ENRICH-mHealth FHIR Implementation Guide
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: Example-ENRICHKreatinin - XML Representation

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<Observation xmlns="http://hl7.org/fhir">
  <id value="Example-ENRICHKreatinin"/>
  <meta>
    <profile
             value="https://www.bihealth.org/fhir/enrich-mhealth/StructureDefinition/mii-kreatinin"/>
    <profile
             value="https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/ObservationLab"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Observation Example-ENRICHKreatinin</b></p><a name="Example-ENRICHKreatinin"> </a><a name="hcExample-ENRICHKreatinin"> </a><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"/><p style="margin-bottom: 0px">Profiles: <a href="StructureDefinition-mii-kreatinin.html">ENRICH-mHealth Laboruntersuchung-Kreatinin</a>, <a href="https://simplifier.net/resolve?scope=de.medizininformatikinitiative.kerndatensatz.laborbefund@2025.0.2&amp;canonical=https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/ObservationLab">MII PR Labor Laboruntersuchung</a></p></div><p><b>identifier</b>: Observation Instance Identifier/59826-8_1234567890</p><p><b>status</b>: Final</p><p><b>category</b>: <span title="Codes:{http://loinc.org 26436-6}, {http://terminology.hl7.org/CodeSystem/observation-category laboratory}, {http://exmple.org/fhir/sid/Laborgruppe Niere/Elektrolyte}, {http://loinc.org 26436-6}, {http://terminology.hl7.org/CodeSystem/observation-category laboratory}">Laboratory studies (set)</span></p><p><b>code</b>: <span title="Codes:{http://loinc.org 59826-8}">Kreatinin</span></p><p><b>subject</b>: <a href="Patient-enrich-mhealth-patient-2.html">Anna Müller  Female, DoB: 1985-03-12 ( MR)</a></p><p><b>encounter</b>: <a href="Encounter-Example-ENRICH-Encounter-PRtoPR.html">Encounter: status = in-progress; class = inpatient encounter (ActCode#IMP); type = intensivstationaer; serviceType = Intensivmedizin; period = 2025-01-14 08:00:00+1000 --&gt; (ongoing)</a></p><p><b>effective</b>: 2018-11-20 12:05:00+0100</p><p><b>issued</b>: 2018-03-11 10:28:00+0100</p><p><b>performer</b>: <a href="https://simplifier.net/resolve?scope=de.medizininformatikinitiative.kerndatensatz.consent@2025.0.4&amp;canonical=de.medizininformatikinitiative.kerndatensatz.consent/Example-ENRICH-Practitioner-PR1">Zentrallabor des IKCL</a></p><p><b>value</b>: 72 µmol/l<span style="background: LightGoldenRodYellow"> (Details: UCUM  codeumol/L = 'umol/L')</span></p><p><b>interpretation</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation N}">Normal</span></p><h3>ReferenceRanges</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Low</b></td><td><b>High</b></td><td><b>Type</b></td></tr><tr><td style="display: none">*</td><td>72</td><td>127</td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/referencerange-meaning normal}">Normal Range</span></td></tr></table></div>
  </text>
  <identifier>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
        <code value="OBI"/>
      </coding>
    </type>
    <system value="https://exmaple.org/fhir/sid/test-lab-results"/>
    <value value="59826-8_1234567890"/>
    <assigner>
      <identifier>
        <system
                value="https://www.medizininformatik-initiative.de/fhir/core/CodeSystem/core-location-identifier"/>
        <value value="DIZ-ID"/>
      </identifier>
    </assigner>
  </identifier>
  <status value="final"/>
  <category>
    <coding>
      <system value="http://loinc.org"/>
      <code value="26436-6"/>
      <display value="Laboratory studies (set)"/>
    </coding>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/observation-category"/>
      <code value="laboratory"/>
      <display value="Laboratory"/>
    </coding>
    <coding>
      <system value="http://exmple.org/fhir/sid/Laborgruppe"/>
      <code value="Niere/Elektrolyte"/>
    </coding>
    <coding>
      <system value="http://loinc.org"/>
      <code value="26436-6"/>
    </coding>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/observation-category"/>
      <code value="laboratory"/>
    </coding>
  </category>
  <code>
    <coding>
      <system value="http://loinc.org"/>
      <code value="59826-8"/>
      <display value="Creatinine [Moles/volume] in Blood"/>
    </coding>
    <text value="Kreatinin"/>
  </code>
  <subject>🔗 
    <reference value="Patient/enrich-mhealth-patient-2"/>
  </subject>
  <encounter>🔗 
    <reference value="Encounter/Example-ENRICH-Encounter-PRtoPR"/>
  </encounter>
  <effectiveDateTime value="2018-11-20T12:05:00+01:00">
    <extension
               url="https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/QuelleKlinischesBezugsdatum">
      <valueCoding>
        <system value="http://snomed.info/sct"/>
        <version
                 value="http://snomed.info/sct/900000000000207008/version/20230731"/>
        <code value="399445004"/>
        <display value="Specimen collection date (observable entity)"/>
      </valueCoding>
    </extension>
  </effectiveDateTime>
  <issued value="2018-03-11T10:28:00+01:00"/>
  <performer>
    <reference value="Example-ENRICH-Practitioner-PR1"/>
    <display value="Zentrallabor des IKCL"/>
  </performer>
  <valueQuantity>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/iso21090-PQ-translation">
      <valueQuantity>
        <value value="0.81"/>
        <unit value="mg/dL"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="mg/dL"/>
      </valueQuantity>
    </extension>
    <value value="72">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/quantity-precision">
        <valueInteger value="1"/>
      </extension>
    </value>
    <unit value="µmol/l"/>
    <system value="http://unitsofmeasure.org"/>
    <code value="umol/L"/>
  </valueQuantity>
  <interpretation>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
      <code value="N"/>
    </coding>
  </interpretation>
  <referenceRange>
    <low>
      <value value="72"/>
    </low>
    <high>
      <value value="127"/>
    </high>
    <type>
      <coding>
        <system
                value="http://terminology.hl7.org/CodeSystem/referencerange-meaning"/>
        <code value="normal"/>
        <display value="Normal Range"/>
      </coding>
    </type>
  </referenceRange>
</Observation>