LinuxForHealth FHIR Implementation Guide
8.0.0 - draft United States of America flag

LinuxForHealth FHIR Implementation Guide - Local Development build (v8.0.0). See the Directory of published versions

: Condition Instance With NLP Insights - TTL Representation

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@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:Condition;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "ConditionInstanceWithNLPInsights"];
  fhir:Resource.meta [
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://linuxforhealth.org/fhir/cdm/StructureDefinition/tenant-id" ];
       fhir:Extension.valueString [ fhir:value "99999" ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "http://linuxforhealth.org/fhir/cdm/StructureDefinition/ingestion-batch-id" ];
       fhir:Extension.valueString [ fhir:value "b069a545-9506-40c6-8498-23de2e189145" ]     ], [
       fhir:index 2;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://linuxforhealth.org/fhir/cdm/StructureDefinition/path" ];
         fhir:Extension.valueString [ fhir:value "code.coding" ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "http://linuxforhealth.org/fhir/cdm/StructureDefinition/insight-id" ];
         fhir:Extension.valueIdentifier [
           fhir:Identifier.system [ fhir:value "https://acme.com/nlp-processor/1.0" ];
           fhir:Identifier.value [ fhir:value "insight-1" ]         ]       ], [
         fhir:index 2;
         fhir:Extension.url [ fhir:value "http://linuxforhealth.org/fhir/cdm/StructureDefinition/detected" ];
         fhir:Extension.valueDateTime [ fhir:value "2021-01-01T03:01:00Z"^^xsd:dateTime ]       ], [
         fhir:index 3;
         fhir:Extension.url [ fhir:value "http://linuxforhealth.org/fhir/cdm/StructureDefinition/category" ];
         fhir:Extension.valueCodeableConcept [
           fhir:CodeableConcept.coding [
             fhir:index 0;
             fhir:Coding.system [ fhir:value "http://linuxforhealth.org/fhir/cdm/CodeSystem/insight-category-code-system" ];
             fhir:Coding.code [ fhir:value "natural-language-processing" ]           ]         ]       ], [
         fhir:index 4;
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://linuxforhealth.org/fhir/cdm/StructureDefinition/reference" ];
           fhir:Extension.valueReference [
             fhir:Reference.reference [ fhir:value "#insight-reference-123456-01" ]           ]         ], [
           fhir:index 1;
           fhir:Extension.url [ fhir:value "http://linuxforhealth.org/fhir/cdm/StructureDefinition/reference-path" ];
           fhir:Extension.valueString [ fhir:value "conclusion" ]         ], [
           fhir:index 2;
           fhir:Element.extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://linuxforhealth.org/fhir/cdm/StructureDefinition/insight-value" ];
             fhir:Extension.valueCoding [
               a sct:46635009;
               fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
               fhir:Coding.code [ fhir:value "46635009" ];
               fhir:Coding.display [ fhir:value "Diabetes mellitus type 1" ]             ]           ], [
             fhir:index 1;
             fhir:Extension.url [ fhir:value "http://linuxforhealth.org/fhir/cdm/StructureDefinition/insight-value" ];
             fhir:Extension.valueCoding [
               fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/umls" ];
               fhir:Coding.code [ fhir:value "C0011854" ];
               fhir:Coding.display [ fhir:value "Diabetes Mellitus, Insulin-Dependent" ]             ]           ], [
             fhir:index 2;
             fhir:Extension.url [ fhir:value "http://linuxforhealth.org/fhir/cdm/StructureDefinition/insight-value" ];
             fhir:Extension.valueCoding [
               a loinc:44877-9;
               fhir:Coding.system [ fhir:value "http://loinc.org" ];
               fhir:Coding.code [ fhir:value "44877-9" ];
               fhir:Coding.display [ fhir:value "Insulin dependent diabetes mellitus [Presence]" ]             ]           ], [
             fhir:index 3;
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://linuxforhealth.org/fhir/cdm/StructureDefinition/covered-text" ];
               fhir:Extension.valueString [ fhir:value "results consistent with insulin-dependent diabetes" ]             ], [
               fhir:index 1;
               fhir:Extension.url [ fhir:value "http://linuxforhealth.org/fhir/cdm/StructureDefinition/offset-begin" ];
               fhir:Extension.valueInteger [ fhir:value "17"^^xsd:integer ]             ], [
               fhir:index 2;
               fhir:Extension.url [ fhir:value "http://linuxforhealth.org/fhir/cdm/StructureDefinition/offset-end" ];
               fhir:Extension.valueInteger [ fhir:value "56"^^xsd:integer ]             ], [
               fhir:index 3;
               fhir:Element.extension [
                 fhir:index 0;
                 fhir:Extension.url [ fhir:value "http://linuxforhealth.org/fhir/cdm/StructureDefinition/method" ];
                 fhir:Extension.valueCodeableConcept [
                   fhir:CodeableConcept.coding [
                     fhir:index 0;
                     fhir:Coding.system [ fhir:value "http://linuxforhealth.org/platform/acd-confidence-method" ];
                     fhir:Coding.code [ fhir:value "Diagnosis_Explicit_Score" ]                   ]                 ]               ], [
                 fhir:index 1;
                 fhir:Extension.url [ fhir:value "http://linuxforhealth.org/fhir/cdm/StructureDefinition/score" ];
                 fhir:Extension.valueDecimal [ fhir:value "0.996"^^xsd:decimal ]               ];
               fhir:Extension.url [ fhir:value "http://linuxforhealth.org/fhir/cdm/StructureDefinition/insight-confidence" ]             ], [
               fhir:index 4;
               fhir:Element.extension [
                 fhir:index 0;
                 fhir:Extension.url [ fhir:value "http://linuxforhealth.org/fhir/cdm/StructureDefinition/method" ];
                 fhir:Extension.valueCodeableConcept [
                   fhir:CodeableConcept.coding [
                     fhir:index 0;
                     fhir:Coding.system [ fhir:value "http://linuxforhealth.org/platform/acd-confidence-method" ];
                     fhir:Coding.code [ fhir:value "Diagnosis_Family_History" ]                   ]                 ]               ], [
                 fhir:index 1;
                 fhir:Extension.url [ fhir:value "http://linuxforhealth.org/fhir/cdm/StructureDefinition/score" ];
                 fhir:Extension.valueDecimal [ fhir:value "0.006"^^xsd:decimal ]               ];
               fhir:Extension.url [ fhir:value "http://linuxforhealth.org/fhir/cdm/StructureDefinition/insight-confidence" ]             ];
             fhir:Extension.url [ fhir:value "http://linuxforhealth.org/fhir/cdm/StructureDefinition/span" ]           ];
           fhir:Extension.url [ fhir:value "http://linuxforhealth.org/fhir/cdm/StructureDefinition/insight-result" ]         ];
         fhir:Extension.url [ fhir:value "http://linuxforhealth.org/fhir/cdm/StructureDefinition/insight-detail" ]       ];
       fhir:Extension.url [ fhir:value "http://linuxforhealth.org/fhir/cdm/StructureDefinition/insight" ]     ];
     fhir:Meta.source [ fhir:value "http://acme-health.com/emr" ];
     fhir:Meta.profile [
       fhir:value "http://linuxforhealth.org/fhir/cdm/StructureDefinition/cdm-condition";
       fhir:index 0;
       fhir:link <http://linuxforhealth.org/fhir/cdm/StructureDefinition/cdm-condition>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Condition</b><a name=\"ConditionInstanceWithNLPInsights\"> </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 Condition \"ConditionInstanceWithNLPInsights\" </p><p style=\"margin-bottom: 0px\">Information Source: http://acme-health.com/emr!</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-cdm-condition.html\">CDM Condition</a></p></div><p><b>identifier</b>: Source System Row Identifier: 46706977-907b-453a-87bc-76002d7076ef(use: OFFICIAL)</p><p><b>clinicalStatus</b>: Active <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-condition-clinical.html\">Condition Clinical Status Codes</a>#active)</span></p><p><b>verificationStatus</b>: Confirmed <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-condition-ver-status.html\">ConditionVerificationStatus</a>#confirmed)</span></p><p><b>category</b>: Encounter Diagnosis <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-condition-category.html\">Condition Category Codes</a>#encounter-diagnosis)</span></p><p><b>code</b>: Diabetes mellitus type 1 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#46635009; <a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-umls.html\">Unified Medical Language System</a>#C0011854 \"Diabetes Mellitus, Insulin-Dependent\"; <a href=\"https://loinc.org/\">LOINC</a>#44877-9 \"Insulin dependent diabetes mellitus [Presence]\")</span></p><p><b>subject</b>: <a href=\"Patient-CDMPatientInstance.html\">Patient/CDMPatientInstance</a> \" MCLASTNAME\"</p><hr/><blockquote><h2><span title=\"Codes: {http://loinc.org 10451-3}\">Proinsulin [Moles/volume] in Serum or Plasma --12 hours fasting</span> </h2><table class=\"grid\"></table><p><b>Report Details</b></p><p>Patient exhibits results consistent with insulin-dependent diabetes despite no family history of type 1 or type 2 diabetes.</p></blockquote></div>"
  ];
  fhir:DomainResource.contained [
     a fhir:DiagnosticReport;
     fhir:index 0;
     fhir:Resource.id [ fhir:value "insight-reference-123456-01" ];
     fhir:DiagnosticReport.status [ fhir:value "final" ];
     fhir:DiagnosticReport.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a loinc:10451-3;
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "10451-3" ]       ]     ];
     fhir:DiagnosticReport.conclusion [ fhir:value "Patient exhibits results consistent with insulin-dependent diabetes despite no family history of type 1 or type 2 diabetes." ]
  ];
  fhir:Condition.identifier [
     fhir:index 0;
     fhir:Identifier.use [ fhir:value "official" ];
     fhir:Identifier.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://linuxforhealth.org/fhir/cdm/CodeSystem/identifier-type" ];
         fhir:Coding.code [ fhir:value "SSRI" ]       ]     ];
     fhir:Identifier.system [ fhir:value "http://acme-health.com/emr/condition" ];
     fhir:Identifier.value [ fhir:value "46706977-907b-453a-87bc-76002d7076ef" ];
     fhir:Identifier.assigner [
       fhir:Reference.display [ fhir:value "Acme Health - EMR System" ]     ]
  ];
  fhir:Condition.clinicalStatus [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-clinical" ];
       fhir:Coding.code [ fhir:value "active" ]     ]
  ];
  fhir:Condition.verificationStatus [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-ver-status" ];
       fhir:Coding.code [ fhir:value "confirmed" ]     ]
  ];
  fhir:Condition.category [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-category" ];
       fhir:Coding.code [ fhir:value "encounter-diagnosis" ]     ]
  ];
  fhir:Condition.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a sct:46635009;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
       fhir:Coding.code [ fhir:value "46635009" ];
       fhir:Coding.display [ fhir:value "Diabetes mellitus type 1" ]     ], [
       fhir:index 1;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/umls" ];
       fhir:Coding.code [ fhir:value "C0011854" ];
       fhir:Coding.display [ fhir:value "Diabetes Mellitus, Insulin-Dependent" ]     ], [
       fhir:index 2;
       a loinc:44877-9;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "44877-9" ];
       fhir:Coding.display [ fhir:value "Insulin dependent diabetes mellitus [Presence]" ]     ]
  ];
  fhir:Condition.subject [
     fhir:Reference.reference [ fhir:value "Patient/CDMPatientInstance" ]
  ].

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

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