{

"resourceType": "ValueSet",
"id": "referencerange-meaning",
"meta": {
  "lastUpdated": "2015-10-24T07:41:03.495+11:00",
  "profile": [
    "http://hl7.org/fhir/StructureDefinition/valueset-shareable-definition"
  ]
},
"text": {
  "status": "generated",
  "div": "<div><h2>Observation Reference Range Meaning Codes</h2><p>This value set defines a set of codes that can be used to indicate the meaning/use of a reference range.</p><p><b>Copyright Statement:</b> This value set includes content from SNOMED CT, which is copyright &copy; 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement.</p><p>This value set has an inline code system http://hl7.org/fhir/referencerange-meaning, which defines the following codes:</p><table class=\"codes\"><tr><td><b>Lvl</b></td><td><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td>1</td><td>type<a name=\"type\"> </a></td><td>Type</td><td>General types of reference range.</td></tr><tr><td>2</td><td>&nbsp;&nbsp;normal<a name=\"normal\"> </a></td><td>Normal Range</td><td>Based on 95th percentile for the relevant control population.</td></tr><tr><td>2</td><td>&nbsp;&nbsp;recommended<a name=\"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>&nbsp;&nbsp;treatment<a name=\"treatment\"> </a></td><td>Treatment Range</td><td>The range at which treatment would/should be considered.</td></tr><tr><td>2</td><td>&nbsp;&nbsp;therapeutic<a name=\"therapeutic\"> </a></td><td>Therapeutic Desired Level</td><td>The optimal range for best therapeutic outcomes.</td></tr><tr><td>3</td><td>&nbsp;&nbsp;&nbsp;&nbsp;pre<a name=\"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>&nbsp;&nbsp;&nbsp;&nbsp;post<a name=\"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>endocrine<a name=\"endocrine\"> </a></td><td>Endocrine</td><td>Endocrine related states that change the expected value.</td></tr><tr><td>2</td><td>&nbsp;&nbsp;pre-puberty<a name=\"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>&nbsp;&nbsp;follicular<a name=\"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>&nbsp;&nbsp;midcycle<a name=\"midcycle\"> </a></td><td>MidCycle</td><td>An expected range in an individual during the follicular stage of the cycle.</td></tr><tr><td>2</td><td>&nbsp;&nbsp;luteal<a name=\"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>&nbsp;&nbsp;postmeopausal<a name=\"postmeopausal\"> </a></td><td>Post-Menopause</td><td>An expected range in an individual post-menopause.</td></tr></table><p>In addition, this value set includes codes from other code systems:</p><ul><li>Import all the codes that are contained in <a href=\"v3/Race/index.html\">http://hl7.org/fhir/ValueSet/v3-Race</a></li><li>Include these codes as defined in http://snomed.info/sct<table><tr><td><b>Code</b></td><td><b>Display</b></td></tr><tr><td>248153007</td><td/><td/></tr><tr><td>248152002</td><td/><td/></tr><tr><td>77386006</td><td/><td/></tr></table></li></ul></div>"
},
"extension": [
  {
    "url": "http://hl7.org/fhir/StructureDefinition/valueset-oid",
    "valueUri": "urn:oid:2.16.840.1.113883.4.642.2.217"
  }
],
"url": "http://hl7.org/fhir/ValueSet/referencerange-meaning",
"version": "1.0.2",
"name": "Observation Reference Range Meaning Codes",
"status": "draft",
"experimental": true,
"publisher": "FHIR Project team",
"contact": [
  {
    "telecom": [
      {
        "system": "other",
        "value": "http://hl7.org/fhir"
      }
    ]
  }
],
"date": "2015-10-24T07:41:03+11:00",
"description": "This value set defines a set of codes that can be used to indicate the meaning/use of a reference range.",
"copyright": "This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement.",
"codeSystem": {
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/valueset-oid",
      "valueUri": "urn:oid:2.16.840.1.113883.4.642.1.217"
    }
  ],
  "system": "http://hl7.org/fhir/referencerange-meaning",
  "caseSensitive": true,
  "concept": [
    {
      "code": "type",
      "abstract": true,
      "display": "Type",
      "definition": "General types of reference range.",
      "concept": [
        {
          "code": "normal",
          "display": "Normal Range",
          "definition": "Based on 95th percentile for 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",
      "abstract": true,
      "display": "Endocrine",
      "definition": "Endocrine related states that change the expected value.",
      "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 follicular stage of the cycle."
        },
        {
          "code": "luteal",
          "display": "Luteal",
          "definition": "An expected range in an individual during the luteal stage of the cycle."
        },
        {
          "code": "postmeopausal",
          "display": "Post-Menopause",
          "definition": "An expected range in an individual post-menopause."
        }
      ]
    }
  ]
},
"compose": {
  "import": [
    "http://hl7.org/fhir/ValueSet/v3-Race"
  ],
  "include": [
    {
      "system": "http://snomed.info/sct",
      "concept": [
        {
          "code": "248153007"
        },
        {
          "fhir_comments": [
            "   Male (finding)   "
          ],
          "code": "248152002"
        },
        {
          "fhir_comments": [
            "   Female (finding)   "
          ],
          "code": "77386006"
        }
      ]
    }
  ]
}

}