IDEA4RC FHIR Implementation Guide
0.1.0 - CI Build 150

IDEA4RC FHIR Implementation Guide, published by IDEA4RC Project. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/idea4rc/ and changes regularly. See the Directory of published versions

: Observation: comorbidity - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <http://loinc.org/rdf#> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

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

<http://hl7.org/fhir/Observation/observation-id-23> a fhir:Observation ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "observation-id-23"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/observation-comorbidity-eu-i4rc" ;
       fhir:index 0 ;
       fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/observation-comorbidity-eu-i4rc>
     ]
  ] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "extensions" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Observation observation-id-23</b></p><a name=\"observation-id-23\"> </a><a name=\"hcobservation-id-23\"> </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-observation-comorbidity-eu-i4rc.html\">Observation: Comorbidities</a></p></div><p><b>Related Condition Absent Extension</b>: <span title=\"Codes:{http://fhir.ohdsi.org/CodeSystem/concepts 4329847}\">Myocardial infarction</span></p><p><b>Related Condition Absent Extension</b>: <span title=\"Codes:{http://fhir.ohdsi.org/CodeSystem/concepts 319835}\">Congestive heart failure</span></p><p><b>Related Condition Absent Extension</b>: <span title=\"Codes:{http://fhir.ohdsi.org/CodeSystem/concepts 381316}\">Cerebrovascular accident</span></p><p><b>Related Condition Absent Extension</b>: <span title=\"Codes:{http://fhir.ohdsi.org/CodeSystem/concepts 1620830}\">Chronic pulmonary disease</span></p><p><b>Related Condition Absent Extension</b>: <span title=\"Codes:{http://fhir.ohdsi.org/CodeSystem/concepts 4344165}\">Undifferentiated connective tissue disease</span></p><p><b>Related Condition Absent Extension</b>: <span title=\"Codes:{http://fhir.ohdsi.org/CodeSystem/concepts 1621281}\">Mild liver or renal disease</span></p><p><b>Related Condition Absent Extension</b>: <span title=\"Codes:{http://hl7.eu/fhir/ig/idea4rc/CodeSystem/cs-generic-eu-i4rc 1620421-renal}\">Moderate or severe renal disease</span></p><p><b>Related Condition Absent Extension</b>: <span title=\"Codes:{http://fhir.ohdsi.org/CodeSystem/concepts 1620816}\">Diabetes without complications</span></p><p><b>Related Condition Absent Extension</b>: <span title=\"Codes:{http://fhir.ohdsi.org/CodeSystem/concepts 1620753}\">Diabetes with end organ damage</span></p><p><b>Related Condition Absent Extension</b>: <span title=\"Codes:{http://fhir.ohdsi.org/CodeSystem/concepts 374022}\">Hemiplegia</span></p><p><b>Related Condition Absent Extension</b>: <span title=\"Codes:{http://fhir.ohdsi.org/CodeSystem/concepts 1621181}\">Metastatic solid tumor</span></p><p><b>Related Condition Absent Extension</b>: <span title=\"Codes:{http://hl7.eu/fhir/ig/idea4rc/CodeSystem/cs-generic-eu-i4rc solid-tumor}\">Solid tumor (non metastatic)</span></p><p><b>Related Condition Absent Extension</b>: <span title=\"Codes:{http://fhir.ohdsi.org/CodeSystem/concepts 317510}\">Leukemia</span></p><p><b>Related Condition Absent Extension</b>: <span title=\"Codes:{http://fhir.ohdsi.org/CodeSystem/concepts 45881968}\">Lymphoma</span></p><p><b>Related Condition Absent Extension</b>: <span title=\"Codes:{http://fhir.ohdsi.org/CodeSystem/concepts 437233}\">Multiple myeloma</span></p><p><b>Related Condition Absent Extension</b>: <span title=\"Codes:{http://fhir.ohdsi.org/CodeSystem/concepts 45884125}\">AIDS</span></p><p><b>Related Condition Absent Extension</b>: <span title=\"Codes:{http://fhir.ohdsi.org/CodeSystem/concepts 4211787}\">No evidence of</span></p><p><b>Related Condition Absent Extension</b>: <span title=\"Codes:{http://fhir.ohdsi.org/CodeSystem/concepts 4145177}\">Enchondromatosis</span></p><p><b>Related Condition Absent Extension</b>: <span title=\"Codes:{http://fhir.ohdsi.org/CodeSystem/concepts 4323645}\">Li-Fraumeni syndrome</span></p><p><b>Related Condition Absent Extension</b>: <span title=\"Codes:{http://fhir.ohdsi.org/CodeSystem/concepts 37117262}\">McCune Albright syndrome</span></p><p><b>Related Condition Absent Extension</b>: <span title=\"Codes:{http://fhir.ohdsi.org/CodeSystem/concepts 37396802}\">Multiple osteochondroma</span></p><p><b>Related Condition Absent Extension</b>: <span title=\"Codes:{http://fhir.ohdsi.org/CodeSystem/concepts 377252}\">Neurofibromatosis type 1</span></p><p><b>Related Condition Absent Extension</b>: <span title=\"Codes:{http://fhir.ohdsi.org/CodeSystem/concepts 4286355}\">Rothmund-Thomson syndrome</span></p><p><b>Related Condition Absent Extension</b>: <span title=\"Codes:{http://fhir.ohdsi.org/CodeSystem/concepts 4197821}\">Werner syndrome</span></p><p><b>Related Condition Absent Extension</b>: <span title=\"Codes:{http://fhir.ohdsi.org/CodeSystem/concepts 4158977}\">Retinoblastoma</span></p><p><b>Related Condition Absent Extension</b>: <span title=\"Codes:{http://fhir.ohdsi.org/CodeSystem/concepts 75910}\">Osteitis deformans</span></p><p><b>Related Condition Extension</b>: <span title=\"Codes:{http://fhir.ohdsi.org/CodeSystem/concepts 321052}\">Peripheral vascular disease</span></p><p><b>Related Condition Extension</b>: <span title=\"Codes:{http://fhir.ohdsi.org/CodeSystem/concepts 4182210}\">Dementia</span></p><p><b>Related Condition Extension</b>: <span title=\"Codes:{http://fhir.ohdsi.org/CodeSystem/concepts 4177703}\">Ulcer</span></p><p><b>Related Condition Extension</b>: <span title=\"Codes:{http://hl7.eu/fhir/ig/idea4rc/CodeSystem/cs-generic-eu-i4rc 1620421-liver}\">Moderate or severe liver disease</span></p><p><b>Related Condition Extension</b>: <span title=\"Codes:{http://fhir.ohdsi.org/CodeSystem/concepts 4187683}\">Maffucci syndrome</span></p><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 75618-9}\">Comorbid condition</span></p><p><b>subject</b>: <a href=\"Patient-patient-id-17.html\">Anonymous Patient Male, DoB: 1968-01-01</a></p><p><b>value</b>: 2</p></div>"
  ] ;
  fhir:DomainResource.extension [
     fhir:index 0 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent" ] ;
     fhir:Extension.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "http://fhir.ohdsi.org/CodeSystem/concepts" ] ;
         fhir:Coding.code [ fhir:value "4329847" ] ;
         fhir:Coding.display [ fhir:value "Myocardial infarction" ]
       ]
     ]
  ], [
     fhir:index 1 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent" ] ;
     fhir:Extension.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "http://fhir.ohdsi.org/CodeSystem/concepts" ] ;
         fhir:Coding.code [ fhir:value "319835" ] ;
         fhir:Coding.display [ fhir:value "Congestive heart failure" ]
       ]
     ]
  ], [
     fhir:index 2 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition" ] ;
     fhir:Extension.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "http://fhir.ohdsi.org/CodeSystem/concepts" ] ;
         fhir:Coding.code [ fhir:value "321052" ] ;
         fhir:Coding.display [ fhir:value "Peripheral vascular disease" ]
       ]
     ]
  ], [
     fhir:index 3 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent" ] ;
     fhir:Extension.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "http://fhir.ohdsi.org/CodeSystem/concepts" ] ;
         fhir:Coding.code [ fhir:value "381316" ] ;
         fhir:Coding.display [ fhir:value "Cerebrovascular accident" ]
       ]
     ]
  ], [
     fhir:index 4 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition" ] ;
     fhir:Extension.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "http://fhir.ohdsi.org/CodeSystem/concepts" ] ;
         fhir:Coding.code [ fhir:value "4182210" ] ;
         fhir:Coding.display [ fhir:value "Dementia" ]
       ]
     ]
  ], [
     fhir:index 5 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent" ] ;
     fhir:Extension.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "http://fhir.ohdsi.org/CodeSystem/concepts" ] ;
         fhir:Coding.code [ fhir:value "1620830" ] ;
         fhir:Coding.display [ fhir:value "Chronic pulmonary disease" ]
       ]
     ]
  ], [
     fhir:index 6 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent" ] ;
     fhir:Extension.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "http://fhir.ohdsi.org/CodeSystem/concepts" ] ;
         fhir:Coding.code [ fhir:value "4344165" ] ;
         fhir:Coding.display [ fhir:value "Undifferentiated connective tissue disease" ]
       ]
     ]
  ], [
     fhir:index 7 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition" ] ;
     fhir:Extension.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "http://fhir.ohdsi.org/CodeSystem/concepts" ] ;
         fhir:Coding.code [ fhir:value "4177703" ] ;
         fhir:Coding.display [ fhir:value "Ulcer" ]
       ]
     ]
  ], [
     fhir:index 8 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent" ] ;
     fhir:Extension.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "http://fhir.ohdsi.org/CodeSystem/concepts" ] ;
         fhir:Coding.code [ fhir:value "1621281" ] ;
         fhir:Coding.display [ fhir:value "Mild liver or renal disease" ]
       ]
     ]
  ], [
     fhir:index 9 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition" ] ;
     fhir:Extension.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "http://hl7.eu/fhir/ig/idea4rc/CodeSystem/cs-generic-eu-i4rc" ] ;
         fhir:Coding.code [ fhir:value "1620421-liver" ] ;
         fhir:Coding.display [ fhir:value "Moderate or severe liver disease" ]
       ]
     ]
  ], [
     fhir:index 10 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent" ] ;
     fhir:Extension.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "http://hl7.eu/fhir/ig/idea4rc/CodeSystem/cs-generic-eu-i4rc" ] ;
         fhir:Coding.code [ fhir:value "1620421-renal" ] ;
         fhir:Coding.display [ fhir:value "Moderate or severe renal disease" ]
       ]
     ]
  ], [
     fhir:index 11 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent" ] ;
     fhir:Extension.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "http://fhir.ohdsi.org/CodeSystem/concepts" ] ;
         fhir:Coding.code [ fhir:value "1620816" ] ;
         fhir:Coding.display [ fhir:value "Diabetes without complications" ]
       ]
     ]
  ], [
     fhir:index 12 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent" ] ;
     fhir:Extension.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "http://fhir.ohdsi.org/CodeSystem/concepts" ] ;
         fhir:Coding.code [ fhir:value "1620753" ] ;
         fhir:Coding.display [ fhir:value "Diabetes with end organ damage" ]
       ]
     ]
  ], [
     fhir:index 13 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent" ] ;
     fhir:Extension.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "http://fhir.ohdsi.org/CodeSystem/concepts" ] ;
         fhir:Coding.code [ fhir:value "374022" ] ;
         fhir:Coding.display [ fhir:value "Hemiplegia" ]
       ]
     ]
  ], [
     fhir:index 14 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent" ] ;
     fhir:Extension.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "http://fhir.ohdsi.org/CodeSystem/concepts" ] ;
         fhir:Coding.code [ fhir:value "1621181" ] ;
         fhir:Coding.display [ fhir:value "Metastatic solid tumor" ]
       ]
     ]
  ], [
     fhir:index 15 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent" ] ;
     fhir:Extension.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "http://hl7.eu/fhir/ig/idea4rc/CodeSystem/cs-generic-eu-i4rc" ] ;
         fhir:Coding.code [ fhir:value "solid-tumor" ] ;
         fhir:Coding.display [ fhir:value "Solid tumor (non metastatic)" ]
       ]
     ]
  ], [
     fhir:index 16 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent" ] ;
     fhir:Extension.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "http://fhir.ohdsi.org/CodeSystem/concepts" ] ;
         fhir:Coding.code [ fhir:value "317510" ] ;
         fhir:Coding.display [ fhir:value "Leukemia" ]
       ]
     ]
  ], [
     fhir:index 17 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent" ] ;
     fhir:Extension.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "http://fhir.ohdsi.org/CodeSystem/concepts" ] ;
         fhir:Coding.code [ fhir:value "45881968" ] ;
         fhir:Coding.display [ fhir:value "Lymphoma" ]
       ]
     ]
  ], [
     fhir:index 18 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent" ] ;
     fhir:Extension.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "http://fhir.ohdsi.org/CodeSystem/concepts" ] ;
         fhir:Coding.code [ fhir:value "437233" ] ;
         fhir:Coding.display [ fhir:value "Multiple myeloma" ]
       ]
     ]
  ], [
     fhir:index 19 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent" ] ;
     fhir:Extension.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "http://fhir.ohdsi.org/CodeSystem/concepts" ] ;
         fhir:Coding.code [ fhir:value "45884125" ] ;
         fhir:Coding.display [ fhir:value "AIDS" ]
       ]
     ]
  ], [
     fhir:index 20 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent" ] ;
     fhir:Extension.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "http://fhir.ohdsi.org/CodeSystem/concepts" ] ;
         fhir:Coding.code [ fhir:value "4211787" ] ;
         fhir:Coding.display [ fhir:value "No evidence of" ]
       ]
     ]
  ], [
     fhir:index 21 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent" ] ;
     fhir:Extension.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "http://fhir.ohdsi.org/CodeSystem/concepts" ] ;
         fhir:Coding.code [ fhir:value "4145177" ] ;
         fhir:Coding.display [ fhir:value "Enchondromatosis" ]
       ]
     ]
  ], [
     fhir:index 22 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition" ] ;
     fhir:Extension.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "http://fhir.ohdsi.org/CodeSystem/concepts" ] ;
         fhir:Coding.code [ fhir:value "4187683" ] ;
         fhir:Coding.display [ fhir:value "Maffucci syndrome" ]
       ]
     ]
  ], [
     fhir:index 23 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent" ] ;
     fhir:Extension.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "http://fhir.ohdsi.org/CodeSystem/concepts" ] ;
         fhir:Coding.code [ fhir:value "4323645" ] ;
         fhir:Coding.display [ fhir:value "Li-Fraumeni syndrome" ]
       ]
     ]
  ], [
     fhir:index 24 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent" ] ;
     fhir:Extension.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "http://fhir.ohdsi.org/CodeSystem/concepts" ] ;
         fhir:Coding.code [ fhir:value "37117262" ] ;
         fhir:Coding.display [ fhir:value "McCune Albright syndrome" ]
       ]
     ]
  ], [
     fhir:index 25 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent" ] ;
     fhir:Extension.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "http://fhir.ohdsi.org/CodeSystem/concepts" ] ;
         fhir:Coding.code [ fhir:value "37396802" ] ;
         fhir:Coding.display [ fhir:value "Multiple osteochondroma" ]
       ]
     ]
  ], [
     fhir:index 26 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent" ] ;
     fhir:Extension.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "http://fhir.ohdsi.org/CodeSystem/concepts" ] ;
         fhir:Coding.code [ fhir:value "377252" ] ;
         fhir:Coding.display [ fhir:value "Neurofibromatosis type 1" ]
       ]
     ]
  ], [
     fhir:index 27 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent" ] ;
     fhir:Extension.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "http://fhir.ohdsi.org/CodeSystem/concepts" ] ;
         fhir:Coding.code [ fhir:value "4286355" ] ;
         fhir:Coding.display [ fhir:value "Rothmund-Thomson syndrome" ]
       ]
     ]
  ], [
     fhir:index 28 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent" ] ;
     fhir:Extension.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "http://fhir.ohdsi.org/CodeSystem/concepts" ] ;
         fhir:Coding.code [ fhir:value "4197821" ] ;
         fhir:Coding.display [ fhir:value "Werner syndrome" ]
       ]
     ]
  ], [
     fhir:index 29 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent" ] ;
     fhir:Extension.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "http://fhir.ohdsi.org/CodeSystem/concepts" ] ;
         fhir:Coding.code [ fhir:value "4158977" ] ;
         fhir:Coding.display [ fhir:value "Retinoblastoma" ]
       ]
     ]
  ], [
     fhir:index 30 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent" ] ;
     fhir:Extension.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "http://fhir.ohdsi.org/CodeSystem/concepts" ] ;
         fhir:Coding.code [ fhir:value "75910" ] ;
         fhir:Coding.display [ fhir:value "Osteitis deformans" ]
       ]
     ]
  ] ;
  fhir:Observation.status [ fhir:value "final"] ;
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       a loinc:75618-9 ;
       fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
       fhir:Coding.code [ fhir:value "75618-9" ] ;
       fhir:Coding.display [ fhir:value "Comorbid condition" ]
     ]
  ] ;
  fhir:Observation.subject [
     fhir:link <http://hl7.org/fhir/Patient/patient-id-17> ;
     fhir:Reference.reference [ fhir:value "Patient/patient-id-17" ]
  ] ;
  fhir:Observation.valueQuantity [
     fhir:Quantity.value [ fhir:value "2"^^xsd:decimal ]
  ] .

<http://hl7.org/fhir/Patient/patient-id-17> a fhir:Patient .

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

<http://hl7.org/fhir/Observation/observation-id-23.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/Observation/observation-id-23.ttl> .