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Clinical Decision Support Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Device, Patient, Practitioner |
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Cardiac risk assessment
@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 xsd: <http://www.w3.org/2001/XMLSchema#> . # - resource ------------------------------------------------------------------- <http://hl7.org/fhir/RiskAssessment/cardiac> a fhir:RiskAssessment; fhir:nodeRole fhir:treeRoot; fhir:Resource.id [ fhir:value "cardiac"]; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "additional" ]; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <table>\n <tr>\n <td colspan=\"2\">\n <h1>Information about your risk score:</h1>\n </td>\n </tr>\n <tr>\n <td>\n <strong>Age:</strong>\n </td>\n <td>39</td>\n </tr>\n <tr>\n <td>\n <strong>Gender:</strong>\n </td>\n <td>male</td>\n </tr>\n <tr>\n <td>\n <strong>Total Cholesterol:</strong>\n </td>\n <td>244 mg/dL</td>\n </tr>\n <tr>\n <td>\n <strong>HDL Cholesterol:</strong>\n </td>\n <td>50 mg/dL\n </td>\n </tr>\n <tr>\n <td>\n <strong>Smoker:</strong>\n </td>\n <td>No</td>\n </tr>\n <tr>\n <td>\n <strong>Systolic Blood Pressure:</strong>\n </td>\n <td>107 mm/Hg</td>\n </tr>\n <tr>\n <td>\n <strong>On medication for HBP:</strong>\n </td>\n <td>No</td>\n </tr>\n <tr>\n <td valign=\"top\">\n <b>Risk Score*</b>\n </td>\n <td>2%<br/>Means 2 of 100 people with this level of risk will have a heart attack in the next 10 years.</td>\n </tr>\n <tr>\n <td colspan=\"2\">* Your risk score was calculated using an equation. Other NCEP products, such as printed ATP III materials, use a point system to determine a risk score that is close to the equation score.</td>\n </tr>\n <tr>\n <td colspan=\"2\">To find out what your risk score means and how to lower your risk for a heart attack, go to<br/>\n <a href=\"http://www.nhlbi.nih.gov/health/public/heart/chol/hbc_what.htm\">"High Blood Cholesterol—What You Need to Know"</a>.<br/>\n <a href=\"http://www.nhlbi.nih.gov/health/public/heart/chol/chol_tlc.htm\">Your Guide to Lowering Cholesterol with Therapeutic Lifestyle Changes (TLC)</a><br/>\n <a href=\"http://www.nhlbi.nih.gov/health/public/heart/other/hhw/index.htm\">The Healthy Heart Handbook for Women</a>\n </td>\n </tr>\n </table>\n </div>" ]; fhir:RiskAssessment.identifier [ fhir:index 0; fhir:Identifier.use [ fhir:value "official" ]; fhir:Identifier.system [ fhir:value "http://example.org" ]; fhir:Identifier.value [ fhir:value "risk-assessment-cardiac" ] ]; fhir:RiskAssessment.status [ fhir:value "final"]; fhir:RiskAssessment.subject [ fhir:link <http://hl7.org/fhir/Patient/pat2>; fhir:Reference.reference [ fhir:value "Patient/pat2" ] ]; fhir:RiskAssessment.encounter [ fhir:link <http://hl7.org/fhir/Encounter/example>; fhir:Reference.reference [ fhir:value "Encounter/example" ] ]; fhir:RiskAssessment.occurrenceDateTime [ fhir:value "2014-07-19T16:04:00Z"^^xsd:dateTime]; fhir:RiskAssessment.performer [ fhir:Reference.display [ fhir:value "http://cvdrisk.nhlbi.nih.gov/#cholesterol" ] ]; fhir:RiskAssessment.basis [ fhir:index 0; fhir:link <http://hl7.org/fhir/Patient/pat2>; fhir:Reference.reference [ fhir:value "Patient/pat2" ] ], [ fhir:index 1; fhir:link <http://hl7.org/fhir/DiagnosticReport/lipids>; fhir:Reference.reference [ fhir:value "DiagnosticReport/lipids" ] ], [ fhir:index 2; fhir:link <http://hl7.org/fhir/Observation/blood-pressure>; fhir:Reference.reference [ fhir:value "Observation/blood-pressure" ] ]; fhir:RiskAssessment.prediction [ fhir:index 0; fhir:RiskAssessment.prediction.outcome [ fhir:CodeableConcept.text [ fhir:value "Heart Attack" ] ]; fhir:RiskAssessment.prediction.probabilityDecimal [ fhir:value "0.02"^^xsd:decimal ]; fhir:RiskAssessment.prediction.whenRange [ fhir:Range.low [ fhir:Quantity.value [ fhir:value "39"^^xsd:decimal ]; fhir:Quantity.unit [ fhir:value "years" ]; fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ]; fhir:Quantity.code [ fhir:value "a" ] ]; fhir:Range.high [ fhir:Quantity.value [ fhir:value "49"^^xsd:decimal ]; fhir:Quantity.unit [ fhir:value "years" ]; fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ]; fhir:Quantity.code [ fhir:value "a" ] ] ] ] . <http://hl7.org/fhir/Patient/pat2> a fhir:Patient . <http://hl7.org/fhir/Encounter/example> a fhir:Encounter . <http://hl7.org/fhir/DiagnosticReport/lipids> a fhir:DiagnosticReport . <http://hl7.org/fhir/Observation/blood-pressure> a fhir:Observation . # - ontology header ------------------------------------------------------------ <http://hl7.org/fhir/RiskAssessment/cardiac.ttl> a owl:Ontology; owl:imports fhir:fhir.ttl; owl:versionIRI <http://build.fhir.org/RiskAssessment/cardiac.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.