Release 4B Ballot #1

This page is part of the FHIR Specification (v4.1.0: Release 4B Ballot #1). 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

Observation-example-f204-creatinine.xml

Orders and Observations Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: Device, Encounter, Patient, Practitioner, RelatedPerson

Raw XML (canonical form + also see XML Format Specification)

Jump past Narrative

Real-world patient - creatinine (id = "f204")

<?xml version="1.0" encoding="UTF-8"?>

<Observation xmlns="http://hl7.org/fhir">
  <id value="f204"/> <!--    The observation is complete    --><!--    No reliability concerns    --><text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative</b> </p> <p> <b> identifier</b> : id: 1304-03720-Creatinine</p> <p/>  <p> <b> code</b> : <span> Creatinine(Serum)</span> </p> <p> <b> subject</b> : <a> Roel. Generated Summary: BSN: 123456789 (OFFICIAL), BSN: 123456789 (OFFICIAL); active;
           Roel(OFFICIAL); Phone: +31612345678, Phone: +31201234567; gender: male; birthDate: 1960-03-13;
           <span> Legally married</span> ; </a> </p> <p> <b> issued</b> : 5 Apr. 2013, 12:34:00 am</p> <p> <b> performer</b> : <a> Luigi Maas. Generated Summary: UZI-nummer: 12345678902 (OFFICIAL), BIG-nummer: 12345678902
           (OFFICIAL); active; Luigi Maas(OFFICIAL); Phone: +31715269111; gender: male; birthDate:
           1960-06-12</a> </p> <p> <b> value</b> : 122 umol/L</p> <p> <b> interpretation</b> : <span> Serum creatinine raised</span> </p> <h3> ReferenceRanges</h3> <table> <tr> <td> -</td> <td> <b> Low</b> </td> <td> <b> High</b> </td> <td> <b> Type</b> </td> </tr> <tr> <td> *</td> <td> 64</td> <td> 104</td> <td> <span> Normal Range</span> </td> </tr> </table> </div> </text> <identifier> 
    <system value="https://intranet.aumc.nl/labvalues"/> <!--    Does not exist    --><value value="1304-03720-Creatinine"/> 
  </identifier> <!--    Creatinine was measured on April fourth    --><status value="final"/> 
  <code> <!--    Kind of observation = Serum Creatinine, Using only a local code in this example   
      --><coding> 
      <system value="https://intranet.aumc.nl/labtestcodes"/> <!--    Does not exist    --><code value="20005"/> 
      <display value="Creatinine(Serum)"/> 
    </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> 
  <valueQuantity> <!--    Creatinine=122mmol/L    --><value value="122"/> 
    <unit value="umol/L"/> 
    <system value="http://snomed.info/sct"/> 
    <code value="258814008"/> 
  </valueQuantity> 
  <interpretation> 
    <coding> 
      <system value="http://snomed.info/sct"/> 
      <code value="166717003"/> 
      <display value="Serum creatinine raised"/> 
    </coding> 
    <coding> 
      <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/> 
      <code value="H"/> 
    </coding> 
  </interpretation> 
  <referenceRange> <!--    Healthy creatinine level ranges from 64umol/L to 104umol/L    --><low> 
      <value value="64"/> 
    </low> 
    <high> 
      <value value="104"/> 
    </high> 
    <type> 
      <coding> 
        <system value="http://terminology.hl7.org/CodeSystem/referencerange-meaning"/> 
        <code value="normal"/> 
        <display value="Normal Range"/> 
      </coding> 
    </type> 
  </referenceRange> 
</Observation> 

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.