This page is part of the FHIR Specification (v5.0.0-ballot: FHIR R5 Ballot Preview). 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
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: 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>: 05/04/2013 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)" } ] }, "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" } ] }, "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}" }, "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)" } ] }, "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}" }, "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.