BioMaxis Implementation Guide
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: HMIS TB Sputum Smear Result - JSON Representation

Active as of 2026-02-04

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{
  "resourceType" : "CodeSystem",
  "id" : "hmis-tb-sputum-result",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem hmis-tb-sputum-result</b></p><a name=\"hmis-tb-sputum-result\"> </a><a name=\"hchmis-tb-sputum-result\"> </a><p>This case-sensitive code system <code>http://biomaxis.com/fhir/CodeSystem/hmis-tb-sputum-result</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td><td><b>ne</b></td></tr><tr><td style=\"white-space:nowrap\">negative<a name=\"hmis-tb-sputum-result-negative\"> </a></td><td>Negative</td><td>No acid-fast bacilli (AFB) seen in 100 oil immersion fields</td><td>नकारात्मक</td></tr><tr><td style=\"white-space:nowrap\">scanty<a name=\"hmis-tb-sputum-result-scanty\"> </a></td><td>Scanty (1-9 AFB)</td><td>1-9 AFB seen per 100 oil immersion fields</td><td>थोरै (१-९ एएफबी)</td></tr><tr><td style=\"white-space:nowrap\">1-plus<a name=\"hmis-tb-sputum-result-1-plus\"> </a></td><td>1+ (10-99 AFB)</td><td>10-99 AFB seen per 100 oil immersion fields</td><td>१+ (१०-९९ एएफबी)</td></tr><tr><td style=\"white-space:nowrap\">2-plus<a name=\"hmis-tb-sputum-result-2-plus\"> </a></td><td>2+ (1-10 AFB per field)</td><td>1-10 AFB seen per oil immersion field in at least 50 fields</td><td>२+ (१-१० एएफबी प्रति फिल्ड)</td></tr><tr><td style=\"white-space:nowrap\">3-plus<a name=\"hmis-tb-sputum-result-3-plus\"> </a></td><td>3+ (&gt;10 AFB per field)</td><td>More than 10 AFB seen per oil immersion field in at least 20 fields</td><td>३+ (&gt;१० एएफबी प्रति फिल्ड)</td></tr><tr><td style=\"white-space:nowrap\">not-done<a name=\"hmis-tb-sputum-result-not-done\"> </a></td><td>Not Done</td><td>Sputum smear microscopy was not performed</td><td>गरिएको छैन</td></tr><tr><td style=\"white-space:nowrap\">no-specimen<a name=\"hmis-tb-sputum-result-no-specimen\"> </a></td><td>No Specimen</td><td>Patient could not produce sputum specimen</td><td>नमूना छैन</td></tr><tr><td style=\"white-space:nowrap\">contaminated<a name=\"hmis-tb-sputum-result-contaminated\"> </a></td><td>Contaminated</td><td>Specimen was contaminated and could not be read</td><td>दूषित</td></tr></table></div>"
  },
  "url" : "http://biomaxis.com/fhir/CodeSystem/hmis-tb-sputum-result",
  "version" : "0.0.0-semantic-release",
  "name" : "HMISTBSputumResult",
  "title" : "HMIS TB Sputum Smear Result",
  "status" : "active",
  "experimental" : false,
  "date" : "2026-02-04T09:30:33+00:00",
  "publisher" : "BioMaxis Pvt. Ltd.",
  "contact" : [
    {
      "name" : "BioMaxis Pvt. Ltd.",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://biomaxis.com"
        }
      ]
    }
  ],
  "description" : "Standardized codes for sputum smear microscopy results used in Nepal HMIS TB program for diagnosis and follow-up.",
  "caseSensitive" : true,
  "content" : "complete",
  "count" : 8,
  "concept" : [
    {
      "code" : "negative",
      "display" : "Negative",
      "definition" : "No acid-fast bacilli (AFB) seen in 100 oil immersion fields",
      "designation" : [
        {
          "language" : "ne",
          "value" : "नकारात्मक"
        }
      ]
    },
    {
      "code" : "scanty",
      "display" : "Scanty (1-9 AFB)",
      "definition" : "1-9 AFB seen per 100 oil immersion fields",
      "designation" : [
        {
          "language" : "ne",
          "value" : "थोरै (१-९ एएफबी)"
        }
      ]
    },
    {
      "code" : "1-plus",
      "display" : "1+ (10-99 AFB)",
      "definition" : "10-99 AFB seen per 100 oil immersion fields",
      "designation" : [
        {
          "language" : "ne",
          "value" : "१+ (१०-९९ एएफबी)"
        }
      ]
    },
    {
      "code" : "2-plus",
      "display" : "2+ (1-10 AFB per field)",
      "definition" : "1-10 AFB seen per oil immersion field in at least 50 fields",
      "designation" : [
        {
          "language" : "ne",
          "value" : "२+ (१-१० एएफबी प्रति फिल्ड)"
        }
      ]
    },
    {
      "code" : "3-plus",
      "display" : "3+ (>10 AFB per field)",
      "definition" : "More than 10 AFB seen per oil immersion field in at least 20 fields",
      "designation" : [
        {
          "language" : "ne",
          "value" : "३+ (>१० एएफबी प्रति फिल्ड)"
        }
      ]
    },
    {
      "code" : "not-done",
      "display" : "Not Done",
      "definition" : "Sputum smear microscopy was not performed",
      "designation" : [
        {
          "language" : "ne",
          "value" : "गरिएको छैन"
        }
      ]
    },
    {
      "code" : "no-specimen",
      "display" : "No Specimen",
      "definition" : "Patient could not produce sputum specimen",
      "designation" : [
        {
          "language" : "ne",
          "value" : "नमूना छैन"
        }
      ]
    },
    {
      "code" : "contaminated",
      "display" : "Contaminated",
      "definition" : "Specimen was contaminated and could not be read",
      "designation" : [
        {
          "language" : "ne",
          "value" : "दूषित"
        }
      ]
    }
  ]
}