GAO Ballot Package

This page is part of the FHIR Specification (v1.1.0: STU 3 Ballot 1). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

This is a frozen snapshot of the FHIR specification created for the purpose of balloting the GAO implementation Guide. It includes draft changes that may be part of the future DSTU 2.1 release but further change is expected. Readers should focus solely on the GAO implementation content, and FHIR DSTU 2 for other purposes.

Observation-example-f204-creatinine.xml

Raw XML (canonical form)

Real-world patient - creatinine (id = "f204")

<Observation xmlns="http://hl7.org/fhir">
  <id value="f204"/>
<!--    The observation is complete    -->
<!--    No reliability concerns    -->
  <text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: f204</p><p><b>identifier</b>: 1304-03720-Creatinine</p><p><b>status</b>: final</p><p><b>code</b>: Creatinine(Serum) <span>(Details : {https://intranet.aumc.nl/labtestcodes code '20005' = '??', given as 'Creatinine(Serum)'}
          )</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>value</b>: 122 umol/L<span> (Details: SNOMED CT code 258814008 = '258814008')</span></p><p><b>interpretation</b>: Serum creatinine raised <span>(Details : {SNOMED CT code '166717003' = '166717003', given as 'Serum creatinine raised'};
           {http://hl7.org/fhir/v2/0078 code 'H' = 'High)</span></p><h3>ReferenceRanges</h3><table><tr><td>-</td><td><b>Low</b></td><td><b>High</b></td><td><b>Meaning</b></td></tr><tr><td>*</td><td>64</td><td>104</td><td>Normal Range <span>(Details : {http://hl7.org/fhir/referencerange-meaning code 'normal' = 'Normal Range',
               given as 'Normal Range'})</span></td></tr></table></div></text><identifier>
    <system value="https://intranet.aumc.nl/labvalues"/>
  <!--    Does not exist    -->
    <value value="1304-03720-Creatinine"/>
  </identifier>
<!--    Creatinine was measured on April fourth    -->
  <status value="final"/>
  <code>
  <!--    Kind of observation = Serum Creatinine, Using only a local code in this example   
      -->
    <coding>
      <system value="https://intranet.aumc.nl/labtestcodes"/>
    <!--    Does not exist    -->
      <code value="20005"/>
      <display value="Creatinine(Serum)"/>
    </coding>
  </code>
  <subject>
    <reference value="Patient/f201"/>
    <display value="Roel"/>
  </subject>
  <issued value="2013-04-04T14:34:00+01:00"/>
  <performer>
    <reference value="Practitioner/f202"/>
    <display value="Luigi Maas"/>
  </performer>
  <valueQuantity>
  <!--    Creatinine=122mmol/L    -->
    <value value="122"/>
    <unit value="umol/L"/>
    <system value="http://snomed.info/sct"/>
    <code value="258814008"/>
  </valueQuantity>
  <interpretation>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="166717003"/>
      <display value="Serum creatinine raised"/>
    </coding>
    <coding>
      <system value="http://hl7.org/fhir/v2/0078"/>
      <code value="H"/>
    </coding>
  </interpretation>
  <referenceRange>
  <!--    Healthy creatinine level ranges from 64umol/L to 104umol/L    -->
    <low>
      <value value="64"/>
    </low>
    <high>
      <value value="104"/>
    </high>
    <meaning>
      <coding>
        <system value="http://hl7.org/fhir/referencerange-meaning"/>
        <code value="normal"/>
        <display value="Normal Range"/>
      </coding>
    </meaning>
  </referenceRange>
</Observation>

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.