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| Orders and Observations Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Device, Encounter, Patient, Practitioner, RelatedPerson |
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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;
fhir:nodeRole fhir:treeRoot;
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 with Details</b></p><p><b>id</b>: gcs-qa</p><p><b>status</b>: final</p><p><b>code</b>: Glasgow Coma Scale , (GCS) <span>(Details : {LOINC code '9269-2' = 'Glasgow coma score total', given as 'Glasgow coma score total'})</span></p><p><b>subject</b>: <a>Peter James Chalmers</a></p><p><b>effective</b>: 11/12/2014 4:44:16 AM</p><p><b>value</b>: 13 {score}<span> (Details: UCUM code {score} = '{score}')</span></p><blockquote><p><b>referenceRange</b></p><p><b>high</b>: 8 {score}<span> (Details: UCUM code {score} = '{score}')</span></p><p><b>type</b>: Severe TBI <span>(Details )</span></p></blockquote><blockquote><p><b>referenceRange</b></p><p><b>low</b>: 9 {score}<span> (Details: UCUM code {score} = '{score}')</span></p><p><b>high</b>: 12 {score}<span> (Details: UCUM code {score} = '{score}')</span></p><p><b>type</b>: Moderate TBI <span>(Details )</span></p></blockquote><blockquote><p><b>referenceRange</b></p><p><b>low</b>: 13 {score}<span> (Details: UCUM code {score} = '{score}')</span></p><p><b>type</b>: Mild TBI <span>(Details )</span></p></blockquote><p><b>derivedFrom</b>: <a>GCS form results</a></p></div>"
];
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" ]
];
fhir:CodeableConcept.text [ fhir:value "Glasgow Coma Scale , (GCS)" ]
];
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.valueQuantity [
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 [
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" ]
]
], [
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" ]
]
], [
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" ]
]
];
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 .
# - 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> .
# -------------------------------------------------------------------------------------
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.