diff --git a/api/src/main/java/org/openmrs/ConceptNumeric.java b/api/src/main/java/org/openmrs/ConceptNumeric.java
index d4ec34ae46b..ae84af36d8d 100644
--- a/api/src/main/java/org/openmrs/ConceptNumeric.java
+++ b/api/src/main/java/org/openmrs/ConceptNumeric.java
@@ -10,6 +10,7 @@
 package org.openmrs;
 
 import java.util.HashSet;
+import java.util.LinkedHashSet;
 import java.util.Set;
 import java.util.TreeSet;
 
@@ -58,7 +59,7 @@ public class ConceptNumeric extends Concept {
 	
 	/** default constructor */
 	public ConceptNumeric() {
-		referenceRanges = new HashSet<>();
+		referenceRanges = new LinkedHashSet<>();
 	}
 	
 	/**
@@ -132,7 +133,7 @@ public ConceptNumeric(Concept c) {
 		this.units = "";
 		this.allowDecimal = false;
 
-		referenceRanges = new HashSet<>();
+		referenceRanges = new LinkedHashSet<>();
 	}
 	
 	// Property accessors
diff --git a/api/src/test/java/org/openmrs/ConceptNumericTest.java b/api/src/test/java/org/openmrs/ConceptNumericTest.java
index 9a2f053f998..f901c8b4688 100644
--- a/api/src/test/java/org/openmrs/ConceptNumericTest.java
+++ b/api/src/test/java/org/openmrs/ConceptNumericTest.java
@@ -19,6 +19,9 @@
 import org.openmrs.api.context.Context;
 import org.openmrs.test.jupiter.BaseContextSensitiveTest;
 
+import java.util.ArrayList;
+import java.util.List;
+
 /**
  * Tests the {@link ConceptNumeric} object
  */
@@ -148,4 +151,33 @@ public void shouldRemoveReferenceRangeFromConceptNumeric() {
 		Context.getConceptService().saveConcept(cn);
 		assertEquals(1, Context.getConceptService().getConceptNumeric(22).getReferenceRanges().size());
 	}
+
+	@Test
+	public void shouldMaintainInsertionOrderOfReferenceRangesWithConstructor() {
+		Concept concept = new Concept();
+		concept.setConceptId(1);
+
+		ConceptNumeric conceptNumeric = new ConceptNumeric(concept);
+
+		ConceptReferenceRange referenceRange1 = new ConceptReferenceRange();
+		referenceRange1.setId(1);
+		ConceptReferenceRange referenceRange2 = new ConceptReferenceRange();
+		referenceRange2.setId(2);
+		ConceptReferenceRange referenceRange3 = new ConceptReferenceRange();
+		referenceRange3.setId(3);
+		ConceptReferenceRange referenceRange4 = new ConceptReferenceRange();
+		referenceRange4.setId(4);
+
+		conceptNumeric.addReferenceRange(referenceRange1);
+		conceptNumeric.addReferenceRange(referenceRange2);
+		conceptNumeric.addReferenceRange(referenceRange3);
+		conceptNumeric.addReferenceRange(referenceRange4);
+
+		List<ConceptReferenceRange> referenceRangeList = new ArrayList<>(conceptNumeric.getReferenceRanges());
+
+		assertEquals(1, referenceRangeList.get(0).getId().intValue());
+		assertEquals(2, referenceRangeList.get(1).getId().intValue());
+		assertEquals(3, referenceRangeList.get(2).getId().intValue());
+		assertEquals(4, referenceRangeList.get(3).getId().intValue());
+	}
 }