@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 -------------------------------------------------------------------

<https://fhir.dha.go.ke/ig/emergency/Observation/em-ed-high-risk-signs-example> a fhir:Observation ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "em-ed-high-risk-signs-example"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-high-risk-signs-observation" ;
       fhir:index 0 ;
       fhir:link <https://fhir.dha.go.ke/ig/emergency/StructureDefinition/em-high-risk-signs-observation>
     ]
  ] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Observation em-ed-high-risk-signs-example</b></p><a name=\"em-ed-high-risk-signs-example\"> </a><a name=\"hcem-ed-high-risk-signs-example\"> </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\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-em-high-risk-signs-observation.html\">Observation - Emergency High-Risk Signs</a></p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category survey}\">Survey</span></p><p><b>code</b>: <span title=\"Codes:{https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-observation-code high-risk-signs-assessment}\">High-risk signs assessment</span></p><p><b>subject</b>: <a href=\"Patient-pat-0712345678.html\">Amina Atieno Female, DoB: 1992-05-16 ( http://hie.go.ke/fhir/identifier/patient-official-id#33445566)</a></p><p><b>encounter</b>: <a href=\"Encounter-em-ed-encounter-example.html\">Encounter: extension = Government insurance,Ambulance,Non-ambulatory,Acute,false,,; identifier = http://hie.go.ke/fhir/identifier/hospital-registration-number#KNH-ED-2026-004417; status = finished; class = emergency (ActCode#EMER); priority = Orange - Very urgent; period = 2026-06-29 12:40:00+0300 --&gt; 2026-06-29 14:10:00+0300</a></p><p><b>effective</b>: 2026-06-29 12:41:00+0300</p><p><b>performer</b>: <a href=\"Practitioner-em-ed-nurse-example.html\">Practitioner Grace Wanjiru </a></p><p><b>value</b>: true</p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-high-risk-sign abnormal-heart-rate}\">Heart rate &lt;60 or &gt;130</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-high-risk-sign abnormal-respiratory-rate}\">Respiratory rate &lt;10 or &gt;30</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-high-risk-sign low-spo2}\">SpO2 &lt;92% on room air</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-high-risk-sign not-alert}\">Not alert (AVPU)</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-high-risk-sign stridor-or-swallow-difficulty}\">Stridor, voice change, or unable to swallow</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-high-risk-sign respiratory-distress}\">Respiratory distress (grunting in child, retractions, cyanosis)</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-high-risk-sign poor-perfusion}\">Poor perfusion, weak pulse, capillary refill &gt;3 sec, MAP &lt;65mmHg</span></p><p><b>value</b>: true</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-high-risk-sign cannot-eat-or-drink}\">Vomits everything, cannot eat or drink</span></p><p><b>value</b>: false</p></blockquote></div>"
  ] ;
  fhir:Observation.status [ fhir:value "final"] ;
  fhir:Observation.category [
     fhir:index 0 ;
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ] ;
       fhir:Coding.code [ fhir:value "survey" ]
     ]
  ] ;
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-observation-code" ] ;
       fhir:Coding.code [ fhir:value "high-risk-signs-assessment" ]
     ]
  ] ;
  fhir:Observation.subject [
     fhir:link <https://fhir.dha.go.ke/ig/emergency/Patient/pat-0712345678> ;
     fhir:Reference.reference [ fhir:value "Patient/pat-0712345678" ]
  ] ;
  fhir:Observation.encounter [
     fhir:link <https://fhir.dha.go.ke/ig/emergency/Encounter/em-ed-encounter-example> ;
     fhir:Reference.reference [ fhir:value "Encounter/em-ed-encounter-example" ]
  ] ;
  fhir:Observation.effectiveDateTime [ fhir:value "2026-06-29T12:41:00+03:00"^^xsd:dateTime] ;
  fhir:Observation.performer [
     fhir:index 0 ;
     fhir:link <https://fhir.dha.go.ke/ig/emergency/Practitioner/em-ed-nurse-example> ;
     fhir:Reference.reference [ fhir:value "Practitioner/em-ed-nurse-example" ]
  ] ;
  fhir:Observation.valueBoolean [ fhir:value "true"^^xsd:boolean] ;
  fhir:Observation.component [
     fhir:index 0 ;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-high-risk-sign" ] ;
         fhir:Coding.code [ fhir:value "abnormal-heart-rate" ]
       ]
     ] ;
     fhir:Observation.component.valueBoolean [ fhir:value "false"^^xsd:boolean ]
  ], [
     fhir:index 1 ;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-high-risk-sign" ] ;
         fhir:Coding.code [ fhir:value "abnormal-respiratory-rate" ]
       ]
     ] ;
     fhir:Observation.component.valueBoolean [ fhir:value "false"^^xsd:boolean ]
  ], [
     fhir:index 2 ;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-high-risk-sign" ] ;
         fhir:Coding.code [ fhir:value "low-spo2" ]
       ]
     ] ;
     fhir:Observation.component.valueBoolean [ fhir:value "false"^^xsd:boolean ]
  ], [
     fhir:index 3 ;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-high-risk-sign" ] ;
         fhir:Coding.code [ fhir:value "not-alert" ]
       ]
     ] ;
     fhir:Observation.component.valueBoolean [ fhir:value "false"^^xsd:boolean ]
  ], [
     fhir:index 4 ;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-high-risk-sign" ] ;
         fhir:Coding.code [ fhir:value "stridor-or-swallow-difficulty" ]
       ]
     ] ;
     fhir:Observation.component.valueBoolean [ fhir:value "false"^^xsd:boolean ]
  ], [
     fhir:index 5 ;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-high-risk-sign" ] ;
         fhir:Coding.code [ fhir:value "respiratory-distress" ]
       ]
     ] ;
     fhir:Observation.component.valueBoolean [ fhir:value "false"^^xsd:boolean ]
  ], [
     fhir:index 6 ;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-high-risk-sign" ] ;
         fhir:Coding.code [ fhir:value "poor-perfusion" ]
       ]
     ] ;
     fhir:Observation.component.valueBoolean [ fhir:value "true"^^xsd:boolean ]
  ], [
     fhir:index 7 ;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "https://fhir.dha.go.ke/ig/emergency/CodeSystem/em-high-risk-sign" ] ;
         fhir:Coding.code [ fhir:value "cannot-eat-or-drink" ]
       ]
     ] ;
     fhir:Observation.component.valueBoolean [ fhir:value "false"^^xsd:boolean ]
  ] .

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

<https://fhir.dha.go.ke/ig/emergency/Observation/em-ed-high-risk-signs-example.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl .

# -------------------------------------------------------------------------------------