Observation-example-f205-egfr.xml

Real-world patient - estimated gfr (id = "f205")

<?xml version="1.0" encoding="UTF-8"?>

<Observation xmlns="http://hl7.org/fhir">
  <id value="f205"/> 
  <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative</b> </p> <p> <b> id</b> : f205</p> <p> <b> identifier</b> : id: 1304-03720-eGFR</p> <p/>  <p> <b> code</b> : <span> 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. Generated Summary: id: f201; BSN: 123456789 (OFFICIAL), BSN: 123456789 (OFFICIAL);
           active; Roel(OFFICIAL); ph: +31612345678(MOBILE), ph: +31201234567(HOME); gender: male;
           birthDate: 1960-03-13; <span> Legally married</span> ; </a> </p> <p> <b> issued</b> : 05/04/2013 12:34:00 AM</p> <p> <b> performer</b> : <a> Luigi Maas. Generated Summary: id: f202; UZI-nummer: 12345678902 (OFFICIAL), BIG-nummer:
           12345678902 (OFFICIAL); active; Luigi Maas(OFFICIAL); ph: +31715269111(WORK); gender:
           male; birthDate: 1960-06-12</a> </p> <p> <b> interpretation</b> : <span> interpretation of results should be assigned based upon the level of kindey function</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> MDRD</span> </p> <blockquote> <p> <b> component</b> </p> <p> <b> code</b> : <span> 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</p> <h3> ReferenceRanges</h3> <table> <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</td> <td> <span> non-black/african-american</span> </td> <td> 18-? yrs</td> </tr> </table> </blockquote> <blockquote> <p> <b> component</b> </p> <p> <b> code</b> : <span> 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</p> <h3> ReferenceRanges</h3> <table> <tr> <td> -</td> <td> <b> Low</b> </td> <td> <b> Age</b> </td> </tr> <tr> <td> *</td> <td> 60 mL/min/1.73m2</td> <td> 18-? yrs</td> </tr> </table> </blockquote> </div> </text> <identifier> 
    <system value="https://intranet.aumc.nl/labvalues"/> <!--     Does not exist     --><value value="1304-03720-eGFR"/> 
  </identifier> <!--     eGFR was measured on April fourth     --><status value="final"/> 
  <code> <!--     Kind of observation = eGFR     --><coding> 
      <system value="http://loinc.org"/> 
      <code value="33914-3"/> 
      <display value="Glomerular filtration rate/1.73 sq M.predicted [Volume Rate/Area] in Serum or Plasma by
       Creatinine-based formula (MDRD)"/> 
    </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> <!--    no value element since have only component values and unable to interpret results needs
   clinical interpretation    --><interpretation> 
    <text value="interpretation of results should be assigned based upon the level of kindey function"/> 
  </interpretation> 
  <note> <text value="GFR estimating equations developed by the Modification of Diet in Renal Disease (MDRD)
     Study Group and the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI)...."/> </note> <!--     The observation is complete     --><!--     No reliability concerns     --><method> <!--     Method was MDRD     --><coding> 
      <system value="http://snomed.info/sct"/> 
      <code value="702668005"/> 
      <display value="MDRD"/> 
    </coding> 
  </method> <!--     The MDRD equation does require race (African American or non-African American), which
   also might not be readily available. For this reason, eGFR values for both African Americans
   and non-African Americans are reported. so use component elements here    --><component> 
    <code> <!--     Kind of observation = eGFR for AA     --><coding> 
        <system value="http://loinc.org"/> 
        <code value="48643-1"/> 
        <display value="Glomerular filtration rate/1.73 sq M predicted among blacks [Volume Rate/?Area] in Serum
         or Plasma by Creatinine-based formula (MDRD)"/> 
      </coding> 
    </code> 
    <valueQuantity> <!--     eGFR=54mL/min/1.73m2     --><value value="60"/> 
      <comparator value="&gt;"/> 
      <unit value="mL/min/1.73m2"/> 
      <system value="http://unitsofmeasure.org"/> 
      <code value="mL/min/{1.73_m2}"/> 
    </valueQuantity> 
    <referenceRange> 
      <low> 
        <value value="60"/> 
        <unit value="mL/min/1.73m2"/> 
        <system value="http://unitsofmeasure.org"/> 
        <code value="mL/min/{1.73_m2}"/> 
      </low> 
      <appliesTo> 
        <text value="non-black/african-american"/> 
      </appliesTo> 
      <age> 
        <low> 
          <value value="18"/> 
          <unit value="yrs"/> 
          <system value="http://unitsofmeasure.org"/> 
          <code value="a"/> 
        </low> 
      </age> 
    </referenceRange> 
  </component> 
  <component> 
    <code> <!--     Kind of observation = eGFR for non AA     --><coding> 
        <system value="http://loinc.org"/> 
        <code value="48642-3"/> 
        <display value="Glomerular filtration rate/1.73 sq M predicted among non-blacks [Volume Rate/Area] in
         Serum or Plasma by Creatinine-based formula (MDRD)"/> 
      </coding> 
    </code> 
    <valueQuantity> <!--     eGFR=54mL/min/1.73m2     --><value value="60"/> 
      <unit value="mL/min/1.73m2"/> 
      <system value="http://unitsofmeasure.org"/> 
      <code value="mL/min/{1.73_m2}"/> 
    </valueQuantity> 
    <referenceRange> 
      <low> 
        <value value="60"/> 
        <unit value="mL/min/1.73m2"/> 
        <system value="http://unitsofmeasure.org"/> 
        <code value="mL/min/{1.73_m2}"/> 
      </low> 
      <age> 
        <low> 
          <value value="18"/> 
          <unit value="yrs"/> 
          <system value="http://unitsofmeasure.org"/> 
          <code value="a"/> 
        </low> 
      </age> 
    </referenceRange> 
  </component> 
</Observation>