<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="referencerange-meaning" />
  <meta>
    <lastUpdated value="2017-04-19T07:44:43.294+10:00" />
    <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem" />
  </meta>
  <text>
    <status value="generated" />
    <div xmlns="http://www.w3.org/1999/xhtml">
      <h2>Observation Reference Range Meaning Codes</h2>
      <div>
        <p>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.</p>
      </div>
      <p>
        <b>Properties</b>
      </p>
      <table class="grid">
        <tr>
          <td>
            <b>Code</b>
          </td>
          <td>
            <b>URL</b>
          </td>
          <td>
            <b>Description</b>
          </td>
          <td>
            <b>Type</b>
          </td>
        </tr>
        <tr>
          <td>abstract</td>
          <td />
          <td>True if an element is considered 'abstract' - that is the code is not for use as a real concept</td>
          <td>boolean</td>
        </tr>
      </table>
      <p>This code system http://hl7.org/fhir/referencerange-meaning 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="referencerange-meaning-type"></a></td>
          <td>Type</td>
          <td>General types of reference range.</td>
        </tr>
        <tr>
          <td>2</td>
          <td>  normal
                  <a name="referencerange-meaning-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="referencerange-meaning-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="referencerange-meaning-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="referencerange-meaning-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="referencerange-meaning-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="referencerange-meaning-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="referencerange-meaning-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="referencerange-meaning-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="referencerange-meaning-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="referencerange-meaning-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="referencerange-meaning-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="referencerange-meaning-postmeopausal"></a></td>
          <td>Post-Menopause</td>
          <td>An expected range in an individual post-menopause.</td>
        </tr>
      </table>
    </div>
  </text>
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status">
    <valueString value="Informative" />
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="5" />
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="oo" />
  </extension>
  <url value="http://hl7.org/fhir/referencerange-meaning" />
  <identifier>
    <system value="urn:ietf:rfc:3986" />
    <value value="urn:oid:2.16.840.1.113883.4.642.1.385" />
  </identifier>
  <version value="3.0.1" />
  <name value="Observation Reference Range Meaning Codes" />
  <status value="draft" />
  <experimental value="true" />
  <publisher value="FHIR Project team" />
  <contact>
    <telecom>
      <system value="url" />
      <value value="http://hl7.org/fhir" />
    </telecom>
  </contact>
  <description value="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 value="true" />
  <valueSet value="http://hl7.org/fhir/ValueSet/referencerange-meaning" />
  <hierarchyMeaning value="is-a" />
  <content value="complete" />
  <property>
    <code value="abstract" />
    <description value="True if an element is considered 'abstract' - that is the code is not for use as a real concept" />
    <type value="boolean" />
  </property>
  <concept>
    <code value="type" />
    <display value="Type" />
    <definition value="General types of reference range." />
    <property>
      <code value="abstract" />
      <valueBoolean value="true" />
    </property>
    <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" />
    <display value="Endocrine" />
    <definition value="Endocrine related states that change the expected value." />
    <property>
      <code value="abstract" />
      <valueBoolean value="true" />
    </property>
    <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>