FHIR IG analytics

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Narrative

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Source1

{
  "resourceType": "Observation",
  "id": "Observation-eGFR-MDRD-male",
  "meta": {
    "profile": [
      "http://fhir.ch/ig/ch-lab-report/StructureDefinition/ch-lab-observation-egfr-mdrd"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "identifier": [
    {
      "system": "http://example.org/Labor-Pipette/labvalues",
      "value": "1304-03720-eGFR-MDRD-male"
    }
  ],
  "status": "final",
  "category": [
    {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/observation-category",
          "code": "laboratory"
        }
      ]
    }
  ],
  "code": {
    "coding": [
      {
        "system": "http://loinc.org",
        "code": "70969-1",
        "display": "Glomerular filtration rate [Volume Rate/Area] in Serum, Plasma or Blood by Creatinine-based formula (MDRD)/1.73 sq M among male population"
      }
    ]
  },
  "subject": {
    "reference": "urn:uuid:6b8a0365-5022-403b-a5a5-8d8680d701ef",
    "display": "Hans Guggindieluft"
  },
  "effectiveDateTime": "2023-09-14T07:34:00+01:00",
  "issued": "2024-04-24T11:24:26+01:00",
  "performer": [
    {
      "reference": "urn:uuid:017e8e32-2f3b-4bef-baf1-92c7278a7048",
      "display": "Marc Mustermann"
    }
  ],
  "interpretation": [
    {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
          "code": "N",
          "display": "Normal"
        }
      ],
      "text": "interpretation of results should be assigned based upon the level of kindey function"
    }
  ],
  "note": [
    {
      "text": "All estimation formulas have their limitations: Only valid in steady state, i.e. not in acute renal failure, with abnormal muscle mass of the patient, with\nheavy meat consumption, dialysis and other conditions."
    }
  ],
  "component": [
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "48643-1"
          }
        ]
      },
      "valueQuantity": {
        "value": 60,
        "comparator": ">",
        "unit": "mL/min/1.73m2",
        "system": "http://unitsofmeasure.org",
        "code": "mL/min"
      },
      "referenceRange": [
        {
          "low": {
            "value": 60,
            "unit": "mL/min/1.73m2",
            "system": "http://unitsofmeasure.org",
            "code": "mL/min"
          },
          "appliesTo": [
            {
              "text": "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 [Volume Rate/Area] in Serum, Plasma or Blood by Creatinine-based formula (MDRD)/1.73 sq M among non black population"
          }
        ]
      },
      "valueQuantity": {
        "value": 60,
        "comparator": ">",
        "unit": "mL/min/1.73m2",
        "system": "http://unitsofmeasure.org",
        "code": "mL/min"
      },
      "referenceRange": [
        {
          "low": {
            "value": 60,
            "unit": "mL/min/1.73m2",
            "system": "http://unitsofmeasure.org",
            "code": "mL/min"
          },
          "appliesTo": [
            {
              "text": "non-black/african-american"
            }
          ],
          "age": {
            "low": {
              "value": 18,
              "unit": "yrs",
              "system": "http://unitsofmeasure.org",
              "code": "a"
            }
          }
        }
      ]
    }
  ]
}