Clinical assessment tool example - GCS with individual scores as related QuestionnaireAnswer

@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <http://loinc.org/rdf#> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@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;

[a fhir:Observation;

  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "gcs-qa"];

  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</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;gcs-qa&quot; </p></div><p><b>status</b>: final</p><p><b>code</b>: Glasgow Coma Scale , (GCS) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#9269-2 &quot;Glasgow coma score total&quot;)</span></p><p><b>subject</b>: <a href=\"patient-example.html\">Patient/example: Peter James Chalmers</a> &quot;Peter CHALMERS&quot;</p><p><b>effective</b>: 2014-12-11T04:44:16Z</p><p><b>value</b>: 13 {score}<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code {score} = '{score}')</span></p><blockquote><p><b>referenceRange</b></p><p><b>high</b>: 8 {score}<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code {score} = '{score}')</span></p><p><b>type</b>: Severe TBI <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote><blockquote><p><b>referenceRange</b></p><p><b>low</b>: 9 {score}<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code {score} = '{score}')</span></p><p><b>high</b>: 12 {score}<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code {score} = '{score}')</span></p><p><b>type</b>: Moderate TBI <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote><blockquote><p><b>referenceRange</b></p><p><b>low</b>: 13 {score}<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code {score} = '{score}')</span></p><p><b>type</b>: Mild TBI <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote><p><b>derivedFrom</b>: <a href=\"questionnaireresponse-gcs.html\">QuestionnaireResponse/gcs: GCS form results</a></p></div>"
  ];
  fhir:Observation.status [ fhir:value "final"];

     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"gcs-qa\"> </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;gcs-qa&quot; </p></div><p><b>status</b>: <span title=\"   the mandatory quality flags:   \">final</span></p><p><b>code</b>: <span title=\"  \n    Observations are often coded in multiple code systems.\n      - LOINC\n		- or SNOMED\n      -and/or the source system may provides its own &quot;local&quot; code, which may be less or more granular than LOINC.\n	In this example there is only LOINC\n    \">Glasgow Coma Scale , (GCS) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#9269-2 &quot;Glasgow coma score total&quot;)</span></span></p><p><b>subject</b>: <a href=\"patient-example.html\">Patient/example: Peter James Chalmers</a> &quot;Peter CHALMERS&quot;</p><p><b>effective</b>: 2014-12-11T04:44:16Z</p><p><b>value</b>: <span title=\"   In FHIR, units may be represented twice. Once in the\n    agreed human representation, and once in a coded form.\n    In this example the UCUM unit is provided but no human representation since this is often not displayed\n     \">13 {score}<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code {score} = '{score}')</span></span></p><blockquote><p><b>referenceRange</b></p><p><b>high</b>: 8 {score}<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code {score} = '{score}')</span></p><p><b>type</b>: <span title=\"   meaning as text   \">Severe TBI <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></span></p></blockquote><blockquote><p><b>referenceRange</b></p><p><b>low</b>: 9 {score}<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code {score} = '{score}')</span></p><p><b>high</b>: 12 {score}<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code {score} = '{score}')</span></p><p><b>type</b>: <span title=\"   meaning as text   \">Moderate TBI <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></span></p></blockquote><blockquote><p><b>referenceRange</b></p><p><b>low</b>: 13 {score}<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code {score} = '{score}')</span></p><p><b>type</b>: <span title=\"   meaning as text   \">Mild TBI <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></span></p></blockquote><p><b>derivedFrom</b>: <span title=\"   put the references to the QuestionnairAnswer example here using the derived-From type    \"><a href=\"questionnaireresponse-example-gcs.html\">QuestionnaireResponse/gcs: GCS form results</a></span></p></div>"
  ]; #     the mandatory quality flags:    
  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" ]
     ];

     ]; #     LOINC - always recommended to have a LOINC code    

     fhir:CodeableConcept.text [ fhir:value "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: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.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}" ]
  ];

  ]; #     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: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" ]
     ]

     ] #     meaning as text    

  ], [
     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" ]
     ]

     ] #     meaning as text    

  ], [
     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" ]
     ]
  ];

     ] #     meaning as text    
  ]; # 

  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" ]
  ] .

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

<http://hl7.org/fhir/QuestionnaireResponse/gcs> a fhir:QuestionnaireResponse .

  ]] . #     put the references to the QuestionnairAnswer example here using the derived-From type     


# - 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> .

[a owl:Ontology;
  owl:imports fhir:fhir.ttl] .


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