{
  "resourceType" : "CodeSystem",
  "id" : "referencerange-meaning",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n            <p>\n              <b>Properties</b>\n            </p>\n            <table class=\"grid\">\n              <tr>\n                <td>\n                  <b>Code</b>\n                </td>\n                <td>\n                  <b>Type</b>\n                </td>\n                <td>\n                  <b>Description</b>\n                </td>\n              </tr>\n              <tr>\n                <td>abstract</td>\n                <td>boolean</td>\n                <td>True if an element is considered 'abstract' - in otherwords, the code is not for use as a real concept</td>\n              </tr>\n            </table>\n            <p>This code system http://terminology.hl7.org/CodeSystem/referencerange-meaning defines the following codes:</p>\n            <table class=\"codes\">\n              <tr>\n                <td>\n                  <b>Lvl</b>\n                </td>\n                <td style=\"white-space:nowrap\">\n                  <b>Code</b>\n                </td>\n                <td>\n                  <b>Display</b>\n                </td>\n                <td>\n                  <b>Definition</b>\n                </td>\n                <td>\n                  <b>abstract</b>\n                </td>\n              </tr>\n              <tr>\n                <td>1</td>\n                <td style=\"white-space:nowrap\">type\n                  <a name=\"referencerange-meaning-type\"> </a>\n                </td>\n                <td>Type</td>\n                <td>General types of reference range.</td>\n                <td>true</td>\n              </tr>\n              <tr>\n                <td>2</td>\n                <td style=\"white-space:nowrap\">\u00a0\u00a0normal\n                  <a name=\"referencerange-meaning-normal\"> </a>\n                </td>\n                <td>Normal Range</td>\n                <td>Values expected for a normal member of the relevant control population being measured. Typically each results producer such as a laboratory has specific normal ranges and they are usually defined as within two standard deviations from the mean and account for 95.45% of this population.</td>\n                <td/>\n              </tr>\n              <tr>\n                <td>2</td>\n                <td style=\"white-space:nowrap\">\u00a0\u00a0recommended\n                  <a name=\"referencerange-meaning-recommended\"> </a>\n                </td>\n                <td>Recommended Range</td>\n                <td>The range that is recommended by a relevant professional body.</td>\n                <td/>\n              </tr>\n              <tr>\n                <td>2</td>\n                <td style=\"white-space:nowrap\">\u00a0\u00a0treatment\n                  <a name=\"referencerange-meaning-treatment\"> </a>\n                </td>\n                <td>Treatment Range</td>\n                <td>The range at which treatment would/should be considered.</td>\n                <td/>\n              </tr>\n              <tr>\n                <td>2</td>\n                <td style=\"white-space:nowrap\">\u00a0\u00a0therapeutic\n                  <a name=\"referencerange-meaning-therapeutic\"> </a>\n                </td>\n                <td>Therapeutic Desired Level</td>\n                <td>The optimal range for best therapeutic outcomes.</td>\n                <td/>\n              </tr>\n              <tr>\n                <td>3</td>\n                <td style=\"white-space:nowrap\">\u00a0\u00a0\u00a0\u00a0pre\n                  <a name=\"referencerange-meaning-pre\"> </a>\n                </td>\n                <td>Pre Therapeutic Desired Level</td>\n                <td>The optimal range for best therapeutic outcomes for a specimen taken immediately before administration.</td>\n                <td/>\n              </tr>\n              <tr>\n                <td>3</td>\n                <td style=\"white-space:nowrap\">\u00a0\u00a0\u00a0\u00a0post\n                  <a name=\"referencerange-meaning-post\"> </a>\n                </td>\n                <td>Post Therapeutic Desired Level</td>\n                <td>The optimal range for best therapeutic outcomes for a specimen taken immediately after administration.</td>\n                <td/>\n              </tr>\n              <tr>\n                <td>1</td>\n                <td style=\"white-space:nowrap\">endocrine\n                  <a name=\"referencerange-meaning-endocrine\"> </a>\n                </td>\n                <td>Endocrine</td>\n                <td>Endocrine related states that change the expected value.</td>\n                <td>true</td>\n              </tr>\n              <tr>\n                <td>2</td>\n                <td style=\"white-space:nowrap\">\u00a0\u00a0pre-puberty\n                  <a name=\"referencerange-meaning-pre-puberty\"> </a>\n                </td>\n                <td>Pre-Puberty</td>\n                <td>An expected range in an individual prior to puberty.</td>\n                <td/>\n              </tr>\n              <tr>\n                <td>2</td>\n                <td style=\"white-space:nowrap\">\u00a0\u00a0follicular\n                  <a name=\"referencerange-meaning-follicular\"> </a>\n                </td>\n                <td>Follicular Stage</td>\n                <td>An expected range in an individual during the follicular stage of the cycle.</td>\n                <td/>\n              </tr>\n              <tr>\n                <td>2</td>\n                <td style=\"white-space:nowrap\">\u00a0\u00a0midcycle\n                  <a name=\"referencerange-meaning-midcycle\"> </a>\n                </td>\n                <td>MidCycle</td>\n                <td>An expected range in an individual during the midcycle stage of the cycle.</td>\n                <td/>\n              </tr>\n              <tr>\n                <td>2</td>\n                <td style=\"white-space:nowrap\">\u00a0\u00a0luteal\n                  <a name=\"referencerange-meaning-luteal\"> </a>\n                </td>\n                <td>Luteal</td>\n                <td>An expected range in an individual during the luteal stage of the cycle.</td>\n                <td/>\n              </tr>\n              <tr>\n                <td>2</td>\n                <td style=\"white-space:nowrap\">\u00a0\u00a0postmenopausal\n                  <a name=\"referencerange-meaning-postmenopausal\"> </a>\n                </td>\n                <td>Post-Menopause</td>\n                <td>An expected range in an individual post-menopause.</td>\n                <td/>\n              </tr>\n            </table>\n          </div>"
  },
  "extension" : [{
    "extension" : [{
      "url" : "packageId",
      "valueId" : "hl7.fhir.uv.xver-r4b.r3"
    },
    {
      "url" : "version",
      "valueString" : "0.1.0"
    },
    {
      "url" : "uri",
      "valueUri" : "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4b.r3"
    }],
    "url" : "http://hl7.org/fhir/StructureDefinition/package-source"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode" : "oo"
  }],
  "url" : "http://terminology.hl7.org/CodeSystem/referencerange-meaning",
  "version" : "4.3.0",
  "name" : "ObservationReferenceRangeMeaningCodes",
  "title" : "Observation Reference Range Meaning Codes",
  "status" : "draft",
  "experimental" : false,
  "date" : "2026-03-20T13:55:37+11:00",
  "publisher" : "Orders and Observations",
  "contact" : [{
    "name" : "Orders and Observations",
    "telecom" : [{
      "system" : "url",
      "value" : "http://www.hl7.org/Special/committees/orders"
    }]
  }],
  "description" : "This value set defines a set of codes that can be used to indicate the meaning/use of a reference range.",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
      "code" : "001",
      "display" : "World"
    }]
  }],
  "copyright" : "This resource includes content from SNOMED Clinical Terms® (SNOMED CT®) which is copyright of the International Health Terminology Standards Development Organisation (IHTSDO). Implementers of these specifications must have the appropriate SNOMED CT Affiliate license - for more information contact http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org",
  "caseSensitive" : true,
  "hierarchyMeaning" : "is-a",
  "content" : "complete",
  "property" : [{
    "code" : "abstract",
    "description" : "True if an element is considered 'abstract' - in otherwords, 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" : "Values expected for a normal member of the relevant control population being measured. Typically each results producer such as a laboratory has specific normal ranges and they are usually defined as within two standard deviations from the mean and account for 95.45% of this 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 midcycle stage of the cycle."
    },
    {
      "code" : "luteal",
      "display" : "Luteal",
      "definition" : "An expected range in an individual during the luteal stage of the cycle."
    },
    {
      "code" : "postmenopausal",
      "display" : "Post-Menopause",
      "definition" : "An expected range in an individual post-menopause."
    }]
  }]
}