An example of capturing whether the mother is trained to change her child's tracheostomy tube. In this example, the child is the patient of record and the mother is the focus.

@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@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/trachcare> a fhir:Observation;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "trachcare"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><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\">Resource &quot;trachcare&quot; </p></div><p><b>status</b>: final</p><p><b>category</b>: Exam <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"codesystem-observation-category.html\">Observation Category Codes</a>#exam)</span></p><p><b>code</b>: Tracheostomy care assessment (procedure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#410211008)</span></p><p><b>subject</b>: <a href=\"todo.html\">Patient/infant</a></p><p><b>focus</b>: <a href=\"patient-infant-mom.html\">Patient/infant-mom</a> &quot;Leia SOLO&quot;</p><p><b>effective</b>: 2018-03-11T16:07:54Z</p><p><b>value</b>: Mother is trained to change her child's tracheostomy tube</p></div>"
  ];
  fhir:Observation.status [ fhir:value "final"];
  fhir:Observation.category [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ];
       fhir:Coding.code [ fhir:value "exam" ];
       fhir:Coding.display [ fhir:value "Exam" ]
     ];
     fhir:CodeableConcept.text [ fhir:value "Exam" ]
  ];
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a sct:410211008;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
       fhir:Coding.code [ fhir:value "410211008" ];
       fhir:Coding.display [ fhir:value "Tracheostomy care assessment (procedure)" ]
     ]
  ];
  fhir:Observation.subject [
     fhir:link <http://hl7.org/fhir/Patient/infant>;
     fhir:Reference.reference [ fhir:value "Patient/infant" ]
  ];
  fhir:Observation.focus [
     fhir:index 0;
     fhir:link <http://hl7.org/fhir/Patient/infant-mom>;
     fhir:Reference.reference [ fhir:value "Patient/infant-mom" ]
  ];
  fhir:Observation.effectiveDateTime [ fhir:value "2018-03-11T16:07:54+00:00"^^xsd:dateTime];
  fhir:Observation.valueString [ fhir:value "Mother is trained to change her child's tracheostomy tube"] .

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

<http://hl7.org/fhir/Patient/infant-mom> a fhir:Patient .

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

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

[a fhir:Observation ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "trachcare"] ; # 
  fhir:text [
     fhir:status [ fhir:v "generated" ] ;
     fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"trachcare\"> </a></p><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\">Resource Observation &quot;trachcare&quot; </p></div><p><b>status</b>: final</p><p><b>category</b>: Exam <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-observation-category.html\">Observation Category Codes</a>#exam)</span></p><p><b>code</b>: Tracheostomy care assessment (procedure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#410211008)</span></p><p><b>subject</b>: <a href=\"broken-link.html\">Patient/infant</a></p><p><b>focus</b>: <a href=\"patient-example-infant-mom.html\">Patient/infant-mom</a> &quot;Leia SOLO&quot;</p><p><b>effective</b>: 2018-03-11T16:07:54Z</p><p><b>value</b>: Mother is trained to change her child's tracheostomy tube</p></div>"
  ] ; # 
  fhir:status [ fhir:v "final"] ; # 
  fhir:category ( [
     fhir:coding ( [
       fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/observation-category"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "exam" ] ;
       fhir:display [ fhir:v "Exam" ]
     ] ) ;
     fhir:text [ fhir:v "Exam" ]
  ] ) ; # 
  fhir:code [
     fhir:coding ( [
       a sct:410211008 ;
       fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "410211008" ] ;
       fhir:display [ fhir:v "Tracheostomy care assessment (procedure)" ]
     ] )
  ] ; # 
  fhir:subject [
     fhir:reference [ fhir:v "Patient/infant" ]
  ] ; # 
  fhir:focus ( [
     fhir:reference [ fhir:v "Patient/infant-mom" ]
  ] ) ; # 
  fhir:effective [ fhir:v "2018-03-11T16:07:54+00:00"^^xsd:dateTime] ; # 
  fhir:value [ fhir:v "Mother is trained to change her child's tracheostomy tube"]] . # 


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