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Orders and Observations Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Device, Encounter, Patient, Practitioner, RelatedPerson |
Raw Turtle (+ also see Turtle/RDF Format Specification)
Real-world patient - estimated gfr
@prefix fhir: <http://hl7.org/fhir/> . @prefix loinc: <https://loinc.org/rdf/> . @prefix owl: <http://www.w3.org/2002/07/owl#> . @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> . @prefix sct: <http://snomed.info/id/> . @prefix xsd: <http://www.w3.org/2001/XMLSchema#> . # - resource ------------------------------------------------------------------- [a fhir:Observation ; fhir:nodeRole fhir:treeRoot ; fhir:id [ fhir:v "f205"] ; # fhir:identifier ( [ fhir:system [ fhir:v "https://intranet.aumc.nl/labvalues"^^xsd:anyURI ] ; fhir:value [ fhir:v "1304-03720-eGFR" ] # Does not exist ] ) ; # fhir:status [ fhir:v "final"] ; # eGFR was measured on April fourth fhir:code [ fhir:coding ( [ a loinc:33914-3 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "33914-3" ] ; fhir:display [ fhir:v "Glomerular filtration rate/1.73 sq M.predicted [Volume Rate/Area] in Serum or Plasma by Creatinine-based formula (MDRD)" ] ] ) # Kind of observation = eGFR ] ; # fhir:subject [ fhir:reference [ fhir:v "Patient/f201" ] ; fhir:display [ fhir:v "Roel" ] ] ; # fhir:issued [ fhir:v "2013-04-04T14:34:00+01:00"^^xsd:dateTime] ; # fhir:performer ( [ fhir:reference [ fhir:v "Practitioner/f202" ] ; fhir:display [ fhir:v "Luigi Maas" ] ] ) ; # fhir:interpretation ( [ fhir:text [ fhir:v "interpretation of results should be assigned based upon the level of kindey function" ] ] ) ; # no value element since have only component values and unable to interpret results needs clinical interpretation fhir:note ( [ fhir:text [ fhir:v "GFR estimating equations developed by the Modification of Diet in Renal Disease (MDRD) Study Group and the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI)...." ] ] ) ; # fhir:method [ fhir:coding ( [ a sct:702668005 ; fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ; fhir:code [ fhir:v "702668005" ] ; fhir:display [ fhir:v "MDRD" ] ] ) # Method was MDRD ] ; # The observation is complete , No reliability concerns fhir:component ( [ fhir:code [ fhir:coding ( [ a loinc:48643-1 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "48643-1" ] ; fhir:display [ fhir:v "Glomerular filtration rate/1.73 sq M.predicted among blacks [Volume Rate/Area] in Serum, Plasma or Blood by Creatinine-based formula (MDRD)" ] ] ) # Kind of observation = eGFR for AA ] ; fhir:value [ a fhir:Quantity ; fhir:value [ fhir:v "60"^^xsd:decimal ] ; # eGFR=54mL\/min\/1.73m2 fhir:comparator [ fhir:v ">" ] ; fhir:unit [ fhir:v "mL/min/1.73m2" ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "mL/min/{1.73_m2}" ] ] ; fhir:referenceRange ( [ fhir:low [ fhir:value [ fhir:v "60"^^xsd:decimal ] ; fhir:unit [ fhir:v "mL/min/1.73m2" ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "mL/min/{1.73_m2}" ] ] ; fhir:appliesTo ( [ fhir:text [ fhir:v "non-black/african-american" ] ] ) ; fhir:age [ fhir:low [ fhir:value [ fhir:v "18"^^xsd:decimal ] ; fhir:unit [ fhir:v "yrs" ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "a" ] ] ] ] ) ] [ fhir:code [ fhir:coding ( [ a loinc:48642-3 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "48642-3" ] ; fhir:display [ fhir:v "GFR/BSA pr.non blk SerPlBld MDRD-ArV" ] ] ) # Kind of observation = eGFR for non AA ] ; fhir:value [ a fhir:Quantity ; fhir:value [ fhir:v "60"^^xsd:decimal ] ; # eGFR=54mL\/min\/1.73m2 fhir:unit [ fhir:v "mL/min/1.73m2" ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "mL/min/{1.73_m2}" ] ] ; fhir:referenceRange ( [ fhir:low [ fhir:value [ fhir:v "60"^^xsd:decimal ] ; fhir:unit [ fhir:v "mL/min/1.73m2" ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "mL/min/{1.73_m2}" ] ] ; fhir:age [ fhir:low [ fhir:value [ fhir:v "18"^^xsd:decimal ] ; fhir:unit [ fhir:v "yrs" ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "a" ] ] ] ] ) ] )] . # 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 # -------------------------------------------------------------------------------------
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.
FHIR ®© HL7.org 2011+. FHIR R6 hl7.fhir.core#6.0.0-ballot2 generated on Tue, Nov 12, 2024 03:29+0000.
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