{
  "resourceType": "ValueSet",
  "id": "spark114",
  "meta": {
    "versionId": "spark114",
    "lastUpdated": "2015-10-02T12:06:23.098+00:00",
    "profile": [
      "http://hl7.org/fhir/StructureDefinition/valueset-shareable-definition"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><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 © 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.\r\n            </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\r\n                  <a name=\"type\"></a></td><td>Type</td><td>General types of reference range.</td></tr><tr><td>2</td><td>  normal\r\n                  <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>  recommended\r\n                  <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>  treatment\r\n                  <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>  therapeutic\r\n                  <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>    pre\r\n                  <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>    post\r\n                  <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\r\n                  <a name=\"endocrine\"></a></td><td>Endocrine</td><td>Endocrine related states that change the expected value.</td></tr><tr><td>2</td><td>  pre-puberty\r\n                  <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>  follicular\r\n                  <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>  midcycle\r\n                  <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>  luteal\r\n                  <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>  postmeopausal\r\n                  <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 \r\n                <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\r\n                <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": "1.0.1",
  "name": "Observation Reference Range Meaning Codes",
  "status": "draft",
  "experimental": true,
  "publisher": "FHIR Project team",
  "contact": [
    {
      "telecom": [
        {
          "system": "other",
          "value": "http://hl7.org/fhir"
        }
      ]
    }
  ],
  "date": "2015-09-22T03:47:23+00:00",
  "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"
          },
          {
            "code": "248152002"
          },
          {
            "code": "77386006"
          }
        ]
      }
    ]
  }
}