<ValueSet xmlns="http://hl7.org/fhir">
  <id value="spark114" />
  <meta>
    <versionId value="spark114" />
    <lastUpdated value="2015-10-02T12:06:23.098+00:00" />
    <profile value="http://hl7.org/fhir/StructureDefinition/valueset-shareable-definition" />
  </meta>
  <text>
    <status value="generated" />
    <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.
            </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>  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>  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>  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>  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>    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>    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>  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>  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>  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>  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>  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>
  </text>
  <extension url="http://hl7.org/fhir/StructureDefinition/valueset-oid">
    <valueUri value="urn:oid:2.16.840.1.113883.4.642.2.217" />
  </extension>
  <url value="http://hl7.org/fhir/ValueSet/referencerange-meaning" />
  <version value="1.0.1" />
  <name value="Observation Reference Range Meaning Codes" />
  <status value="draft" />
  <experimental value="true" />
  <publisher value="FHIR Project team" />
  <contact>
    <telecom>
      <system value="other" />
      <value value="http://hl7.org/fhir" />
    </telecom>
  </contact>
  <date value="2015-09-22T13:47:23+10:00" />
  <description value="This value set defines a set of codes that can be used to indicate the meaning/use of a reference range." />
  <copyright value="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 value="urn:oid:2.16.840.1.113883.4.642.1.217" />
    </extension>
    <system value="http://hl7.org/fhir/referencerange-meaning" />
    <caseSensitive value="true" />
    <concept>
      <code value="type" />
      <abstract value="true" />
      <display value="Type" />
      <definition value="General types of reference range." />
      <concept>
        <code value="normal" />
        <display value="Normal Range" />
        <definition value="Based on 95th percentile for the relevant control population." />
      </concept>
      <concept>
        <code value="recommended" />
        <display value="Recommended Range" />
        <definition value="The range that is recommended by a relevant professional body." />
      </concept>
      <concept>
        <code value="treatment" />
        <display value="Treatment Range" />
        <definition value="The range at which treatment would/should be considered." />
      </concept>
      <concept>
        <code value="therapeutic" />
        <display value="Therapeutic Desired Level" />
        <definition value="The optimal range for best therapeutic outcomes." />
        <concept>
          <code value="pre" />
          <display value="Pre Therapeutic Desired Level" />
          <definition value="The optimal range for best therapeutic outcomes for a specimen taken immediately before administration." />
        </concept>
        <concept>
          <code value="post" />
          <display value="Post Therapeutic Desired Level" />
          <definition value="The optimal range for best therapeutic outcomes for a specimen taken immediately after administration." />
        </concept>
      </concept>
    </concept>
    <concept>
      <code value="endocrine" />
      <abstract value="true" />
      <display value="Endocrine" />
      <definition value="Endocrine related states that change the expected value." />
      <concept>
        <code value="pre-puberty" />
        <display value="Pre-Puberty" />
        <definition value="An expected range in an individual prior to puberty." />
      </concept>
      <concept>
        <code value="follicular" />
        <display value="Follicular Stage" />
        <definition value="An expected range in an individual during the follicular stage of the cycle." />
      </concept>
      <concept>
        <code value="midcycle" />
        <display value="MidCycle" />
        <definition value="An expected range in an individual during the follicular stage of the cycle." />
      </concept>
      <concept>
        <code value="luteal" />
        <display value="Luteal" />
        <definition value="An expected range in an individual during the luteal stage of the cycle." />
      </concept>
      <concept>
        <code value="postmeopausal" />
        <display value="Post-Menopause" />
        <definition value="An expected range in an individual post-menopause." />
      </concept>
    </concept>
  </codeSystem>
  <compose>
    <import value="http://hl7.org/fhir/ValueSet/v3-Race" />
    <include>
      <system value="http://snomed.info/sct" />
      <concept>
        <code value="248153007" />
      </concept>
      <concept>
        <code value="248152002" />
      </concept>
      <concept>
        <code value="77386006" />
      </concept>
    </include>
  </compose>
</ValueSet>