Release 5 Draft Ballot

This is the Continuous Integration Build of FHIR (will be incorrect/inconsistent at times).
See the Directory of published versions

Observation-example-f205-egfr.json

Orders and Observations Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: 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</b></p><div><p>Resource &quot;f205&quot; </p></div><p><b>identifier</b>: id: 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> (<a>LOINC</a>#33914-3)</span></p><p><b>subject</b>: <a>Patient/f201: Roel</a> &quot;Roel&quot;</p><p><b>issued</b>: Apr 4, 2013 1:34:00 PM</p><p><b>performer</b>: <a>Practitioner/f202: Luigi Maas</a> &quot;Luigi Maas&quot;</p><p><b>interpretation</b>: interpretation of results should be assigned based upon the level of kindey function <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>: MDRD <span> (<a>SNOMED CT</a>#702668005)</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> (<a>LOINC</a>#48643-1)</span></p><p><b>value</b>: &gt;60 mL/min/1.73m2<span> (Details: UCUM code mL/min/{1.73_m2} = 'mL/min/{1.73_m2}')</span></p></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> (<a>LOINC</a>#48642-3)</span></p><p><b>value</b>: 60 mL/min/1.73m2<span> (Details: UCUM code mL/min/{1.73_m2} = 'mL/min/{1.73_m2}')</span></p></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.