MIMIC Implementation Guide
1.3.0 - Draft

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: MIMIC Observation Lab interpretation Value Set - JSON Representation

Active as of 2024-02-08

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{
  "resourceType" : "ValueSet",
  "id" : "mimic-micro-interpretation",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><ul><li>Include these codes as defined in <a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-v3-ObservationInterpretation.html\"><code>http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation</code></a><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/5.3.0/CodeSystem-v3-ObservationInterpretation.html#v3-ObservationInterpretation-IE\">IE</a></td><td>Insufficient evidence</td><td>There is insufficient evidence that the species in question is a good target for therapy with the drug. A categorical interpretation is not possible.<br/><br/>\\[Note: A MIC with &quot;IE&quot; and/or a comment may be reported (without an accompanying S, I or R-categorization).\\]</td></tr><tr><td><a href=\"http://terminology.hl7.org/5.3.0/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/5.3.0/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/5.3.0/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></table></li></ul></div>"
  },
  "url" : "http://mimic.mit.edu/fhir/mimic/ValueSet/mimic-micro-interpretation",
  "version" : "1.3.0",
  "name" : "MimicMicroInterpretation",
  "title" : "MIMIC Observation Lab interpretation Value Set",
  "status" : "active",
  "date" : "2024-02-08T11:07:36-05:00",
  "publisher" : "KinD Lab",
  "contact" : [
    {
      "name" : "KinD Lab",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://fhir.kindlab.sickkids.ca"
        }
      ]
    }
  ],
  "description" : "Selected codes from ObservationInterpretation that represent interpretations in MIMIC.",
  "compose" : {
    "include" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
        "concept" : [
          {
            "code" : "IE",
            "display" : "Insufficient evidence"
          },
          {
            "code" : "IND",
            "display" : "Indeterminate"
          },
          {
            "code" : "R",
            "display" : "Resistant"
          },
          {
            "code" : "S",
            "display" : "Susceptible"
          }
        ]
      }
    ]
  }
}