Order Catalog Implementation Guide
1.0.0 - STU 1

Order Catalog Implementation Guide, published by HL7 International / Orders and Observations. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-order-catalog/ and changes regularly. See the Directory of published versions

## ValueSet: Lab normal clinical focus for billing vitamin D

Official URL: http://hl7.org/fhir/uv/order-catalog/ValueSet/example-normal-contexts-vitamin-d | Version: 1.0.0
Standards status: Trial-use | Maturity Level: 2 | Computable Name: NormalReasonsVitaminD
Other Identifiers: OID:2.16.840.1.113883.4.642.40.55.48.2
Copyright/Legal: 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

This value set lists the normal responses associated with the question "clinical context for prescribing the Vitamin D test", authorizing reimbursement of this test.

References

This value set is not used here; it may be used elsewhere (e.g. specifications and/or implementations that use this content)

### Logical Definition (CLD)

Last updated: 2020-03-10 07:30:00+0000; Language: en

This value set includes codes based on the following rules:

- Include codes from`http://snomed.info/sct` version Not Stated (use latest from terminology server) where concept is-a 41345002 (Rickets)
- Include codes from`http://snomed.info/sct` version Not Stated (use latest from terminology server) where concept is-a 4598005 (Osteomalacia)
- Include codes from`http://snomed.info/sct` version Not Stated (use latest from terminology server) where concept is-a 737295003 (Transplanted kidney present)
- Include codes from`http://snomed.info/sct` version Not Stated (use latest from terminology server) where concept is-a 707206008 (Assessment for bariatric surgery)
- Include codes from`http://snomed.info/sct` version Not Stated (use latest from terminology server) where concept is-a 443731004 (Assessment using falls risk assessment score for the elderly (procedure))

### Expansion

Expansion from tx.fhir.org based on SNOMED CT International edition 01-Feb 2025

This value set expansion contains 65 concepts.

System | Code | Display (en) - English (English, en) | JSON | XML
`http://snomed.info/sct` | 41345002 | Rickets |  |
`http://snomed.info/sct` | 56233004 | Calcipenic type rickets |  |
`http://snomed.info/sct` | 66266003 | Phosphopenic type rickets |  |
`http://snomed.info/sct` | 67049004 | Vitamin D-dependent rickets, type 1 |  |
`http://snomed.info/sct` | 68295002 | Vitamin D-dependent rickets |  |
`http://snomed.info/sct` | 70079009 | Late effects of rickets (one year OR more) |  |
`http://snomed.info/sct` | 72831007 | Vitamin D-dependent rickets, type 2 |  |
`http://snomed.info/sct` | 82236004 | Familial x-linked hypophosphatemic vitamin D refractory rickets |  |
`http://snomed.info/sct` | 90505000 | Autosomal recessive hypophosphatemic vitamin D refractory rickets |  |
`http://snomed.info/sct` | 190640006 | Active rickets |  |
`http://snomed.info/sct` | 190860000 | Hypophosphatasia rickets |  |
`http://snomed.info/sct` | 237888005 | Hypophosphataemic rickets with nephrotic-glycosuric dwarfism |  |
`http://snomed.info/sct` | 237889002 | Autosomal dominant hypophosphatemic rickets |  |
`http://snomed.info/sct` | 237894002 | Vitamin D-dependent rickets type II with alopecia |  |
`http://snomed.info/sct` | 237895001 | VDDR IIb - Vitamin D-dependent rickets IIb |  |
`http://snomed.info/sct` | 275404008 | Celiac rickets |  |
`http://snomed.info/sct` | 276702002 | Neonatal rickets |  |
`http://snomed.info/sct` | 278932006 | Biochemical rickets |  |
`http://snomed.info/sct` | 722947004 | Hypocalcemic rickets |  |
`http://snomed.info/sct` | 726081005 | Hereditary hypophosphatemic rickets with hypercalciuria |  |
`http://snomed.info/sct` | 1354700003 | Rickets due to prematurity |  |
`http://snomed.info/sct` | 4598005 | Osteomalacia |  |
`http://snomed.info/sct` | 46885003 | Osteomalacic pelvis |  |
`http://snomed.info/sct` | 47774001 | Anticonvulsant drug-induced osteomalacia |  |
`http://snomed.info/sct` | 190643008 | Puerperal osteomalacia |  |
`http://snomed.info/sct` | 190644002 | Senile osteomalacia |  |
`http://snomed.info/sct` | 190645001 | Adult osteomalacia due to malabsorption |  |
`http://snomed.info/sct` | 190646000 | Adult osteomalacia due to malnutrition |  |
`http://snomed.info/sct` | 236548002 | Osteomalacia secondary to aluminum toxicity |  |
`http://snomed.info/sct` | 240165007 | Drug-induced osteomalacia |  |
`http://snomed.info/sct` | 240167004 | Osteomalacia secondary to pregnancy |  |
`http://snomed.info/sct` | 392559009 | Tumour-induced osteomalacia |  |
`http://snomed.info/sct` | 717934004 | Osteomalacia due to vitamin D deficiency |  |
`http://snomed.info/sct` | 1153361007 | Adult osteomalacia due to liver disease |  |
`http://snomed.info/sct` | 1153362000 | Adult osteomalacia due to endocrine disease |  |
`http://snomed.info/sct` | 737295003 | Transplanted kidney present |  |
`http://snomed.info/sct` | 58797008 | Disorder of transplanted kidney |  |
`http://snomed.info/sct` | 213150003 | Kidney transplant failure and rejection |  |
`http://snomed.info/sct` | 236569000 | Primary non-function of renal transplant |  |
`http://snomed.info/sct` | 236570004 | Renal transplant rejection |  |
`http://snomed.info/sct` | 236571000 | Hyperacute rejection of renal transplant |  |
`http://snomed.info/sct` | 236572007 | Accelerated rejection of renal transplant |  |
`http://snomed.info/sct` | 236573002 | Very mild acute rejection of renal transplant |  |
`http://snomed.info/sct` | 236574008 | Acute rejection of renal transplant |  |
`http://snomed.info/sct` | 236575009 | Acute rejection of renal transplant - grade I |  |
`http://snomed.info/sct` | 236576005 | Acute rejection of renal transplant - grade II |  |
`http://snomed.info/sct` | 236577001 | Acute rejection of renal transplant - grade III |  |
`http://snomed.info/sct` | 236578006 | Chronic rejection of renal transplant |  |
`http://snomed.info/sct` | 236579003 | Mild chronic transplant nephropathy |  |
`http://snomed.info/sct` | 236580000 | Chronic rejection of renal transplant - grade II |  |
`http://snomed.info/sct` | 236581001 | Severe chronic transplant nephropathy |  |
`http://snomed.info/sct` | 236582008 | Acute-on-chronic rejection of renal transplant |  |
`http://snomed.info/sct` | 236583003 | Failed renal transplant |  |
`http://snomed.info/sct` | 236584009 | Perfusion injury of renal transplant |  |
`http://snomed.info/sct` | 236587002 | Transplant glomerulopathy |  |
`http://snomed.info/sct` | 236588007 | Transplant glomerulopathy - early form |  |
`http://snomed.info/sct` | 236589004 | Transplant glomerulopathy - late form |  |
`http://snomed.info/sct` | 236614007 | Perirenal and periureteric post-transplant lymphocele |  |
`http://snomed.info/sct` | 277010001 | Unexplained episode of renal transplant dysfunction |  |
`http://snomed.info/sct` | 426136000 | Delayed renal graft function |  |
`http://snomed.info/sct` | 707148007 | Recurrent post-transplant renal disease |  |
`http://snomed.info/sct` | 1144941009 | Chronic tubulointerstitial nephritis following renal transplantation |  |
`http://snomed.info/sct` | 145781000119106 | Infection of transplanted kidney |  |
`http://snomed.info/sct` | 707206008 | Assessment for bariatric surgery |  |
`http://snomed.info/sct` | 443731004 | Assessment using Falls Risk Assessment Scale for the Elderly |  |

Explanation of the columns that may appear on this page:

Level | A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
System | The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code | The code (used as the code in the resource instance)
Display | The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition | An explanation of the meaning of the concept
Comments | Additional notes about how to use the code