<?xml version="1.0" encoding="UTF-8"?><Observation xmlns="http://hl7.org/fhir"><id value="f205"/><text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Observation</b><a name="f205"> </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>: id: 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>: 5 Apr 2013, 12:34:00 am</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 or Plasma 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>-</td><td><b>Low</b></td><td><b>AppliesTo</b></td><td><b>Age</b></td></tr><tr><td>*</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>: Glomerular filtration rate/1.73 sq M predicted among non-blacks [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>#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>-</td><td><b>Low</b></td><td><b>Age</b></td></tr><tr><td>*</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></text><identifier><system value="https://intranet.aumc.nl/labvalues"/>  <!--     Does not exist     --><value value="1304-03720-eGFR"/></identifier>  <!--     eGFR was measured on April fourth     --><status value="final"/><code>  <!--     Kind of observation = eGFR     --><coding><system value="http://loinc.org"/><code value="33914-3"/><display value="Glomerular filtration rate/1.73 sq M.predicted [Volume Rate/Area] in Serum or Plasma by Creatinine-based formula (MDRD)"/></coding></code><subject><reference value="Patient/f201"/><display value="Roel"/></subject><issued value="2013-04-04T14:34:00+01:00"/><performer><reference value="Practitioner/f202"/><display value="Luigi Maas"/></performer>  <!--    no value element since have only component values and unable to interpret results needs clinical interpretation    --><interpretation><text value="interpretation of results should be assigned based upon the level of kindey function"/></interpretation><note><text value="GFR estimating equations developed by the Modification of Diet in Renal Disease (MDRD) Study Group and the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI)...."/></note>  <!--     The observation is complete     -->  <!--     No reliability concerns     --><method>  <!--     Method was MDRD     --><coding><system value="http://snomed.info/sct"/><code value="702668005"/><display value="MDRD"/></coding></method>  <!--     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    --><component><code>  <!--     Kind of observation = eGFR for AA     --><coding><system value="http://loinc.org"/><code value="48643-1"/><display value="Glomerular filtration rate/1.73 sq M predicted among blacks [Volume Rate/?Area] in Serum or Plasma by Creatinine-based formula (MDRD)"/></coding></code><valueQuantity>  <!--     eGFR=54mL/min/1.73m2     --><value value="60"/><comparator value="&gt;"/><unit value="mL/min/1.73m2"/><system value="http://unitsofmeasure.org"/><code value="mL/min/{1.73_m2}"/></valueQuantity><referenceRange><low><value value="60"/><unit value="mL/min/1.73m2"/><system value="http://unitsofmeasure.org"/><code value="mL/min/{1.73_m2}"/></low><appliesTo><text value="non-black/african-american"/></appliesTo><age><low><value value="18"/><unit value="yrs"/><system value="http://unitsofmeasure.org"/><code value="a"/></low></age></referenceRange></component><component><code>  <!--     Kind of observation = eGFR for non AA     --><coding><system value="http://loinc.org"/><code value="48642-3"/><display value="Glomerular filtration rate/1.73 sq M predicted among non-blacks [Volume Rate/Area] in Serum or Plasma by Creatinine-based formula (MDRD)"/></coding></code><valueQuantity>  <!--     eGFR=54mL/min/1.73m2     --><value value="60"/><unit value="mL/min/1.73m2"/><system value="http://unitsofmeasure.org"/><code value="mL/min/{1.73_m2}"/></valueQuantity><referenceRange><low><value value="60"/><unit value="mL/min/1.73m2"/><system value="http://unitsofmeasure.org"/><code value="mL/min/{1.73_m2}"/></low><age><low><value value="18"/><unit value="yrs"/><system value="http://unitsofmeasure.org"/><code value="a"/></low></age></referenceRange></component></Observation>