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Observation-example-glasgow-qa.ttl

Example Observation/gcs-qa (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 )

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.