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

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<Observation xmlns="http://hl7.org/fhir">
  <id value="EstimatedGFR"/>
  <meta>
    <versionId value="4"/>
    <lastUpdated value="2020-09-27T22:21:46.987+00:00"/>
    <source value="#jNWmYjRiezrWzaFc"/>
    <profile
             value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab"/>
  </meta>
  <text>
    <status value="generated"/>
    <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;
          Medical Record Number: 1032702 (USUAL); active; Patricia Noelle , Patricia Noelle ; ph:
          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>
  </text>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal">
    <valueReference>
      <reference value="Goal/EGFRTarget"/>
    </valueReference>
  </extension>
  <basedOn>
    <reference value="ServiceRequest/cc-SRlabEGFR-pnoelle"/>
    <display value="EGFR Order"/>
  </basedOn>
  <status value="final"/>
  <category>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
      <code value="laboratory"/>
      <display value="Laboratory"/>
    </coding>
    <text value="Laboratory"/>
  </category>
  <code>
    <coding>
      <system value="http://loinc.org"/>
      <code value="50044-7"/>
      <display
               value="Glomerular filtration rate/1.73 sq M.predicted among females [Volume Rate/Area] in Serum, Plasma or Blood by Creatinine-based formula (MDRD)"/>
    </coding>
    <text
          value="Glomerular filtration rate/1.73 sq M.predicted among females [Volume Rate/Area] in Serum, Plasma or Blood by Creatinine-based formula (MDRD)"/>
  </code>
  <subject>
    <reference value="Patient/example"/>
    <display value="Patricia Noelle"/>
  </subject>
  <effectiveDateTime value="2020-09-05"/>
  <valueQuantity>
    <value value="35"/>
    <unit value="mL/min/{1.73_m2}"/>
    <system value="http://unitsofmeasure.org"/>
  </valueQuantity>
  <referenceRange>
    <low>
      <value value="90"/>
      <unit value="mL/min/{1.73_m2}"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="mL/min/{1.73_m2}"/>
    </low>
    <appliesTo>
      <coding>
        <system
                value="http://terminology.hl7.org/CodeSystem/referencerange-meaning"/>
        <code value="treatment"/>
        <display value="Treatment Range"/>
      </coding>
      <text value="Treatment Range"/>
    </appliesTo>
  </referenceRange>
</Observation>