description: Renal function can be determined by laboratory measurement of serum creatinine, from which the estimated glomerular (eGFR_CKD_EPI) filtration rate can be calculated.
package_name: ch.fhir.ig.ch-lab-report
derivation: constraint
name: ChLabObservation_eGFR_CKD_EPI_female
type: Observation
elements:
  code:
    short: eGFR_CKD_EPI
    mustSupport: true
    pattern:
      type: CodeableConcept
      value:
        coding:
        - {code: 50044-7, system: 'http://loinc.org', display: 'Glomerular filtration rate/1.73 sq M.predicted among females [Volume Rate/Area] in Serum, Plasma or Blood by Creatinine-based formula (MDRD)'}
    index: 0
  referenceRange:
    array: true
    min: 1
    max: 3
    index: 1
    slicing:
      rules: open
      ordered: false
      description: Reference range by age
      discriminator:
      - {path: age.low.value, type: value}
      min: 1
      max: 3
      slices:
        child:
          match:
            age:
              low: {value: 0}
          schema:
            mustSupport: true
            index: 2
            elements:
              low:
                elements:
                  value:
                    pattern: {type: Decimal, value: 90}
                    index: 3
                  unit:
                    pattern: {type: String, value: mL/min}
                    index: 4
              age:
                elements:
                  low:
                    elements:
                      value:
                        pattern: {type: Decimal, value: 0}
                        index: 5
                      unit:
                        pattern: {type: String, value: a}
                        index: 6
                    required: [value]
                  high:
                    elements:
                      value:
                        pattern: {type: Decimal, value: 30}
                        index: 7
                      unit:
                        pattern: {type: String, value: a}
                        index: 8
              text:
                pattern: {type: String, value: Die Formel ist nur ab 18 Jahre validiert.}
                index: 9
        youth:
          match:
            age:
              low: {value: 18}
          schema:
            mustSupport: true
            index: 10
            elements:
              low:
                elements:
                  value:
                    pattern: {type: Decimal, value: 90}
                    index: 11
                  unit:
                    pattern: {type: String, value: mL/min}
                    index: 12
              age:
                elements:
                  low:
                    elements:
                      value:
                        pattern: {type: Decimal, value: 18}
                        index: 13
                      unit:
                        pattern: {type: String, value: a}
                        index: 14
                    required: [value]
                  high:
                    elements:
                      value:
                        pattern: {type: Decimal, value: 30}
                        index: 15
                      unit:
                        pattern: {type: String, value: a}
                        index: 16
              text:
                pattern: {type: String, value: Die Formel ist ab 18 bis 93 Jahre validiert.}
                index: 17
        adult:
          match:
            age:
              low: {value: 31}
          schema:
            mustSupport: true
            index: 18
            elements:
              low:
                elements:
                  value:
                    pattern: {type: Decimal, value: 60}
                    index: 19
                  unit:
                    pattern: {type: String, value: mL/min}
                    index: 20
              age:
                elements:
                  low:
                    elements:
                      value:
                        pattern: {type: Decimal, value: 31}
                        index: 21
                      unit:
                        pattern: {type: String, value: a}
                        index: 22
                    required: [value]
                  high:
                    elements:
                      value:
                        pattern: {type: Decimal, value: 100}
                        index: 23
                      unit:
                        pattern: {type: String, value: a}
                        index: 24
              text:
                pattern: {type: String, value: Die Formel ist nur bis 93 Jahre validiert.}
                index: 25
  component:
    mustSupport: true
    array: true
    min: 2
    max: 2
    index: 26
    slicing:
      rules: closed
      ordered: false
      description: '2 possibilities: black - non-black'
      discriminator:
      - {path: code, type: value}
      min: 2
      max: 2
      slices:
        blacks:
          match:
            code:
              coding:
              - {code: 88293-6, system: 'http://loinc.org', display: 'Glomerular filtration rate/1.73 sq M.predicted among blacks [Volume Rate/Area] in Serum, Plasma or Blood by Creatinine-based formula (CKD-EPI)'}
          schema:
            short: eGFR_CKD_EPI among blacks
            mustSupport: true
            _required: true
            index: 27
            extensions:
              value-r5: {url: null, index: 28}
            elements:
              extension:
                index: 28
                slicing:
                  slices:
                    value-r5:
                      match: {}
                      schema: {index: 28}
              code:
                short: eGFR_CKD_EPI among blacks code
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: 88293-6, system: 'http://loinc.org', display: 'Glomerular filtration rate/1.73 sq M.predicted among blacks [Volume Rate/Area] in Serum, Plasma or Blood by Creatinine-based formula (CKD-EPI)'}
                index: 29
              value:
                short: Lab Result Component Value
                mustSupport: true
                choices: [valueQuantity]
                index: 31
                slicing:
                  slices:
                    valueQuantity:
                      match: {}
                      schema:
                        short: Lab Result Component Value
                        mustSupport: true
                        choices: [valueQuantity]
                        index: 31
              valueQuantity:
                type: Quantity
                short: Lab Result Component Value
                mustSupport: true
                choiceOf: value
                index: 32
                slicing:
                  slices:
                    valueQuantity:
                      match: {}
                      schema: {type: Quantity, short: Lab Result Component Value, mustSupport: true, choiceOf: value, index: 32}
              value[x]:
                elements:
                  value: {mustSupport: true, index: 33}
                  unit: {mustSupport: true, index: 34}
                  code:
                    pattern: {type: Code, value: mL/min}
                    index: 35
                required: [value, unit]
        non-blacks:
          match:
            code:
              coding:
              - {code: 88294-4, system: 'http://loinc.org', display: 'Glomerular filtration rate/1.73 sq M.predicted among non-blacks [Volume Rate/Area] in Serum, Plasma or Blood by Creatinine-based formula (CKD-EPI)'}
          schema:
            short: eGFR_CKD_EPI among non-blacks
            mustSupport: true
            _required: true
            index: 36
            extensions:
              value-r5: {url: null, index: 37}
            elements:
              extension:
                index: 37
                slicing:
                  slices:
                    value-r5:
                      match: {}
                      schema: {index: 37}
              code:
                short: eGFR_CKD_EPI among non-blacks code
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: 88294-4, system: 'http://loinc.org', display: 'Glomerular filtration rate/1.73 sq M.predicted among non-blacks [Volume Rate/Area] in Serum, Plasma or Blood by Creatinine-based formula (CKD-EPI)'}
                index: 38
              value:
                short: Lab Result Component Value
                mustSupport: true
                choices: [valueQuantity]
                index: 40
                slicing:
                  slices:
                    valueQuantity:
                      match: {}
                      schema:
                        short: Lab Result Component Value
                        mustSupport: true
                        choices: [valueQuantity]
                        index: 40
              valueQuantity:
                type: Quantity
                short: Lab Result Component Value
                mustSupport: true
                choiceOf: value
                index: 41
                slicing:
                  slices:
                    valueQuantity:
                      match: {}
                      schema: {type: Quantity, short: Lab Result Component Value, mustSupport: true, choiceOf: value, index: 41}
              value[x]:
                elements:
                  value: {mustSupport: true, index: 42}
                  unit: {mustSupport: true, index: 43}
                  code:
                    pattern: {type: Code, value: mL/min}
                    index: 44
                required: [value, unit]
package_version: 1.0.0-ballot
class: profile
kind: resource
url: http://fhir.ch/ig/ch-lab-report/StructureDefinition/ch-lab-observation-egfr-female
base: http://fhir.ch/ig/ch-lab-report/StructureDefinition/ChLab-observation-single-test
version: 1.0.0-ballot
required: [referenceRange]