des Messgeräts
  <	Offscalelow	The result is below the minimum detection limit (the test procedure or equipment is the limiting factor). Synonyms: Below analytical limit, low off scale.	Wert ist kleiner als der Messbereich des Messgeräts (Code für die Interpretation von Ausname-Situationen: Optional zur Verwendung)	<	kleiner als der Messbereich des Messgeräts
  _ObservationInterpretationDetection	ObservationInterpretationDetection		Gruppierung der Ergebnisinterpretation für das Vorhandensein oder die Abwesenheit eines Analyts in einem Test	(wird nicht verwendet)	Ergebnisinterpretation
  IND	Indeterminate	The specified component / analyte, organism or clinical sign could neither be declared positive / negative nor detected / not detected by the performed test or procedure. *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".	Das Ergebnis erlaubt keine Aussage, ob der Analyt vorhanden ist oder nicht.	Unbestimmt	Unbestimmt
  NEG	Negative	An absence finding of the specified component / analyte, organism or clinical sign based on the established threshold of the performed test or procedure. \[Note: Negative does not necessarily imply the complete absence of the specified item.\]	Der Analyt wird als nicht vorhanden interpretiert	Neg.	Negativ
  POS	Positive	A presence finding of the specified component / analyte, organism or clinical sign based on the established threshold of the performed test or procedure.	Der Analyt wird als vorhanden interpretiert	Pos.	Positiv

• Include these codes as defined in https://termgit.elga.gv.at/CodeSystem/elga-ergaenzungsliste version 1.0.0+20230131

  Code	Display	Definition	concept_beschreibung	hinweise	Deutsch (Österreich) (German (Austria), de)
  Refna	Referenzbereich nicht anwendbar	Ergänzung der ObservationInterpretation Codes für den Fall, dass ein Referenzbereich nicht anwendbar ist	Ergänzung der ObservationInterpretation Codes für den Fall, dass ein Referenzbereich nicht anwendbar ist

• Include these codes as defined in https://termgit.elga.gv.at/CodeSystem/rast-klassen version 1.0.0+20230131

  Code	Display	concept_beschreibung	hinweise	Deutsch (Österreich) (German (Austria), de)
  _RAST	RAST
  RAST0	< 0.35 kU/l (absent or undetectable allergen specific IgE)	< 0.35 kU/l (absent or undetectable allergen specific IgE)	RAST 0	negativ, keine spezifischen IgE-Antikörper nachweisbar
  RAST1	0.35 - 0.69 kU/l (low level of allergen specific IgE)	0.35 - 0.69 kU/l (low level of allergen specific IgE)	RAST 1	schwach positiv, geringe Konzentration spezifischer IgE-AK nachweisbar
  RAST2	0.70 - 3.49 kU/l (moderate level of allergen specific IgE)	0.70 - 3.49 kU/l (moderate level of allergen specific IgE)	RAST 2	positiv
  RAST3	3.50 - 17.49 kU/l (high level of allergen specific IgE)	3.50 - 17.49 kU/l (high level of allergen specific IgE)	RAST 3	deutlich positiv
  RAST4	17.50 - 49.99 kU/l (very high level of allergen specific IgE)	17.50 - 49.99 kU/l (very high level of allergen specific IgE)	RAST 4	stark positiv, hohe Konzentration spezifischer IgE-AK nachweisbar
  RAST5	50.00 - 100.00 kU/l (ultra high level of allergen specific IgE)	50.00 - 100.00 kU/l (ultra high level of allergen specific IgE)	RAST 5	sehr stark positiv, sehr hohe Konzentration spezifischer IgE-AK nachweisbar
  RAST6	> 100.00 kU/l (extremely high level of allergen specific ige)	> 100.00 kU/l (extremely high level of allergen specific ige)	RAST 6	hochgradig positiv, extrem hohe Konzentration spezifischer IgE-AK nachweisbar

Generated Narrative: ValueSet elga-observationinterpretation

This value set expansion contains 31 concepts.

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