{

"resourceType": "CodeSystem",
"id": "referencerange-meaning",
"meta": {
  "lastUpdated": "2019-11-01T09:29:23.356+11:00",
  "profile": [
    "http://hl7.org/fhir/StructureDefinition/shareablecodesystem"
  ]
},
"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:2.16.840.1.113883.4.642.4.1124"
  }
],
"version": "4.0.1",
"name": "ObservationReferenceRangeMeaningCodes",
"title": "Observation Reference Range Meaning Codes",
"status": "draft",
"experimental": false,
"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": "Values expected for a normal member of the relevant control population being measured. Typically each results producer such as a laboratory has specific normal ranges and they are usually defined as within two standard deviations from the mean and account for 95.45% of this 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."
      }
    ]
  }
]

}