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| 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 )
Clinical assessment tool example - GCS with individual scores as related QuestionnaireAnswer
@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 xsd: <http://www.w3.org/2001/XMLSchema#> . # - resource -------------------------------------------------------------------<http://hl7.org/fhir/Observation/gcs-qa> a fhir:Observation; fhir:nodeRole fhir:treeRoot; fhir:Resource.id [ fhir:value "gcs-qa"]; 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>: gcs-qa</p><p><b>status</b>: final</p><p><b>code</b>: Glasgow Coma Scale , (GCS) <span>(Details : {LOINC code '9269-2' = 'Glasgow coma score total', given as 'Glasgow coma score total'})</span></p><p><b>subject</b>: <a>Peter James Chalmers</a></p><p><b>effective</b>: 11/12/2014 4:44:16 AM</p><p><b>value</b>: 13 {score}<span> (Details: UCUM code {score} = '{score}')</span></p><blockquote><p><b>referenceRange</b></p><p><b>high</b>: 8 {score}<span> (Details: UCUM code {score} = '{score}')</span></p><p><b>type</b>: Severe TBI <span>(Details )</span></p></blockquote><blockquote><p><b>referenceRange</b></p><p><b>low</b>: 9 {score}<span> (Details: UCUM code {score} = '{score}')</span></p><p><b>high</b>: 12 {score}<span> (Details: UCUM code {score} = '{score}')</span></p><p><b>type</b>: Moderate TBI <span>(Details )</span></p></blockquote><blockquote><p><b>referenceRange</b></p><p><b>low</b>: 13 {score}<span> (Details: UCUM code {score} = '{score}')</span></p><p><b>type</b>: Mild TBI <span>(Details )</span></p></blockquote><p><b>derivedFrom</b>: <a>GCS form results</a></p></div>" ]; fhir:Observation.status [ fhir:value "final"]; fhir:Observation.code [ fhir:CodeableConcept.coding [ fhir:index 0; a loinc:9269-2; fhir:Coding.system [ fhir:value "http://loinc.org" ]; fhir:Coding.code [ fhir:value "9269-2" ]; fhir:Coding.display [ fhir:value "Glasgow coma score total" ] ]; fhir:CodeableConcept.text [ fhir:value "Glasgow Coma Scale , (GCS)" ] ]; fhir:Observation.subject [ fhir:link <http://hl7.org/fhir/Patient/example>; fhir:Reference.reference [ fhir:value "Patient/example" ]; fhir:Reference.display [ fhir:value "Peter James Chalmers" ] ]; fhir:Observation.effectiveDateTime [ fhir:value "2014-12-11T04:44:16Z"^^xsd:dateTime]; fhir:Observation.valueQuantity [ fhir:Quantity.value [ fhir:value "13"^^xsd:decimal ]; fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ]; fhir:Quantity.code [ fhir:value "{score}" ] ]; fhir:Observation.referenceRange [ fhir:index 0; fhir:Observation.referenceRange.high [ fhir:Quantity.value [ fhir:value "8"^^xsd:decimal ]; fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ]; fhir:Quantity.code [ fhir:value "{score}" ] ]; fhir:Observation.referenceRange.type [ fhir:CodeableConcept.text [ fhir:value "Severe TBI" ] ] ], [ fhir:index 1; fhir:Observation.referenceRange.low [ fhir:Quantity.value [ fhir:value "9"^^xsd:decimal ]; fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ]; fhir:Quantity.code [ fhir:value "{score}" ] ]; fhir:Observation.referenceRange.high [ fhir:Quantity.value [ fhir:value "12"^^xsd:decimal ]; fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ]; fhir:Quantity.code [ fhir:value "{score}" ] ]; fhir:Observation.referenceRange.type [ fhir:CodeableConcept.text [ fhir:value "Moderate TBI" ] ] ], [ fhir:index 2; fhir:Observation.referenceRange.low [ fhir:Quantity.value [ fhir:value "13"^^xsd:decimal ]; fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ]; fhir:Quantity.code [ fhir:value "{score}" ] ]; fhir:Observation.referenceRange.type [ fhir:CodeableConcept.text [ fhir:value "Mild TBI" ] ] ]; fhir:Observation.derivedFrom [ fhir:index 0; fhir:link <http://hl7.org/fhir/QuestionnaireResponse/gcs>; fhir:Reference.reference [ fhir:value "QuestionnaireResponse/gcs" ]; fhir:Reference.display [ fhir:value "GCS form results" ] ] .# # This is an example of a Glasgow Coma Score using the .related to bundle the measurements will use contained elements for this example only but coudl just as easily use external or bundled elements.. source http://www.choa.org/~/media/CHOA/Documents/Services/Concussion/Concussion-glasgow-coma-scale.pdf # <http://hl7.org/fhir/Observation/gcs-qa> a fhir:Observation ; fhir:nodeRole fhir:treeRoot ; fhir:id [ fhir:v "gcs-qa"] ; # fhir:status [ fhir:v "final"] ; # the mandatory quality flags: fhir:code [ fhir:coding ( [ a loinc:9269-2 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ; fhir:l <http://loinc.org> ] ; fhir:code [ fhir:v "9269-2" ] ; fhir:display [ fhir:v "Glasgow coma score total" ] ] ) ; # LOINC - always recommended to have a LOINC code fhir:text [ fhir:v "Glasgow Coma Scale , (GCS)" ] ] ; # # Observations are often coded in multiple code systems. # - LOINC # - or SNOMED # -and/or the source system may provides its own "local" code, which may be less or more granular than LOINC. # In this example there is only LOINC # fhir:subject [ fhir:l <http://hl7.org/fhir/Patient/example> ; fhir:reference [ fhir:v "Patient/example" ] ; fhir:display [ fhir:v "Peter James Chalmers" ] ] ; # fhir:effective [ a fhir:DateTime ; fhir:v "2014-12-11T04:44:16Z"^^xsd:dateTime ] ; # fhir:value [ a fhir:Quantity ; fhir:value [ fhir:v "13"^^xsd:decimal ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ; fhir:l <http://unitsofmeasure.org> ] ; fhir:code [ fhir:v "{score}" ] ] ; # In FHIR, units may be represented twice. Once in the # agreed human representation, and once in a coded form. # In this example the UCUM unit is provided but no human representation since this is often not displayed # fhir:referenceRange ( [ fhir:high [ fhir:value [ fhir:v "8"^^xsd:decimal ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ; fhir:l <http://unitsofmeasure.org> ] ; fhir:code [ fhir:v "{score}" ] ] ; fhir:type [ fhir:text [ fhir:v "Severe TBI" ] ] # meaning as text ] [ fhir:low [ fhir:value [ fhir:v "9"^^xsd:decimal ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ; fhir:l <http://unitsofmeasure.org> ] ; fhir:code [ fhir:v "{score}" ] ] ; fhir:high [ fhir:value [ fhir:v "12"^^xsd:decimal ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ; fhir:l <http://unitsofmeasure.org> ] ; fhir:code [ fhir:v "{score}" ] ] ; fhir:type [ fhir:text [ fhir:v "Moderate TBI" ] ] # meaning as text ] [ fhir:low [ fhir:value [ fhir:v "13"^^xsd:decimal ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ; fhir:l <http://unitsofmeasure.org> ] ; fhir:code [ fhir:v "{score}" ] ] ; fhir:type [ fhir:text [ fhir:v "Mild TBI" ] ] # meaning as text ] ) ; # fhir:derivedFrom ( [ fhir:l <http://hl7.org/fhir/QuestionnaireResponse/gcs> ; fhir:reference [ fhir:v "QuestionnaireResponse/gcs" ] ; fhir:display [ fhir:v "GCS form results" ] ] ) . # put the references to the QuestionnairAnswer example here using the derived-From type <http://hl7.org/fhir/Patient/example> a fhir:Patient . <http://hl7.org/fhir/QuestionnaireResponse/gcs> a fhir:QuestionnaireResponse .# - ontology header ------------------------------------------------------------ <http://hl7.org/fhir/Observation/gcs-qa.ttl> a owl:Ontology; owl:imports fhir:fhir.ttl; owl:versionIRI <http://build.fhir.org/Observation/gcs-qa.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.
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hl7.fhir.core#6.0.0-ballot3
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