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Diagnosticreport-genetics-comprehensive-bone-marrow-report.ttl

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An example of a comprehensive bone marrow report
@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <http://loinc.org/owl#> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/sct/> .
@prefix xs: <http://www.w3.org/2001/XMLSchema#> .

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

<http://hl7.org/fhir//DiagnosticReport/report> a fhir:DiagnosticReport;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "report"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ]
  ];
  fhir:DomainResource.contained [
     fhir:index 0;
     fhir:Observation [
       fhir:index 0;
       fhir:Resource.id [ fhir:value "o1" ];
       fhir:Observation.status [ fhir:value "final" ];
       fhir:Observation.code [
         a loinc:26464-8;
         fhir:CodeableConcept.coding [
           fhir:index 0;
           a loinc:26464-8;
           fhir:Coding.system [ fhir:value "http://loinc.org" ];
           fhir:Coding.code [ fhir:value "26464-8" ];
           fhir:Coding.display [ fhir:value "Leukocytes [#/volume] in Blood" ]         ]       ];
       fhir:Observation.valueQuantity [
         fhir:Quantity.value [ fhir:value "31.9"^^xs:decimal ];
         fhir:Quantity.unit [ fhir:value "K/ul" ]       ]     ]
  ];
  fhir:DomainResource.contained [
     fhir:index 1;
     fhir:Observation [
       fhir:index 0;
       fhir:Resource.id [ fhir:value "o2" ];
       fhir:Observation.status [ fhir:value "final" ];
       fhir:Observation.code [
         a loinc:20570-8;
         fhir:CodeableConcept.coding [
           fhir:index 0;
           a loinc:20570-8;
           fhir:Coding.system [ fhir:value "http://loinc.org" ];
           fhir:Coding.code [ fhir:value "20570-8" ];
           fhir:Coding.display [ fhir:value "Hematocrit [Volume Fraction] of Blood" ]         ]       ];
       fhir:Observation.valueQuantity [
         fhir:Quantity.value [ fhir:value "27"^^xs:decimal ];
         fhir:Quantity.unit [ fhir:value "%" ]       ]     ]
  ];
  fhir:DomainResource.contained [
     fhir:index 2;
     fhir:Observation [
       fhir:index 0;
       fhir:Resource.id [ fhir:value "o3" ];
       fhir:Observation.status [ fhir:value "final" ];
       fhir:Observation.code [
         a loinc:26515-7;
         fhir:CodeableConcept.coding [
           fhir:index 0;
           a loinc:26515-7;
           fhir:Coding.system [ fhir:value "http://loinc.org" ];
           fhir:Coding.code [ fhir:value "26515-7" ];
           fhir:Coding.display [ fhir:value "Platelets [#/volume] in Blood" ]         ]       ];
       fhir:Observation.valueQuantity [
         fhir:Quantity.value [ fhir:value "84"^^xs:decimal ];
         fhir:Quantity.unit [ fhir:value "K/ul" ]       ]     ]
  ];
  fhir:DomainResource.contained [
     fhir:index 3;
     fhir:Observation [
       fhir:index 0;
       fhir:Resource.id [ fhir:value "o4" ];
       fhir:Observation.status [ fhir:value "final" ];
       fhir:Observation.code [
         a loinc:75034-9;
         fhir:CodeableConcept.coding [
           fhir:index 0;
           a loinc:75034-9;
           fhir:Coding.system [ fhir:value "http://loinc.org" ];
           fhir:Coding.code [ fhir:value "75034-9" ];
           fhir:Coding.display [ fhir:value "NPM1 gene mutations found [Identifier] in Bone marrow by Molecular genetics method Nominal" ]         ]       ];
       fhir:Observation.valueCodeableConcept [
         a sct:10828004;
         fhir:CodeableConcept.coding [
           fhir:index 0;
           a sct:10828004;
           fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
           fhir:Coding.code [ fhir:value "10828004" ];
           fhir:Coding.display [ fhir:value "Positive" ]         ]       ]     ]
  ];
  fhir:DomainResource.contained [
     fhir:index 4;
     fhir:Observation [
       fhir:index 0;
       fhir:Resource.id [ fhir:value "o5" ];
       fhir:Observation.status [ fhir:value "final" ];
       fhir:Observation.code [
         a loinc:54447-8;
         fhir:CodeableConcept.coding [
           fhir:index 0;
           a loinc:54447-8;
           fhir:Coding.system [ fhir:value "http://loinc.org" ];
           fhir:Coding.code [ fhir:value "54447-8" ];
           fhir:Coding.display [ fhir:value "FLT3 gene mutation analysis in Bone marrow by Molecular genetics method Narrative" ]         ]       ];
       fhir:Observation.valueCodeableConcept [
         a sct:260385009;
         fhir:CodeableConcept.coding [
           fhir:index 0;
           a sct:260385009;
           fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
           fhir:Coding.code [ fhir:value "260385009" ];
           fhir:Coding.display [ fhir:value "Negative" ]         ]       ]     ]
  ];
  fhir:DomainResource.contained [
     fhir:index 5;
     fhir:Observation [
       fhir:index 0;
       fhir:Resource.id [ fhir:value "o6" ];
       fhir:Observation.status [ fhir:value "final" ];
       fhir:Observation.code [
         a loinc:55201-8;
         fhir:CodeableConcept.coding [
           fhir:index 0;
           a loinc:55201-8;
           fhir:Coding.system [ fhir:value "http://loinc.org" ];
           fhir:Coding.code [ fhir:value "55201-8" ];
           fhir:Coding.display [ fhir:value "KIT gene mutation analysis in Bone marrow by Molecular genetics method Narrative" ]         ]       ];
       fhir:Observation.valueCodeableConcept [
         a sct:260385009;
         fhir:CodeableConcept.coding [
           fhir:index 0;
           a sct:260385009;
           fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
           fhir:Coding.code [ fhir:value "260385009" ];
           fhir:Coding.display [ fhir:value "Negative" ]         ]       ]     ]
  ];
  fhir:DomainResource.contained [
     fhir:index 6;
     fhir:Observation [
       fhir:index 0;
       fhir:Resource.id [ fhir:value "o7" ];
       fhir:Observation.status [ fhir:value "final" ];
       fhir:Observation.code [
         a loinc:30444-4;
         fhir:CodeableConcept.coding [
           fhir:index 0;
           a loinc:30444-4;
           fhir:Coding.system [ fhir:value "http://loinc.org" ];
           fhir:Coding.code [ fhir:value "30444-4" ];
           fhir:Coding.display [ fhir:value "Myeloblasts [#/volume] in Blood" ]         ]       ];
       fhir:Observation.valueCodeableConcept [
         a sct:10828004;
         fhir:CodeableConcept.coding [
           fhir:index 0;
           a sct:10828004;
           fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
           fhir:Coding.code [ fhir:value "10828004" ];
           fhir:Coding.display [ fhir:value "Positive" ]         ]       ]     ]
  ];
  fhir:DomainResource.contained [
     fhir:index 7;
     fhir:Observation [
       fhir:index 0;
       fhir:Resource.id [ fhir:value "o8" ];
       fhir:Observation.status [ fhir:value "final" ];
       fhir:Observation.code [
         a loinc:47016-1;
         fhir:CodeableConcept.coding [
           fhir:index 0;
           a loinc:47016-1;
           fhir:Coding.system [ fhir:value "http://loinc.org" ];
           fhir:Coding.code [ fhir:value "47016-1" ];
           fhir:Coding.display [ fhir:value "CD4 Ag [Presence] in Tissue by Immune stain" ]         ]       ];
       fhir:Observation.valueCodeableConcept [
         a sct:10828004;
         fhir:CodeableConcept.coding [
           fhir:index 0;
           a sct:10828004;
           fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
           fhir:Coding.code [ fhir:value "10828004" ];
           fhir:Coding.display [ fhir:value "Positive" ]         ]       ]     ]
  ];
  fhir:DomainResource.contained [
     fhir:index 8;
     fhir:Observation [
       fhir:index 0;
       fhir:Resource.id [ fhir:value "o9" ];
       fhir:Observation.status [ fhir:value "final" ];
       fhir:Observation.code [
         a loinc:49464-1;
         fhir:CodeableConcept.coding [
           fhir:index 0;
           a loinc:49464-1;
           fhir:Coding.system [ fhir:value "http://loinc.org" ];
           fhir:Coding.code [ fhir:value "49464-1" ];
           fhir:Coding.display [ fhir:value "CD13 Ag [Presence] in Tissue by Immune stain" ]         ]       ];
       fhir:Observation.valueCodeableConcept [
         a sct:10828004;
         fhir:CodeableConcept.coding [
           fhir:index 0;
           a sct:10828004;
           fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
           fhir:Coding.code [ fhir:value "10828004" ];
           fhir:Coding.display [ fhir:value "Positive" ]         ]       ]     ]
  ];
  fhir:DomainResource.contained [
     fhir:index 9;
     fhir:Observation [
       fhir:index 0;
       fhir:Resource.id [ fhir:value "o10" ];
       fhir:Observation.status [ fhir:value "final" ];
       fhir:Observation.code [
         a loinc:49466-6;
         fhir:CodeableConcept.coding [
           fhir:index 0;
           a loinc:49466-6;
           fhir:Coding.system [ fhir:value "http://loinc.org" ];
           fhir:Coding.code [ fhir:value "49466-6" ];
           fhir:Coding.display [ fhir:value "CD2 Ag [Presence] in Tissue by Immune stain" ]         ]       ];
       fhir:Observation.valueCodeableConcept [
         a sct:260385009;
         fhir:CodeableConcept.coding [
           fhir:index 0;
           a sct:260385009;
           fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
           fhir:Coding.code [ fhir:value "260385009" ];
           fhir:Coding.display [ fhir:value "Negative" ]         ]       ]     ]
  ];
  fhir:DomainResource.contained [
     fhir:index 10;
     fhir:Observation [
       fhir:index 0;
       fhir:Resource.id [ fhir:value "o11" ];
       fhir:Observation.status [ fhir:value "final" ];
       fhir:Observation.code [
         a loinc:33893-9;
         fhir:CodeableConcept.coding [
           fhir:index 0;
           a loinc:33893-9;
           fhir:Coding.system [ fhir:value "http://loinc.org" ];
           fhir:Coding.code [ fhir:value "33893-9" ];
           fhir:Coding.display [ fhir:value "Karyotype [Identifier] in Bone marrow Nominal" ]         ]       ];
       fhir:Observation.valueCodeableConcept [
         fhir:CodeableConcept.text [ fhir:value "46,XX[20]" ]       ]     ]
  ];
  fhir:DomainResource.contained [
     fhir:index 11;
     fhir:Observation [
       fhir:index 0;
       fhir:Resource.id [ fhir:value "o12" ];
       fhir:Observation.status [ fhir:value "final" ];
       fhir:Observation.code [
         fhir:CodeableConcept.text [ fhir:value "MDS-associated genetic abnormalities" ]       ];
       fhir:Observation.valueCodeableConcept [
         a sct:260385009;
         fhir:CodeableConcept.coding [
           fhir:index 0;
           a sct:260385009;
           fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
           fhir:Coding.code [ fhir:value "260385009" ];
           fhir:Coding.display [ fhir:value "Negative" ]         ]       ]     ]
  ];
  fhir:DomainResource.contained [
     fhir:index 12;
     fhir:Observation [
       fhir:index 0;
       fhir:Resource.id [ fhir:value "o13" ];
       fhir:Observation.status [ fhir:value "final" ];
       fhir:Observation.code [
         fhir:CodeableConcept.text [ fhir:value "AML-associated genetic abnormalities" ]       ];
       fhir:Observation.valueCodeableConcept [
         a sct:260385009;
         fhir:CodeableConcept.coding [
           fhir:index 0;
           a sct:260385009;
           fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
           fhir:Coding.code [ fhir:value "260385009" ];
           fhir:Coding.display [ fhir:value "Negative" ]         ]       ]     ]
  ];
  fhir:DomainResource.extension [
     fhir:index 0;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/DiagnosticReport-geneticsAssessedCondition" ];
     fhir:Extension.valueReference [
       fhir:Reference.reference [ fhir:value "c1" ]     ]
  ];
  fhir:DiagnosticReport.status [ fhir:value "final"];
  fhir:DiagnosticReport.code [
     fhir:CodeableConcept.text [ fhir:value "comprehensive bone marrow report" ]
  ];
  fhir:DiagnosticReport.subjectReference [
     fhir:reference <http://hl7.org/fhir/Patient/genetics-example1>;
     fhir:Reference.reference [ fhir:value "Patient/genetics-example1" ];
     fhir:Reference.display [ fhir:value "Everywoman, Eve A, MRN: 123456789" ]
  ];
  fhir:DiagnosticReport.effectiveDateTime [ fhir:value "2015-01-02T13:20:10+01:00"^^xs:dateTime];
  fhir:DiagnosticReport.issued [ fhir:value "2015-01-06T13:20:10+01:00"^^xs:dateTime];
  fhir:DiagnosticReport.performerReference [
     fhir:reference <http://hl7.org/fhir/Practitioner/genetics-example1>;
     fhir:Reference.reference [ fhir:value "Practitioner/genetics-example1" ];
     fhir:Reference.display [ fhir:value "Molecular Diagnostic Laboratory" ]
  ];
  fhir:DiagnosticReport.specimen [
     fhir:index 0;
     fhir:reference <http://hl7.org/fhir/Specimen/genetics-example1>;
     fhir:Reference.reference [ fhir:value "Specimen/genetics-example1" ];
     fhir:Reference.display [ fhir:value "Bone marrow ID: MLD45-Z4-1234" ]
  ];
  fhir:DiagnosticReport.result [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "#o1" ]
  ];
  fhir:DiagnosticReport.result [
     fhir:index 1;
     fhir:Reference.reference [ fhir:value "#o2" ]
  ];
  fhir:DiagnosticReport.result [
     fhir:index 2;
     fhir:Reference.reference [ fhir:value "#o3" ]
  ];
  fhir:DiagnosticReport.result [
     fhir:index 3;
     fhir:Reference.reference [ fhir:value "#o4" ]
  ];
  fhir:DiagnosticReport.result [
     fhir:index 4;
     fhir:Reference.reference [ fhir:value "#o5" ]
  ];
  fhir:DiagnosticReport.result [
     fhir:index 5;
     fhir:Reference.reference [ fhir:value "#o6" ]
  ];
  fhir:DiagnosticReport.result [
     fhir:index 6;
     fhir:Reference.reference [ fhir:value "#o7" ]
  ];
  fhir:DiagnosticReport.result [
     fhir:index 7;
     fhir:Reference.reference [ fhir:value "#o8" ]
  ];
  fhir:DiagnosticReport.result [
     fhir:index 8;
     fhir:Reference.reference [ fhir:value "#o9" ]
  ];
  fhir:DiagnosticReport.result [
     fhir:index 9;
     fhir:Reference.reference [ fhir:value "#o10" ]
  ];
  fhir:DiagnosticReport.result [
     fhir:index 10;
     fhir:Reference.reference [ fhir:value "#o11" ]
  ];
  fhir:DiagnosticReport.result [
     fhir:index 11;
     fhir:Reference.reference [ fhir:value "#o12" ]
  ];
  fhir:DiagnosticReport.result [
     fhir:index 12;
     fhir:Reference.reference [ fhir:value "#o13" ]
  ].

# -------------------------------------------------------------------------------------
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.