@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <https://loinc.org/rdf/> .
@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 -------------------------------------------------------------------

<http://fhir.kisumuhealth.co.ke/Observation/KCHIPLabourObservationExample> a fhir:Observation ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "KCHIPLabourObservationExample"] ; # 
  fhir:meta [
     fhir:profile ( [
       fhir:v "http://fhir.kisumuhealth.co.ke/StructureDefinition/kchip-labour-observation"^^xsd:anyURI ;
       fhir:link <http://fhir.kisumuhealth.co.ke/StructureDefinition/kchip-labour-observation>
     ] )
  ] ; # 
  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: Observation KCHIPLabourObservationExample</b></p><a name=\"KCHIPLabourObservationExample\"> </a><a name=\"hcKCHIPLabourObservationExample\"> </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-kchip-labour-observation.html\">KCHIP Labour Observation</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://fhir.kisumuhealth.co.ke/CodeSystem/KCHIPCodes labour-panel}\">Labour Observations Panel</span></p><p><b>subject</b>: <a href=\"Patient-KisumuPatientExample.html\">Achieng Grace Odhiambo  Female, DoB: 1990-04-23 ( http://moh.kenya/identifier/nationalID-no#12345678)</a></p><p><b>encounter</b>: <a href=\"Encounter-KisumuEncounterExample.html\">Encounter: status = finished; class = ambulatory (ActCode#AMB); serviceType = ANC Encounter; period = 2026-05-10 09:00:00+0300 --&gt; 2026-05-10 10:00:00+0300</a></p><p><b>effective</b>: 2026-05-21 04:30:00+0300</p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://fhir.kisumuhealth.co.ke/CodeSystem/KCHIPCodes labour-onset-type}\">Onset of labour type</span></p><p><b>value</b>: <span title=\"Codes:{http://fhir.kisumuhealth.co.ke/CodeSystem/KCHIPCodes labour-spontaneous}\">Spontaneous onset</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 20745-6}\">Cervical dilation by pelvic exam</span></p><p><b>value</b>: 6 cm<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codecm = 'cm')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 55283-6}\">Fetal Heart rate</span></p><p><b>value</b>: 144 /min<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code/min = '/min')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://fhir.kisumuhealth.co.ke/CodeSystem/KCHIPCodes membrane-status}\">Membrane status</span></p><p><b>value</b>: <span title=\"Codes:{http://fhir.kisumuhealth.co.ke/CodeSystem/KCHIPCodes membranes-ruptured}\">Membranes ruptured</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://fhir.kisumuhealth.co.ke/CodeSystem/KCHIPCodes liquor-colour}\">Colour of liquor after membrane rupture</span></p><p><b>value</b>: <span title=\"Codes:{http://fhir.kisumuhealth.co.ke/CodeSystem/KCHIPCodes liquor-clear}\">Clear</span></p></blockquote></div>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:status [ fhir:v "final"] ; # 
  fhir:code [
     fhir:coding ( [
       fhir:system [ fhir:v "http://fhir.kisumuhealth.co.ke/CodeSystem/KCHIPCodes"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "labour-panel" ] ;
       fhir:display [ fhir:v "Labour Observations Panel" ]
     ] )
  ] ; # 
  fhir:subject [
     fhir:link <http://fhir.kisumuhealth.co.ke/Patient/KisumuPatientExample> ;
     fhir:reference [ fhir:v "Patient/KisumuPatientExample" ]
  ] ; # 
  fhir:encounter [
     fhir:link <http://fhir.kisumuhealth.co.ke/Encounter/KisumuEncounterExample> ;
     fhir:reference [ fhir:v "Encounter/KisumuEncounterExample" ]
  ] ; # 
  fhir:effective [
     a fhir:dateTime ;
     fhir:v "2026-05-21T04:30:00+03:00"^^xsd:dateTime
  ] ; # 
  fhir:component ( [
     fhir:code [
       fhir:coding ( [
         fhir:system [ fhir:v "http://fhir.kisumuhealth.co.ke/CodeSystem/KCHIPCodes"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "labour-onset-type" ] ;
         fhir:display [ fhir:v "Onset of labour type" ]
       ] )
     ] ;
     fhir:value [
       a fhir:CodeableConcept ;
       fhir:coding ( [
         fhir:system [ fhir:v "http://fhir.kisumuhealth.co.ke/CodeSystem/KCHIPCodes"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "labour-spontaneous" ] ;
         fhir:display [ fhir:v "Spontaneous onset" ]
       ] )
     ]
  ] [
     fhir:code [
       fhir:coding ( [
         a loinc:20745-6 ;
         fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "20745-6" ] ;
         fhir:display [ fhir:v "Cervical dilation by pelvic exam" ]
       ] )
     ] ;
     fhir:value [
       a fhir:Quantity ;
       fhir:value [ fhir:v "6"^^xsd:decimal ] ;
       fhir:unit [ fhir:v "cm" ] ;
       fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "cm" ]
     ]
  ] [
     fhir:code [
       fhir:coding ( [
         a loinc:55283-6 ;
         fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "55283-6" ] ;
         fhir:display [ fhir:v "Fetal Heart rate" ]
       ] )
     ] ;
     fhir:value [
       a fhir:Quantity ;
       fhir:value [ fhir:v "144"^^xsd:decimal ] ;
       fhir:unit [ fhir:v "/min" ] ;
       fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
       fhir:code [ fhir:v "/min" ]
     ]
  ] [
     fhir:code [
       fhir:coding ( [
         fhir:system [ fhir:v "http://fhir.kisumuhealth.co.ke/CodeSystem/KCHIPCodes"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "membrane-status" ] ;
         fhir:display [ fhir:v "Membrane status" ]
       ] )
     ] ;
     fhir:value [
       a fhir:CodeableConcept ;
       fhir:coding ( [
         fhir:system [ fhir:v "http://fhir.kisumuhealth.co.ke/CodeSystem/KCHIPCodes"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "membranes-ruptured" ] ;
         fhir:display [ fhir:v "Membranes ruptured" ]
       ] )
     ]
  ] [
     fhir:code [
       fhir:coding ( [
         fhir:system [ fhir:v "http://fhir.kisumuhealth.co.ke/CodeSystem/KCHIPCodes"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "liquor-colour" ] ;
         fhir:display [ fhir:v "Colour of liquor after membrane rupture" ]
       ] )
     ] ;
     fhir:value [
       a fhir:CodeableConcept ;
       fhir:coding ( [
         fhir:system [ fhir:v "http://fhir.kisumuhealth.co.ke/CodeSystem/KCHIPCodes"^^xsd:anyURI ] ;
         fhir:code [ fhir:v "liquor-clear" ] ;
         fhir:display [ fhir:v "Clear" ]
       ] )
     ]
  ] ) . # 

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