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| Orders and Observations Work Group | Maturity Level : N/A | Standards Status : Informative | Compartments : Device , Encounter , 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</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource "f205" </p></div><p><b>identifier</b>: id: 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 style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#33914-3)</span></p><p><b>subject</b>: <a href=\"patient-f201.html\">Patient/f201: Roel</a> "Roel"</p><p><b>issued</b>: 05/04/2013 12:34:00 AM</p><p><b>performer</b>: <a href=\"practitioner-f202.html\">Practitioner/f202: Luigi Maas</a> "Luigi Maas"</p><p><b>interpretation</b>: interpretation of results should be assigned based upon the level of kindey function <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</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 style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#702668005)</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 style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#48643-1)</span></p><p><b>value</b>: >60 mL/min/1.73m2<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mL/min/{1.73_m2} = 'mL/min/{1.73_m2}')</span></p><h3>ReferenceRanges</h3><table class=\"grid\"><tr><td>-</td><td><b>Low</b></td><td><b>AppliesTo</b></td><td><b>Age</b></td></tr><tr><td>*</td><td>60 mL/min/1.73m2<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mL/min/{1.73_m2} = 'mL/min/{1.73_m2}')</span></td><td>non-black/african-american <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></td><td>18-? yrs</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 style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#48642-3)</span></p><p><b>value</b>: 60 mL/min/1.73m2<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mL/min/{1.73_m2} = 'mL/min/{1.73_m2}')</span></p><h3>ReferenceRanges</h3><table class=\"grid\"><tr><td>-</td><td><b>Low</b></td><td><b>Age</b></td></tr><tr><td>*</td><td>60 mL/min/1.73m2<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mL/min/{1.73_m2} = 'mL/min/{1.73_m2}')</span></td><td>18-? yrs</td></tr></table></blockquote></div>"
"resourceType" : "Observation",
"id" : "f205",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"f205\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Observation "f205" </p></div><p><b>identifier</b>: id: 1304-03720-eGFR</p><p><b>status</b>: <span title=\" eGFR was measured on April fourth \">final</span></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 style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#33914-3)</span></p><p><b>subject</b>: <a href=\"patient-example-f201-roel.html\">Patient/f201: Roel</a> "Roel"</p><p><b>issued</b>: 5 Apr 2013, 12:34:00 am</p><p><b>performer</b>: <a href=\"practitioner-example-f202-lm.html\">Practitioner/f202: Luigi Maas</a> "Luigi Maas"</p><p><b>interpretation</b>: <span title=\" no value element since have only component values and unable to interpret results needs clinical interpretation \">interpretation of results should be assigned based upon the level of kindey function <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></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>: <span title=\" The observation is complete &#10; No reliability concerns \">MDRD <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#702668005)</span></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 style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#48643-1)</span></p><p><b>value</b>: >60 mL/min/1.73m2<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mL/min/{1.73_m2} = 'mL/min/{1.73_m2}')</span></p><h3>ReferenceRanges</h3><table class=\"grid\"><tr><td>-</td><td><b>Low</b></td><td><b>AppliesTo</b></td><td><b>Age</b></td></tr><tr><td>*</td><td>60 mL/min/1.73m2<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mL/min/{1.73_m2} = 'mL/min/{1.73_m2}')</span></td><td>non-black/african-american <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></td><td>18-? yrs</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 style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#48642-3)</span></p><p><b>value</b>: 60 mL/min/1.73m2<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mL/min/{1.73_m2} = 'mL/min/{1.73_m2}')</span></p><h3>ReferenceRanges</h3><table class=\"grid\"><tr><td>-</td><td><b>Low</b></td><td><b>Age</b></td></tr><tr><td>*</td><td>60 mL/min/1.73m2<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mL/min/{1.73_m2} = 'mL/min/{1.73_m2}')</span></td><td>18-? yrs</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)"
}
]
"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)"
}]
},
"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/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}"
},
"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" : "Glomerular filtration rate/1.73 sq M predicted among non-blacks [Volume Rate/Area] in Serum or Plasma by Creatinine-based formula (MDRD)"
}]
},
{
"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.
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hl7.fhir.core#5.0.0-draft-final
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