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RFR - reference range

HL7 Component Table - RFR - reference range
Seq# Description Implement Flags Cardinality Length C.LEN Vocabulary Data Type
RFR
1 Numeric Range [0..1]     NR
2 Administrative Sex [0..1]     0001 CWE
3 Age Range [0..1]     NR
4 Gestational Age Range [0..1]     NR
5 Species = [0..1]  20 ST
6 Race/subspecies = [0..1]  20 ST
7 Conditions [0..1]     TX

Components: <Numeric Range (NR)> & <Administrative Sex (CWE)> & <Age Range (NR)> & <Gestational Age Range (NR)> & <Species (ST)> & <Race/subspecies (ST)> & <Conditions (TX)>

Subcomponents for Numeric Range (NR): <Low Value (NM)> ^ <High Value (NM)>

Subcomponents for Administrative Sex (CWE): <Identifier (ST)> ^ <Text (ST)> ^ <Name of Coding System (ID)> ^ <Alternate Identifier (ST)> ^ <Alternate Text (ST)> ^ <Name of Alternate Coding System (ID)> ^ <Coding System Version ID (ST)> ^ <Alternate Coding System Version ID (ST)> ^ <Original Text (ST)> ^ <Second Alternate Identifier (ST)> ^ <Second Alternate Text (ST)> ^ <Name of Second Alternate Coding System (ID)> ^ <Second Alternate Coding System Version ID (ST)> ^ <Coding System OID (ST)> ^ <Value Set OID (ST)> ^ <Value Set Version ID (DTM)> ^ <Alternate Coding System OID (ST)> ^ <Alternate Value Set OID (ST)> ^ <Alternate Value Set Version ID (DTM)> ^ <Second Alternate Coding System OID (ST)> ^ <Second Alternate Value Set OID (ST)> ^ <Second Alternate Value Set Version ID (DTM)>

Subcomponents for Age Range (NR): <Low Value (NM)> ^ <High Value (NM)>

Subcomponents for Gestational Age Range (NR): <Low Value (NM)> ^ <High Value (NM)>

Definition: Describes a reference range and its supporting detail.

Note: Replaces the CM data type used in sections 8.8.4.6 - OM2-6, 8.8.4.7 - OM2-7 and 8.8.4.8 - OM2-8 as of v 2.5.


Examples:

  1. A range that applies unconditionally, such as albumin, is transmitted as:

|3.0&5.5|

  1. A normal range that depends on sex, such as Hgb, is transmitted as:

|13.5&18^M~12.0 & 16^F|

  1. A normal range that depends on age, sex, and race (a concocted example) is:

|10&13^M^0&2^^^B11&13.5^M^2&20^^^B~12&14.5^M^20&70^^^B~13&16.0^M^70&^^^B|

When no value is specified for a particular component, the range given applies to all categories of that component. For example, when nothing is specified for race/species, the range should be taken as the human range without regard to race. If no age range is specified, the normal range given is assumed to apply to all ages.

RFR-1: Numeric Range (NR)

Definition: This component specifies the numeric interval of the reference data. Range is taken to be inclusive (i.e., the range includes the end points). Units are context sensitive and are defined in the usage note for the field where this data type is used.

RFR-2: Administrative Sex (CWE)

Definition: This component specifies which gender for which the reference range is valid. Refer to User-defined Table 0001 – Administrative Sex in Chapter 2C, section 3.4.2.8, "Administrative Sex" for suggested values.

RFR-3: Age Range (NR)

Definition: This component specifies the age range for which the reference range is valid. Ages of less than one year should be specified as a fraction (e.g., 1 month = 0.0830, 1 week = 0.01920, 1 day = 0.0027300). However, for most purposes involving infants, the gestational age (measured in weeks) is preferred. The lower end of the range is not indicated; the upper end is, assuring that series of ranges do not overlap.

RFR-4: Gestational Age Range (NR)

Definition: This component specifies the gestational age range for which the reference range is valid. Gestational age is relevant only when the reference range is influenced by the stage of pregnancy. The gestational age is measured in weeks from conception. For example, |1&4| implies that the normals apply to gestational ages from 1 week to 4 weeks inclusive. The lower end of the range is not included; the upper end is, assuring that series of age ranges do not overlap.

RFR-5: Species (ST)

Definition: This component specifies the species for which the reference range is valid. Species is assumed to be human unless otherwise stated. Example values are rabbit, mouse, and rat.

RFR-6: Race/subspecies (ST)

Definition: This component specifies the race or subspecies for which the reference range is valid. In the case of humans (the default species), the race is specified when race influences the reference range. When normal ranges for animals are being described, this component can be used to describe subspecies or special breeds of animals.

RFR-7: Conditions (TX)

Definition: This component specifies any arbitrary condition for which the reference range is valid. This may include such conditions as phase of menstrual cycle or dose of a particular drug. It is provided as a way to communicate the normal ranges for special conditions. It does not allow automatic checking of these text conditions.