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Example Observation/f205 (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: Observation</b><a name=\"f205\"> </a><a name=\"hcf205\"> </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 &quot;f205&quot; </p></div><p><b>identifier</b>: <code>https://intranet.aumc.nl/labvalues</code>/1304-03720-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> &quot;Roel&quot;</p><p><b>issued</b>: Apr 4, 2013, 1:34:00 PM</p><p><b>performer</b>: <a href=\"practitioner-example-f202-lm.html\">Practitioner/f202: Luigi Maas</a> &quot;Luigi Maas&quot;</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   &amp;#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, Plasma or Blood 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>: &gt;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 style=\"display: none\">-</td><td><b>Low</b></td><td><b>AppliesTo</b></td><td><b>Age</b></td></tr><tr><td style=\"display: none\">*</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>: GFR/BSA pr.non blk SerPlBld MDRD-ArV <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 style=\"display: none\">-</td><td><b>Low</b></td><td><b>Age</b></td></tr><tr><td style=\"display: none\">*</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, Plasma or Blood 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" : "GFR/BSA pr.non blk SerPlBld MDRD-ArV"
      }]
    },
    "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.