Mobile Antepartum Summary
1.0.0-comment - ballot International flag

This page is part of the Mobile Antepartum Summary (v1.0.0-comment: Publication Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

: Antepartum Summary - TTL Representation

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@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:Composition ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "ex-APS-Composition-AmandaAlvarez"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "https://profiles.ihe.net/PCC/mAPS/StructureDefinition/IHE.PCC.APS.Composition"^^xsd:anyURI ;
fhir:link <https://profiles.ihe.net/PCC/mAPS/StructureDefinition/IHE.PCC.APS.Composition>     ] ) ;
    ( fhir:security [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActReason"^^xsd:anyURI ] ;
fhir:code [ fhir:v "HTEST" ]     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Composition </b><a name=\"ex-APS-Composition-AmandaAlvarez\"> </a><a name=\"hcex-APS-Composition-AmandaAlvarez\"> </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\">ResourceComposition &quot;ex-APS-Composition-AmandaAlvarez&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-IHE.PCC.APS.Composition.html\">Antapartum Summary</a></p><p style=\"margin-bottom: 0px\">Security Labels: <span title=\"{http://terminology.hl7.org/CodeSystem/v3-ActReason http://terminology.hl7.org/CodeSystem/v3-ActReason}\">http://terminology.hl7.org/CodeSystem/v3-ActReason</span></p></div><p><b>status</b>: final</p><p><b>type</b>: Antepartum summary note <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#57055-6)</span></p><p><b>category</b>: Pregnancy summary Document <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#90767-5)</span></p><p><b>date</b>: 2023-01-08 14:30:00+0100</p><p><b>author</b>: <a href=\"Practitioner-ex-Practitioner.html\">Practitioner/ex-Practitioner</a> &quot; HEPS&quot;</p><p><b>title</b>: Antepartum Summary</p><p><b>confidentiality</b>: N</p><blockquote><p><b>attester</b></p><p><b>mode</b>: legal</p><p><b>time</b>: 2023-01-08 14:30:00+0100</p><p><b>party</b>: <a href=\"Practitioner-ex-Practitioner.html\">Practitioner/ex-Practitioner</a> &quot; HEPS&quot;</p></blockquote><blockquote><p><b>attester</b></p><p><b>mode</b>: legal</p><p><b>time</b>: 2023-01-08 14:30:00+0100</p><p><b>party</b>: <a href=\"Organization-ex-Organization-OB.html\">Organization/ex-Organization-OB</a> &quot;Acme Healthcare&quot;</p></blockquote><p><b>custodian</b>: <a href=\"Organization-ex-Organization-OB.html\">Organization/ex-Organization-OB</a> &quot;Acme Healthcare&quot;</p></div>"
  ] ; # 
  fhir:status [ fhir:v "final"] ; # 
  fhir:type [
    ( fhir:coding [
a loinc:57055-6 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "57055-6" ]     ] )
  ] ; # 
  fhir:category ( [
    ( fhir:coding [
a loinc:90767-5 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "90767-5" ]     ] )
  ] ) ; # 
  fhir:subject [
fhir:reference [ fhir:v "Patient/ex-Patient-AmandaAlvarez" ]
  ] ; # 
  fhir:date [ fhir:v "2023-01-08T14:30:00+01:00"^^xsd:dateTime] ; # 
  fhir:author ( [
fhir:reference [ fhir:v "Practitioner/ex-Practitioner" ]
  ] ) ; # 
  fhir:title [ fhir:v "Antepartum Summary"] ; # 
  fhir:confidentiality [ fhir:v "N"] ; # 
  fhir:attester ( [
fhir:mode [ fhir:v "legal" ] ;
fhir:time [ fhir:v "2023-01-08T14:30:00+01:00"^^xsd:dateTime ] ;
fhir:party [
fhir:reference [ fhir:v "Practitioner/ex-Practitioner" ]     ]
  ] [
fhir:mode [ fhir:v "legal" ] ;
fhir:time [ fhir:v "2023-01-08T14:30:00+01:00"^^xsd:dateTime ] ;
fhir:party [
fhir:reference [ fhir:v "Organization/ex-Organization-OB" ]     ]
  ] ) ; # 
  fhir:custodian [
fhir:reference [ fhir:v "Organization/ex-Organization-OB" ]
  ] ; # 
  fhir:section ( [
fhir:title [ fhir:v "Medication Summary section" ] ;
fhir:code [
      ( fhir:coding [
a loinc:10160-0 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "10160-0" ] ;
fhir:display [ fhir:v "History of Medication use Narrative" ]       ] )     ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">Active Medications - Amoxicillin</div>"     ] ;
    ( fhir:entry [
fhir:reference [ fhir:v "MedicationStatement/ex-medicationStatement" ]     ] )
  ] [
fhir:title [ fhir:v "Allergies and Intolerances" ] ;
fhir:code [
      ( fhir:coding [
a loinc:48765-2 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "48765-2" ] ;
fhir:display [ fhir:v "Allergies and adverse reactions Document" ]       ] )     ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">active allergies - latex and fish</div>"     ] ;
    ( fhir:entry [
fhir:reference [ fhir:v "AllergyIntolerance/ex-Allergy-Latex" ]     ] [
fhir:reference [ fhir:v "AllergyIntolerance/ex-Allergy-Fish" ]     ] )
  ] [
fhir:title [ fhir:v "Problems" ] ;
fhir:code [
      ( fhir:coding [
a loinc:11450-4 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "11450-4" ] ;
fhir:display [ fhir:v "Problem list - Reported" ]       ] )     ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">active problems - sepsis and gestational diabedies</div>"     ] ;
    ( fhir:entry [
fhir:reference [ fhir:v "Condition/ex-Problem-Sepsis" ]     ] [
fhir:reference [ fhir:v "Condition/ex-Problem-GestationalDiabetes" ]     ] )
  ] [
fhir:title [ fhir:v "Past Illness History" ] ;
fhir:code [
      ( fhir:coding [
a loinc:11348-0 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "11348-0" ] ;
fhir:display [ fhir:v "History of Past illness Narrative" ]       ] )     ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">none found</div>"     ] ;
fhir:emptyReason [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/list-empty-reason"^^xsd:anyURI ] ;
fhir:code [ fhir:v "unavailable" ]       ] )     ]
  ] [
fhir:title [ fhir:v "Procedures History" ] ;
fhir:code [
      ( fhir:coding [
a loinc:47519-4 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "47519-4" ] ;
fhir:display [ fhir:v "History of Procedures Document" ]       ] )     ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">past procedures - Education for smoking provided and Cephallic Version</div>"     ] ;
    ( fhir:entry [
fhir:reference [ fhir:v "Procedure/ex-Procedure-CephalicVersion" ]     ] [
fhir:reference [ fhir:v "Procedure/ex-Procedure-EducationSmoking" ]     ] )
  ] [
fhir:title [ fhir:v "Pregnancy History" ] ;
fhir:code [
      ( fhir:coding [
a loinc:10162-6 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "10162-6" ] ;
fhir:display [ fhir:v "Pregnancies Hx" ]       ] )     ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">observations for pregnancy history</div>"     ] ;
    ( fhir:entry [
fhir:reference [ fhir:v "Observation/ex-PregnencyStatus-pregnant" ]     ] [
fhir:reference [ fhir:v "Observation/ex-EstimatedDeliveryDate" ]     ] [
fhir:reference [ fhir:v "Observation/ex-GestationalAge" ]     ] [
fhir:reference [ fhir:v "Observation/ex-DateOfLastMenstralPeriod" ]     ] [
fhir:reference [ fhir:v "Observation/ex-DateOfFirstPrenatalVisit" ]     ] [
fhir:reference [ fhir:v "Observation/ex-PregnancyHistory-AmandaAlvarez" ]     ] )
  ] [
fhir:title [ fhir:v "Immunizations" ] ;
fhir:code [
      ( fhir:coding [
a loinc:11369-6 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "11369-6" ] ;
fhir:display [ fhir:v "History of Immunization Narrative" ]       ] )     ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">Immunizations - Varicella</div>"     ] ;
    ( fhir:entry [
fhir:reference [ fhir:v "Immunization/ex-Immunization-Vericella" ]     ] )
  ] [
fhir:title [ fhir:v "Chief Complaint" ] ;
fhir:code [
      ( fhir:coding [
a loinc:10154-3 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "10154-3" ] ;
fhir:display [ fhir:v "Chief complaint Narrative - Reported" ]       ] )     ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">Complains of fever and having lack of energy</div>"     ]
  ] [
fhir:title [ fhir:v "Results" ] ;
fhir:code [
      ( fhir:coding [
a loinc:30954-2 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "30954-2" ] ;
fhir:display [ fhir:v "Relevant diagnostic tests/laboratory data Narrative" ]       ] )     ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">no abnormal results for labs</div>"     ] ;
    ( fhir:entry [
fhir:reference [ fhir:v "Observation/ex-AntepartumLabs" ]     ] [
fhir:reference [ fhir:v "Observation/ex-Antepartum-Genetic-Screening" ]     ] )
  ] [
fhir:title [ fhir:v "Vital Signs" ] ;
fhir:code [
      ( fhir:coding [
a loinc:8716-3 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "8716-3" ] ;
fhir:display [ fhir:v "Vital signs" ]       ] )     ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">body weight - 185 lbs , prepregnancy weight - 148 lbs</div>"     ] ;
    ( fhir:entry [
fhir:reference [ fhir:v "Observation/ex-VitalSigns-BodyWeight" ]     ] )
  ] [
fhir:title [ fhir:v "Review Of Systems" ] ;
fhir:code [
      ( fhir:coding [
a loinc:10187-3 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "10187-3" ] ;
fhir:display [ fhir:v "Review of systems Narrative - Reported" ]       ] )     ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">last menstral period</div>"     ] ;
    ( fhir:entry [
fhir:reference [ fhir:v "Observation/ex-MenstralStatus-Pregnancy" ]     ] )
  ] [
fhir:title [ fhir:v "Physical Exams" ] ;
fhir:code [
      ( fhir:coding [
a loinc:29545-1 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "29545-1" ] ;
fhir:display [ fhir:v "Physical findings Narrative" ]       ] )     ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">abdominal tenderness</div>"     ] ;
    ( fhir:entry [
fhir:reference [ fhir:v "Observation/ex-PhysicalExam-AbdominalTenderness" ]     ] )
  ] [
fhir:title [ fhir:v "History Of Infection" ] ;
fhir:code [
      ( fhir:coding [
a loinc:56838-6 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "56838-6" ] ;
fhir:display [ fhir:v "History of Infectious disease Narrative" ]       ] )     ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">history of clamidia infection</div>"     ] ;
    ( fhir:entry [
fhir:reference [ fhir:v "Condition/ex-HistoryOfInfection" ]     ] )
  ] [
fhir:title [ fhir:v "Plan Of Care" ] ;
fhir:code [
      ( fhir:coding [
a loinc:18776-5 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "18776-5" ] ;
fhir:display [ fhir:v "Plan of care note" ]       ] )     ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">Birth Plan</div>"     ] ;
    ( fhir:entry [
fhir:reference [ fhir:v "CarePlan/ex-CarePlan-BirthPlan" ]     ] )
  ] [
fhir:title [ fhir:v "Social History" ] ;
fhir:code [
      ( fhir:coding [
a loinc:29762-2 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "29762-2" ]       ] )     ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">active smoker, drinks occasionally, no domestic violence risk, no homlessness, currently working</div>"     ] ;
    ( fhir:entry [
fhir:reference [ fhir:v "Observation/ex-SocialHistory-smokingTobaccoUse" ]     ] [
fhir:reference [ fhir:v "Observation/ex-SocialHistory-alcoholUse" ]     ] [
fhir:reference [ fhir:v "Observation/ex-DomesticViolenceRisk" ]     ] [
fhir:reference [ fhir:v "Observation/ex-Homelessness" ]     ] [
fhir:reference [ fhir:v "Observation/ex-SocialHistory-EmploymentStatus" ]     ] )
  ] [
fhir:title [ fhir:v "Advance Directives" ] ;
fhir:code [
      ( fhir:coding [
a loinc:42348-3 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "42348-3" ] ;
fhir:display [ fhir:v "Advance Directives" ]       ] )     ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">advance directve present</div>"     ] ;
    ( fhir:entry [
fhir:reference [ fhir:v "Consent/ex-AdvanceDirectives-BloodTransfusion" ]     ] )
  ] [
fhir:title [ fhir:v "Payors" ] ;
fhir:code [
      ( fhir:coding [
a loinc:48768-6 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "48768-6" ] ;
fhir:display [ fhir:v "Payment sources Document" ]       ] )     ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">payors for coverage</div>"     ] ;
    ( fhir:entry [
fhir:reference [ fhir:v "Coverage/ex-Coverage" ]     ] )
  ] [
fhir:title [ fhir:v "Antepartum Education" ] ;
fhir:code [
      ( fhir:coding [
a loinc:34895-3 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "34895-3" ] ;
fhir:display [ fhir:v "Education Note" ]       ] )     ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">education on smoking provided to patient in first and second trimesters</div>"     ] ;
    ( fhir:entry [
fhir:reference [ fhir:v "Observation/ex-PregnancyEducationObservation" ]     ] [
fhir:reference [ fhir:v "Observation/ex-PregnancyEducationObservation" ]     ] )
  ] [
fhir:title [ fhir:v "Antepartum Visit Summary Flowsheet" ] ;
fhir:code [
      ( fhir:coding [
a loinc:57059-8 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "57059-8" ] ;
fhir:display [ fhir:v "Pregnancy visit summary note Narrative" ]       ] )     ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">Antepartum visit summary flowsheet documented</div>"     ] ;
    ( fhir:entry [
fhir:reference [ fhir:v "Observation/ex-VitalSigns-BodyWeight-PrePregnancy" ]     ] [
fhir:reference [ fhir:v "Observation/ex-AntepartumVisitSummaryFlowsheetBattery" ]     ] )
  ] ) . #