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Orders and Observations Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Device, Encounter, Patient, Practitioner, RelatedPerson |
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Real-world patient - estimated gfr
@prefix fhir: <http://hl7.org/fhir/> . @prefix loinc: <http://loinc.org/rdf#> . @prefix owl: <http://www.w3.org/2002/07/owl#> . @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> . @prefix sct: <http://snomed.info/id/> . @prefix xsd: <http://www.w3.org/2001/XMLSchema#> . # - resource ------------------------------------------------------------------- [a fhir:Observation; fhir:nodeRole fhir:treeRoot; fhir:Resource.id [ fhir:value "f205"]; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "generated" ]; fhir:Narrative.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>" ]; fhir:Observation.identifier [ fhir:index 0; fhir:Identifier.system [ fhir:value "https://intranet.aumc.nl/labvalues" ]; fhir:Identifier.value [ fhir:value "1304-03720-eGFR" ] ]; fhir:Observation.status [ fhir:value "final"]; fhir:Observation.code [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:33914-3; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "33914-3" ]; fhir:Coding.display [ fhir:value "Glomerular filtration rate/1.73 sq M.predicted [Volume Rate/Area] in Serum or Plasma by Creatinine-based formula (MDRD)" ] ] ]; fhir:Observation.subject [ fhir:Reference.reference [ fhir:value "Patient/f201" ]; fhir:Reference.display [ fhir:value "Roel" ] ]; fhir:Observation.issued [ fhir:value "2013-04-04T14:34:00+01:00"^^xsd:dateTime]; fhir:Observation.performer [ fhir:index 0; fhir:Reference.reference [ fhir:value "Practitioner/f202" ]; fhir:Reference.display [ fhir:value "Luigi Maas" ] ]; fhir:Observation.interpretation [ fhir:index 0; fhir:CodeableConcept.text [ fhir:value "interpretation of results should be assigned based upon the level of kindey function" ] ]; fhir:Observation.note [ fhir:index 0; fhir:Annotation.text [ fhir: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)...." ] ]; fhir:Observation.method [ fhir:CodeableConcept.coding [ fhir:index 0; a sct:702668005; fhir:Coding.system [ fhir:value "http://snomed.info/sct" ]; fhir:Coding.code [ fhir:value "702668005" ]; fhir:Coding.display [ fhir:value "MDRD" ] ] ]; fhir:Observation.component [ fhir:index 0; fhir:Observation.component.code [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:48643-1; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "48643-1" ]; fhir:Coding.display [ fhir:value "Glomerular filtration rate/1.73 sq M predicted among blacks [Volume Rate/?Area] in Serum or Plasma by Creatinine-based formula (MDRD)" ] ] ]; fhir:Observation.component.valueQuantity [ fhir:Quantity.value [ fhir:value "60"^^xsd:decimal ]; fhir:Quantity.comparator [ fhir:value ">" ]; fhir:Quantity.unit [ fhir:value "mL/min/1.73m2" ]; fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ]; fhir:Quantity.code [ fhir:value "mL/min/{1.73_m2}" ] ]; fhir:Observation.component.referenceRange [ fhir:index 0; fhir:Observation.referenceRange.low [ fhir:Quantity.value [ fhir:value "60"^^xsd:decimal ]; fhir:Quantity.unit [ fhir:value "mL/min/1.73m2" ]; fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ]; fhir:Quantity.code [ fhir:value "mL/min/{1.73_m2}" ] ]; fhir:Observation.referenceRange.appliesTo [ fhir:index 0; fhir:CodeableConcept.text [ fhir:value "non-black/african-american" ] ]; fhir:Observation.referenceRange.age [ fhir:Range.low [ fhir:Quantity.value [ fhir:value "18"^^xsd:decimal ]; fhir:Quantity.unit [ fhir:value "yrs" ]; fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ]; fhir:Quantity.code [ fhir:value "a" ] ] ] ] ], [ fhir:index 1; fhir:Observation.component.code [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:48642-3; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "48642-3" ]; fhir:Coding.display [ fhir:value "Glomerular filtration rate/1.73 sq M predicted among non-blacks [Volume Rate/Area] in Serum or Plasma by Creatinine-based formula (MDRD)" ] ] ]; fhir:Observation.component.valueQuantity [ fhir:Quantity.value [ fhir:value "60"^^xsd:decimal ]; fhir:Quantity.unit [ fhir:value "mL/min/1.73m2" ]; fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ]; fhir:Quantity.code [ fhir:value "mL/min/{1.73_m2}" ] ]; fhir:Observation.component.referenceRange [ fhir:index 0; fhir:Observation.referenceRange.low [ fhir:Quantity.value [ fhir:value "60"^^xsd:decimal ]; fhir:Quantity.unit [ fhir:value "mL/min/1.73m2" ]; fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ]; fhir:Quantity.code [ fhir:value "mL/min/{1.73_m2}" ] ]; fhir:Observation.referenceRange.age [ fhir:Range.low [ fhir:Quantity.value [ fhir:value "18"^^xsd:decimal ]; fhir:Quantity.unit [ fhir:value "yrs" ]; fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ]; fhir:Quantity.code [ fhir:value "a" ] ] ] ] ]] . # - ontology header ------------------------------------------------------------ [a owl:Ontology; owl:imports fhir:fhir.ttl] . # -------------------------------------------------------------------------------------
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.