{
  "resourceType": "CodeSystem",
  "id": "referencerange-meaning",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>The narrative has been removed to reduce the size of the distribution of the Hl7.Fhir.Specification library</p></div>"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status",
      "valueString": "Informative"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger": 5
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode": "oo"
    }
  ],
  "url": "http://hl7.org/fhir/referencerange-meaning",
  "identifier": {
    "system": "urn:ietf:rfc:3986",
    "value": "urn:oid:2.16.840.1.113883.4.642.1.385"
  },
  "version": "3.0.0",
  "name": "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' - that is 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": "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",
      "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 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."
        }
      ]
    }
  ]
}