International Patient Summary Implementation Guide
1.0.0 - STU 1

This page is part of the International Patient Summary Implementation Guide (v1.0.0: STU 1) based on FHIR R4. The current version which supercedes this version is 1.1.0. For a full list of available versions, see the Directory of published versions

Observation: serum creatinine example - JSON Representation

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{
  "resourceType" : "Observation",
  "id" : "serum-creatinine-adult",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: serum-creatinine-adult</p><p><b>status</b>: final</p><p><b>category</b>: Laboratory <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'laboratory' = 'Laboratory)</span></p><p><b>code</b>: Creatinine [Mass/volume] in Serum or Plasma <span style=\"background: LightGoldenRodYellow\">(Details : {LOINC code '2160-0' = 'Creatinine [Mass/volume] in Serum or Plasma', given as 'Creatinine [Mass/volume] in Serum or Plasma'})</span></p><p><b>subject</b>: <a href=\"Patient-eumfh-39-07.html\">Generated Summary: id: eumfh-39-07; 39-07, EUR01P0001; active; Alexander Heig ; gender: male; birthDate: 1957-01-01</a></p><p><b>effective</b>: Feb 16, 2018 8:17:00 AM</p><p><b>performer</b>: <a href=\"Organization-TII-Organization1.html\">Generated Summary: id: TII-Organization1; name: Someplace General Hospital</a></p><p><b>value</b>: 2.46 mg/dL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mg/dL = 'mg/dL')</span></p><p><b>interpretation</b>: High <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation code 'H' = 'High)</span></p><blockquote><p><b>referenceRange</b></p><p><b>low</b>: 0.76 mg/dL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mg/dL = 'mg/dL')</span></p><p><b>high</b>: 1.27 mg/dL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mg/dL = 'mg/dL')</span></p><p><b>type</b>: Normal Range <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/referencerange-meaning code 'normal' = 'Normal Range', given as 'Normal Range'})</span></p><p><b>appliesTo</b>: Male <span style=\"background: LightGoldenRodYellow\">(Details : {SNOMED CT code '248153007' = 'Male', given as 'Male'})</span></p><p><b>age</b>: 15-? yrs</p></blockquote><blockquote><p><b>referenceRange</b></p><p><b>low</b>: 0.57 mg/dL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mg/dL = 'mg/dL')</span></p><p><b>high</b>: 1.00 mg/dL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mg/dL = 'mg/dL')</span></p><p><b>type</b>: Normal Range <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/referencerange-meaning code 'normal' = 'Normal Range', given as 'Normal Range'})</span></p><p><b>appliesTo</b>: Female <span style=\"background: LightGoldenRodYellow\">(Details : {SNOMED CT code '248152002' = 'Female', given as 'Female'})</span></p><p><b>age</b>: 15-? yrs</p></blockquote></div>"
  },
  "status" : "final",
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
          "code" : "laboratory"
        }
      ]
    }
  ],
  "code" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "2160-0",
        "display" : "Creatinine [Mass/volume] in Serum or Plasma"
      }
    ]
  },
  "subject" : {
    "reference" : "Patient/eumfh-39-07"
  },
  "effectiveDateTime" : "2018-02-16T09:17:00+01:00",
  "performer" : [
    {
      "reference" : "Organization/TII-Organization1"
    }
  ],
  "valueQuantity" : {
    "value" : 2.46,
    "unit" : "mg/dL",
    "system" : "http://unitsofmeasure.org",
    "code" : "mg/dL"
  },
  "interpretation" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
          "code" : "H"
        }
      ]
    }
  ],
  "referenceRange" : [
    {
      "low" : {
        "value" : 0.76,
        "unit" : "mg/dL",
        "system" : "http://unitsofmeasure.org",
        "code" : "mg/dL"
      },
      "high" : {
        "value" : 1.27,
        "unit" : "mg/dL",
        "system" : "http://unitsofmeasure.org",
        "code" : "mg/dL"
      },
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/referencerange-meaning",
            "code" : "normal",
            "display" : "Normal Range"
          }
        ]
      },
      "appliesTo" : [
        {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "248153007",
              "display" : "Male"
            }
          ]
        }
      ],
      "age" : {
        "low" : {
          "value" : 15,
          "unit" : "yrs",
          "system" : "http://unitsofmeasure.org",
          "code" : "a"
        }
      }
    },
    {
      "low" : {
        "value" : 0.57,
        "unit" : "mg/dL",
        "system" : "http://unitsofmeasure.org",
        "code" : "mg/dL"
      },
      "high" : {
        "value" : 1.00,
        "unit" : "mg/dL",
        "system" : "http://unitsofmeasure.org",
        "code" : "mg/dL"
      },
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/referencerange-meaning",
            "code" : "normal",
            "display" : "Normal Range"
          }
        ]
      },
      "appliesTo" : [
        {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "248152002",
              "display" : "Female"
            }
          ]
        }
      ],
      "age" : {
        "low" : {
          "value" : 15,
          "unit" : "yrs",
          "system" : "http://unitsofmeasure.org",
          "code" : "a"
        }
      }
    }
  ]
}