<?xml version="1.0" encoding="UTF-8"?><Observation xmlns="http://hl7.org/fhir">
	<id value="f205"/>
	<meta>
    <security>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
      <code value="HTEST"/>
      <display value="test health data"/>
    </security>
  </meta>
  <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 "f205" </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> "Roel"</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> "Luigi Maas"</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>