International Patient Summary Implementation Guide
2.0.0 -

International Patient Summary Implementation Guide, published by HL7 International / Patient Care. This guide is not an authorized publication; it is the continuous build for version 2.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-ips/ and changes regularly. See the Directory of published versions

## : Observation: serum creatinine example

Page standards status: Informative

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    <Observation xmlns="http://hl7.org/fhir">
      <id value="serum-creatinine-adult"/>
      <meta>
        <profile
                 value="http://hl7.org/fhir/uv/ips/StructureDefinition/Observation-results-laboratory-pathology-uv-ips"/>
      </meta>
      <language value="en"/>
      <text>
        <status value="generated"/>
        <div xmlns="http://www.w3.org/1999/xhtml" xml:lang="en" lang="en"><p class="res-header-id"><b>Generated Narrative: Observation serum-creatinine-adult</b></p><a name="serum-creatinine-adult"> </a><a name="hcserum-creatinine-adult"> </a><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">Language: en</p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-Observation-results-laboratory-pathology-uv-ips.html">Observation Results - Laboratory/Pathology (IPS)</a></p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}">Laboratory</span></p><p><b>code</b>: <span title="Codes:{http://loinc.org 2160-0}">Creatinine [Mass/volume] in Serum or Plasma</span></p><p><b>subject</b>: <a href="Patient-eumfh-39-07.html">Alexander Heig  Male, DoB: 1957 ( http://trilliumbridge.eu/fhir/demos/eumfh/inject#39-07)</a></p><p><b>effective</b>: 2018-02-16 09:17:00+0100</p><p><b>performer</b>: <a href="Organization-TII-Organization1.html">Organization Someplace General Hospital</a></p><p><b>value</b>: 2.46 mg/dL<span style="background: LightGoldenRodYellow"> (Details: UCUM  codemg/dL = 'mg/dL')</span></p><p><b>interpretation</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation H}">High</span></p><blockquote><p><b>referenceRange</b></p><p><b>low</b>: 0.76 mg/dL<span style="background: LightGoldenRodYellow"> (Details: UCUM  codemg/dL = 'mg/dL')</span></p><p><b>high</b>: 1.27 mg/dL<span style="background: LightGoldenRodYellow"> (Details: UCUM  codemg/dL = 'mg/dL')</span></p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/referencerange-meaning normal}">Normal Range</span></p><p><b>appliesTo</b>: <span title="Codes:{http://snomed.info/sct 248153007}">Male</span></p><p><b>age</b>: 15-? yrs</p></blockquote><blockquote><p><b>referenceRange</b></p><p><b>low</b>: 0.57 mg/dL<span style="background: LightGoldenRodYellow"> (Details: UCUM  codemg/dL = 'mg/dL')</span></p><p><b>high</b>: 1 mg/dL<span style="background: LightGoldenRodYellow"> (Details: UCUM  codemg/dL = 'mg/dL')</span></p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/referencerange-meaning normal}">Normal Range</span></p><p><b>appliesTo</b>: <span title="Codes:{http://snomed.info/sct 248152002}">Female</span></p><p><b>age</b>: 15-? yrs</p></blockquote></div>
      </text>
      <status value="final"/>
      <category>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/observation-category"/>
          <code value="laboratory"/>
        </coding>
      </category>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="2160-0"/>
          <display value="Creatinine [Mass/volume] in Serum or Plasma"/>
        </coding>
      </code>
      <subject>🔗
        <reference value="Patient/eumfh-39-07"/>
      </subject>
      <effectiveDateTime value="2018-02-16T09:17:00+01:00"/>
      <performer>🔗
        <reference value="Organization/TII-Organization1"/>
      </performer>
      <valueQuantity>
        <value value="2.46"/>
        <unit value="mg/dL"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="mg/dL"/>
      </valueQuantity>
      <interpretation>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
          <code value="H"/>
        </coding>
      </interpretation>
      <referenceRange>
        <low>
          <value value="0.76"/>
          <unit value="mg/dL"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="mg/dL"/>
        </low>
        <high>
          <value value="1.27"/>
          <unit value="mg/dL"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="mg/dL"/>
        </high>
        <type>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/referencerange-meaning"/>
            <code value="normal"/>
            <display value="Normal Range"/>
          </coding>
        </type>
        <appliesTo>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="248153007"/>
            <display value="Male"/>
          </coding>
        </appliesTo>
        <age>
          <low>
            <value value="15"/>
            <unit value="yrs"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="a"/>
          </low>
        </age>
      </referenceRange>
      <referenceRange>
        <low>
          <value value="0.57"/>
          <unit value="mg/dL"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="mg/dL"/>
        </low>
        <high>
          <value value="1"/>
          <unit value="mg/dL"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="mg/dL"/>
        </high>
        <type>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/referencerange-meaning"/>
            <code value="normal"/>
            <display value="Normal Range"/>
          </coding>
        </type>
        <appliesTo>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="248152002"/>
            <display value="Female"/>
          </coding>
        </appliesTo>
        <age>
          <low>
            <value value="15"/>
            <unit value="yrs"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="a"/>
          </low>
        </age>
      </referenceRange>
    </Observation>