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Observation-example-f203-bicarbonate.ttl

Example Observation/f203 (Turtle)

Maturity Level : N/A
Responsible Owner: Orders and Observations Work Group Standards Status : Informative Compartments : Device , Encounter , Group , Patient , Practitioner , RelatedPerson

Raw Turtle (+ also see Turtle/RDF Format Specification )

Real-world patient - CO2

@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <http://loinc.org/rdf#> .

@prefix loinc: <https://loinc.org/rdf/> .

@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .

@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/Observation/f203> a fhir:Observation;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "f203"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: f203</p><p><b>identifier</b>: 1304-03720-Bicarbonate</p><p><b>status</b>: final</p><p><b>code</b>: Bicarbonate [Moles/?volume] in Serum <span>(Details : {LOINC code '1963-8' = 'Bicarbonate [Moles/volume] in Serum', given as 'Bicarbonate [Moles/?volume] in Serum'}; {SNOMED CT code '365722008' = 'Bicarbonate level - finding', given as 'Bicarbonate level'})</span></p><p><b>subject</b>: <a>Roel</a></p><p><b>issued</b>: 04/04/2013 2:34:00 PM</p><p><b>performer</b>: <a>Luigi Maas</a></p><p><b>value</b>: 28 mmol/L<span> (Details: SNOMED CT code 258813002 = 'mM')</span></p><p><b>interpretation</b>: Serum bicarbonate level normal <span>(Details : {SNOMED CT code '166698001' = 'Serum bicarbonate level normal', given as 'Serum bicarbonate level normal'}; {http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation code 'N' = 'Normal)</span></p><p><b>method</b>: enzymatic method <span>(Details )</span></p><h3>ReferenceRanges</h3><table><tr><td>-</td><td><b>Low</b></td><td><b>High</b></td><td><b>Type</b></td></tr><tr><td>*</td><td>22</td><td>29</td><td>Normal Range <span>(Details : {http://terminology.hl7.org/CodeSystem/referencerange-meaning code 'normal' = 'Normal Range', given as 'Normal Range'})</span></td></tr></table></div>"
  ];
  fhir:Observation.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "https://intranet.aumc.nl/labvalues" ];
     fhir:Identifier.value [ fhir:value "1304-03720-Bicarbonate" ]
  ];
  fhir:Observation.status [ fhir:value "final"];
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a loinc:1963-8;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "1963-8" ];
       fhir:Coding.display [ fhir:value "Bicarbonate [Moles/?volume] in Serum" ]
     ], [
       fhir:index 1;
       a sct:365722008;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
       fhir:Coding.code [ fhir:value "365722008" ];
       fhir:Coding.display [ fhir:value "Bicarbonate level" ]
     ]
  ];
  fhir:Observation.subject [
     fhir:link <http://hl7.org/fhir/Patient/f201>;
     fhir:Reference.reference [ fhir:value "Patient/f201" ];
     fhir:Reference.display [ fhir:value "Roel" ]
  ];
  fhir:Observation.issued [ fhir:value "2013-04-04T14:34:00+01:00"^^xsd:dateTime];
  fhir:Observation.performer [
     fhir:index 0;
     fhir:link <http://hl7.org/fhir/Practitioner/f202>;
     fhir:Reference.reference [ fhir:value "Practitioner/f202" ];
     fhir:Reference.display [ fhir:value "Luigi Maas" ]
  ];
  fhir:Observation.valueQuantity [
     fhir:Quantity.value [ fhir:value "28"^^xsd:decimal ];
     fhir:Quantity.unit [ fhir:value "mmol/L" ];
     fhir:Quantity.system [ fhir:value "http://snomed.info/sct" ];
     fhir:Quantity.code [ fhir:value "258813002" ]
  ];
  fhir:Observation.interpretation [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a sct:166698001;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
       fhir:Coding.code [ fhir:value "166698001" ];
       fhir:Coding.display [ fhir:value "Serum bicarbonate level normal" ]
     ], [
       fhir:index 1;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation" ];
       fhir:Coding.code [ fhir:value "N" ]
     ]
  ];
  fhir:Observation.method [
     fhir:CodeableConcept.text [ fhir:value "enzymatic method" ]
  ];
  fhir:Observation.referenceRange [
     fhir:index 0;
     fhir:Observation.referenceRange.low [
       fhir:Quantity.value [ fhir:value "22"^^xsd:decimal ]
     ];
     fhir:Observation.referenceRange.high [
       fhir:Quantity.value [ fhir:value "29"^^xsd:decimal ]
     ];
     fhir:Observation.referenceRange.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/referencerange-meaning" ];
         fhir:Coding.code [ fhir:value "normal" ];
         fhir:Coding.display [ fhir:value "Normal Range" ]
       ]

<http://hl7.org/fhir/Observation/f203> a fhir:Observation ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "f203"] ; # 
  fhir:identifier ( [
     fhir:system [
       fhir:v "https://intranet.aumc.nl/labvalues"^^xsd:anyURI ;
       fhir:l <https://intranet.aumc.nl/labvalues>
     ] ;
     fhir:value [ fhir:v "1304-03720-Bicarbonate" ] #   Does not exist  
  ] ) ; # 
  fhir:status [ fhir:v "final"] ; #   Bicarbonate was measured on April fourth  
  fhir:code [
     fhir:coding ( [
       a loinc:1963-8 ;
       fhir:system [
         fhir:v "http://loinc.org"^^xsd:anyURI ;
         fhir:l <http://loinc.org>
       ] ;
       fhir:code [ fhir:v "1963-8" ] ;
       fhir:display [ fhir:v "Bicarbonate [Moles/volume] in Serum or Plasma" ]
     ] [
       a sct:365722008 ;
       fhir:system [
         fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
         fhir:l <http://snomed.info/sct>
       ] ;
       fhir:code [ fhir:v "365722008" ] ;
       fhir:display [ fhir:v "Bicarbonate level" ]
     ] ) #   Kind of observation = Bicarbonate LOINC and SNOMED CT translations here - Note in the US the primary code will be LOINC per meaningful use.  Further SNOMED CT  has acceeded to LOINC being the primary coding system for vitals and anthropromorphic measures.  SNOMED CT is required in some countries such as the UK. 
  ] ; # 
  fhir:subject [
     fhir:l <http://hl7.org/fhir/Patient/f201> ;
     fhir:reference [ fhir:v "Patient/f201" ] ;
     fhir:display [ fhir:v "Roel" ]
  ] ; # 
  fhir:issued [ fhir:v "2013-04-04T14:34:00+01:00"^^xsd:dateTime] ; # 
  fhir:performer ( [
     fhir:l <http://hl7.org/fhir/Practitioner/f202> ;
     fhir:reference [ fhir:v "Practitioner/f202" ] ;
     fhir:display [ fhir:v "Luigi Maas" ]
  ] ) ; # 
  fhir:value [
     a fhir:Quantity ;
     fhir:value [ fhir:v "28"^^xsd:decimal ] ; #   Bicarbonate=28mmol\/L  
     fhir:unit [ fhir:v "mmol/L" ] ;
     fhir:system [
       fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
       fhir:l <http://snomed.info/sct>
     ] ;
     fhir:code [ fhir:v "258813002" ]
  ] ; # 
  fhir:interpretation ( [
     fhir:coding ( [
       a sct:166698001 ;
       fhir:system [
         fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
         fhir:l <http://snomed.info/sct>
       ] ;
       fhir:code [ fhir:v "166698001" ] ;
       fhir:display [ fhir:v "Serum bicarbonate level normal" ]
     ] [
       fhir:system [
         fhir:v "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"^^xsd:anyURI ;
         fhir:l <http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation>
       ] ;
       fhir:code [ fhir:v "N" ]
     ] )
  ] ) ; # 
  fhir:method [
     fhir:text [ fhir:v "enzymatic method" ] #   Method was enzymatic method  
  ] ; #   The observation is complete  ,   No reliability concerns  
  fhir:referenceRange ( [
     fhir:low [
       fhir:value [ fhir:v "22"^^xsd:decimal ]
     ] ; #   Healthy bicarbonate level ranges from 22mmol\/L to 29mmol\/L  
     fhir:high [
       fhir:value [ fhir:v "29"^^xsd:decimal ]
     ] ;
     fhir:type [
       fhir:coding ( [
         fhir:system [
           fhir:v "http://terminology.hl7.org/CodeSystem/referencerange-meaning"^^xsd:anyURI ;
           fhir:l <http://terminology.hl7.org/CodeSystem/referencerange-meaning>
         ] ;
         fhir:code [ fhir:v "normal" ] ;
         fhir:display [ fhir:v "Normal Range" ]
       ] )

     ]
  ] .

  ] ) . # 


<http://hl7.org/fhir/Patient/f201> a fhir:Patient .

<http://hl7.org/fhir/Practitioner/f202> a fhir:Practitioner .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/Observation/f203.ttl> a owl:Ontology;
  owl:imports fhir:fhir.ttl;
  owl:versionIRI <http://build.fhir.org/Observation/f203.ttl> .


# -------------------------------------------------------------------------------------


Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.