"Ambient", "Room Temperature", "Cold " - what is what?

On the outer packaging of pharmaceutical products one often finds labels with storage requirements like for example "ambient", "room temperature" and "cold chain". But what do they exactly mean? And do these conditions also apply during transport?
The second question is easy to answer: "The required storage conditions for medicinal products should be maintained during transportation within the defined limits as described by the manufacturers or on the outer packaging." (EU-GDP Guidelines). But also according to the PIC/S Good Distribution Guide these conditions should be applied also for transportation (see section 9.2.1).

With the first question, it is more difficult. Here, different definitions can be found.

The European Pharmacopoeia (Pharm.Eur.) gives some hints in chapter 1.2 (Other provisions applying to general chapters and monographs) with referring to analytical procedures:

Deep-freeze: below minus 15°C;
Refrigerator: 2°C to 8°C;
Cold or cool: 8°C to 15°C;
Room temperature: 15°C to 25°C.

There are also some definitions in the WHO guidance:

Store frozen: transported within a cold chain and stored at -20°C (4°F).
Store at 2°-8°C (36°-46°F): for heat sensitive products that must not be frozen.
Cool: Store between 8°-15°C (45°-59°F).
Room temperature: Store at 15°-25°C (59°-77°F).
Ambient temperature: Store at the surrounding temperature. This term is not widely used due to significant variation in ambient temperatures. It means "room temperature" or normal storage conditions, which means storage in a dry, clean, well ventilated area at room temperatures between 15° to 25°C (59°-77°F) or up to 30°C, depending on climatic conditions.

And the U.S. Pharmacopeia (USP) has some references:

USP <659> "Packaging and Storage Requirements" gives various examples for different storage conditions, for example:
Cold: Any temperature not exceeding 8°C (46 °F).
Cool: Any temperature between 8° and 15° (46° and 59 °F)
Room temperature: The temperature prevailing in a work area.
Controlled room temperature: The temperature maintained thermostatically that encompasses at the usual and customary working environment of 20°-25° (68°-77 °F). Excursions between 15° and 30° (59° and 86 °F) that are experienced in pharmacies, hospitals, and warehouses, and during shipping are allowed. Provided the mean kinetic temperature does not exceed 25°, transient spikes up to 40° are permitted as long as they do not exceed 24 h. Spikes above 40° may be permitted only if the manufacturer so instructs.
Warm: Any temperature between 30° and 40°C (86° and 104 °F).
Excessive heat: Any temperature above 40° (104 °F).

The Japanese Pharmacopeia (JP) describes temperature for tests or storage as follows:

Cold: 1°C - 15°C
Standard temperature: 20°C
Ordinary temperature: 15°C - 25°C
Room temperature: 1°C - 30°C
Lukewarm: 30°C - 40°C

This is not overall harmonised, as this simple summary shows:

And then there is the EMA GUIDELINE on DECLARATION OF STORAGE CONDITIONS from 2007, requiring that the storage conditions given in the package leaflet (PL) and the labelling of medicinal products should refer to the stability studies made for the finished product:

So as a resume,  terms like "ambient", "room temperature" and "cold chain" should be avoided as the only labelling for storage or transport because they are not always clear and might have different meanings in other parts of the world. Storage conditions are always better explicitly specified in terms of a defined temperature range (e.g., 15°C -25°C or +2°C to +8°C). Particular attention should be given to avoiding freezing of liquids and semi-solids.