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: NEWS2 Diagnostic Report FHIR Message Example - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@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:Bundle;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "news2-report"];
  fhir:Bundle.identifier [
     fhir:Identifier.system [ fhir:value "https://fhir.mytrust.nhs.uk/Id/RCB/PAS" ];
     fhir:Identifier.value [ fhir:value "14038913245354" ]
  ];
  fhir:Bundle.type [ fhir:value "message"];
  fhir:Bundle.entry [
     fhir:index 0;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:oid:22ed2deb-effa-408c-9437-d3c4975ff448" ];
     fhir:Bundle.entry.resource <urn:oid:22ed2deb-effa-408c-9437-d3c4975ff448>
  ], [
     fhir:index 1;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:oid:3915b469-57b7-470f-942f-e276c4458d63" ];
     fhir:Bundle.entry.resource <urn:oid:3915b469-57b7-470f-942f-e276c4458d63>
  ], [
     fhir:index 2;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:oid:11842d63-f473-4374-a00d-4caffc94c0f5" ];
     fhir:Bundle.entry.resource <urn:oid:11842d63-f473-4374-a00d-4caffc94c0f5>
  ], [
     fhir:index 3;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:oid:926b9534-c247-45da-916c-b5bbbfb3da6d" ];
     fhir:Bundle.entry.resource <urn:oid:926b9534-c247-45da-916c-b5bbbfb3da6d>
  ], [
     fhir:index 4;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:oid:ac30fbfd-a166-4ebf-acd0-89fc6a8e5e46" ];
     fhir:Bundle.entry.resource <urn:oid:ac30fbfd-a166-4ebf-acd0-89fc6a8e5e46>
  ], [
     fhir:index 5;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:oid:87e13a1f-0173-415a-9f5d-66ac2746b382" ];
     fhir:Bundle.entry.resource <urn:oid:87e13a1f-0173-415a-9f5d-66ac2746b382>
  ], [
     fhir:index 6;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:oid:3d69129a-7c83-4fa4-adbb-d21a8d5d7d92" ];
     fhir:Bundle.entry.resource <urn:oid:3d69129a-7c83-4fa4-adbb-d21a8d5d7d92>
  ], [
     fhir:index 7;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:oid:6c87c7b5-632f-431d-b15d-fad1d93d360c" ];
     fhir:Bundle.entry.resource <urn:oid:6c87c7b5-632f-431d-b15d-fad1d93d360c>
  ], [
     fhir:index 8;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:oid:d980f514-8d01-4d6b-9b52-29436fda1231" ];
     fhir:Bundle.entry.resource <urn:oid:d980f514-8d01-4d6b-9b52-29436fda1231>
  ].

<urn:oid:22ed2deb-effa-408c-9437-d3c4975ff448> a fhir:MessageHeader;
  fhir:Resource.id [ fhir:value "22ed2deb-effa-408c-9437-d3c4975ff448"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p></div>"
  ];
  fhir:MessageHeader.eventCoding [
     fhir:Coding.system [ fhir:value "https://project-wildfyre.github.io/careconnect-messaging-r4/CodeSystem/message-events" ];
     fhir:Coding.code [ fhir:value "unsolicited-observation" ];
     fhir:Coding.display [ fhir:value "Unsolicited Observations" ]
  ];
  fhir:MessageHeader.destination [
     fhir:index 0;
     fhir:MessageHeader.destination.name [ fhir:value "ROUTE" ];
     fhir:MessageHeader.destination.target [
       fhir:Reference.display [ fhir:value "ROUTE" ]     ];
     fhir:MessageHeader.destination.endpoint [ fhir:value "ROUTE" ]
  ];
  fhir:MessageHeader.sender [
     fhir:Reference.identifier [
       fhir:Identifier.system [ fhir:value "https://fhir.nhs.uk/Id/ods-organization-code" ];
       fhir:Identifier.value [ fhir:value "RCB" ]     ];
     fhir:Reference.display [ fhir:value "RCB" ]
  ];
  fhir:MessageHeader.source [
     fhir:MessageHeader.source.name [ fhir:value "PAS" ];
     fhir:MessageHeader.source.endpoint [ fhir:value "PAS" ]
  ];
  fhir:MessageHeader.focus [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "urn:oid:3915b469-57b7-470f-942f-e276c4458d63" ]
  ].

<urn:oid:3915b469-57b7-470f-942f-e276c4458d63> a fhir:DiagnosticReport;
  fhir:Resource.id [ fhir:value "3915b469-57b7-470f-942f-e276c4458d63"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p></div>"
  ];
  fhir:DiagnosticReport.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "https://fhir.mytrust.nhs.uk/Id/NK" ];
     fhir:Identifier.value [ fhir:value "108512374" ]
  ];
  fhir:DiagnosticReport.status [ fhir:value "unknown"];
  fhir:DiagnosticReport.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a sct:118227000;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
       fhir:Coding.code [ fhir:value "118227000" ];
       fhir:Coding.display [ fhir:value "Vital Signs" ]     ]
  ];
  fhir:DiagnosticReport.subject [
     fhir:Reference.reference [ fhir:value "urn:oid:d980f514-8d01-4d6b-9b52-29436fda1231" ]
  ];
  fhir:DiagnosticReport.effectivePeriod [
     fhir:Period.start [ fhir:value "2018-05-21T13:45:05+01:00"^^xsd:dateTime ]
  ];
  fhir:DiagnosticReport.result [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "urn:oid:11842d63-f473-4374-a00d-4caffc94c0f5" ]
  ], [
     fhir:index 1;
     fhir:Reference.reference [ fhir:value "urn:oid:926b9534-c247-45da-916c-b5bbbfb3da6d" ]
  ], [
     fhir:index 2;
     fhir:Reference.reference [ fhir:value "urn:oid:ac30fbfd-a166-4ebf-acd0-89fc6a8e5e46" ]
  ], [
     fhir:index 3;
     fhir:Reference.reference [ fhir:value "urn:oid:87e13a1f-0173-415a-9f5d-66ac2746b382" ]
  ], [
     fhir:index 4;
     fhir:Reference.reference [ fhir:value "urn:oid:3d69129a-7c83-4fa4-adbb-d21a8d5d7d92" ]
  ], [
     fhir:index 5;
     fhir:Reference.reference [ fhir:value "urn:oid:6c87c7b5-632f-431d-b15d-fad1d93d360c" ]
  ].

<urn:oid:11842d63-f473-4374-a00d-4caffc94c0f5> a fhir:Observation;
  fhir:Resource.id [ fhir:value "11842d63-f473-4374-a00d-4caffc94c0f5"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p></div>"
  ];
  fhir:Observation.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "https://fhir.mytrust.nhs.uk/Id/NK" ];
     fhir:Identifier.value [ fhir:value "108512374-1" ]
  ];
  fhir:Observation.status [ fhir:value "final"];
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a sct:364075005;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
       fhir:Coding.code [ fhir:value "364075005" ];
       fhir:Coding.display [ fhir:value "Heart Rate" ]     ]
  ];
  fhir:Observation.subject [
     fhir:Reference.reference [ fhir:value "urn:oid:d980f514-8d01-4d6b-9b52-29436fda1231" ]
  ];
  fhir:Observation.effectiveDateTime [ fhir:value "2018-05-11T22:05:25+01:00"^^xsd:dateTime];
  fhir:Observation.valueQuantity [
     fhir:Quantity.value [ fhir:value "73.0"^^xsd:decimal ];
     fhir:Quantity.unit [ fhir:value "/min" ]
  ];
  fhir:Observation.referenceRange [
     fhir:index 0;
     fhir:Observation.referenceRange.text [ fhir:value "60-100" ]
  ].

<urn:oid:926b9534-c247-45da-916c-b5bbbfb3da6d> a fhir:Observation;
  fhir:Resource.id [ fhir:value "926b9534-c247-45da-916c-b5bbbfb3da6d"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p></div>"
  ];
  fhir:Observation.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "https://fhir.mytrust.nhs.uk/Id/NK" ];
     fhir:Identifier.value [ fhir:value "108512374-2" ]
  ];
  fhir:Observation.status [ fhir:value "final"];
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a sct:103228002;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
       fhir:Coding.code [ fhir:value "103228002" ];
       fhir:Coding.display [ fhir:value "Blood oxygen saturation" ]     ]
  ];
  fhir:Observation.subject [
     fhir:Reference.reference [ fhir:value "urn:oid:d980f514-8d01-4d6b-9b52-29436fda1231" ]
  ];
  fhir:Observation.effectiveDateTime [ fhir:value "2018-05-11T22:05:25+01:00"^^xsd:dateTime];
  fhir:Observation.valueQuantity [
     fhir:Quantity.value [ fhir:value "98.0"^^xsd:decimal ];
     fhir:Quantity.unit [ fhir:value "%" ]
  ];
  fhir:Observation.referenceRange [
     fhir:index 0;
     fhir:Observation.referenceRange.text [ fhir:value "94-100" ]
  ].

<urn:oid:ac30fbfd-a166-4ebf-acd0-89fc6a8e5e46> a fhir:Observation;
  fhir:Resource.id [ fhir:value "ac30fbfd-a166-4ebf-acd0-89fc6a8e5e46"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p></div>"
  ];
  fhir:Observation.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "https://fhir.mytrust.nhs.uk/Id/NK" ];
     fhir:Identifier.value [ fhir:value "108512374-3" ]
  ];
  fhir:Observation.status [ fhir:value "final"];
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a sct:722742002;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
       fhir:Coding.code [ fhir:value "722742002" ];
       fhir:Coding.display [ fhir:value "Breathing room air" ]     ]
  ];
  fhir:Observation.subject [
     fhir:Reference.reference [ fhir:value "urn:oid:d980f514-8d01-4d6b-9b52-29436fda1231" ]
  ].

<urn:oid:87e13a1f-0173-415a-9f5d-66ac2746b382> a fhir:Observation;
  fhir:Resource.id [ fhir:value "87e13a1f-0173-415a-9f5d-66ac2746b382"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p></div>"
  ];
  fhir:Observation.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "https://fhir.mytrust.nhs.uk/Id/NK" ];
     fhir:Identifier.value [ fhir:value "108512374-4" ]
  ];
  fhir:Observation.status [ fhir:value "final"];
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a sct:1104441000000107;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
       fhir:Coding.code [ fhir:value "1104441000000107" ];
       fhir:Coding.display [ fhir:value "ACVPU (Alert Confusion Voice Pain Unresponsive) scale score" ]     ]
  ];
  fhir:Observation.subject [
     fhir:Reference.reference [ fhir:value "urn:oid:d980f514-8d01-4d6b-9b52-29436fda1231" ]
  ];
  fhir:Observation.valueCodeableConcept [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a sct:248234008;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
       fhir:Coding.code [ fhir:value "248234008" ];
       fhir:Coding.display [ fhir:value "Mentally alert" ]     ]
  ].

<urn:oid:3d69129a-7c83-4fa4-adbb-d21a8d5d7d92> a fhir:Observation;
  fhir:Resource.id [ fhir:value "3d69129a-7c83-4fa4-adbb-d21a8d5d7d92"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p></div>"
  ];
  fhir:Observation.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "https://fhir.mytrust.nhs.uk/Id/NK" ];
     fhir:Identifier.value [ fhir:value "108512374-5" ]
  ];
  fhir:Observation.status [ fhir:value "final"];
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a sct:86290005;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
       fhir:Coding.code [ fhir:value "86290005" ];
       fhir:Coding.display [ fhir:value "Respiratory rate" ]     ]
  ];
  fhir:Observation.subject [
     fhir:Reference.reference [ fhir:value "urn:oid:d980f514-8d01-4d6b-9b52-29436fda1231" ]
  ];
  fhir:Observation.valueQuantity [
     fhir:Quantity.value [ fhir:value "20.0"^^xsd:decimal ];
     fhir:Quantity.unit [ fhir:value "/min" ]
  ].

<urn:oid:6c87c7b5-632f-431d-b15d-fad1d93d360c> a fhir:Observation;
  fhir:Resource.id [ fhir:value "6c87c7b5-632f-431d-b15d-fad1d93d360c"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p></div>"
  ];
  fhir:Observation.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "https://fhir.mytrust.nhs.uk/Id/NK" ];
     fhir:Identifier.value [ fhir:value "108512374-BP" ]
  ];
  fhir:Observation.status [ fhir:value "final"];
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a sct:75367002;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
       fhir:Coding.code [ fhir:value "75367002" ];
       fhir:Coding.display [ fhir:value "Blood Pressure" ]     ]
  ];
  fhir:Observation.subject [
     fhir:Reference.reference [ fhir:value "urn:oid:d980f514-8d01-4d6b-9b52-29436fda1231" ]
  ];
  fhir:Observation.component [
     fhir:index 0;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a sct:72313002;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "72313002" ];
         fhir:Coding.display [ fhir:value "Systolic arterial pressure" ]       ]     ];
     fhir:Observation.component.valueQuantity [
       fhir:Quantity.value [ fhir:value "132.0"^^xsd:decimal ];
       fhir:Quantity.unit [ fhir:value "mm[Hg]" ]     ]
  ], [
     fhir:index 1;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a sct:1091811000000102;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "1091811000000102" ];
         fhir:Coding.display [ fhir:value "Diastolic arterial pressure" ]       ]     ];
     fhir:Observation.component.valueQuantity [
       fhir:Quantity.value [ fhir:value "86.0"^^xsd:decimal ];
       fhir:Quantity.unit [ fhir:value "mm[Hg]" ]     ]
  ].

<urn:oid:d980f514-8d01-4d6b-9b52-29436fda1231> a fhir:Patient;
  fhir:Resource.id [ fhir:value "d980f514-8d01-4d6b-9b52-29436fda1231"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p></div>"
  ];
  fhir:Patient.identifier [
     fhir:index 0;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "https://fhir.nhs.uk/R4/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus" ];
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "https://fhir.nhs.uk/R4/CodeSystem/UKCore-NHSNumberVerificationStatus" ];
           fhir:Coding.code [ fhir:value "01" ]         ]       ]     ];
     fhir:Identifier.system [ fhir:value "https://fhir.nhs.uk/Id/nhs-number" ];
     fhir:Identifier.value [ fhir:value "3333333333" ]
  ];
  fhir:Patient.name [
     fhir:index 0;
     fhir:HumanName.family [ fhir:value "SMITH" ];
     fhir:HumanName.given [
       fhir:value "FREDRICA";
       fhir:index 0     ];
     fhir:HumanName.prefix [
       fhir:value "MRS";
       fhir:index 0     ]
  ];
  fhir:Patient.telecom [
     fhir:index 0;
     fhir:ContactPoint.system [ fhir:value "phone" ];
     fhir:ContactPoint.value [ fhir:value "+441234567890" ];
     fhir:ContactPoint.use [ fhir:value "home" ]
  ];
  fhir:Patient.gender [ fhir:value "female"];
  fhir:Patient.birthDate [ fhir:value "1965-12-13"^^xsd:date];
  fhir:Patient.address [
     fhir:index 0;
     fhir:Address.use [ fhir:value "home" ];
     fhir:Address.city [ fhir:value "MALTON" ];
     fhir:Address.district [ fhir:value "NORTH YORKSHIRE" ];
     fhir:Address.postalCode [ fhir:value "YO32 5TT" ]
  ];
  fhir:Patient.generalPractitioner [
     fhir:index 0;
     fhir:Reference.identifier [
       fhir:Identifier.system [ fhir:value "https://fhir.hl7.org.uk/Id/gmc-number" ];
       fhir:Identifier.value [ fhir:value "G5612908" ]     ];
     fhir:Reference.display [ fhir:value "Dr Gregory Townley" ]
  ];
  fhir:Patient.managingOrganization [
     fhir:Reference.identifier [
       fhir:Identifier.system [ fhir:value "https://fhir.nhs.uk/Id/ods-organization-code" ];
       fhir:Identifier.value [ fhir:value "Y06601" ]     ];
     fhir:Reference.display [ fhir:value "MALTON GP PRACTICE" ]
  ].

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

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