QI-Core Implementation Guide: STU 4 (v4.0.0 for FHIR 4.0.1)

QI-Core Implementation Guide - This is the current published version.. See the Directory of published versions

Observation/example

Formats: Narrative, XML, JSON, Turtle

Raw ttl

@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 sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

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

 a fhir:Observation;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "example"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation>     ]
  ];
  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>: example</p><p><b>meta</b>: </p><p><b>status</b>: final</p><p><b>category</b>: Vital Signs <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'vital-signs' = 'Vital Signs', given as 'Vital Signs'})</span></p><p><b>code</b>: Hemoglobin [Mass/volume] in Venous blood <span style=\"background: LightGoldenRodYellow\">(Details : {LOINC code '30350-3' = 'Hemoglobin [Mass/volume] in Venous blood', given as 'Hemoglobin [Mass/volume] in Venous blood'})</span></p><p><b>subject</b>: <a href=\"Patient-example.html\">Generated Summary: id: example; Medical record number = 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim Chalmers , Peter James Windsor (MAIDEN); ph: (03) 5555 6473(WORK), ph: (03) 3410 5613(MOBILE), ph: (03) 5555 8834(OLD); gender: male; birthDate: 1974-12-25; </a></p><p><b>encounter</b>: <a href=\"Encounter-example.html\">Generated Summary: id: example; status: in-progress; <span title=\"{http://terminology.hl7.org/CodeSystem/v3-ActCode IMP}\">inpatient encounter</span>; <span title=\"Codes: {http://www.ama-assn.org/go/cpt 99223}\">Inpatient Hospital Care</span></a></p><p><b>effective</b>: Apr 2, 2013 9:30:10 AM --&gt; Apr 5, 2013 9:30:10 AM</p><p><b>issued</b>: Apr 3, 2013 2:30:10 PM</p><p><b>value</b>: 7.2 g/dl<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code g/dL = 'g/dL')</span></p><p><b>interpretation</b>: Below low normal <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/v2-0078 code 'L' = 'Low', given as 'Low'})</span></p><p><b>bodySite</b>: Superficial forearm vein <span style=\"background: LightGoldenRodYellow\">(Details : {SNOMED CT code '308046002' = 'Superficial forearm vein', given as 'Superficial forearm vein'})</span></p><p><b>method</b>: Injection to forearm <span style=\"background: LightGoldenRodYellow\">(Details : {SNOMED CT code '120220003' = 'Injection to forearm', given as 'Injection to forearm'})</span></p><p><b>specimen</b>: <a href=\"Specimen-example.html\">Generated Summary: id: example; <span title=\"Codes: {http://snomed.info/sct 122555007}\">Venous blood specimen</span>; receivedTime: Mar 4, 2011 7:03:00 AM</a></p><p><b>derivedFrom</b>: <a href=\"Observation-example.html\">Generated Summary: id: example; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/observation-category vital-signs}\">Vital Signs</span>; <span title=\"Codes: {http://loinc.org 30350-3}\">Hemoglobin [Mass/volume] in Venous blood</span>; effective: Apr 2, 2013 9:30:10 AM --&gt; Apr 5, 2013 9:30:10 AM; issued: Apr 3, 2013 2:30:10 PM; 7.2 g/dl; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v2-0078 L}\">Below low normal</span>; <span title=\"Codes: {http://snomed.info/sct 308046002}\">Superficial forearm vein</span>; <span title=\"Codes: {http://snomed.info/sct 120220003}\">Injection to forearm</span></a></p><blockquote><p><b>component</b></p><p><b>code</b>: Systolic blood pressure <span style=\"background: LightGoldenRodYellow\">(Details : {LOINC code '8480-6' = 'Systolic blood pressure', given as 'Systolic blood pressure'}; {SNOMED CT code '271649006' = 'Systolic blood pressure', given as 'Systolic blood pressure'}; {http://acme.org/devices/clinical-codes code 'bp-s' = 'bp-s', given as 'Systolic Blood pressure'})</span></p><p><b>value</b>: 107 mmHg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mm[Hg] = 'mm[Hg]')</span></p><p><b>interpretation</b>: Normal <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/v2-0078 code 'N' = 'Normal', given as 'normal'})</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Diastolic blood pressure <span style=\"background: LightGoldenRodYellow\">(Details : {LOINC code '8462-4' = 'Diastolic blood pressure', given as 'Diastolic blood pressure'})</span></p><p><b>value</b>: 60 mmHg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mm[Hg] = 'mm[Hg]')</span></p><p><b>interpretation</b>: Below low normal <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/v2-0078 code 'L' = 'Low', given as 'low'})</span></p></blockquote></div>"
  ];
  fhir:DomainResource.extension [
     fhir:index 0;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/observation-bodyPosition" ];
     fhir:Extension.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a sct:33586001;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "33586001" ];
         fhir:Coding.display [ fhir:value "Sitting position (finding)" ]       ]     ]
  ], [
     fhir:index 1;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/observation-delta" ];
     fhir:Extension.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a sct:1250004;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "1250004" ];
         fhir:Coding.display [ fhir:value "Decreased (qualifier value)" ]       ]     ]
  ];
  fhir:Observation.status [ fhir:value "final"];
  fhir:Observation.category [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ];
       fhir:Coding.code [ fhir:value "vital-signs" ];
       fhir:Coding.display [ fhir:value "Vital Signs" ]     ]
  ];
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a loinc:30350-3;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "30350-3" ];
       fhir:Coding.display [ fhir:value "Hemoglobin [Mass/volume] in Venous blood" ]     ]
  ];
  fhir:Observation.subject [
     fhir:Reference.reference [ fhir:value "Patient/example" ]
  ];
  fhir:Observation.encounter [
     fhir:Reference.reference [ fhir:value "Encounter/example" ]
  ];
  fhir:Observation.effectivePeriod [
     fhir:Period.start [ fhir:value "2013-04-02T10:30:10+01:00"^^xsd:dateTime ];
     fhir:Period.end [ fhir:value "2013-04-05T10:30:10+01:00"^^xsd:dateTime ]
  ];
  fhir:Observation.issued [ fhir:value "2013-04-03T15:30:10+01:00"^^xsd:dateTime];
  fhir:Observation.valueQuantity [
     fhir:Quantity.value [ fhir:value "7.2"^^xsd:decimal ];
     fhir:Quantity.unit [ fhir:value "g/dl" ];
     fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
     fhir:Quantity.code [ fhir:value "g/dL" ]
  ];
  fhir:Observation.interpretation [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0078" ];
       fhir:Coding.code [ fhir:value "L" ];
       fhir:Coding.display [ fhir:value "Low" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Below low normal" ]
  ];
  fhir:Observation.bodySite [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a sct:308046002;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
       fhir:Coding.code [ fhir:value "308046002" ];
       fhir:Coding.display [ fhir:value "Superficial forearm vein" ]     ]
  ];
  fhir:Observation.method [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a sct:120220003;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
       fhir:Coding.code [ fhir:value "120220003" ];
       fhir:Coding.display [ fhir:value "Injection to forearm" ]     ]
  ];
  fhir:Observation.specimen [
     fhir:Reference.reference [ fhir:value "Specimen/example" ]
  ];
  fhir:Observation.derivedFrom [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "Observation/example" ]
  ];
  fhir:Observation.component [
     fhir:index 0;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a loinc:8480-6;
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "8480-6" ];
         fhir:Coding.display [ fhir:value "Systolic blood pressure" ]       ], [
         fhir:index 1;
         a sct:271649006;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "271649006" ];
         fhir:Coding.display [ fhir:value "Systolic blood pressure" ]       ], [
         fhir:index 2;
         fhir:Coding.system [ fhir:value "http://acme.org/devices/clinical-codes" ];
         fhir:Coding.code [ fhir:value "bp-s" ];
         fhir:Coding.display [ fhir:value "Systolic Blood pressure" ]       ]     ];
     fhir:Observation.component.valueQuantity [
       fhir:Quantity.value [ fhir:value "107"^^xsd:decimal ];
       fhir:Quantity.unit [ fhir:value "mmHg" ];
       fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
       fhir:Quantity.code [ fhir:value "mm[Hg]" ]     ];
     fhir:Observation.component.interpretation [
       fhir:index 0;
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0078" ];
         fhir:Coding.code [ fhir:value "N" ];
         fhir:Coding.display [ fhir:value "normal" ]       ];
       fhir:CodeableConcept.text [ fhir:value "Normal" ]     ]
  ], [
     fhir:index 1;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a loinc:8462-4;
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "8462-4" ];
         fhir:Coding.display [ fhir:value "Diastolic blood pressure" ]       ]     ];
     fhir:Observation.component.valueQuantity [
       fhir:Quantity.value [ fhir:value "60"^^xsd:decimal ];
       fhir:Quantity.unit [ fhir:value "mmHg" ];
       fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
       fhir:Quantity.code [ fhir:value "mm[Hg]" ]     ];
     fhir:Observation.component.interpretation [
       fhir:index 0;
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0078" ];
         fhir:Coding.code [ fhir:value "L" ];
         fhir:Coding.display [ fhir:value "low" ]       ];
       fhir:CodeableConcept.text [ fhir:value "Below low normal" ]     ]
  ].

# - ontology header ------------------------------------------------------------

 a owl:Ontology;
  owl:imports fhir:fhir.ttl.