R6 Ballot (2nd Draft)

Publish-box (todo)

Example Observation/gcs-qa (Turtle)

Orders and Observations Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: Device, Encounter, Patient, Practitioner, RelatedPerson

Raw Turtle (+ also see Turtle/RDF Format Specification)

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

@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <https://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 -------------------------------------------------------------------

#   
# This is an example of a Glasgow Coma Score using the .related to bundle the  measurements  will use contained elements for this example only but coudl just as easily use external or bundled elements..  source http://www.choa.org/~/media/CHOA/Documents/Services/Concussion/Concussion-glasgow-coma-scale.pdf
#  

[a fhir:Observation ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "gcs-qa"] ; # 
  fhir:status [ fhir:v "final"] ; #    the mandatory quality flags:   
  fhir:code [
     fhir:coding ( [
       a loinc:9269-2 ;
       fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "9269-2" ] ;
       fhir:display [ fhir:v "Glasgow coma score total" ]
     ] ) ; #    LOINC - always recommended to have a LOINC code   
     fhir:text [ fhir:v "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:subject [
     fhir:reference [ fhir:v "Patient/example" ] ;
     fhir:display [ fhir:v "Peter James Chalmers" ]
  ] ; # 
  fhir:effective [ fhir:v "2014-12-11T04:44:16Z"^^xsd:dateTime] ; # 
  fhir:value [
     a fhir:Quantity ;
     fhir:value [ fhir:v "13"^^xsd:decimal ] ;
     fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
     fhir:code [ fhir:v "{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:referenceRange ( [
     fhir:high [
       fhir:value [ fhir:v "8"^^xsd:decimal ] ;
       fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "{score}" ]
     ] ;
     fhir:type [
       fhir:text [ fhir:v "Severe TBI" ]
     ] #    meaning as text   
  ] [
     fhir:low [
       fhir:value [ fhir:v "9"^^xsd:decimal ] ;
       fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "{score}" ]
     ] ;
     fhir:high [
       fhir:value [ fhir:v "12"^^xsd:decimal ] ;
       fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "{score}" ]
     ] ;
     fhir:type [
       fhir:text [ fhir:v "Moderate TBI" ]
     ] #    meaning as text   
  ] [
     fhir:low [
       fhir:value [ fhir:v "13"^^xsd:decimal ] ;
       fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "{score}" ]
     ] ;
     fhir:type [
       fhir:text [ fhir:v "Mild TBI" ]
     ] #    meaning as text   
  ] ) ; # 
  fhir:derivedFrom ( [
     fhir:reference [ fhir:v "QuestionnaireResponse/gcs" ] ;
     fhir:display [ fhir:v "GCS form results" ]
  ] )] . #    put the references to the QuestionnairAnswer example here using the derived-From type    

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


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.