Guía de Solucitud de Exámenes HSI
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: Ejemplo de observación de imagenología HSI - TTL Representation

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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 sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

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

<http://hl7.org/fhir/Observation/EjemploObservationImagenHSI> a fhir:Observation ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "EjemploObservationImagenHSI"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://service-request.ri.hsisalud.org/StructureDefinition/ObservationResultHSI" ;
       fhir:index 0 ;
       fhir:link <http://service-request.ri.hsisalud.org/StructureDefinition/ObservationResultHSI>
     ]
  ] ;
  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: Observación EjemploObservationImagenHSI</b></p><a name=\"EjemploObservationImagenHSI\"> </a><a name=\"hcEjemploObservationImagenHSI\"> </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-ObservationResultHSI.html\">Observación de resultados de laboratorio/imágenes/AnatomPatológica HSI</a></p></div><p><b>identifier</b>: <code>http://hsi.pladema.net/observations</code>/OBS-IMG-000123</p><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category imaging}\">Imaging</span></p><p><b>code</b>: <span title=\"Codes:{http://hsi.pladema.net/CodeSystem/observaciones-imagenologia indice-cardiotoracico}\">Relación entre el diámetro cardíaco y el diámetro torácico en radiografía de tórax</span></p><p><b>subject</b>: <a href=\"Patient-EjemploPacienteArg.html\">Juan Carlos Gonzalez (official) Male, DoB: 1984-05-15 ( http://hsi.pladema.net/pacientes#PAC-000123 (use: usual, ))</a></p><p><b>encounter</b>: <a href=\"Encounter-EjemploEncounterHSI.html\">Encounter: identifier = http://hsi.pladema.net/encounters#ENC-000123; status = finished; class = ambulatory (ActCode#AMB); type = Encounter for check up; period = 2026-10-27 09:00:00-0300 --&gt; 2026-10-27 09:45:00-0300</a></p><p><b>effective</b>: 2026-10-28 10:00:00-0300</p><p><b>value</b>: 0.46 1<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code1 = '1')</span></p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation N}\">Normal</span></p><p><b>note</b>: </p><blockquote><div><p>Índice cardiotorácico calculado sobre radiografía de tórax en proyección posteroanterior. Silueta cardíaca de tamaño conservado.</p>\n</div></blockquote><h3>ReferenceRanges</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Low</b></td><td><b>High</b></td><td><b>Type</b></td><td><b>AppliesTo</b></td><td><b>Age</b></td><td><b>Text</b></td></tr><tr><td style=\"display: none\">*</td><td>0 1<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code1 = '1')</span></td><td>0.5 1<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code1 = '1')</span></td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/referencerange-meaning normal}\">Normal Range</span></td><td><span title=\"Codes:{http://snomed.info/sct 248153007}\">Male</span></td><td>18-65 años</td><td>Índice cardiotorácico normal inferior a 0,50 en radiografía de tórax posteroanterior de adultos.</td></tr></table></div>"
  ] ;
  fhir:Observation.identifier [
     fhir:index 0 ;
     fhir:Identifier.system [ fhir:value "http://hsi.pladema.net/observations" ] ;
     fhir:Identifier.value [ fhir:value "OBS-IMG-000123" ]
  ] ;
  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 "imaging" ] ;
       fhir:Coding.display [ fhir:value "Imaging" ]
     ]
  ] ;
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "http://hsi.pladema.net/CodeSystem/observaciones-imagenologia" ] ;
       fhir:Coding.code [ fhir:value "indice-cardiotoracico" ] ;
       fhir:Coding.display [ fhir:value "Índice cardiotorácico" ]
     ] ;
     fhir:CodeableConcept.text [ fhir:value "Relación entre el diámetro cardíaco y el diámetro torácico en radiografía de tórax" ]
  ] ;
  fhir:Observation.subject [
     fhir:link <http://hl7.org/fhir/Patient/EjemploPacienteArg> ;
     fhir:Reference.reference [ fhir:value "Patient/EjemploPacienteArg" ]
  ] ;
  fhir:Observation.encounter [
     fhir:link <http://hl7.org/fhir/Encounter/EjemploEncounterHSI> ;
     fhir:Reference.reference [ fhir:value "Encounter/EjemploEncounterHSI" ]
  ] ;
  fhir:Observation.effectiveDateTime [ fhir:value "2026-10-28T10:00:00-03:00"^^xsd:dateTime] ;
  fhir:Observation.valueQuantity [
     fhir:Quantity.value [ fhir:value "0.46"^^xsd:decimal ] ;
     fhir:Quantity.unit [ fhir:value "1" ] ;
     fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ] ;
     fhir:Quantity.code [ fhir:value "1" ]
  ] ;
  fhir:Observation.interpretation [
     fhir:index 0 ;
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation" ] ;
       fhir:Coding.code [ fhir:value "N" ] ;
       fhir:Coding.display [ fhir:value "Normal" ]
     ]
  ] ;
  fhir:Observation.note [
     fhir:index 0 ;
     fhir:Annotation.text [ fhir:value "Índice cardiotorácico calculado sobre radiografía de tórax en proyección posteroanterior. Silueta cardíaca de tamaño conservado." ]
  ] ;
  fhir:Observation.referenceRange [
     fhir:index 0 ;
     fhir:Observation.referenceRange.low [
       fhir:Quantity.value [ fhir:value "0"^^xsd:decimal ] ;
       fhir:Quantity.unit [ fhir:value "1" ] ;
       fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ] ;
       fhir:Quantity.code [ fhir:value "1" ]
     ] ;
     fhir:Observation.referenceRange.high [
       fhir:Quantity.value [ fhir:value "0.5"^^xsd:decimal ] ;
       fhir:Quantity.unit [ fhir:value "1" ] ;
       fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ] ;
       fhir:Quantity.code [ fhir:value "1" ]
     ] ;
     fhir:Observation.referenceRange.type [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/referencerange-meaning" ] ;
         fhir:Coding.code [ fhir:value "normal" ] ;
         fhir:Coding.display [ fhir:value "Normal Range" ]
       ]
     ] ;
     fhir:Observation.referenceRange.appliesTo [
       fhir:index 0 ;
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         a sct:248153007 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "248153007" ] ;
         fhir:Coding.display [ fhir:value "Male" ]
       ]
     ] ;
     fhir:Observation.referenceRange.age [
       fhir:Range.low [
         fhir:Quantity.value [ fhir:value "18"^^xsd:decimal ] ;
         fhir:Quantity.unit [ fhir:value "años" ] ;
         fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ] ;
         fhir:Quantity.code [ fhir:value "a" ]
       ] ;
       fhir:Range.high [
         fhir:Quantity.value [ fhir:value "65"^^xsd:decimal ] ;
         fhir:Quantity.unit [ fhir:value "años" ] ;
         fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ] ;
         fhir:Quantity.code [ fhir:value "a" ]
       ]
     ] ;
     fhir:Observation.referenceRange.text [ fhir:value "Índice cardiotorácico normal inferior a 0,50 en radiografía de tórax posteroanterior de adultos." ]
  ] .

<http://hl7.org/fhir/Patient/EjemploPacienteArg> a fhir:Patient .

<http://hl7.org/fhir/Encounter/EjemploEncounterHSI> a fhir:Encounter .

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

<http://hl7.org/fhir/Observation/EjemploObservationImagenHSI.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/Observation/EjemploObservationImagenHSI.ttl> .