<?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 with Details</b></p><p><b>id</b>: f205</p><p><b>identifier</b>: 1304-03720-eGFR</p><p><b>status</b>: final</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>(Details : {LOINC code &#39;33914-3&#39; = &#39;Glomerular filtration rate/1.73 sq M.predicted by Creatinine-based formula (MDRD)&#39;, given as &#39;Glomerular filtration rate/1.73 sq M.predicted [Volume Rate/Area] in Serum or Plasma by Creatinine-based formula (MDRD)&#39;})</span></p><p><b>subject</b>: <a>Roel</a></p><p><b>issued</b>: 04/04/2013 2:34:00 PM</p><p><b>performer</b>: <a>Luigi Maas</a></p><p><b>interpretation</b>: interpretation of results should be assigned based upon the level of kindey function <span>(Details )</span></p><p><b>comment</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>: MDRD <span>(Details : {SNOMED CT code &#39;702668005&#39; = &#39;702668005&#39;, given as &#39;MDRD&#39;})</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>(Details : {LOINC code &#39;48643-1&#39; = &#39;Glomerular filtration rate/1.73 sq M predicted among blacks by Creatinine-based formula (MDRD)&#39;, given as &#39;Glomerular filtration rate/1.73 sq M predicted among blacks [Volume Rate/?Area] in Serum or Plasma by Creatinine-based formula (MDRD)&#39;})</span></p><p><b>value</b>: &gt;60 mL/min/1.73m2<span> (Details: UCUM code mL/min/{1.73_m2} = &#39;mL/min/{1.73_m2}&#39;)</span></p><h3>ReferenceRanges</h3><table><tr><td>-</td></tr><tr><td>*</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>(Details : {LOINC code &#39;48642-3&#39; = &#39;Glomerular filtration rate/1.73 sq M predicted among non-blacks by Creatinine-based formula (MDRD)&#39;, given as &#39;Glomerular filtration rate/1.73 sq M predicted among non-blacks [Volume Rate/Area] in Serum or Plasma by Creatinine-based formula (MDRD)&#39;})</span></p><p><b>value</b>: 60 mL/min/1.73m2<span> (Details: UCUM code mL/min/{1.73_m2} = &#39;mL/min/{1.73_m2}&#39;)</span></p><h3>ReferenceRanges</h3><table><tr><td>-</td></tr><tr><td>*</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>
	<comment 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)...."/><!--    The observation is complete    --><!--    No reliability concerns    --><method><!--    Method was MDRD    --><coding>
			<system value="http://snomed.info/id"/>
			<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>