{
  "resourceType" : "CodeSystem",
  "id" : "referencerange-meaning",
  "meta" : {
    "lastUpdated" : "2018-08-19T21:48:56.559+10:00",
    "profile" : ["http://hl7.org/fhir/StructureDefinition/shareablecodesystem"]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>Observation Reference Range Meaning Codes</h2><div><p>This value set defines a set of codes that can be used to indicate the meaning/use of a reference range for a particular target population.</p>\n</div><p><b>Properties</b></p><table class=\"grid\"><tr><td><b>Code</b></td><td><b>URL</b></td><td><b>Description</b></td><td><b>Type</b></td></tr><tr><td>abstract</td><td/><td>True if an element is considered 'abstract' - in otherwords, the code is not for use as a real concept</td><td>boolean</td></tr></table><p>This code system http://terminology.hl7.org/CodeSystem/referencerange-meaning defines the following codes:</p><table class=\"codes\"><tr><td><b>Lvl</b></td><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td>1</td><td style=\"white-space:nowrap\">type<a name=\"referencerange-meaning-type\"> </a></td><td>Type</td><td>General types of reference range.</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  normal<a name=\"referencerange-meaning-normal\"> </a></td><td>Normal Range</td><td>Within two standard deviations from the mean and accounting for 95.45% of the relevant control population.</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  recommended<a name=\"referencerange-meaning-recommended\"> </a></td><td>Recommended Range</td><td>The range that is recommended by a relevant professional body.</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  treatment<a name=\"referencerange-meaning-treatment\"> </a></td><td>Treatment Range</td><td>The range at which treatment would/should be considered.</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  therapeutic<a name=\"referencerange-meaning-therapeutic\"> </a></td><td>Therapeutic Desired Level</td><td>The optimal range for best therapeutic outcomes.</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    pre<a name=\"referencerange-meaning-pre\"> </a></td><td>Pre Therapeutic Desired Level</td><td>The optimal range for best therapeutic outcomes for a specimen taken immediately before administration.</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    post<a name=\"referencerange-meaning-post\"> </a></td><td>Post Therapeutic Desired Level</td><td>The optimal range for best therapeutic outcomes for a specimen taken immediately after administration.</td></tr><tr><td>1</td><td style=\"white-space:nowrap\">endocrine<a name=\"referencerange-meaning-endocrine\"> </a></td><td>Endocrine</td><td>Endocrine related states that change the expected value.</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  pre-puberty<a name=\"referencerange-meaning-pre-puberty\"> </a></td><td>Pre-Puberty</td><td>An expected range in an individual prior to puberty.</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  follicular<a name=\"referencerange-meaning-follicular\"> </a></td><td>Follicular Stage</td><td>An expected range in an individual during the follicular stage of the cycle.</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  midcycle<a name=\"referencerange-meaning-midcycle\"> </a></td><td>MidCycle</td><td>An expected range in an individual during the midcycle stage of the cycle.</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  luteal<a name=\"referencerange-meaning-luteal\"> </a></td><td>Luteal</td><td>An expected range in an individual during the luteal stage of the cycle.</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  postmenopausal<a name=\"referencerange-meaning-postmenopausal\"> </a></td><td>Post-Menopause</td><td>An expected range in an individual post-menopause.</td></tr></table></div>"
  },
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode" : "oo"
  }],
  "url" : "http://terminology.hl7.org/CodeSystem/referencerange-meaning",
  "identifier" : [{
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:oid:2.16.840.1.113883.4.642.1.1124"
  }],
  "version" : "3.5a.0",
  "name" : "ObservationReferenceRangeMeaningCodes",
  "title" : "Observation Reference Range Meaning Codes",
  "status" : "draft",
  "experimental" : true,
  "publisher" : "FHIR Project team",
  "contact" : [{
    "telecom" : [{
      "system" : "url",
      "value" : "http://hl7.org/fhir"
    }]
  }],
  "description" : "This value set defines a set of codes that can be used to indicate the meaning/use of a reference range for a particular target population.",
  "caseSensitive" : true,
  "valueSet" : "http://hl7.org/fhir/ValueSet/referencerange-meaning",
  "hierarchyMeaning" : "is-a",
  "content" : "complete",
  "property" : [{
    "code" : "abstract",
    "description" : "True if an element is considered 'abstract' - in otherwords, the code is not for use as a real concept",
    "type" : "boolean"
  }],
  "concept" : [{
    "code" : "type",
    "display" : "Type",
    "definition" : "General types of reference range.",
    "property" : [{
      "code" : "abstract",
      "valueBoolean" : true
    }],
    "concept" : [{
      "code" : "normal",
      "display" : "Normal Range",
      "definition" : "Within two standard deviations from the mean and accounting for 95.45% of the relevant control population."
    },
    {
      "code" : "recommended",
      "display" : "Recommended Range",
      "definition" : "The range that is recommended by a relevant professional body."
    },
    {
      "code" : "treatment",
      "display" : "Treatment Range",
      "definition" : "The range at which treatment would/should be considered."
    },
    {
      "code" : "therapeutic",
      "display" : "Therapeutic Desired Level",
      "definition" : "The optimal range for best therapeutic outcomes.",
      "concept" : [{
        "code" : "pre",
        "display" : "Pre Therapeutic Desired Level",
        "definition" : "The optimal range for best therapeutic outcomes for a specimen taken immediately before administration."
      },
      {
        "code" : "post",
        "display" : "Post Therapeutic Desired Level",
        "definition" : "The optimal range for best therapeutic outcomes for a specimen taken immediately after administration."
      }]
    }]
  },
  {
    "code" : "endocrine",
    "display" : "Endocrine",
    "definition" : "Endocrine related states that change the expected value.",
    "property" : [{
      "code" : "abstract",
      "valueBoolean" : true
    }],
    "concept" : [{
      "code" : "pre-puberty",
      "display" : "Pre-Puberty",
      "definition" : "An expected range in an individual prior to puberty."
    },
    {
      "code" : "follicular",
      "display" : "Follicular Stage",
      "definition" : "An expected range in an individual during the follicular stage of the cycle."
    },
    {
      "code" : "midcycle",
      "display" : "MidCycle",
      "definition" : "An expected range in an individual during the midcycle stage of the cycle."
    },
    {
      "code" : "luteal",
      "display" : "Luteal",
      "definition" : "An expected range in an individual during the luteal stage of the cycle."
    },
    {
      "code" : "postmenopausal",
      "display" : "Post-Menopause",
      "definition" : "An expected range in an individual post-menopause."
    }]
  }]
}