This page is part of the FHIR Specification (v5.0.0: R5 - STU). This is the current published version in it's permanent home (it will always be available at this URL). 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:\u00a01304-03720-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)" }] }, "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.
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