STU 3 Candidate

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Observation-example-glasgow.ttl

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Clinical assessment tool example - GCS using related Observations

@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 xs: <http://www.w3.org/2001/XMLSchema#> .

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

<http://hl7.org/fhir//Observation/glasgow> a fhir:Observation;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "glasgow"];
  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 "motor" ];
       fhir:Observation.status [ fhir:value "final" ];
       fhir:Observation.code [
         a loinc:9268-4;
         fhir:CodeableConcept.coding [
           fhir:index 0;
           a loinc:9268-4;
           fhir:Coding.system [ fhir:value "http://loinc.org" ];
           fhir:Coding.code [ fhir:value "9268-4" ];
           fhir:Coding.display [ fhir:value "Glasgow coma score motor" ]         ];
         fhir:CodeableConcept.text [ fhir:value "GCS motor" ]       ];
       fhir:Observation.subjectReference [
         fhir:reference <http://hl7.org/fhir/Patient/example>;
         fhir:Reference.reference [ fhir:value "Patient/example" ]       ];
       fhir:Observation.effectiveDateTime [ fhir:value "2014-12-11T04:44:16Z"^^xs:dateTime ];
       fhir:Observation.valueCodeableConcept [
         a loinc:LA6566-9;
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http:/acme.ec/gcsmotor" ];
           fhir:Coding.code [ fhir:value "5" ];
           fhir:Coding.display [ fhir:value "Localizes painful stimuli" ]         ];
         fhir:CodeableConcept.coding [
           fhir:index 1;
           a loinc:LA6566-9;
           fhir:Element.extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/iso21090-CO-value" ];
             fhir:Extension.valueDecimal [ fhir:value "5"^^xs:decimal ]           ];
           fhir:Coding.system [ fhir:value "http://loinc.org" ];
           fhir:Coding.code [ fhir:value "LA6566-9" ];
           fhir:Coding.display [ fhir:value "Localizing pain" ]         ];
         fhir:CodeableConcept.text [ fhir:value "5 (Localizes painful stimuli)" ]       ]     ]
  ];
  fhir:DomainResource.contained [
     fhir:index 1;
     fhir:Observation [
       fhir:index 0;
       fhir:Resource.id [ fhir:value "verbal" ];
       fhir:Observation.status [ fhir:value "final" ];
       fhir:Observation.code [
         a loinc:9270-0;
         fhir:CodeableConcept.coding [
           fhir:index 0;
           a loinc:9270-0;
           fhir:Coding.system [ fhir:value "http://loinc.org" ];
           fhir:Coding.code [ fhir:value "9270-0" ];
           fhir:Coding.display [ fhir:value "Glasgow coma score verbal" ]         ];
         fhir:CodeableConcept.text [ fhir:value "Verbal" ]       ];
       fhir:Observation.subjectReference [
         fhir:reference <http://hl7.org/fhir/Patient/example>;
         fhir:Reference.reference [ fhir:value "Patient/example" ]       ];
       fhir:Observation.effectiveDateTime [ fhir:value "2014-12-11T04:44:16Z"^^xs:dateTime ];
       fhir:Observation.valueCodeableConcept [
         a loinc:LA6560-2;
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http:/acme.ec/gcsverbal" ];
           fhir:Coding.code [ fhir:value "4" ];
           fhir:Coding.display [ fhir:value "Confused, disoriented" ]         ];
         fhir:CodeableConcept.coding [
           fhir:index 1;
           a loinc:LA6560-2;
           fhir:Element.extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/iso21090-CO-value" ];
             fhir:Extension.valueDecimal [ fhir:value "4"^^xs:decimal ]           ];
           fhir:Coding.system [ fhir:value "http://loinc.org" ];
           fhir:Coding.code [ fhir:value "LA6560-2" ];
           fhir:Coding.display [ fhir:value "Confused" ]         ];
         fhir:CodeableConcept.text [ fhir:value "4 (Confused, disoriented)" ]       ]     ]
  ];
  fhir:DomainResource.contained [
     fhir:index 2;
     fhir:Observation [
       fhir:index 0;
       fhir:Resource.id [ fhir:value "eyes" ];
       fhir:Observation.status [ fhir:value "final" ];
       fhir:Observation.code [
         a loinc:9267-6;
         fhir:CodeableConcept.coding [
           fhir:index 0;
           a loinc:9267-6;
           fhir:Coding.system [ fhir:value "http://loinc.org" ];
           fhir:Coding.code [ fhir:value "9267-6" ];
           fhir:Coding.display [ fhir:value "Glasgow coma score eye opening" ]         ];
         fhir:CodeableConcept.text [ fhir:value "Eyes" ]       ];
       fhir:Observation.subjectReference [
         fhir:reference <http://hl7.org/fhir/Patient/example>;
         fhir:Reference.reference [ fhir:value "Patient/example" ]       ];
       fhir:Observation.effectiveDateTime [ fhir:value "2014-12-11T04:44:16Z"^^xs:dateTime ];
       fhir:Observation.valueCodeableConcept [
         a loinc:LA6556-0;
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http:/acme.ec/gcseye" ];
           fhir:Coding.code [ fhir:value "4" ];
           fhir:Coding.display [ fhir:value "Opens eyes spontaneously" ]         ];
         fhir:CodeableConcept.coding [
           fhir:index 1;
           a loinc:LA6556-0;
           fhir:Element.extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/iso21090-CO-value" ];
             fhir:Extension.valueDecimal [ fhir:value "4"^^xs:decimal ]           ];
           fhir:Coding.system [ fhir:value "http://loinc.org" ];
           fhir:Coding.code [ fhir:value "LA6556-0" ];
           fhir:Coding.display [ fhir:value "Eyes open spontaneously" ]         ];
         fhir:CodeableConcept.text [ fhir:value "4 (Opens eyes spontaneously)" ]       ]     ]
  ];
  fhir:Observation.status [ fhir:value "final"];
  fhir:Observation.code [
     a loinc:9269-2;
     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.subjectReference [
     fhir:reference <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"^^xs:dateTime];
  fhir:Observation.valueQuantity [
     fhir:Quantity.value [ fhir:value "13"^^xs: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"^^xs:decimal ];
       fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
       fhir:Quantity.code [ fhir:value "{score}" ]     ];
     fhir:Observation.referenceRange.meaning [
       fhir:CodeableConcept.text [ fhir:value "Severe TBI" ]     ]
  ];
  fhir:Observation.referenceRange [
     fhir:index 1;
     fhir:Observation.referenceRange.low [
       fhir:Quantity.value [ fhir:value "9"^^xs: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"^^xs:decimal ];
       fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
       fhir:Quantity.code [ fhir:value "{score}" ]     ];
     fhir:Observation.referenceRange.meaning [
       fhir:CodeableConcept.text [ fhir:value "Moderate TBI" ]     ]
  ];
  fhir:Observation.referenceRange [
     fhir:index 2;
     fhir:Observation.referenceRange.low [
       fhir:Quantity.value [ fhir:value "13"^^xs:decimal ];
       fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
       fhir:Quantity.code [ fhir:value "{score}" ]     ];
     fhir:Observation.referenceRange.meaning [
       fhir:CodeableConcept.text [ fhir:value "Mild TBI" ]     ]
  ];
  fhir:Observation.related [
     fhir:index 0;
     fhir:Observation.related.type [ fhir:value "derived-from" ];
     fhir:Observation.related.targetReference [
       fhir:Reference.reference [ fhir:value "#motor" ];
       fhir:Reference.display [ fhir:value "Motor score" ]     ]
  ];
  fhir:Observation.related [
     fhir:index 1;
     fhir:Observation.related.type [ fhir:value "derived-from" ];
     fhir:Observation.related.targetReference [
       fhir:Reference.reference [ fhir:value "#verbal" ];
       fhir:Reference.display [ fhir:value "Verbal score" ]     ]
  ];
  fhir:Observation.related [
     fhir:index 2;
     fhir:Observation.related.type [ fhir:value "derived-from" ];
     fhir:Observation.related.targetReference [
       fhir:Reference.reference [ fhir:value "#eyes" ];
       fhir:Reference.display [ fhir:value "Eyes score" ]     ]
  ].

# -------------------------------------------------------------------------------------

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.