MCC eCare Plan Draft Implementation Guide
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: Estimated Glomerular Filtration Rate Example - JSON Representation

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{
  "resourceType" : "Observation",
  "id" : "EstimatedGFR",
  "meta" : {
    "versionId" : "4",
    "lastUpdated" : "2020-09-27T22:21:46.987+00:00",
    "source" : "#jNWmYjRiezrWzaFc",
    "profile" : [
      "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: Estomated Glomerular Filtration Rates</p><p><b>meta</b>: </p><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 50044-7}\">EGFR</span></p><p><b>subject</b>: <a href=\"Patient-example.html\">Patricia Noelle. Generated Summary: id: example;\n          Medical Record Number: 1032702 (USUAL); active; Patricia Noelle , Patricia Noelle ; ph:\n          555-555-5555(HOME), Patricia.Noelle@example.com; gender: female; birthDate: 1954-10-17</a></p><p><b>effective</b>: 2005-07-05</p><p><b>value</b>: 35 mL/min/{1.73_m2}</p><h3>ReferenceRanges</h3><table class=\"grid\"><tr><td>-</td><td><b>Low</b></td><td><b>High</b></td><td><b>AppliesTo</b></td></tr><tr><td>*</td><td>90 mL/min/{1.73_m2}</td><td>**</td><td><span title=\"Codes: {http://terminology.hl7.org/CodeSystem/referencerange-meaning normal}\">Treatment Range</span></td></tr></table></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal",
      "valueReference" : {
        "reference" : "Goal/EGFRTarget"
      }
    }
  ],
  "basedOn" : [
    {
      "reference" : "ServiceRequest/cc-SRlabEGFR-pnoelle",
      "display" : "EGFR Order"
    }
  ],
  "status" : "final",
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
          "code" : "laboratory",
          "display" : "Laboratory"
        }
      ],
      "text" : "Laboratory"
    }
  ],
  "code" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "50044-7",
        "display" : "Glomerular filtration rate/1.73 sq M.predicted among females [Volume Rate/Area] in Serum, Plasma or Blood by Creatinine-based formula (MDRD)"
      }
    ],
    "text" : "Glomerular filtration rate/1.73 sq M.predicted among females [Volume Rate/Area] in Serum, Plasma or Blood by Creatinine-based formula (MDRD)"
  },
  "subject" : {
    "reference" : "Patient/example",
    "display" : "Patricia Noelle"
  },
  "effectiveDateTime" : "2020-09-05",
  "valueQuantity" : {
    "value" : 35,
    "unit" : "mL/min/{1.73_m2}",
    "system" : "http://unitsofmeasure.org"
  },
  "referenceRange" : [
    {
      "low" : {
        "value" : 90,
        "unit" : "mL/min/{1.73_m2}",
        "system" : "http://unitsofmeasure.org",
        "code" : "mL/min/{1.73_m2}"
      },
      "appliesTo" : [
        {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/referencerange-meaning",
              "code" : "treatment",
              "display" : "Treatment Range"
            }
          ],
          "text" : "Treatment Range"
        }
      ]
    }
  ]
}