Release 5

This page is part of the FHIR Specification (v5.0.0: R5 - STU). This is the current published version. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3

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 -------------------------------------------------------------------

[a fhir:Observation ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "gcs-qa"] ; # 
  fhir:text [
     fhir:status [ fhir:v "generated" ] ;
     fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"gcs-qa\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Observation &quot;gcs-qa&quot; </p></div><p><b>status</b>: <span title=\"   the mandatory quality flags:   \">final</span></p><p><b>code</b>: <span title=\"  \n    Observations are often coded in multiple code systems.\n      - LOINC\n		- or SNOMED\n      -and/or the source system may provides its own &quot;local&quot; code, which may be less or more granular than LOINC.\n	In this example there is only LOINC\n    \">Glasgow Coma Scale , (GCS) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#9269-2 &quot;Glasgow coma score total&quot;)</span></span></p><p><b>subject</b>: <a href=\"patient-example.html\">Patient/example: Peter James Chalmers</a> &quot;Peter CHALMERS&quot;</p><p><b>effective</b>: 2014-12-11T04:44:16Z</p><p><b>value</b>: <span title=\"   In FHIR, units may be represented twice. Once in the\n    agreed human representation, and once in a coded form.\n    In this example the UCUM unit is provided but no human representation since this is often not displayed\n     \">13 {score}<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code {score} = '{score}')</span></span></p><blockquote><p><b>referenceRange</b></p><p><b>high</b>: 8 {score}<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code {score} = '{score}')</span></p><p><b>type</b>: <span title=\"   meaning as text   \">Severe TBI <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></span></p></blockquote><blockquote><p><b>referenceRange</b></p><p><b>low</b>: 9 {score}<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code {score} = '{score}')</span></p><p><b>high</b>: 12 {score}<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code {score} = '{score}')</span></p><p><b>type</b>: <span title=\"   meaning as text   \">Moderate TBI <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></span></p></blockquote><blockquote><p><b>referenceRange</b></p><p><b>low</b>: 13 {score}<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code {score} = '{score}')</span></p><p><b>type</b>: <span title=\"   meaning as text   \">Mild TBI <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></span></p></blockquote><p><b>derivedFrom</b>: <span title=\"   put the references to the QuestionnairAnswer example here using the derived-From type    \"><a href=\"questionnaireresponse-example-gcs.html\">QuestionnaireResponse/gcs: GCS form results</a></span></p></div>"
  ] ; #     the mandatory quality flags:    
  fhir:status [ fhir:v "final"] ; # 
  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.