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Observation-example-glasgow.ttl

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Clinical assessment tool example - GCS using related Observations

@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <http://loinc.org/owl#> .
@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/glasgow> a fhir:Observation;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "glasgow"];
  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>: glasgow</p><p><b>contained</b>: , , </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>: 2014-12-10 23:44:16</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>meaning</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>meaning</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>meaning</b>: Mild TBI <span>(Details )</span></p></blockquote><blockquote><p><b>related</b></p><p><b>type</b>: derived-from</p><p><b>target</b>: Motor score. Generated Summary: id: motor; status: final; GCS motor <span>(Details : {LOINC code '9268-4' = 'Glasgow coma score motor', given as 'Glasgow coma score motor'})</span>; ????; effective: 2014-12-10 23:44:16; 5 (Localizes painful stimuli) <span>(Details : {http:/acme.ec/gcsmotor code '5' = '5', given as 'Localizes painful stimuli'}; {LOINC code 'LA6566-9' = 'Localizing pain', given as 'Localizing pain'})</span></p></blockquote><blockquote><p><b>related</b></p><p><b>type</b>: derived-from</p><p><b>target</b>: Verbal score. Generated Summary: id: verbal; status: final; Verbal <span>(Details : {LOINC code '9270-0' = 'Glasgow coma score verbal', given as 'Glasgow coma score verbal'})</span>; ????; effective: 2014-12-10 23:44:16; 4 (Confused, disoriented) <span>(Details : {http:/acme.ec/gcsverbal code '4' = '4', given as 'Confused, disoriented'}; {LOINC code 'LA6560-2' = 'Confused', given as 'Confused'})</span></p></blockquote><blockquote><p><b>related</b></p><p><b>type</b>: derived-from</p><p><b>target</b>: Eyes score. Generated Summary: id: eyes; status: final; Eyes <span>(Details : {LOINC code '9267-6' = 'Glasgow coma score eye opening', given as 'Glasgow coma score eye opening'})</span>; ????; effective: 2014-12-10 23:44:16; 4 (Opens eyes spontaneously) <span>(Details : {http:/acme.ec/gcseye code '4' = '4', given as 'Opens eyes spontaneously'}; {LOINC code 'LA6556-0' = 'Eyes open spontaneously', given as 'Eyes open spontaneously'})</span></p></blockquote></div>"
  ];
  fhir:DomainResource.contained [
     a fhir:Observation;
     fhir:index 0;
     fhir:Resource.id [ fhir:value "motor" ];
     fhir:Observation.status [ fhir:value "final" ];
     fhir:Observation.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:concept loinc:9268-4;
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "9268-4" ];
         fhir:Coding.display [ fhir:value "Glasgow coma score motor" ]
       ];
       fhir:CodeableConcept.text [ fhir:value "GCS motor" ]
     ];
     fhir:Observation.subject [
       fhir:link <http://hl7.org/fhir/Patient/example>;
       fhir:Reference.reference [ fhir:value "Patient/example" ]
     ];
     fhir:Observation.effectiveDateTime [ fhir:value "2014-12-11T04:44:16Z"^^xsd:dateTime ];
     fhir:Observation.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http:/acme.ec/gcsmotor" ];
         fhir:Coding.code [ fhir:value "5" ];
         fhir:Coding.display [ fhir:value "Localizes painful stimuli" ]
       ], [
         fhir:index 1;
         fhir:concept loinc:LA6566-9;
         fhir:extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/iso21090-CO-value" ];
           fhir:Extension.valueDecimal [ fhir:value "5"^^xsd:decimal ]
         ];
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "LA6566-9" ];
         fhir:Coding.display [ fhir:value "Localizing pain" ]
       ];
       fhir:CodeableConcept.text [ fhir:value "5 (Localizes painful stimuli)" ]
     ]
  ], [
     a fhir:Observation;
     fhir:index 1;
     fhir:Resource.id [ fhir:value "verbal" ];
     fhir:Observation.status [ fhir:value "final" ];
     fhir:Observation.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:concept loinc:9270-0;
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "9270-0" ];
         fhir:Coding.display [ fhir:value "Glasgow coma score verbal" ]
       ];
       fhir:CodeableConcept.text [ fhir:value "Verbal" ]
     ];
     fhir:Observation.subject [
       fhir:link <http://hl7.org/fhir/Patient/example>;
       fhir:Reference.reference [ fhir:value "Patient/example" ]
     ];
     fhir:Observation.effectiveDateTime [ fhir:value "2014-12-11T04:44:16Z"^^xsd:dateTime ];
     fhir:Observation.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http:/acme.ec/gcsverbal" ];
         fhir:Coding.code [ fhir:value "4" ];
         fhir:Coding.display [ fhir:value "Confused, disoriented" ]
       ], [
         fhir:index 1;
         fhir:concept loinc:LA6560-2;
         fhir:extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/iso21090-CO-value" ];
           fhir:Extension.valueDecimal [ fhir:value "4"^^xsd:decimal ]
         ];
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "LA6560-2" ];
         fhir:Coding.display [ fhir:value "Confused" ]
       ];
       fhir:CodeableConcept.text [ fhir:value "4 (Confused, disoriented)" ]
     ]
  ], [
     a fhir:Observation;
     fhir:index 2;
     fhir:Resource.id [ fhir:value "eyes" ];
     fhir:Observation.status [ fhir:value "final" ];
     fhir:Observation.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:concept loinc:9267-6;
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "9267-6" ];
         fhir:Coding.display [ fhir:value "Glasgow coma score eye opening" ]
       ];
       fhir:CodeableConcept.text [ fhir:value "Eyes" ]
     ];
     fhir:Observation.subject [
       fhir:link <http://hl7.org/fhir/Patient/example>;
       fhir:Reference.reference [ fhir:value "Patient/example" ]
     ];
     fhir:Observation.effectiveDateTime [ fhir:value "2014-12-11T04:44:16Z"^^xsd:dateTime ];
     fhir:Observation.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http:/acme.ec/gcseye" ];
         fhir:Coding.code [ fhir:value "4" ];
         fhir:Coding.display [ fhir:value "Opens eyes spontaneously" ]
       ], [
         fhir:index 1;
         fhir:concept loinc:LA6556-0;
         fhir:extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/iso21090-CO-value" ];
           fhir:Extension.valueDecimal [ fhir:value "4"^^xsd:decimal ]
         ];
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "LA6556-0" ];
         fhir:Coding.display [ fhir:value "Eyes open spontaneously" ]
       ];
       fhir:CodeableConcept.text [ fhir:value "4 (Opens eyes spontaneously)" ]
     ]
  ];
  fhir:Observation.status [ fhir:value "final"];
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:concept 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.meaning [
       fhir:index 0;
       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.meaning [
       fhir:index 0;
       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.meaning [
       fhir:index 0;
       fhir:CodeableConcept.text [ fhir:value "Mild TBI" ]
     ]
  ];
  fhir:Observation.related [
     fhir:index 0;
     fhir:Observation.related.type [ fhir:value "derived-from" ];
     fhir:Observation.related.target [
       fhir:Reference.reference [ fhir:value "#motor" ];
       fhir:Reference.display [ fhir:value "Motor score" ]
     ]
  ], [
     fhir:index 1;
     fhir:Observation.related.type [ fhir:value "derived-from" ];
     fhir:Observation.related.target [
       fhir:Reference.reference [ fhir:value "#verbal" ];
       fhir:Reference.display [ fhir:value "Verbal score" ]
     ]
  ], [
     fhir:index 2;
     fhir:Observation.related.type [ fhir:value "derived-from" ];
     fhir:Observation.related.target [
       fhir:Reference.reference [ fhir:value "#eyes" ];
       fhir:Reference.display [ fhir:value "Eyes score" ]
     ]
  ] .

<http://hl7.org/fhir/Patient/example> a fhir:Patient, fhir:Patient, fhir:Patient, fhir:Patient .

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

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.