<?xml version=“1.0” encoding=“UTF-8”?><Observation xmlns=“hl7.org/fhir”>

<id value="f205"/>
<text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: f205</p><p><b>identifier</b>: 1304-03720-eGFR</p><p><b>status</b>: final</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>(Details : {LOINC code &#39;33914-3&#39; = &#39;Glomerular filtration rate/1.73 sq M.predicted by Creatinine-based formula (MDRD)&#39;, given as &#39;Glomerular filtration rate/1.73 sq M.predicted [Volume Rate/Area] in Serum or Plasma by Creatinine-based formula (MDRD)&#39;})</span></p><p><b>subject</b>: <a>Roel</a></p><p><b>issued</b>: Apr 4, 2013 2:34:00 PM</p><p><b>performer</b>: <a>Luigi Maas</a></p><p><b>interpretation</b>: interpretation of results should be assigned based upon the level of kindey function <span>(Details )</span></p><p><b>comment</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>: MDRD <span>(Details : {SNOMED CT code &#39;702668005&#39; = &#39;702668005&#39;, given as &#39;MDRD&#39;})</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>(Details : {LOINC code &#39;48643-1&#39; = &#39;Glomerular filtration rate/1.73 sq M predicted among blacks by Creatinine-based formula (MDRD)&#39;, given as &#39;Glomerular filtration rate/1.73 sq M predicted among blacks [Volume Rate/?Area] in Serum or Plasma by Creatinine-based formula (MDRD)&#39;})</span></p><p><b>value</b>: &gt;60 mL/min/1.73m2<span> (Details: UCUM code mL/min/{1.73_m2} = &#39;mL/min/{1.73_m2}&#39;)</span></p><h3>ReferenceRanges</h3><table><tr><td>-</td></tr><tr><td>*</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>(Details : {LOINC code &#39;48642-3&#39; = &#39;Glomerular filtration rate/1.73 sq M predicted among non-blacks by Creatinine-based formula (MDRD)&#39;, given as &#39;Glomerular filtration rate/1.73 sq M predicted among non-blacks [Volume Rate/Area] in Serum or Plasma by Creatinine-based formula (MDRD)&#39;})</span></p><p><b>value</b>: 60 mL/min/1.73m2<span> (Details: UCUM code mL/min/{1.73_m2} = &#39;mL/min/{1.73_m2}&#39;)</span></p><h3>ReferenceRanges</h3><table><tr><td>-</td></tr><tr><td>*</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>
<comment 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)...."/>
<!--    The observation is complete    -->
<!--    No reliability concerns    -->
<method>
        <!--    Method was MDRD    -->
        <coding>
                <system value="http://snomed.info/id"/>
                <code value="702668005"/>
                <display value="MDRD"/>
        </coding>
</method>
<!--    The MDRD equation does require race (African American or non-African American), which also may 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>