| @prefix fhir: <http://hl7.org/fhir/> . | |
| @prefix owl: <http://www.w3.org/2002/07/owl#> . | |
| @prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> . | |
| @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> . | |
| @prefix xsd: <http://www.w3.org/2001/XMLSchema#> . | |
| # - resource ------------------------------------------------------------------- | |
| <https://clinyqai.github.io/open-nursing-core-ig/CodeSystem/onc-observation-codes> a fhir:CodeSystem ; | |
| fhir:nodeRole fhir:treeRoot ; | |
| fhir:id [ fhir:v "onc-observation-codes"] ; # | |
| fhir:text [ | |
| fhir:status [ fhir:v "generated" ] ; | |
| fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem onc-observation-codes</b></p><a name=\"onc-observation-codes\"> </a><a name=\"hconc-observation-codes\"> </a><p>This code system <code>https://clinyqai.github.io/open-nursing-core-ig/CodeSystem/onc-observation-codes</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">mst-score<a name=\"onc-observation-codes-mst-score\"> </a></td><td>Monk Skin Tone Score</td><td>Assessment of skin tone using the Monk Skin Tone Scale</td></tr><tr><td style=\"white-space:nowrap\">waterlow-score<a name=\"onc-observation-codes-waterlow-score\"> </a></td><td>Waterlow Score</td><td>Total score for Waterlow pressure ulcer risk assessment</td></tr><tr><td style=\"white-space:nowrap\">must-score<a name=\"onc-observation-codes-must-score\"> </a></td><td>MUST Score</td><td>Malnutrition Universal Screening Tool total score</td></tr><tr><td style=\"white-space:nowrap\">must-bmi-score<a name=\"onc-observation-codes-must-bmi-score\"> </a></td><td>MUST BMI Score</td><td>Malnutrition Universal Screening Tool BMI score</td></tr><tr><td style=\"white-space:nowrap\">must-weight-loss-score<a name=\"onc-observation-codes-must-weight-loss-score\"> </a></td><td>MUST Weight Loss Score</td><td>Malnutrition Universal Screening Tool weight loss score</td></tr><tr><td style=\"white-space:nowrap\">must-acute-disease-score<a name=\"onc-observation-codes-must-acute-disease-score\"> </a></td><td>MUST Acute Disease Score</td><td>Malnutrition Universal Screening Tool acute disease effect score</td></tr><tr><td style=\"white-space:nowrap\">braden-total-score<a name=\"onc-observation-codes-braden-total-score\"> </a></td><td>Braden Total Score</td><td>Braden scale total score</td></tr><tr><td style=\"white-space:nowrap\">braden-sensory<a name=\"onc-observation-codes-braden-sensory\"> </a></td><td>Braden Sensory Perception</td><td>Sensory perception Braden scale</td></tr><tr><td style=\"white-space:nowrap\">braden-moisture<a name=\"onc-observation-codes-braden-moisture\"> </a></td><td>Braden Moisture</td><td>Moisture Braden scale</td></tr><tr><td style=\"white-space:nowrap\">braden-activity<a name=\"onc-observation-codes-braden-activity\"> </a></td><td>Braden Activity</td><td>Activity Braden scale</td></tr><tr><td style=\"white-space:nowrap\">braden-mobility<a name=\"onc-observation-codes-braden-mobility\"> </a></td><td>Braden Mobility</td><td>Mobility Braden scale</td></tr><tr><td style=\"white-space:nowrap\">braden-nutrition<a name=\"onc-observation-codes-braden-nutrition\"> </a></td><td>Braden Nutrition</td><td>Nutrition Braden scale</td></tr><tr><td style=\"white-space:nowrap\">braden-friction<a name=\"onc-observation-codes-braden-friction\"> </a></td><td>Braden Friction/Shear</td><td>Friction and shear Braden scale</td></tr><tr><td style=\"white-space:nowrap\">barthel-score<a name=\"onc-observation-codes-barthel-score\"> </a></td><td>Barthel Index Score</td><td>Total score for Barthel Index assessment</td></tr><tr><td style=\"white-space:nowrap\">news2-score<a name=\"onc-observation-codes-news2-score\"> </a></td><td>NEWS2 Score</td><td>National Early Warning Score 2 Total Score</td></tr><tr><td style=\"white-space:nowrap\">news2-subscore<a name=\"onc-observation-codes-news2-subscore\"> </a></td><td>NEWS2 Sub-score</td><td>Sub-score for NEWS2 parameter</td></tr><tr><td style=\"white-space:nowrap\">wound-stage<a name=\"onc-observation-codes-wound-stage\"> </a></td><td>Wound Stage</td><td>Stage of the wound</td></tr><tr><td style=\"white-space:nowrap\">stage-1<a name=\"onc-observation-codes-stage-1\"> </a></td><td>Stage 1</td><td>Stage 1 pressure ulcer</td></tr><tr><td style=\"white-space:nowrap\">stage-2<a name=\"onc-observation-codes-stage-2\"> </a></td><td>Stage 2</td><td>Stage 2 pressure ulcer</td></tr><tr><td style=\"white-space:nowrap\">stage-3<a name=\"onc-observation-codes-stage-3\"> </a></td><td>Stage 3</td><td>Stage 3 pressure ulcer</td></tr><tr><td style=\"white-space:nowrap\">stage-4<a name=\"onc-observation-codes-stage-4\"> </a></td><td>Stage 4</td><td>Stage 4 pressure ulcer</td></tr><tr><td style=\"white-space:nowrap\">unstageable<a name=\"onc-observation-codes-unstageable\"> </a></td><td>Unstageable</td><td>Unstageable pressure ulcer</td></tr><tr><td style=\"white-space:nowrap\">deep-tissue<a name=\"onc-observation-codes-deep-tissue\"> </a></td><td>Deep Tissue Injury</td><td>Deep tissue injury</td></tr><tr><td style=\"white-space:nowrap\">risk-falls<a name=\"onc-observation-codes-risk-falls\"> </a></td><td>Risk of Falls</td><td>Risk of falls diagnosis</td></tr><tr><td style=\"white-space:nowrap\">fitzpatrick-1<a name=\"onc-observation-codes-fitzpatrick-1\"> </a></td><td>Type I</td><td>Pale white; always burns, never tans</td></tr><tr><td style=\"white-space:nowrap\">fitzpatrick-2<a name=\"onc-observation-codes-fitzpatrick-2\"> </a></td><td>Type II</td><td>White; usually burns, tans with difficulty</td></tr><tr><td style=\"white-space:nowrap\">fitzpatrick-3<a name=\"onc-observation-codes-fitzpatrick-3\"> </a></td><td>Type III</td><td>Cream white; sometimes mild burn, gradually tans</td></tr><tr><td style=\"white-space:nowrap\">fitzpatrick-4<a name=\"onc-observation-codes-fitzpatrick-4\"> </a></td><td>Type IV</td><td>Moderate brown; rarely burns, tans with ease</td></tr><tr><td style=\"white-space:nowrap\">fitzpatrick-5<a name=\"onc-observation-codes-fitzpatrick-5\"> </a></td><td>Type V</td><td>Dark brown; very rarely burns, tans very easily</td></tr><tr><td style=\"white-space:nowrap\">fitzpatrick-6<a name=\"onc-observation-codes-fitzpatrick-6\"> </a></td><td>Type VI</td><td>Deeply pigmented dark brown to black; never burns, tans very easily</td></tr><tr><td style=\"white-space:nowrap\">what-matters<a name=\"onc-observation-codes-what-matters\"> </a></td><td>What Matters to Me</td><td>Patient-identified priorities and non-clinical goals</td></tr><tr><td style=\"white-space:nowrap\">patient-story<a name=\"onc-observation-codes-patient-story\"> </a></td><td>Patient Story</td><td>Narrative summary of patient background, preferences, and autobiography</td></tr><tr><td style=\"white-space:nowrap\">relational-engagement<a name=\"onc-observation-codes-relational-engagement\"> </a></td><td>Relational Engagement Score</td><td>Assessment of the quality of nurse-patient engagement (1-5)</td></tr><tr><td style=\"white-space:nowrap\">cfs-score<a name=\"onc-observation-codes-cfs-score\"> </a></td><td>Clinical Frailty Scale Score</td><td>Total score for Rockwood Clinical Frailty Scale</td></tr><tr><td style=\"white-space:nowrap\">cfs-1<a name=\"onc-observation-codes-cfs-1\"> </a></td><td>Very Fit</td><td>Robus, active, energetic and motivated</td></tr><tr><td style=\"white-space:nowrap\">cfs-2<a name=\"onc-observation-codes-cfs-2\"> </a></td><td>Well</td><td>No active disease symptoms but less fit than category 1</td></tr><tr><td style=\"white-space:nowrap\">cfs-3<a name=\"onc-observation-codes-cfs-3\"> </a></td><td>Managing Well</td><td>Medical problems are well controlled, but not regularly active</td></tr><tr><td style=\"white-space:nowrap\">cfs-4<a name=\"onc-observation-codes-cfs-4\"> </a></td><td>Vulnerable</td><td>Not dependent for daily help, but symptoms limit activities</td></tr><tr><td style=\"white-space:nowrap\">cfs-5<a name=\"onc-observation-codes-cfs-5\"> </a></td><td>Mildly Frail</td><td>Need help with high order IADLs (finances, transportation, heavy housework)</td></tr><tr><td style=\"white-space:nowrap\">cfs-6<a name=\"onc-observation-codes-cfs-6\"> </a></td><td>Moderately Frail</td><td>Need help with all outside activities and some housekeeping</td></tr><tr><td style=\"white-space:nowrap\">cfs-7<a name=\"onc-observation-codes-cfs-7\"> </a></td><td>Severely Frail</td><td>Completely dependent for personal care</td></tr><tr><td style=\"white-space:nowrap\">cfs-8<a name=\"onc-observation-codes-cfs-8\"> </a></td><td>Very Severely Frail</td><td>Completely dependent, approaching end of life</td></tr><tr><td style=\"white-space:nowrap\">cfs-9<a name=\"onc-observation-codes-cfs-9\"> </a></td><td>Terminally Ill</td><td>Approaching the end of life (life expectancy <6 months)</td></tr><tr><td style=\"white-space:nowrap\">4at-score<a name=\"onc-observation-codes-4at-score\"> </a></td><td>4AT Delirium Score</td><td>Total score for 4AT assessment</td></tr><tr><td style=\"white-space:nowrap\">4at-alertness<a name=\"onc-observation-codes-4at-alertness\"> </a></td><td>Alertness</td><td>4AT Item 1: Alertness</td></tr><tr><td style=\"white-space:nowrap\">4at-amt4<a name=\"onc-observation-codes-4at-amt4\"> </a></td><td>AMT4 Score</td><td>4AT Item 2: Abbreviated Mental Test 4</td></tr><tr><td style=\"white-space:nowrap\">4at-attention<a name=\"onc-observation-codes-4at-attention\"> </a></td><td>Attention</td><td>4AT Item 3: Attention (Months Backwards)</td></tr><tr><td style=\"white-space:nowrap\">4at-acute-change<a name=\"onc-observation-codes-4at-acute-change\"> </a></td><td>Acute Change</td><td>4AT Item 4: Acute Change or Fluctuating Course</td></tr><tr><td style=\"white-space:nowrap\">reasonable-adjustment<a name=\"onc-observation-codes-reasonable-adjustment\"> </a></td><td>Reasonable Adjustment</td><td>Requirement for adjustment to care delivery (Equality Act)</td></tr><tr><td style=\"white-space:nowrap\">mca-assessment<a name=\"onc-observation-codes-mca-assessment\"> </a></td><td>Mental Capacity Assessment</td><td>Assessment of capacity to make a specific decision</td></tr><tr><td style=\"white-space:nowrap\">capacity-present<a name=\"onc-observation-codes-capacity-present\"> </a></td><td>Capacity Present</td><td>Patient has capacity for this decision</td></tr><tr><td style=\"white-space:nowrap\">capacity-absent<a name=\"onc-observation-codes-capacity-absent\"> </a></td><td>Capacity Absent</td><td>Patient lacks capacity for this decision</td></tr><tr><td style=\"white-space:nowrap\">best-interest<a name=\"onc-observation-codes-best-interest\"> </a></td><td>Best Interest Decision</td><td>Decision made in patient's best interest</td></tr><tr><td style=\"white-space:nowrap\">bristol-score<a name=\"onc-observation-codes-bristol-score\"> </a></td><td>Bristol Stool Score</td><td>Bristol Stool Form Scale Score (1-7)</td></tr><tr><td style=\"white-space:nowrap\">bristol-1<a name=\"onc-observation-codes-bristol-1\"> </a></td><td>Type 1</td><td>Separate hard lumps, like nuts (hard to pass)</td></tr><tr><td style=\"white-space:nowrap\">bristol-2<a name=\"onc-observation-codes-bristol-2\"> </a></td><td>Type 2</td><td>Sausage-shaped but lumpy</td></tr><tr><td style=\"white-space:nowrap\">bristol-3<a name=\"onc-observation-codes-bristol-3\"> </a></td><td>Type 3</td><td>Like a sausage but with cracks on its surface</td></tr><tr><td style=\"white-space:nowrap\">bristol-4<a name=\"onc-observation-codes-bristol-4\"> </a></td><td>Type 4</td><td>Like a sausage or snake, smooth and soft</td></tr><tr><td style=\"white-space:nowrap\">bristol-5<a name=\"onc-observation-codes-bristol-5\"> </a></td><td>Type 5</td><td>Soft blobs with clear-cut edges (passed easily)</td></tr><tr><td style=\"white-space:nowrap\">bristol-6<a name=\"onc-observation-codes-bristol-6\"> </a></td><td>Type 6</td><td>Fluffy pieces with ragged edges, a mushy stool</td></tr><tr><td style=\"white-space:nowrap\">bristol-7<a name=\"onc-observation-codes-bristol-7\"> </a></td><td>Type 7</td><td>Watery, no solid pieces. Entirely liquid</td></tr><tr><td style=\"white-space:nowrap\">abbey-score<a name=\"onc-observation-codes-abbey-score\"> </a></td><td>Abbey Pain Scale Score</td><td>Total Abbey Pain Scale Score (0-100+ but usually 0-18+)</td></tr><tr><td style=\"white-space:nowrap\">abbey-vocalization<a name=\"onc-observation-codes-abbey-vocalization\"> </a></td><td>Vocalization</td><td>Whimpering, groaning, crying</td></tr><tr><td style=\"white-space:nowrap\">abbey-facial-expression<a name=\"onc-observation-codes-abbey-facial-expression\"> </a></td><td>Facial Expression</td><td>Looking tense, frowning, grimacing, looking frightened</td></tr><tr><td style=\"white-space:nowrap\">abbey-body-language<a name=\"onc-observation-codes-abbey-body-language\"> </a></td><td>Body Language</td><td>Fidgeting, rocking, guarding part of body, withdrawn</td></tr><tr><td style=\"white-space:nowrap\">abbey-behavioral-change<a name=\"onc-observation-codes-abbey-behavioral-change\"> </a></td><td>Behavioral Change</td><td>Increased confusion, refusing to eat, alteration in usual pattern</td></tr><tr><td style=\"white-space:nowrap\">abbey-psychological-change<a name=\"onc-observation-codes-abbey-psychological-change\"> </a></td><td>Psychological Change</td><td>Temperature, pulse, blood pressure changes, perspiration, pallor</td></tr><tr><td style=\"white-space:nowrap\">abbey-physical-changes<a name=\"onc-observation-codes-abbey-physical-changes\"> </a></td><td>Physical Changes</td><td>Skin tears, pressure areas, arthritis, contractures, previous injuries</td></tr><tr><td style=\"white-space:nowrap\">fluid-input-total<a name=\"onc-observation-codes-fluid-input-total\"> </a></td><td>Total Fluid Input</td><td>Total fluid input over specified period (e.g. 24h)</td></tr><tr><td style=\"white-space:nowrap\">fluid-output-total<a name=\"onc-observation-codes-fluid-output-total\"> </a></td><td>Total Fluid Output</td><td>Total fluid output over specified period (e.g. 24h)</td></tr><tr><td style=\"white-space:nowrap\">fluid-balance<a name=\"onc-observation-codes-fluid-balance\"> </a></td><td>Fluid Balance</td><td>Total Input minus Total Output</td></tr><tr><td style=\"white-space:nowrap\">urine-output<a name=\"onc-observation-codes-urine-output\"> </a></td><td>Urine Output</td><td>Volume of urine passed</td></tr><tr><td style=\"white-space:nowrap\">abc-chart<a name=\"onc-observation-codes-abc-chart\"> </a></td><td>ABC Chart</td><td>Antecedent-Behaviour-Consequence Chart for PBS</td></tr><tr><td style=\"white-space:nowrap\">abc-antecedent<a name=\"onc-observation-codes-abc-antecedent\"> </a></td><td>Antecedent</td><td>What happened immediately before the behaviour (triggers)</td></tr><tr><td style=\"white-space:nowrap\">abc-behaviour<a name=\"onc-observation-codes-abc-behaviour\"> </a></td><td>Behaviour</td><td>Description of the behaviour itself (observable actions)</td></tr><tr><td style=\"white-space:nowrap\">abc-consequence<a name=\"onc-observation-codes-abc-consequence\"> </a></td><td>Consequence</td><td>What happened immediately after (response/outcome)</td></tr><tr><td style=\"white-space:nowrap\">abc-function<a name=\"onc-observation-codes-abc-function\"> </a></td><td>Function of Behaviour</td><td>Hypothesized function (e.g. Sensory, Escape, Attention, Tangible)</td></tr><tr><td style=\"white-space:nowrap\">abc-duration<a name=\"onc-observation-codes-abc-duration\"> </a></td><td>Duration</td><td>Duration of the episode</td></tr><tr><td style=\"white-space:nowrap\">abc-intensity<a name=\"onc-observation-codes-abc-intensity\"> </a></td><td>Intensity</td><td>Intensity of the behaviour (1-10)</td></tr><tr><td style=\"white-space:nowrap\">oral-health-score<a name=\"onc-observation-codes-oral-health-score\"> </a></td><td>Oral Health Score</td><td>Total Oral Health Assessment Score</td></tr><tr><td style=\"white-space:nowrap\">oral-lips<a name=\"onc-observation-codes-oral-lips\"> </a></td><td>Lips</td><td>Condition of lips (Pink/Moist vs Dry/Cracked)</td></tr><tr><td style=\"white-space:nowrap\">oral-tongue<a name=\"onc-observation-codes-oral-tongue\"> </a></td><td>Tongue</td><td>Condition of tongue (Pink/Moist vs Coated/Red)</td></tr><tr><td style=\"white-space:nowrap\">oral-gums<a name=\"onc-observation-codes-oral-gums\"> </a></td><td>Gums</td><td>Condition of gums (Pink/Firm vs Bleeding/Receding)</td></tr><tr><td style=\"white-space:nowrap\">oral-teeth<a name=\"onc-observation-codes-oral-teeth\"> </a></td><td>Teeth/Dentures</td><td>Condition of teeth or dentures (Clean/Intact vs Decayed/Broken/Loose)</td></tr><tr><td style=\"white-space:nowrap\">oral-saliva<a name=\"onc-observation-codes-oral-saliva\"> </a></td><td>Saliva</td><td>Saliva quality (Moist/Watery vs Thick/Sticky/Absent)</td></tr><tr><td style=\"white-space:nowrap\">seizure-record<a name=\"onc-observation-codes-seizure-record\"> </a></td><td>Seizure Record</td><td>Record of a seizure event</td></tr><tr><td style=\"white-space:nowrap\">seizure-type<a name=\"onc-observation-codes-seizure-type\"> </a></td><td>Seizure Type</td><td>Type of seizure (Tonic-Clonic, Absence, Focal, etc)</td></tr><tr><td style=\"white-space:nowrap\">seizure-duration<a name=\"onc-observation-codes-seizure-duration\"> </a></td><td>Seizure Duration</td><td>Duration of the active seizure phase</td></tr><tr><td style=\"white-space:nowrap\">seizure-recovery<a name=\"onc-observation-codes-seizure-recovery\"> </a></td><td>Recovery Phase</td><td>Duration/Description of post-ictal recovery</td></tr><tr><td style=\"white-space:nowrap\">seizure-trigger<a name=\"onc-observation-codes-seizure-trigger\"> </a></td><td>Trigger</td><td>Suspected trigger for the seizure</td></tr><tr><td style=\"white-space:nowrap\">sleep-record<a name=\"onc-observation-codes-sleep-record\"> </a></td><td>Sleep Record</td><td>Record of a sleep period</td></tr><tr><td style=\"white-space:nowrap\">sleep-quality<a name=\"onc-observation-codes-sleep-quality\"> </a></td><td>Sleep Quality</td><td>Subjective or observed quality of sleep</td></tr><tr><td style=\"white-space:nowrap\">sleep-hours<a name=\"onc-observation-codes-sleep-hours\"> </a></td><td>Hours Slept</td><td>Total hours of sleep achieved</td></tr><tr><td style=\"white-space:nowrap\">sleep-disturbances<a name=\"onc-observation-codes-sleep-disturbances\"> </a></td><td>Disturbances</td><td>Number or description of distinct awakenings</td></tr><tr><td style=\"white-space:nowrap\">urinalysis-panel<a name=\"onc-observation-codes-urinalysis-panel\"> </a></td><td>Urinalysis Panel</td><td>Urine Dipstick Test Panel</td></tr><tr><td style=\"white-space:nowrap\">ua-leukocytes<a name=\"onc-observation-codes-ua-leukocytes\"> </a></td><td>Leukocytes</td><td>Leukocytes (WBCs) in urine</td></tr><tr><td style=\"white-space:nowrap\">ua-nitrites<a name=\"onc-observation-codes-ua-nitrites\"> </a></td><td>Nitrites</td><td>Nitrites in urine</td></tr><tr><td style=\"white-space:nowrap\">ua-protein<a name=\"onc-observation-codes-ua-protein\"> </a></td><td>Protein</td><td>Protein in urine</td></tr><tr><td style=\"white-space:nowrap\">ua-blood<a name=\"onc-observation-codes-ua-blood\"> </a></td><td>Blood</td><td>Blood (Hemoglobin) in urine</td></tr><tr><td style=\"white-space:nowrap\">ua-glucose<a name=\"onc-observation-codes-ua-glucose\"> </a></td><td>Glucose</td><td>Glucose in urine</td></tr><tr><td style=\"white-space:nowrap\">ua-ketones<a name=\"onc-observation-codes-ua-ketones\"> </a></td><td>Ketones</td><td>Ketones in urine</td></tr><tr><td style=\"white-space:nowrap\">ua-ph<a name=\"onc-observation-codes-ua-ph\"> </a></td><td>pH</td><td>Urine pH Level</td></tr><tr><td style=\"white-space:nowrap\">ua-sg<a name=\"onc-observation-codes-ua-sg\"> </a></td><td>Specific Gravity</td><td>Urine Specific Gravity</td></tr><tr><td style=\"white-space:nowrap\">mca-present<a name=\"onc-observation-codes-mca-present\"> </a></td><td>Capacity Present</td><td>Patient has capacity for this decision</td></tr><tr><td style=\"white-space:nowrap\">4at-change-no<a name=\"onc-observation-codes-4at-change-no\"> </a></td><td>No Acute Change</td><td>No indication of acute change or fluctuating course</td></tr><tr><td style=\"white-space:nowrap\">4at-amt4-1error<a name=\"onc-observation-codes-4at-amt4-1error\"> </a></td><td>1 Error</td><td>1 error in AMT4 test</td></tr><tr><td style=\"white-space:nowrap\">4at-attention-gt7<a name=\"onc-observation-codes-4at-attention-gt7\"> </a></td><td>Months Backwards < 7 months</td><td>Less than 7 months correctly recited backwards</td></tr><tr><td style=\"white-space:nowrap\">4at-alert-normal<a name=\"onc-observation-codes-4at-alert-normal\"> </a></td><td>Normal Alertness</td><td>Patient is fully alert</td></tr></table></div>"^^rdf:XMLLiteral ] | |
| ] ; # | |
| fhir:url [ | |
| fhir:v "https://clinyqai.github.io/open-nursing-core-ig/CodeSystem/onc-observation-codes"^^xsd:anyURI ; | |
| fhir:l <https://clinyqai.github.io/open-nursing-core-ig/CodeSystem/onc-observation-codes> | |
| ] ; # | |
| fhir:version [ fhir:v "0.1.0"] ; # | |
| fhir:name [ fhir:v "ONCObservationCodes"] ; # | |
| fhir:title [ fhir:v "ONC Observation Codes"] ; # | |
| fhir:status [ fhir:v "draft"] ; # | |
| fhir:date [ fhir:v "2026-01-01T13:37:23+00:00"^^xsd:dateTime] ; # | |
| fhir:description [ fhir:v "Custom observation codes for Open Nursing Core"] ; # | |
| fhir:content [ fhir:v "complete"] ; # | |
| fhir:count [ fhir:v "108"^^xsd:nonNegativeInteger] ; # | |
| fhir:concept ( [ | |
| fhir:code [ fhir:v "mst-score" ] ; | |
| fhir:display [ fhir:v "Monk Skin Tone Score" ] ; | |
| fhir:definition [ fhir:v "Assessment of skin tone using the Monk Skin Tone Scale" ] | |
| ] [ | |
| fhir:code [ fhir:v "waterlow-score" ] ; | |
| fhir:display [ fhir:v "Waterlow Score" ] ; | |
| fhir:definition [ fhir:v "Total score for Waterlow pressure ulcer risk assessment" ] | |
| ] [ | |
| fhir:code [ fhir:v "must-score" ] ; | |
| fhir:display [ fhir:v "MUST Score" ] ; | |
| fhir:definition [ fhir:v "Malnutrition Universal Screening Tool total score" ] | |
| ] [ | |
| fhir:code [ fhir:v "must-bmi-score" ] ; | |
| fhir:display [ fhir:v "MUST BMI Score" ] ; | |
| fhir:definition [ fhir:v "Malnutrition Universal Screening Tool BMI score" ] | |
| ] [ | |
| fhir:code [ fhir:v "must-weight-loss-score" ] ; | |
| fhir:display [ fhir:v "MUST Weight Loss Score" ] ; | |
| fhir:definition [ fhir:v "Malnutrition Universal Screening Tool weight loss score" ] | |
| ] [ | |
| fhir:code [ fhir:v "must-acute-disease-score" ] ; | |
| fhir:display [ fhir:v "MUST Acute Disease Score" ] ; | |
| fhir:definition [ fhir:v "Malnutrition Universal Screening Tool acute disease effect score" ] | |
| ] [ | |
| fhir:code [ fhir:v "braden-total-score" ] ; | |
| fhir:display [ fhir:v "Braden Total Score" ] ; | |
| fhir:definition [ fhir:v "Braden scale total score" ] | |
| ] [ | |
| fhir:code [ fhir:v "braden-sensory" ] ; | |
| fhir:display [ fhir:v "Braden Sensory Perception" ] ; | |
| fhir:definition [ fhir:v "Sensory perception Braden scale" ] | |
| ] [ | |
| fhir:code [ fhir:v "braden-moisture" ] ; | |
| fhir:display [ fhir:v "Braden Moisture" ] ; | |
| fhir:definition [ fhir:v "Moisture Braden scale" ] | |
| ] [ | |
| fhir:code [ fhir:v "braden-activity" ] ; | |
| fhir:display [ fhir:v "Braden Activity" ] ; | |
| fhir:definition [ fhir:v "Activity Braden scale" ] | |
| ] [ | |
| fhir:code [ fhir:v "braden-mobility" ] ; | |
| fhir:display [ fhir:v "Braden Mobility" ] ; | |
| fhir:definition [ fhir:v "Mobility Braden scale" ] | |
| ] [ | |
| fhir:code [ fhir:v "braden-nutrition" ] ; | |
| fhir:display [ fhir:v "Braden Nutrition" ] ; | |
| fhir:definition [ fhir:v "Nutrition Braden scale" ] | |
| ] [ | |
| fhir:code [ fhir:v "braden-friction" ] ; | |
| fhir:display [ fhir:v "Braden Friction/Shear" ] ; | |
| fhir:definition [ fhir:v "Friction and shear Braden scale" ] | |
| ] [ | |
| fhir:code [ fhir:v "barthel-score" ] ; | |
| fhir:display [ fhir:v "Barthel Index Score" ] ; | |
| fhir:definition [ fhir:v "Total score for Barthel Index assessment" ] | |
| ] [ | |
| fhir:code [ fhir:v "news2-score" ] ; | |
| fhir:display [ fhir:v "NEWS2 Score" ] ; | |
| fhir:definition [ fhir:v "National Early Warning Score 2 Total Score" ] | |
| ] [ | |
| fhir:code [ fhir:v "news2-subscore" ] ; | |
| fhir:display [ fhir:v "NEWS2 Sub-score" ] ; | |
| fhir:definition [ fhir:v "Sub-score for NEWS2 parameter" ] | |
| ] [ | |
| fhir:code [ fhir:v "wound-stage" ] ; | |
| fhir:display [ fhir:v "Wound Stage" ] ; | |
| fhir:definition [ fhir:v "Stage of the wound" ] | |
| ] [ | |
| fhir:code [ fhir:v "stage-1" ] ; | |
| fhir:display [ fhir:v "Stage 1" ] ; | |
| fhir:definition [ fhir:v "Stage 1 pressure ulcer" ] | |
| ] [ | |
| fhir:code [ fhir:v "stage-2" ] ; | |
| fhir:display [ fhir:v "Stage 2" ] ; | |
| fhir:definition [ fhir:v "Stage 2 pressure ulcer" ] | |
| ] [ | |
| fhir:code [ fhir:v "stage-3" ] ; | |
| fhir:display [ fhir:v "Stage 3" ] ; | |
| fhir:definition [ fhir:v "Stage 3 pressure ulcer" ] | |
| ] [ | |
| fhir:code [ fhir:v "stage-4" ] ; | |
| fhir:display [ fhir:v "Stage 4" ] ; | |
| fhir:definition [ fhir:v "Stage 4 pressure ulcer" ] | |
| ] [ | |
| fhir:code [ fhir:v "unstageable" ] ; | |
| fhir:display [ fhir:v "Unstageable" ] ; | |
| fhir:definition [ fhir:v "Unstageable pressure ulcer" ] | |
| ] [ | |
| fhir:code [ fhir:v "deep-tissue" ] ; | |
| fhir:display [ fhir:v "Deep Tissue Injury" ] ; | |
| fhir:definition [ fhir:v "Deep tissue injury" ] | |
| ] [ | |
| fhir:code [ fhir:v "risk-falls" ] ; | |
| fhir:display [ fhir:v "Risk of Falls" ] ; | |
| fhir:definition [ fhir:v "Risk of falls diagnosis" ] | |
| ] [ | |
| fhir:code [ fhir:v "fitzpatrick-1" ] ; | |
| fhir:display [ fhir:v "Type I" ] ; | |
| fhir:definition [ fhir:v "Pale white; always burns, never tans" ] | |
| ] [ | |
| fhir:code [ fhir:v "fitzpatrick-2" ] ; | |
| fhir:display [ fhir:v "Type II" ] ; | |
| fhir:definition [ fhir:v "White; usually burns, tans with difficulty" ] | |
| ] [ | |
| fhir:code [ fhir:v "fitzpatrick-3" ] ; | |
| fhir:display [ fhir:v "Type III" ] ; | |
| fhir:definition [ fhir:v "Cream white; sometimes mild burn, gradually tans" ] | |
| ] [ | |
| fhir:code [ fhir:v "fitzpatrick-4" ] ; | |
| fhir:display [ fhir:v "Type IV" ] ; | |
| fhir:definition [ fhir:v "Moderate brown; rarely burns, tans with ease" ] | |
| ] [ | |
| fhir:code [ fhir:v "fitzpatrick-5" ] ; | |
| fhir:display [ fhir:v "Type V" ] ; | |
| fhir:definition [ fhir:v "Dark brown; very rarely burns, tans very easily" ] | |
| ] [ | |
| fhir:code [ fhir:v "fitzpatrick-6" ] ; | |
| fhir:display [ fhir:v "Type VI" ] ; | |
| fhir:definition [ fhir:v "Deeply pigmented dark brown to black; never burns, tans very easily" ] | |
| ] [ | |
| fhir:code [ fhir:v "what-matters" ] ; | |
| fhir:display [ fhir:v "What Matters to Me" ] ; | |
| fhir:definition [ fhir:v "Patient-identified priorities and non-clinical goals" ] | |
| ] [ | |
| fhir:code [ fhir:v "patient-story" ] ; | |
| fhir:display [ fhir:v "Patient Story" ] ; | |
| fhir:definition [ fhir:v "Narrative summary of patient background, preferences, and autobiography" ] | |
| ] [ | |
| fhir:code [ fhir:v "relational-engagement" ] ; | |
| fhir:display [ fhir:v "Relational Engagement Score" ] ; | |
| fhir:definition [ fhir:v "Assessment of the quality of nurse-patient engagement (1-5)" ] | |
| ] [ | |
| fhir:code [ fhir:v "cfs-score" ] ; | |
| fhir:display [ fhir:v "Clinical Frailty Scale Score" ] ; | |
| fhir:definition [ fhir:v "Total score for Rockwood Clinical Frailty Scale" ] | |
| ] [ | |
| fhir:code [ fhir:v "cfs-1" ] ; | |
| fhir:display [ fhir:v "Very Fit" ] ; | |
| fhir:definition [ fhir:v "Robus, active, energetic and motivated" ] | |
| ] [ | |
| fhir:code [ fhir:v "cfs-2" ] ; | |
| fhir:display [ fhir:v "Well" ] ; | |
| fhir:definition [ fhir:v "No active disease symptoms but less fit than category 1" ] | |
| ] [ | |
| fhir:code [ fhir:v "cfs-3" ] ; | |
| fhir:display [ fhir:v "Managing Well" ] ; | |
| fhir:definition [ fhir:v "Medical problems are well controlled, but not regularly active" ] | |
| ] [ | |
| fhir:code [ fhir:v "cfs-4" ] ; | |
| fhir:display [ fhir:v "Vulnerable" ] ; | |
| fhir:definition [ fhir:v "Not dependent for daily help, but symptoms limit activities" ] | |
| ] [ | |
| fhir:code [ fhir:v "cfs-5" ] ; | |
| fhir:display [ fhir:v "Mildly Frail" ] ; | |
| fhir:definition [ fhir:v "Need help with high order IADLs (finances, transportation, heavy housework)" ] | |
| ] [ | |
| fhir:code [ fhir:v "cfs-6" ] ; | |
| fhir:display [ fhir:v "Moderately Frail" ] ; | |
| fhir:definition [ fhir:v "Need help with all outside activities and some housekeeping" ] | |
| ] [ | |
| fhir:code [ fhir:v "cfs-7" ] ; | |
| fhir:display [ fhir:v "Severely Frail" ] ; | |
| fhir:definition [ fhir:v "Completely dependent for personal care" ] | |
| ] [ | |
| fhir:code [ fhir:v "cfs-8" ] ; | |
| fhir:display [ fhir:v "Very Severely Frail" ] ; | |
| fhir:definition [ fhir:v "Completely dependent, approaching end of life" ] | |
| ] [ | |
| fhir:code [ fhir:v "cfs-9" ] ; | |
| fhir:display [ fhir:v "Terminally Ill" ] ; | |
| fhir:definition [ fhir:v "Approaching the end of life (life expectancy <6 months)" ] | |
| ] [ | |
| fhir:code [ fhir:v "4at-score" ] ; | |
| fhir:display [ fhir:v "4AT Delirium Score" ] ; | |
| fhir:definition [ fhir:v "Total score for 4AT assessment" ] | |
| ] [ | |
| fhir:code [ fhir:v "4at-alertness" ] ; | |
| fhir:display [ fhir:v "Alertness" ] ; | |
| fhir:definition [ fhir:v "4AT Item 1: Alertness" ] | |
| ] [ | |
| fhir:code [ fhir:v "4at-amt4" ] ; | |
| fhir:display [ fhir:v "AMT4 Score" ] ; | |
| fhir:definition [ fhir:v "4AT Item 2: Abbreviated Mental Test 4" ] | |
| ] [ | |
| fhir:code [ fhir:v "4at-attention" ] ; | |
| fhir:display [ fhir:v "Attention" ] ; | |
| fhir:definition [ fhir:v "4AT Item 3: Attention (Months Backwards)" ] | |
| ] [ | |
| fhir:code [ fhir:v "4at-acute-change" ] ; | |
| fhir:display [ fhir:v "Acute Change" ] ; | |
| fhir:definition [ fhir:v "4AT Item 4: Acute Change or Fluctuating Course" ] | |
| ] [ | |
| fhir:code [ fhir:v "reasonable-adjustment" ] ; | |
| fhir:display [ fhir:v "Reasonable Adjustment" ] ; | |
| fhir:definition [ fhir:v "Requirement for adjustment to care delivery (Equality Act)" ] | |
| ] [ | |
| fhir:code [ fhir:v "mca-assessment" ] ; | |
| fhir:display [ fhir:v "Mental Capacity Assessment" ] ; | |
| fhir:definition [ fhir:v "Assessment of capacity to make a specific decision" ] | |
| ] [ | |
| fhir:code [ fhir:v "capacity-present" ] ; | |
| fhir:display [ fhir:v "Capacity Present" ] ; | |
| fhir:definition [ fhir:v "Patient has capacity for this decision" ] | |
| ] [ | |
| fhir:code [ fhir:v "capacity-absent" ] ; | |
| fhir:display [ fhir:v "Capacity Absent" ] ; | |
| fhir:definition [ fhir:v "Patient lacks capacity for this decision" ] | |
| ] [ | |
| fhir:code [ fhir:v "best-interest" ] ; | |
| fhir:display [ fhir:v "Best Interest Decision" ] ; | |
| fhir:definition [ fhir:v "Decision made in patient's best interest" ] | |
| ] [ | |
| fhir:code [ fhir:v "bristol-score" ] ; | |
| fhir:display [ fhir:v "Bristol Stool Score" ] ; | |
| fhir:definition [ fhir:v "Bristol Stool Form Scale Score (1-7)" ] | |
| ] [ | |
| fhir:code [ fhir:v "bristol-1" ] ; | |
| fhir:display [ fhir:v "Type 1" ] ; | |
| fhir:definition [ fhir:v "Separate hard lumps, like nuts (hard to pass)" ] | |
| ] [ | |
| fhir:code [ fhir:v "bristol-2" ] ; | |
| fhir:display [ fhir:v "Type 2" ] ; | |
| fhir:definition [ fhir:v "Sausage-shaped but lumpy" ] | |
| ] [ | |
| fhir:code [ fhir:v "bristol-3" ] ; | |
| fhir:display [ fhir:v "Type 3" ] ; | |
| fhir:definition [ fhir:v "Like a sausage but with cracks on its surface" ] | |
| ] [ | |
| fhir:code [ fhir:v "bristol-4" ] ; | |
| fhir:display [ fhir:v "Type 4" ] ; | |
| fhir:definition [ fhir:v "Like a sausage or snake, smooth and soft" ] | |
| ] [ | |
| fhir:code [ fhir:v "bristol-5" ] ; | |
| fhir:display [ fhir:v "Type 5" ] ; | |
| fhir:definition [ fhir:v "Soft blobs with clear-cut edges (passed easily)" ] | |
| ] [ | |
| fhir:code [ fhir:v "bristol-6" ] ; | |
| fhir:display [ fhir:v "Type 6" ] ; | |
| fhir:definition [ fhir:v "Fluffy pieces with ragged edges, a mushy stool" ] | |
| ] [ | |
| fhir:code [ fhir:v "bristol-7" ] ; | |
| fhir:display [ fhir:v "Type 7" ] ; | |
| fhir:definition [ fhir:v "Watery, no solid pieces. Entirely liquid" ] | |
| ] [ | |
| fhir:code [ fhir:v "abbey-score" ] ; | |
| fhir:display [ fhir:v "Abbey Pain Scale Score" ] ; | |
| fhir:definition [ fhir:v "Total Abbey Pain Scale Score (0-100+ but usually 0-18+)" ] | |
| ] [ | |
| fhir:code [ fhir:v "abbey-vocalization" ] ; | |
| fhir:display [ fhir:v "Vocalization" ] ; | |
| fhir:definition [ fhir:v "Whimpering, groaning, crying" ] | |
| ] [ | |
| fhir:code [ fhir:v "abbey-facial-expression" ] ; | |
| fhir:display [ fhir:v "Facial Expression" ] ; | |
| fhir:definition [ fhir:v "Looking tense, frowning, grimacing, looking frightened" ] | |
| ] [ | |
| fhir:code [ fhir:v "abbey-body-language" ] ; | |
| fhir:display [ fhir:v "Body Language" ] ; | |
| fhir:definition [ fhir:v "Fidgeting, rocking, guarding part of body, withdrawn" ] | |
| ] [ | |
| fhir:code [ fhir:v "abbey-behavioral-change" ] ; | |
| fhir:display [ fhir:v "Behavioral Change" ] ; | |
| fhir:definition [ fhir:v "Increased confusion, refusing to eat, alteration in usual pattern" ] | |
| ] [ | |
| fhir:code [ fhir:v "abbey-psychological-change" ] ; | |
| fhir:display [ fhir:v "Psychological Change" ] ; | |
| fhir:definition [ fhir:v "Temperature, pulse, blood pressure changes, perspiration, pallor" ] | |
| ] [ | |
| fhir:code [ fhir:v "abbey-physical-changes" ] ; | |
| fhir:display [ fhir:v "Physical Changes" ] ; | |
| fhir:definition [ fhir:v "Skin tears, pressure areas, arthritis, contractures, previous injuries" ] | |
| ] [ | |
| fhir:code [ fhir:v "fluid-input-total" ] ; | |
| fhir:display [ fhir:v "Total Fluid Input" ] ; | |
| fhir:definition [ fhir:v "Total fluid input over specified period (e.g. 24h)" ] | |
| ] [ | |
| fhir:code [ fhir:v "fluid-output-total" ] ; | |
| fhir:display [ fhir:v "Total Fluid Output" ] ; | |
| fhir:definition [ fhir:v "Total fluid output over specified period (e.g. 24h)" ] | |
| ] [ | |
| fhir:code [ fhir:v "fluid-balance" ] ; | |
| fhir:display [ fhir:v "Fluid Balance" ] ; | |
| fhir:definition [ fhir:v "Total Input minus Total Output" ] | |
| ] [ | |
| fhir:code [ fhir:v "urine-output" ] ; | |
| fhir:display [ fhir:v "Urine Output" ] ; | |
| fhir:definition [ fhir:v "Volume of urine passed" ] | |
| ] [ | |
| fhir:code [ fhir:v "abc-chart" ] ; | |
| fhir:display [ fhir:v "ABC Chart" ] ; | |
| fhir:definition [ fhir:v "Antecedent-Behaviour-Consequence Chart for PBS" ] | |
| ] [ | |
| fhir:code [ fhir:v "abc-antecedent" ] ; | |
| fhir:display [ fhir:v "Antecedent" ] ; | |
| fhir:definition [ fhir:v "What happened immediately before the behaviour (triggers)" ] | |
| ] [ | |
| fhir:code [ fhir:v "abc-behaviour" ] ; | |
| fhir:display [ fhir:v "Behaviour" ] ; | |
| fhir:definition [ fhir:v "Description of the behaviour itself (observable actions)" ] | |
| ] [ | |
| fhir:code [ fhir:v "abc-consequence" ] ; | |
| fhir:display [ fhir:v "Consequence" ] ; | |
| fhir:definition [ fhir:v "What happened immediately after (response/outcome)" ] | |
| ] [ | |
| fhir:code [ fhir:v "abc-function" ] ; | |
| fhir:display [ fhir:v "Function of Behaviour" ] ; | |
| fhir:definition [ fhir:v "Hypothesized function (e.g. Sensory, Escape, Attention, Tangible)" ] | |
| ] [ | |
| fhir:code [ fhir:v "abc-duration" ] ; | |
| fhir:display [ fhir:v "Duration" ] ; | |
| fhir:definition [ fhir:v "Duration of the episode" ] | |
| ] [ | |
| fhir:code [ fhir:v "abc-intensity" ] ; | |
| fhir:display [ fhir:v "Intensity" ] ; | |
| fhir:definition [ fhir:v "Intensity of the behaviour (1-10)" ] | |
| ] [ | |
| fhir:code [ fhir:v "oral-health-score" ] ; | |
| fhir:display [ fhir:v "Oral Health Score" ] ; | |
| fhir:definition [ fhir:v "Total Oral Health Assessment Score" ] | |
| ] [ | |
| fhir:code [ fhir:v "oral-lips" ] ; | |
| fhir:display [ fhir:v "Lips" ] ; | |
| fhir:definition [ fhir:v "Condition of lips (Pink/Moist vs Dry/Cracked)" ] | |
| ] [ | |
| fhir:code [ fhir:v "oral-tongue" ] ; | |
| fhir:display [ fhir:v "Tongue" ] ; | |
| fhir:definition [ fhir:v "Condition of tongue (Pink/Moist vs Coated/Red)" ] | |
| ] [ | |
| fhir:code [ fhir:v "oral-gums" ] ; | |
| fhir:display [ fhir:v "Gums" ] ; | |
| fhir:definition [ fhir:v "Condition of gums (Pink/Firm vs Bleeding/Receding)" ] | |
| ] [ | |
| fhir:code [ fhir:v "oral-teeth" ] ; | |
| fhir:display [ fhir:v "Teeth/Dentures" ] ; | |
| fhir:definition [ fhir:v "Condition of teeth or dentures (Clean/Intact vs Decayed/Broken/Loose)" ] | |
| ] [ | |
| fhir:code [ fhir:v "oral-saliva" ] ; | |
| fhir:display [ fhir:v "Saliva" ] ; | |
| fhir:definition [ fhir:v "Saliva quality (Moist/Watery vs Thick/Sticky/Absent)" ] | |
| ] [ | |
| fhir:code [ fhir:v "seizure-record" ] ; | |
| fhir:display [ fhir:v "Seizure Record" ] ; | |
| fhir:definition [ fhir:v "Record of a seizure event" ] | |
| ] [ | |
| fhir:code [ fhir:v "seizure-type" ] ; | |
| fhir:display [ fhir:v "Seizure Type" ] ; | |
| fhir:definition [ fhir:v "Type of seizure (Tonic-Clonic, Absence, Focal, etc)" ] | |
| ] [ | |
| fhir:code [ fhir:v "seizure-duration" ] ; | |
| fhir:display [ fhir:v "Seizure Duration" ] ; | |
| fhir:definition [ fhir:v "Duration of the active seizure phase" ] | |
| ] [ | |
| fhir:code [ fhir:v "seizure-recovery" ] ; | |
| fhir:display [ fhir:v "Recovery Phase" ] ; | |
| fhir:definition [ fhir:v "Duration/Description of post-ictal recovery" ] | |
| ] [ | |
| fhir:code [ fhir:v "seizure-trigger" ] ; | |
| fhir:display [ fhir:v "Trigger" ] ; | |
| fhir:definition [ fhir:v "Suspected trigger for the seizure" ] | |
| ] [ | |
| fhir:code [ fhir:v "sleep-record" ] ; | |
| fhir:display [ fhir:v "Sleep Record" ] ; | |
| fhir:definition [ fhir:v "Record of a sleep period" ] | |
| ] [ | |
| fhir:code [ fhir:v "sleep-quality" ] ; | |
| fhir:display [ fhir:v "Sleep Quality" ] ; | |
| fhir:definition [ fhir:v "Subjective or observed quality of sleep" ] | |
| ] [ | |
| fhir:code [ fhir:v "sleep-hours" ] ; | |
| fhir:display [ fhir:v "Hours Slept" ] ; | |
| fhir:definition [ fhir:v "Total hours of sleep achieved" ] | |
| ] [ | |
| fhir:code [ fhir:v "sleep-disturbances" ] ; | |
| fhir:display [ fhir:v "Disturbances" ] ; | |
| fhir:definition [ fhir:v "Number or description of distinct awakenings" ] | |
| ] [ | |
| fhir:code [ fhir:v "urinalysis-panel" ] ; | |
| fhir:display [ fhir:v "Urinalysis Panel" ] ; | |
| fhir:definition [ fhir:v "Urine Dipstick Test Panel" ] | |
| ] [ | |
| fhir:code [ fhir:v "ua-leukocytes" ] ; | |
| fhir:display [ fhir:v "Leukocytes" ] ; | |
| fhir:definition [ fhir:v "Leukocytes (WBCs) in urine" ] | |
| ] [ | |
| fhir:code [ fhir:v "ua-nitrites" ] ; | |
| fhir:display [ fhir:v "Nitrites" ] ; | |
| fhir:definition [ fhir:v "Nitrites in urine" ] | |
| ] [ | |
| fhir:code [ fhir:v "ua-protein" ] ; | |
| fhir:display [ fhir:v "Protein" ] ; | |
| fhir:definition [ fhir:v "Protein in urine" ] | |
| ] [ | |
| fhir:code [ fhir:v "ua-blood" ] ; | |
| fhir:display [ fhir:v "Blood" ] ; | |
| fhir:definition [ fhir:v "Blood (Hemoglobin) in urine" ] | |
| ] [ | |
| fhir:code [ fhir:v "ua-glucose" ] ; | |
| fhir:display [ fhir:v "Glucose" ] ; | |
| fhir:definition [ fhir:v "Glucose in urine" ] | |
| ] [ | |
| fhir:code [ fhir:v "ua-ketones" ] ; | |
| fhir:display [ fhir:v "Ketones" ] ; | |
| fhir:definition [ fhir:v "Ketones in urine" ] | |
| ] [ | |
| fhir:code [ fhir:v "ua-ph" ] ; | |
| fhir:display [ fhir:v "pH" ] ; | |
| fhir:definition [ fhir:v "Urine pH Level" ] | |
| ] [ | |
| fhir:code [ fhir:v "ua-sg" ] ; | |
| fhir:display [ fhir:v "Specific Gravity" ] ; | |
| fhir:definition [ fhir:v "Urine Specific Gravity" ] | |
| ] [ | |
| fhir:code [ fhir:v "mca-present" ] ; | |
| fhir:display [ fhir:v "Capacity Present" ] ; | |
| fhir:definition [ fhir:v "Patient has capacity for this decision" ] | |
| ] [ | |
| fhir:code [ fhir:v "4at-change-no" ] ; | |
| fhir:display [ fhir:v "No Acute Change" ] ; | |
| fhir:definition [ fhir:v "No indication of acute change or fluctuating course" ] | |
| ] [ | |
| fhir:code [ fhir:v "4at-amt4-1error" ] ; | |
| fhir:display [ fhir:v "1 Error" ] ; | |
| fhir:definition [ fhir:v "1 error in AMT4 test" ] | |
| ] [ | |
| fhir:code [ fhir:v "4at-attention-gt7" ] ; | |
| fhir:display [ fhir:v "Months Backwards < 7 months" ] ; | |
| fhir:definition [ fhir:v "Less than 7 months correctly recited backwards" ] | |
| ] [ | |
| fhir:code [ fhir:v "4at-alert-normal" ] ; | |
| fhir:display [ fhir:v "Normal Alertness" ] ; | |
| fhir:definition [ fhir:v "Patient is fully alert" ] | |
| ] ) . # | |
| # ------------------------------------------------------------------------------------- | |