Evidence Based Medicine on FHIR Implementation Guide
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Evidence Based Medicine on FHIR Implementation Guide, published by HL7 International / Clinical Decision Support. This guide is not an authorized publication; it is the continuous build for version 2.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/ebm/ and changes regularly. See the Directory of published versions

: 26859072 Emotional Distress in the Partners of Type 1 Diabetes Adults: Worries About Hypoglycemia and Other Key Concerns. - TTL Representation

Active as of 2024-11-21

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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 xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

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fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Citation 267498</b></p><a name=\"267498\"> </a><a name=\"hc267498\"> </a><a name=\"267498-en-US\"> </a><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\">version: 1; Last updated: 2024-08-05 19:54:23+0000</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-journal-article-citation.html\">JournalArticleCitation</a></p></div><p><b>url</b>: <a href=\"Citation-267498.html\">Citation 26859072 Emotional Distress in the Partners of Type 1 Diabetes Adults: Worries About Hypoglycemia and Other Key Concerns.</a></p><p><b>identifier</b>: FEvIR Object Identifier/267498, <code>https://pubmed.ncbi.nlm.nih.gov</code>/26859072, <a href=\"http://terminology.hl7.org/6.1.0/NamingSystem-uri.html\" title=\"As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt \r\n\r\nThis oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid: \r\n\r\nNote that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR.\r\n\r\nThis OID may also be used in CD.codeSystem.\">Uniform Resource Identifier (URI)</a>/urn:oid:2.16.840.1.113883.4.642.40.44.15.28</p><p><b>version</b>: 2.0.0-ballot</p><p><b>title</b>: 26859072 Emotional Distress in the Partners of Type 1 Diabetes Adults: Worries About Hypoglycemia and Other Key Concerns.</p><p><b>status</b>: Active</p><p><b>date</b>: 2024-11-21 14:09:14+0000</p><p><b>publisher</b>: HL7 International / Clinical Decision Support</p><p><b>contact</b>: HL7 International / Clinical Decision Support: <a href=\"http://www.hl7.org/Special/committees/dss\">http://www.hl7.org/Special/committees/dss</a></p><p><b>description</b>: </p><div><p>This Citation Resource is referenced in an example for the EBMonFHIR Implementation Guide.</p>\n</div><h3>UseContexts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Value[x]</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-citation-classification-type.html#citation-classification-type-fevir-platform-use\">Citation Classification Type fevir-platform-use</a>: FEvIR Platform Use</td><td><span title=\"Codes:{http://hl7.org/fhir/citation-artifact-classifier medline-base}\">Medline Base</span></td></tr></table><p><b>jurisdiction</b>: <span title=\"Codes:{http://unstats.un.org/unsd/methods/m49/m49.htm 001}\">World</span></p><p><b>copyright</b>: </p><div><p>https://creativecommons.org/licenses/by-nc-sa/4.0/</p>\n</div><p><b>approvalDate</b>: 2017-11-01</p><p><b>lastReviewDate</b>: 2017-11-29</p><p><b>author</b>: Computable Publishing®: MEDLINE-to-FEvIR Converter: </p><blockquote><p><b>classification</b></p><p><b>type</b>: <span title=\"Codes:{http://hl7.org/fhir/citation-classification-type citation-source}\">Citation Source</span></p><p><b>classifier</b>: <span title=\"Codes:\">MEDLINE</span></p></blockquote><blockquote><p><b>classification</b></p><p><b>type</b>: <span title=\"Codes:{http://hl7.org/fhir/citation-classification-type medline-owner}\">MEDLINE Citation Owner</span></p><p><b>classifier</b>: <span title=\"Codes:{https://www.nlm.nih.gov/bsd/licensee/elements_descriptions.html#owner_value NLM}\">National Library of Medicine, Index Section</span></p></blockquote><p><b>currentState</b>: <span title=\"Codes:{http://hl7.org/fhir/citation-status-type medline-medline}\">Medline Citation Status of Medline</span>, <span title=\"Codes:{http://hl7.org/fhir/citation-status-type pubmed-publication-status-ppublish}\">PubMed PublicationStatus of ppublish</span></p><blockquote><p><b>statusDate</b></p><p><b>activity</b>: <span title=\"Codes:{http://hl7.org/fhir/citation-status-type pubmed-pubstatus-entrez}\">PubMed Pubstatus of Entrez</span></p><p><b>period</b>: ?? --&gt; 2016-02-10 06:00:00+0000</p></blockquote><blockquote><p><b>statusDate</b></p><p><b>activity</b>: <span title=\"Codes:{http://hl7.org/fhir/citation-status-type pubmed-pubstatus-pubmed}\">PubMed Pubstatus of Pubmed</span></p><p><b>period</b>: ?? --&gt; 2016-02-10 06:00:00+0000</p></blockquote><blockquote><p><b>statusDate</b></p><p><b>activity</b>: <span title=\"Codes:{http://hl7.org/fhir/citation-status-type pubmed-pubstatus-medline}\">PubMed Pubstatus of Medline</span></p><p><b>period</b>: ?? --&gt; 2017-11-02 06:00:00+0000</p></blockquote><blockquote><p><b>citedArtifact</b></p><p><b>identifier</b>: <code>https://pubmed.ncbi.nlm.nih.gov</code>/26859072, <code>https://doi.org</code>/10.1089/dia.2015.0451</p><h3>Titles</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Language</b></td><td><b>Text</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://hl7.org/fhir/title-type primary}\">Primary title</span></td><td><span title=\"Codes:{urn:ietf:bcp:47 en}\">English</span></td><td><div><p>Emotional Distress in the Partners of Type 1 Diabetes Adults: Worries About Hypoglycemia and Other Key Concerns.</p>\n</div></td></tr></table><h3>Abstracts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Text</b></td></tr><tr><td style=\"display: none\">*</td><td><div><p><strong>BACKGROUND:</strong> Although the widespread prevalence of diabetes-related distress (DD) in adults with type 1 diabetes (T1D) has been well established, there has been little inquiry into the experiences of their spouse/partners. Therefore the goal of this study was to investigate the prevalence and sources of DD in the spouses and partners of adults with T1D (&quot;T1D partner&quot;) and to examine the associations of DD in this population with key demographic and contextual factors.\n&lt;AbstractText Label=&quot;MATERIALS AND METHODS&quot;&gt;Qualitative interviews with 11 T1D partners led to the development of 44 DD survey items, which were examined by exploratory factor analysis (EFA). Regression models examined associations of the resulting DD scales with four groups of variables: partner demographics and contextual variables, as well as person with diabetes (PWD) demographics, diabetes status, and behavioral factors.\n<strong>RESULTS:</strong> EFA with 317 T1D partners yielded a 22-item scale with four factors: Hypoglycemia Distress, Emotional Distress, Management Distress, and Role Distress. All scales were significantly correlated with the three criterion variables (depression, general life stress, and diabetes-related relationship satisfaction), suggesting satisfactory concurrent validity. High DD was most common for Hypoglycemic Distress (64.4% of the sample) and least common for Management Distress (28.4%). Greater DD was significantly and independently linked with being younger, female, greater involvement in the PWD's diabetes management, lower levels of relationship satisfaction, less trusting of the PWD's physician, poorer PWD glycemic control, and more frequent hypoglycemic episodes. T1D partners also reported low levels of diabetes-related support from all sources.\n<strong>CONCLUSIONS:</strong> Four sources of partner DD were identified. Results suggest that DD in T1D partners is common, especially distress associated with hypoglycemia. Predictors of T1D partner DD come from multiple sources: demographic, disease-related, and contextual arenas, all pointing to opportunities for acknowledging and addressing DD directly in this population.</p>\n</div></td></tr></table><blockquote><p><b>publicationForm</b></p><blockquote><p><b>publishedIn</b></p><p><b>type</b>: <span title=\"Codes:{http://hl7.org/fhir/published-in-type D020492}\">Periodical</span></p><p><b>identifier</b>: Electronic ISSN Type/1557-8593, ISOAbbreviation/Diabetes Technol Ther, ISSN Linking/1520-9156, Medline Title Abbreviation/Diabetes Technol Ther, NLM Unique ID/100889084</p><p><b>title</b>: Diabetes technology &amp; therapeutics</p><p><b>publisherLocation</b>: United States</p></blockquote><p><b>citedMedium</b>: <span title=\"Codes:{http://hl7.org/fhir/cited-medium internet}\">Internet</span></p><p><b>volume</b>: 18</p><p><b>issue</b>: 5</p><p><b>articleDate</b>: 2016-05</p><p><b>publicationDateText</b>: 2016-May</p><p><b>language</b>: <span title=\"Codes:{urn:ietf:bcp:47 en}\">English</span></p><p><b>pageString</b>: 292-7</p></blockquote><blockquote><p><b>publicationForm</b></p><p><b>citedMedium</b>: <span title=\"Codes:{http://hl7.org/fhir/cited-medium internet-without-issue}\">Internet without issue</span></p><p><b>articleDate</b>: 2016-02-09</p></blockquote><blockquote><p><b>webLocation</b></p><p><b>classifier</b>: <span title=\"Codes:{http://hl7.org/fhir/artifact-url-classifier abstract}\">Abstract</span></p><p><b>url</b>: <a href=\"https://pubmed.ncbi.nlm.nih.gov/26859072/\">https://pubmed.ncbi.nlm.nih.gov/26859072/</a></p></blockquote><blockquote><p><b>webLocation</b></p><p><b>classifier</b>: <span title=\"Codes:{http://hl7.org/fhir/artifact-url-classifier doi-based}\">DOI Based</span></p><p><b>url</b>: <a href=\"https://doi.org/10.1089/dia.2015.0451\">https://doi.org/10.1089/dia.2015.0451</a></p></blockquote><blockquote><p><b>classification</b></p><p><b>type</b>: <span title=\"Codes:{http://hl7.org/fhir/cited-artifact-classification-type publishing-model}\">Publishing Model</span></p><p><b>classifier</b>: <span title=\"Codes:{http://hl7.org/fhir/citation-artifact-classifier Print-Electronic}\">Print Electronic</span></p></blockquote><blockquote><p><b>classification</b></p><p><b>type</b>: <span title=\"Codes:{http://hl7.org/fhir/cited-artifact-classification-type mesh-heading}\">MeSH heading</span></p><p><b>artifactAssessment</b>: <a href=\"#hc267498/meshHeading0\">ArtifactAssessment: artifact[x] = this resource</a></p></blockquote><blockquote><p><b>classification</b></p><p><b>type</b>: <span title=\"Codes:{http://hl7.org/fhir/cited-artifact-classification-type publication-type}\">Publication type</span></p><p><b>classifier</b>: <span title=\"Codes:{https://meshb.nlm.nih.gov/ D016428}\">Journal Article</span>, <span title=\"Codes:{https://meshb.nlm.nih.gov/ D013485}\">Research Support, Non-U.S. Gov't</span></p></blockquote><blockquote><p><b>classification</b></p><p><b>type</b>: <span title=\"Codes:{http://hl7.org/fhir/cited-artifact-classification-type knowledge-artifact-type}\">Knowledge Artifact Type</span></p><p><b>classifier</b>: <span title=\"Codes:{http://hl7.org/fhir/citation-artifact-classifier D016428}\">Journal Article</span></p><p><b>artifactAssessment</b>: Classifier added by Computable Publishing LLC</p></blockquote><blockquote><p><b>classification</b></p><p><b>type</b>: <span title=\"Codes:{http://hl7.org/fhir/cited-artifact-classification-type citation-subset}\">Citation subset</span></p><p><b>classifier</b>: <span title=\"Codes:{https://www.nlm.nih.gov/bsd/licensee/elements_descriptions.html#citationsubset IM}\">IM</span></p></blockquote><blockquote><p><b>contributorship</b></p><p><b>complete</b>: true</p><blockquote><p><b>entry</b></p><p><b>contributor</b>: <a href=\"#hc267498/contributor0\">Polonsky WH</a></p><p><b>forenameInitials</b>: WH</p><p><b>affiliation</b>: </p><ul><li>1 University of California , San Diego, San Diego, California.</li><li>2 Behavioral Diabetes Institute , San Diego, California.</li></ul></blockquote><blockquote><p><b>entry</b></p><p><b>contributor</b>: <a href=\"#hc267498/contributor1\">Fisher L</a></p><p><b>forenameInitials</b>: L</p><p><b>affiliation</b>: 3 University of California , San Francisco, San Francisco, California.</p></blockquote><blockquote><p><b>entry</b></p><p><b>contributor</b>: <a href=\"#hc267498/contributor2\">Hessler D</a></p><p><b>forenameInitials</b>: D</p><p><b>affiliation</b>: 3 University of California , San Francisco, San Francisco, California.</p></blockquote><blockquote><p><b>entry</b></p><p><b>contributor</b>: <a href=\"#hc267498/contributor3\">Johnson N</a></p><p><b>forenameInitials</b>: N</p><p><b>affiliation</b>: 4 Bringing Science Home , Tampa, Florida.</p></blockquote></blockquote></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Practitioner  #contributor0</b></p><a name=\"267498/contributor0\"> </a><a name=\"hc267498/contributor0\"> </a><a name=\"267498/contributor0-en-US\"> </a><p><b>name</b>: William H Polonsky </p></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Practitioner  #contributor1</b></p><a name=\"267498/contributor1\"> </a><a name=\"hc267498/contributor1\"> </a><a name=\"267498/contributor1-en-US\"> </a><p><b>name</b>: Lawrence Fisher </p></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Practitioner  #contributor2</b></p><a name=\"267498/contributor2\"> </a><a name=\"hc267498/contributor2\"> </a><a name=\"267498/contributor2-en-US\"> </a><p><b>name</b>: Danielle Hessler </p></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Practitioner  #contributor3</b></p><a name=\"267498/contributor3\"> </a><a name=\"hc267498/contributor3\"> </a><a name=\"267498/contributor3-en-US\"> </a><p><b>name</b>: Nicole Johnson </p></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: ArtifactAssessment  #meshHeading0</b></p><a name=\"267498/meshHeading0\"> </a><a name=\"hc267498/meshHeading0\"> </a><a name=\"267498/meshHeading0-en-US\"> </a><p><b>artifact</b>: <a href=\"#hc267498\">Citation 26859072 Emotional Distress in the Partners of Type 1 Diabetes Adults: Worries About Hypoglycemia and Other Key Concerns.</a></p><blockquote><p><b>content</b></p><p><b>informationType</b>: Classifier</p><p><b>type</b>: <span title=\"Codes:{http://hl7.org/fhir/cited-artifact-classification-type mesh-heading}\">components (if present) include qualifier codings</span></p><p><b>classifier</b>: <span title=\"Codes:{https://meshb.nlm.nih.gov/ D000328}\">Adult</span></p><p><b>freeToShare</b>: true</p><h3>Components</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Classifier</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:\">qualifier</span></td><td><span title=\"Codes:\">is not a major topic</span></td></tr></table></blockquote><blockquote><p><b>content</b></p><p><b>informationType</b>: Classifier</p><p><b>type</b>: <span title=\"Codes:{http://hl7.org/fhir/cited-artifact-classification-type mesh-heading}\">components (if present) include qualifier codings</span></p><p><b>classifier</b>: <span title=\"Codes:{https://meshb.nlm.nih.gov/ D003922}\">Diabetes Mellitus, Type 1</span></p><p><b>freeToShare</b>: true</p><blockquote><p><b>component</b></p><p><b>type</b>: <span title=\"Codes:\">qualifier</span></p><p><b>classifier</b>: <span title=\"Codes:\">is not a major topic</span></p></blockquote><blockquote><p><b>component</b></p><p><b>type</b>: <span title=\"Codes:\">qualifier</span></p><p><b>classifier</b>: <span title=\"Codes:{https://meshb.nlm.nih.gov/ Q000523}\">psychology</span></p><h3>Components</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Classifier</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:\">is Major topic</span></td><td><span title=\"Codes:{https://ncithesaurus.nci.nih.gov/ncitbrowser C49488}\">Yes</span></td></tr></table></blockquote></blockquote><blockquote><p><b>content</b></p><p><b>informationType</b>: Classifier</p><p><b>type</b>: <span title=\"Codes:{http://hl7.org/fhir/cited-artifact-classification-type mesh-heading}\">components (if present) include qualifier codings</span></p><p><b>classifier</b>: <span title=\"Codes:{https://meshb.nlm.nih.gov/ D005260}\">Female</span></p><p><b>freeToShare</b>: true</p><h3>Components</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Classifier</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:\">qualifier</span></td><td><span title=\"Codes:\">is not a major topic</span></td></tr></table></blockquote><blockquote><p><b>content</b></p><p><b>informationType</b>: Classifier</p><p><b>type</b>: <span title=\"Codes:{http://hl7.org/fhir/cited-artifact-classification-type mesh-heading}\">components (if present) include qualifier codings</span></p><p><b>classifier</b>: <span title=\"Codes:{https://meshb.nlm.nih.gov/ D006801}\">Humans</span></p><p><b>freeToShare</b>: true</p><h3>Components</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Classifier</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:\">qualifier</span></td><td><span title=\"Codes:\">is not a major topic</span></td></tr></table></blockquote><blockquote><p><b>content</b></p><p><b>informationType</b>: Classifier</p><p><b>type</b>: <span title=\"Codes:{http://hl7.org/fhir/cited-artifact-classification-type mesh-heading}\">components (if present) include qualifier codings</span></p><p><b>classifier</b>: <span title=\"Codes:{https://meshb.nlm.nih.gov/ D007003}\">Hypoglycemia</span></p><p><b>freeToShare</b>: true</p><h3>Components</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Classifier</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:\">qualifier</span></td><td><span title=\"Codes:\">is not a major topic</span></td></tr></table></blockquote><blockquote><p><b>content</b></p><p><b>informationType</b>: Classifier</p><p><b>type</b>: <span title=\"Codes:{http://hl7.org/fhir/cited-artifact-classification-type mesh-heading}\">components (if present) include qualifier codings</span></p><p><b>classifier</b>: <span title=\"Codes:{https://meshb.nlm.nih.gov/ D008297}\">Male</span></p><p><b>freeToShare</b>: true</p><h3>Components</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Classifier</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:\">qualifier</span></td><td><span title=\"Codes:\">is not a major topic</span></td></tr></table></blockquote><blockquote><p><b>content</b></p><p><b>informationType</b>: Classifier</p><p><b>type</b>: <span title=\"Codes:{http://hl7.org/fhir/cited-artifact-classification-type mesh-heading}\">components (if present) include qualifier codings</span></p><p><b>classifier</b>: <span title=\"Codes:{https://meshb.nlm.nih.gov/ D008875}\">Middle Aged</span></p><p><b>freeToShare</b>: true</p><h3>Components</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Classifier</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:\">qualifier</span></td><td><span title=\"Codes:\">is not a major topic</span></td></tr></table></blockquote><blockquote><p><b>content</b></p><p><b>informationType</b>: Classifier</p><p><b>type</b>: <span title=\"Codes:{http://hl7.org/fhir/cited-artifact-classification-type mesh-heading}\">components (if present) include qualifier codings</span></p><p><b>classifier</b>: <span title=\"Codes:{https://meshb.nlm.nih.gov/ D018454}\">Spouses</span></p><p><b>freeToShare</b>: true</p><blockquote><p><b>component</b></p><p><b>type</b>: <span title=\"Codes:\">qualifier</span></p><p><b>classifier</b>: <span title=\"Codes:\">is not a major topic</span></p></blockquote><blockquote><p><b>component</b></p><p><b>type</b>: <span title=\"Codes:\">qualifier</span></p><p><b>classifier</b>: <span title=\"Codes:{https://meshb.nlm.nih.gov/ Q000523}\">psychology</span></p><h3>Components</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Classifier</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:\">is Major topic</span></td><td><span title=\"Codes:{https://ncithesaurus.nci.nih.gov/ncitbrowser C49488}\">Yes</span></td></tr></table></blockquote></blockquote><blockquote><p><b>content</b></p><p><b>informationType</b>: Classifier</p><p><b>type</b>: 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  ] ; # 
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a fhir:Practitioner ;
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fhir:family [ fhir:v "Polonsky" ] ;
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a fhir:Practitioner ;
fhir:id [ fhir:v "contributor1" ] ;
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fhir:family [ fhir:v "Fisher" ] ;
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a fhir:Practitioner ;
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a fhir:Practitioner ;
fhir:id [ fhir:v "contributor3" ] ;
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fhir:system [ fhir:v "http://hl7.org/fhir/cited-artifact-classification-type"^^xsd:anyURI ] ;
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fhir:display [ fhir:v "MeSH heading" ]         ] ) ;
fhir:text [ fhir:v "components (if present) include qualifier codings" ]       ] ;
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fhir:display [ fhir:v "MeSH heading" ]         ] ) ;
fhir:text [ fhir:v "components (if present) include qualifier codings" ]       ] ;
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fhir:freeToShare [ fhir:v "true"^^xsd:boolean ] ;
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fhir:type [
fhir:text [ fhir:v "qualifier" ]         ] ;
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fhir:informationType [ fhir:v "classifier" ] ;
fhir:type [
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fhir:system [ fhir:v "http://hl7.org/fhir/cited-artifact-classification-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "mesh-heading" ] ;
fhir:display [ fhir:v "MeSH heading" ]         ] ) ;
fhir:text [ fhir:v "components (if present) include qualifier codings" ]       ] ;
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fhir:system [ fhir:v "https://meshb.nlm.nih.gov/"^^xsd:anyURI ] ;
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fhir:freeToShare [ fhir:v "true"^^xsd:boolean ] ;
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fhir:type [
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fhir:system [ fhir:v "http://hl7.org/fhir/cited-artifact-classification-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "mesh-heading" ] ;
fhir:display [ fhir:v "MeSH heading" ]         ] ) ;
fhir:text [ fhir:v "components (if present) include qualifier codings" ]       ] ;
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fhir:system [ fhir:v "https://meshb.nlm.nih.gov/"^^xsd:anyURI ] ;
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fhir:display [ fhir:v "Male" ] ;
fhir:userSelected [ fhir:v "false"^^xsd:boolean ]         ] )       ] ) ;
fhir:freeToShare [ fhir:v "true"^^xsd:boolean ] ;
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fhir:type [
fhir:text [ fhir:v "qualifier" ]         ] ;
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fhir:informationType [ fhir:v "classifier" ] ;
fhir:type [
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fhir:system [ fhir:v "http://hl7.org/fhir/cited-artifact-classification-type"^^xsd:anyURI ] ;
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fhir:display [ fhir:v "MeSH heading" ]         ] ) ;
fhir:text [ fhir:v "components (if present) include qualifier codings" ]       ] ;
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fhir:userSelected [ fhir:v "false"^^xsd:boolean ]         ] )       ] ) ;
fhir:freeToShare [ fhir:v "true"^^xsd:boolean ] ;
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fhir:type [
fhir:text [ fhir:v "qualifier" ]         ] ;
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fhir:text [ fhir:v "is not a major topic" ]         ] )       ] )     ] [
fhir:informationType [ fhir:v "classifier" ] ;
fhir:type [
        ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/cited-artifact-classification-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "mesh-heading" ] ;
fhir:display [ fhir:v "MeSH heading" ]         ] ) ;
fhir:text [ fhir:v "components (if present) include qualifier codings" ]       ] ;
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fhir:system [ fhir:v "https://meshb.nlm.nih.gov/"^^xsd:anyURI ] ;
fhir:code [ fhir:v "D018454" ] ;
fhir:display [ fhir:v "Spouses" ] ;
fhir:userSelected [ fhir:v "false"^^xsd:boolean ]         ] )       ] ) ;
fhir:freeToShare [ fhir:v "true"^^xsd:boolean ] ;
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fhir:type [
fhir:text [ fhir:v "qualifier" ]         ] ;
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fhir:text [ fhir:v "is not a major topic" ]         ] )       ] [
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fhir:text [ fhir:v "qualifier" ]         ] ;
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fhir:system [ fhir:v "https://meshb.nlm.nih.gov/"^^xsd:anyURI ] ;
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fhir:display [ fhir:v "psychology" ]           ] )         ] ) ;
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fhir:type [
fhir:text [ fhir:v "is Major topic" ]           ] ;
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fhir:display [ fhir:v "Yes" ]             ] )           ] )         ] )       ] )     ] [
fhir:informationType [ fhir:v "classifier" ] ;
fhir:type [
        ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/cited-artifact-classification-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "mesh-heading" ] ;
fhir:display [ fhir:v "MeSH heading" ]         ] ) ;
fhir:text [ fhir:v "components (if present) include qualifier codings" ]       ] ;
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fhir:system [ fhir:v "https://meshb.nlm.nih.gov/"^^xsd:anyURI ] ;
fhir:code [ fhir:v "D013315" ] ;
fhir:display [ fhir:v "Stress, Psychological" ] ;
fhir:userSelected [ fhir:v "false"^^xsd:boolean ]         ] )       ] ) ;
fhir:freeToShare [ fhir:v "true"^^xsd:boolean ] ;
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fhir:type [
fhir:text [ fhir:v "qualifier" ]         ] ;
        ( fhir:classifier [
fhir:text [ fhir:v "is Major topic" ]         ] )       ] )     ] )
  ] ) ; # 
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fhir:type [
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fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
fhir:code [ fhir:v "ACSN" ] ;
fhir:display [ fhir:v "Accession ID" ]       ] ) ;
fhir:text [ fhir:v "FEvIR Object Identifier" ]     ] ;
fhir:system [ fhir:v "https://fevir.net"^^xsd:anyURI ] ;
fhir:value [ fhir:v "267498" ] ;
fhir:assigner [
fhir:display [ fhir:v "Computable Publishing LLC" ]     ]
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fhir:system [ fhir:v "https://pubmed.ncbi.nlm.nih.gov"^^xsd:anyURI ] ;
fhir:value [ fhir:v "26859072" ]
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fhir:system [ fhir:v "urn:ietf:rfc:3986"^^xsd:anyURI ] ;
fhir:value [ fhir:v "urn:oid:2.16.840.1.113883.4.642.40.44.15.28" ]
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fhir:name [ fhir:v "HL7 International / Clinical Decision Support" ] ;
    ( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "http://www.hl7.org/Special/committees/dss" ]     ] )
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fhir:code [
fhir:system [ fhir:v "http://hl7.org/fhir/citation-classification-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "fevir-platform-use" ] ;
fhir:display [ fhir:v "FEvIR Platform Use" ]     ] ;
fhir:value [
a fhir:CodeableConcept ;
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fhir:system [ fhir:v "http://hl7.org/fhir/citation-artifact-classifier"^^xsd:anyURI ] ;
fhir:code [ fhir:v "medline-base" ] ;
fhir:display [ fhir:v "Medline Base" ] ;
fhir:userSelected [ fhir:v "false"^^xsd:boolean ]       ] )     ]
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fhir:system [ fhir:v "http://unstats.un.org/unsd/methods/m49/m49.htm"^^xsd:anyURI ] ;
fhir:code [ fhir:v "001" ] ;
fhir:display [ fhir:v "World" ]     ] )
  ] ) ; # 
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fhir:name [ fhir:v "Computable Publishing®: MEDLINE-to-FEvIR Converter" ]
  ] ) ; # 
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fhir:type [
      ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/citation-classification-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "citation-source" ] ;
fhir:display [ fhir:v "Citation Source" ]       ] )     ] ;
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fhir:text [ fhir:v "MEDLINE" ]     ] )
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fhir:system [ fhir:v "http://hl7.org/fhir/citation-classification-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "medline-owner" ] ;
fhir:display [ fhir:v "MEDLINE Citation Owner" ]       ] )     ] ;
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fhir:system [ fhir:v "https://www.nlm.nih.gov/bsd/licensee/elements_descriptions.html#owner_value"^^xsd:anyURI ] ;
fhir:code [ fhir:v "NLM" ] ;
fhir:display [ fhir:v "National Library of Medicine, Index Section" ] ;
fhir:userSelected [ fhir:v "false"^^xsd:boolean ]       ] )     ] )
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    ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/citation-status-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "medline-medline" ] ;
fhir:display [ fhir:v "Medline Citation Status of Medline" ]     ] )
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fhir:system [ fhir:v "http://hl7.org/fhir/citation-status-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "pubmed-publication-status-ppublish" ] ;
fhir:display [ fhir:v "PubMed PublicationStatus of ppublish" ]     ] )
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fhir:activity [
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fhir:system [ fhir:v "http://hl7.org/fhir/citation-status-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "pubmed-pubstatus-entrez" ] ;
fhir:display [ fhir:v "PubMed Pubstatus of Entrez" ]       ] )     ] ;
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fhir:activity [
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fhir:system [ fhir:v "http://hl7.org/fhir/citation-status-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "pubmed-pubstatus-pubmed" ] ;
fhir:display [ fhir:v "PubMed Pubstatus of Pubmed" ]       ] )     ] ;
fhir:period [
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  ] [
fhir:activity [
      ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/citation-status-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "pubmed-pubstatus-medline" ] ;
fhir:display [ fhir:v "PubMed Pubstatus of Medline" ]       ] )     ] ;
fhir:period [
fhir:end [ fhir:v "2017-11-02T06:00:00.000Z"^^xsd:dateTime ]     ]
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    ( fhir:identifier [
fhir:system [ fhir:v "https://pubmed.ncbi.nlm.nih.gov"^^xsd:anyURI ] ;
fhir:value [ fhir:v "26859072" ]     ] [
fhir:system [ fhir:v "https://doi.org"^^xsd:anyURI ] ;
fhir:value [ fhir:v "10.1089/dia.2015.0451" ]     ] ) ;
    ( fhir:title [
      ( fhir:type [
        ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/title-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "primary" ] ;
fhir:display [ fhir:v "Primary title" ]         ] )       ] ) ;
fhir:language [
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fhir:system [ fhir:v "urn:ietf:bcp:47"^^xsd:anyURI ] ;
fhir:code [ fhir:v "en" ] ;
fhir:display [ fhir:v "English" ]         ] )       ] ;
fhir:text [ fhir:v "Emotional Distress in the Partners of Type 1 Diabetes Adults: Worries About Hypoglycemia and Other Key Concerns." ]     ] ) ;
    ( fhir:abstract [
fhir:text [ fhir:v "**BACKGROUND:** Although the widespread prevalence of diabetes-related distress (DD) in adults with type 1 diabetes (T1D) has been well established, there has been little inquiry into the experiences of their spouse/partners. Therefore the goal of this study was to investigate the prevalence and sources of DD in the spouses and partners of adults with T1D (\"T1D partner\") and to examine the associations of DD in this population with key demographic and contextual factors.\n<AbstractText Label=\"MATERIALS AND METHODS\">Qualitative interviews with 11 T1D partners led to the development of 44 DD survey items, which were examined by exploratory factor analysis (EFA). Regression models examined associations of the resulting DD scales with four groups of variables: partner demographics and contextual variables, as well as person with diabetes (PWD) demographics, diabetes status, and behavioral factors.\n**RESULTS:** EFA with 317 T1D partners yielded a 22-item scale with four factors: Hypoglycemia Distress, Emotional Distress, Management Distress, and Role Distress. All scales were significantly correlated with the three criterion variables (depression, general life stress, and diabetes-related relationship satisfaction), suggesting satisfactory concurrent validity. High DD was most common for Hypoglycemic Distress (64.4% of the sample) and least common for Management Distress (28.4%). Greater DD was significantly and independently linked with being younger, female, greater involvement in the PWD's diabetes management, lower levels of relationship satisfaction, less trusting of the PWD's physician, poorer PWD glycemic control, and more frequent hypoglycemic episodes. T1D partners also reported low levels of diabetes-related support from all sources.\n**CONCLUSIONS:** Four sources of partner DD were identified. Results suggest that DD in T1D partners is common, especially distress associated with hypoglycemia. Predictors of T1D partner DD come from multiple sources: demographic, disease-related, and contextual arenas, all pointing to opportunities for acknowledging and addressing DD directly in this population." ]     ] ) ;
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fhir:display [ fhir:v "Periodical" ]           ] )         ] ;
        ( fhir:identifier [
fhir:type [
            ( fhir:coding [
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fhir:code [ fhir:v "Electronic" ] ;
fhir:display [ fhir:v "Electronic" ]             ] ) ;
fhir:text [ fhir:v "Electronic ISSN Type" ]           ] ;
fhir:system [ fhir:v "https://portal.issn.org"^^xsd:anyURI ] ;
fhir:value [ fhir:v "1557-8593" ]         ] [
fhir:type [
            ( fhir:coding [
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fhir:system [ fhir:v "https://www.issn.org/services/online-services/access-to-the-ltwa/"^^xsd:anyURI ] ;
fhir:value [ fhir:v "Diabetes Technol Ther" ]         ] [
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fhir:type [
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fhir:text [ fhir:v "Medline Title Abbreviation" ]           ] ;
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fhir:text [ fhir:v "NLM Unique ID" ]           ] ;
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      ( fhir:classifier [
        ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/artifact-url-classifier"^^xsd:anyURI ] ;
fhir:code [ fhir:v "doi-based" ] ;
fhir:display [ fhir:v "DOI Based" ]         ] )       ] ) ;
fhir:url [ fhir:v "https://doi.org/10.1089/dia.2015.0451"^^xsd:anyURI ]     ] ) ;
    ( fhir:classification [
fhir:type [
        ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/cited-artifact-classification-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "publishing-model" ] ;
fhir:display [ fhir:v "Publishing Model" ] ;
fhir:userSelected [ fhir:v "false"^^xsd:boolean ]         ] )       ] ;
      ( fhir:classifier [
        ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/citation-artifact-classifier"^^xsd:anyURI ] ;
fhir:code [ fhir:v "Print-Electronic" ] ;
fhir:display [ fhir:v "Print Electronic" ] ;
fhir:userSelected [ fhir:v "false"^^xsd:boolean ]         ] )       ] )     ] [
fhir:type [
        ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/cited-artifact-classification-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "mesh-heading" ] ;
fhir:display [ fhir:v "MeSH heading" ]         ] )       ] ;
      ( fhir:artifactAssessment [
fhir:reference [ fhir:v "#meshHeading0" ] ;
fhir:type [ fhir:v "ArtifactAssessment"^^xsd:anyURI ]       ] )     ] [
fhir:type [
        ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/cited-artifact-classification-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "publication-type" ] ;
fhir:display [ fhir:v "Publication type" ]         ] )       ] ;
      ( fhir:classifier [
        ( fhir:coding [
fhir:system [ fhir:v "https://meshb.nlm.nih.gov/"^^xsd:anyURI ] ;
fhir:code [ fhir:v "D016428" ] ;
fhir:display [ fhir:v "Journal Article" ] ;
fhir:userSelected [ fhir:v "false"^^xsd:boolean ]         ] )       ] [
        ( fhir:coding [
fhir:system [ fhir:v "https://meshb.nlm.nih.gov/"^^xsd:anyURI ] ;
fhir:code [ fhir:v "D013485" ] ;
fhir:display [ fhir:v "Research Support, Non-U.S. Gov't" ] ;
fhir:userSelected [ fhir:v "false"^^xsd:boolean ]         ] )       ] )     ] [
fhir:type [
        ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/cited-artifact-classification-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "knowledge-artifact-type" ] ;
fhir:display [ fhir:v "Knowledge Artifact Type" ] ;
fhir:userSelected [ fhir:v "false"^^xsd:boolean ]         ] )       ] ;
      ( fhir:classifier [
        ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/citation-artifact-classifier"^^xsd:anyURI ] ;
fhir:code [ fhir:v "D016428" ] ;
fhir:display [ fhir:v "Journal Article" ] ;
fhir:userSelected [ fhir:v "false"^^xsd:boolean ]         ] )       ] ) ;
      ( fhir:artifactAssessment [
fhir:display [ fhir:v "Classifier added by Computable Publishing LLC" ]       ] )     ] [
fhir:type [
        ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/cited-artifact-classification-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "citation-subset" ] ;
fhir:display [ fhir:v "Citation subset" ] ;
fhir:userSelected [ fhir:v "false"^^xsd:boolean ]         ] )       ] ;
      ( fhir:classifier [
        ( fhir:coding [
fhir:system [ fhir:v "https://www.nlm.nih.gov/bsd/licensee/elements_descriptions.html#citationsubset"^^xsd:anyURI ] ;
fhir:code [ fhir:v "IM" ] ;
fhir:display [ fhir:v "IM" ] ;
fhir:userSelected [ fhir:v "false"^^xsd:boolean ]         ] )       ] )     ] ) ;
fhir:contributorship [
fhir:complete [ fhir:v "true"^^xsd:boolean ] ;
      ( fhir:entry [
fhir:contributor [
fhir:reference [ fhir:v "#contributor0" ] ;
fhir:type [ fhir:v "Practitioner"^^xsd:anyURI ] ;
fhir:display [ fhir:v "Polonsky WH" ]         ] ;
fhir:forenameInitials [ fhir:v "WH" ] ;
        ( fhir:affiliation [
fhir:display [ fhir:v "1 University of California , San Diego, San Diego, California." ]         ] [
fhir:display [ fhir:v "2 Behavioral Diabetes Institute , San Diego, California." ]         ] )       ] [
fhir:contributor [
fhir:reference [ fhir:v "#contributor1" ] ;
fhir:type [ fhir:v "Practitioner"^^xsd:anyURI ] ;
fhir:display [ fhir:v "Fisher L" ]         ] ;
fhir:forenameInitials [ fhir:v "L" ] ;
        ( fhir:affiliation [
fhir:display [ fhir:v "3 University of California , San Francisco, San Francisco, California." ]         ] )       ] [
fhir:contributor [
fhir:reference [ fhir:v "#contributor2" ] ;
fhir:type [ fhir:v "Practitioner"^^xsd:anyURI ] ;
fhir:display [ fhir:v "Hessler D" ]         ] ;
fhir:forenameInitials [ fhir:v "D" ] ;
        ( fhir:affiliation [
fhir:display [ fhir:v "3 University of California , San Francisco, San Francisco, California." ]         ] )       ] [
fhir:contributor [
fhir:reference [ fhir:v "#contributor3" ] ;
fhir:type [ fhir:v "Practitioner"^^xsd:anyURI ] ;
fhir:display [ fhir:v "Johnson N" ]         ] ;
fhir:forenameInitials [ fhir:v "N" ] ;
        ( fhir:affiliation [
fhir:display [ fhir:v "4 Bringing Science Home , Tampa, Florida." ]         ] )       ] )     ]
  ] . #