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Observation-example-f205-egfr.json

Example Observation/f205 (JSON)

Maturity Level : N/A
Responsible Owner: Orders and Observations Work Group Standards Status : Informative Compartments : Device , Encounter , Group , Patient , Practitioner , RelatedPerson

Raw JSON ( canonical form + also see JSON Format Specification )

Real-world patient - estimated gfr 

{
  "resourceType": "Observation",
  "id": "f205",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: f205</p><p><b>identifier</b>: 1304-03720-eGFR</p><p><b>status</b>: final</p><p><b>code</b>: Glomerular filtration rate/1.73 sq M.predicted [Volume Rate/Area] in Serum or Plasma by Creatinine-based formula (MDRD) <span>(Details : {LOINC code '33914-3' = 'Glomerular filtration rate/1.73 sq M.predicted by Creatinine-based formula (MDRD)', given as 'Glomerular filtration rate/1.73 sq M.predicted [Volume Rate/Area] in Serum or Plasma by Creatinine-based formula (MDRD)'})</span></p><p><b>subject</b>: <a>Roel</a></p><p><b>issued</b>: 04/04/2013 2:34:00 PM</p><p><b>performer</b>: <a>Luigi Maas</a></p><p><b>interpretation</b>: interpretation of results should be assigned based upon the level of kindey function <span>(Details )</span></p><p><b>note</b>: GFR estimating equations developed by the Modification of Diet in Renal Disease (MDRD) Study Group and the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI)....</p><p><b>method</b>: MDRD <span>(Details : {SNOMED CT code '702668005' = 'Modification of diet in renal disease formula', given as 'MDRD'})</span></p><blockquote><p><b>component</b></p><p><b>code</b>: Glomerular filtration rate/1.73 sq M predicted among blacks [Volume Rate/?Area] in Serum or Plasma by Creatinine-based formula (MDRD) <span>(Details : {LOINC code '48643-1' = 'Glomerular filtration rate/1.73 sq M predicted among blacks by Creatinine-based formula (MDRD)', given as 'Glomerular filtration rate/1.73 sq M predicted among blacks [Volume Rate/?Area] in Serum or Plasma by Creatinine-based formula (MDRD)'})</span></p><p><b>value</b>: &gt;60 mL/min/1.73m2<span> (Details: UCUM code mL/min/{1.73_m2} = 'mL/min/{1.73_m2}')</span></p><h3>ReferenceRanges</h3><table><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Glomerular filtration rate/1.73 sq M predicted among non-blacks [Volume Rate/Area] in Serum or Plasma by Creatinine-based formula (MDRD) <span>(Details : {LOINC code '48642-3' = 'Glomerular filtration rate/1.73 sq M predicted among non-blacks by Creatinine-based formula (MDRD)', given as 'Glomerular filtration rate/1.73 sq M predicted among non-blacks [Volume Rate/Area] in Serum or Plasma by Creatinine-based formula (MDRD)'})</span></p><p><b>value</b>: 60 mL/min/1.73m2<span> (Details: UCUM code mL/min/{1.73_m2} = 'mL/min/{1.73_m2}')</span></p><h3>ReferenceRanges</h3><table><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote></div>"
  },
  "identifier": [
    {
      "system": "https://intranet.aumc.nl/labvalues",
      "value": "1304-03720-eGFR"
    }
  ],
  "status": "final",
  "code": {
    "coding": [
      {
        "system": "http://loinc.org",
        "code": "33914-3",
        "display": "Glomerular filtration rate/1.73 sq M.predicted [Volume Rate/Area] in Serum or Plasma by Creatinine-based formula (MDRD)"
      }
    ]

  "resourceType" : "Observation",
  "id" : "f205",
  "identifier" : [{
    "system" : "https://intranet.aumc.nl/labvalues",
    "value" : "1304-03720-eGFR"
  }],
  "status" : "final",
  "code" : {
    "coding" : [{
      "system" : "http://loinc.org",
      "code" : "33914-3",
      "display" : "Glomerular filtration rate [Volume Rate/Area] in Serum or Plasma by Creatinine-based formula (MDRD)/1.73 sq M"
    }]

  },
  "subject": {
    "reference": "Patient/f201",
    "display": "Roel"

  "subject" : {
    "reference" : "Patient/f201",
    "display" : "Roel"

  },
  "issued": "2013-04-04T14:34:00+01:00",
  "performer": [
    {
      "reference": "Practitioner/f202",
      "display": "Luigi Maas"
    }
  ],
  "interpretation": [
    {
      "text": "interpretation of results should be assigned based upon the level of kindey function"
    }
  ],
  "note": [
    {
      "text": "GFR estimating equations developed by the Modification of Diet in Renal Disease (MDRD) Study Group and the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI)...."
    }
  ],
  "method": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "702668005",
        "display": "MDRD"
      }
    ]

  "issued" : "2013-04-04T14:34:00+01:00",
  "performer" : [{
    "reference" : "Practitioner/f202",
    "display" : "Luigi Maas"
  }],
  "interpretation" : [{
    "text" : "interpretation of results should be assigned based upon the level of kindey function"
  }],
  "note" : [{
    "text" : "GFR estimating equations developed by the Modification of Diet in Renal Disease (MDRD) Study Group and the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI)...."
  }],
  "method" : {
    "coding" : [{
      "system" : "http://snomed.info/sct",
      "code" : "702668005",
      "display" : "MDRD"
    }]

  },
  "component": [
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "48643-1",
            "display": "Glomerular filtration rate/1.73 sq M predicted among blacks [Volume Rate/?Area] in Serum or Plasma by Creatinine-based formula (MDRD)"
          }
        ]
      },
      "valueQuantity": {
        "value": 60,
        "comparator": ">",
        "unit": "mL/min/1.73m2",
        "system": "http://unitsofmeasure.org",
        "code": "mL/min/{1.73_m2}"

  "component" : [{
    "code" : {
      "coding" : [{
        "system" : "http://loinc.org",
        "code" : "48643-1",
        "display" : "Glomerular filtration rate [Volume Rate/Area] in Serum, Plasma or Blood by Creatinine-based formula (MDRD)/1.73 sq M among black population"
      }]
    },
    "valueQuantity" : {
      "value" : 60,
      "comparator" : ">",
      "unit" : "mL/min/1.73m2",
      "system" : "http://unitsofmeasure.org",
      "code" : "mL/min/{1.73_m2}"
    },
    "referenceRange" : [{
      "low" : {
        "value" : 60,
        "unit" : "mL/min/1.73m2",
        "system" : "http://unitsofmeasure.org",
        "code" : "mL/min/{1.73_m2}"

      },
      "referenceRange": [
        {
          "low": {
            "value": 60,
            "unit": "mL/min/1.73m2",
            "system": "http://unitsofmeasure.org",
            "code": "mL/min/{1.73_m2}"
          },
          "appliesTo": [
            {
              "text": "non-black/african-american"
            }
          ],
          "age": {
            "low": {
              "value": 18,
              "unit": "yrs",
              "system": "http://unitsofmeasure.org",
              "code": "a"
            }
          }

      "appliesTo" : [{
        "text" : "non-black/african-american"
      }],
      "age" : {
        "low" : {
          "value" : 18,
          "unit" : "yrs",
          "system" : "http://unitsofmeasure.org",
          "code" : "a"

        }
      ]

      }
    }]
  },
  {
    "code" : {
      "coding" : [{
        "system" : "http://loinc.org",
        "code" : "48642-3",
        "display" : "GFR/BSA pr.non blk SerPlBld MDRD-ArV"
      }]

    },
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "48642-3",
            "display": "Glomerular filtration rate/1.73 sq M predicted among non-blacks [Volume Rate/Area] in Serum or Plasma by Creatinine-based formula (MDRD)"
          }
        ]
      },
      "valueQuantity": {
        "value": 60,
        "unit": "mL/min/1.73m2",
        "system": "http://unitsofmeasure.org",
        "code": "mL/min/{1.73_m2}"

    "valueQuantity" : {
      "value" : 60,
      "unit" : "mL/min/1.73m2",
      "system" : "http://unitsofmeasure.org",
      "code" : "mL/min/{1.73_m2}"
    },
    "referenceRange" : [{
      "low" : {
        "value" : 60,
        "unit" : "mL/min/1.73m2",
        "system" : "http://unitsofmeasure.org",
        "code" : "mL/min/{1.73_m2}"

      },
      "referenceRange": [
        {
          "low": {
            "value": 60,
            "unit": "mL/min/1.73m2",
            "system": "http://unitsofmeasure.org",
            "code": "mL/min/{1.73_m2}"
          },
          "age": {
            "low": {
              "value": 18,
              "unit": "yrs",
              "system": "http://unitsofmeasure.org",
              "code": "a"
            }
          }

      "age" : {
        "low" : {
          "value" : 18,
          "unit" : "yrs",
          "system" : "http://unitsofmeasure.org",
          "code" : "a"

        }
      ]
    }
  ]

      }
    }]
  }]

}

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.