@prefix fhir: . @prefix owl: . @prefix rdf: . @prefix rdfs: . @prefix xsd: . # - resource ------------------------------------------------------------------- a fhir:Observation ; fhir:nodeRole fhir:treeRoot ; fhir:id [ fhir:v "6991ebea-0599-444e-a81a-124a766cf4d7"] ; # fhir:meta [ fhir:profile ( [ fhir:v "https://metadata.phase2.scip.synanetics.cloud/fhir/r4/StructureDefinition/MODS-RiskObservation"^^xsd:anyURI ; fhir:l ] ) ; fhir:tag ( [ fhir:system [ fhir:v "https://metadata.phase2.scip.synanetics.cloud/fhir/r4/CodeSystem/MODS-FhirStructureMapCatalog-1"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "https://metadata.phase2.scip.synanetics.cloud/fhir/r4/StructureMap/Observation-Risk-Risk" ] ] ) ] ; # fhir:text [ fhir:status [ fhir:v "extensions" ] ; fhir:div [ fhir:v "

Generated Narrative: Observation 6991ebea-0599-444e-a81a-124a766cf4d7

Profile: MODS Risk Observation

Tag: Structure Map for transforming FHIR Risk Observation to MODS Risk (Details: MODS FHIR Resource Structure Map Catalog code https://metadata.phase2.scip.synanetics.cloud/fhir/r4/StructureMap/Observation-Risk-Risk = 'Structure Map for transforming FHIR Risk Observation to MODS Risk')

Extension MODS Participant Care Actor

Extension MODS Participant Care Actor

status: Final

category: Observations

code: Risk

subject: Saura Swanimathan

effective: 2025-01-01 --> (ongoing)

performer: Emma Wright

component

code: Coded

value: Diabetes

component

code: Free-text

value: Risk of hypoglycaemia or hyperglycaemia related to Type 2 diabetes, changes in routine, and transition to a new care environment.

component

code: Triggers

value: Missed or delayed meals; changes to usual breakfast routine; insulin or oral hypoglycaemic taken without food; infection or acute illness; increased agitation or reduced oral intake; overnight fasting beyond usual pattern.

component

code: Relapse Indicators

value: Early warning signs of low blood glucose: sweating, pallor, shakiness, dizziness, headache, confusion, irritability, drowsiness. Early signs of high blood glucose: increased thirst, frequent urination, fatigue, blurred vision.

component

code: Comment

value: Comfort benefits from predictable routines and is usually woken at 07:30 for breakfast and medications. Offer water regularly, confirm meal and medication timing, and keep a calm environment with familiar cues (e.g., soft gospel music, pink cardigan) to reduce stress. If hypoglycaemia is suspected, follow local protocol (fast‑acting carbohydrate then longer‑acting snack) and escalate per service guidance.

"^^rdf:XMLLiteral ] ] ; # fhir:extension ( [ fhir:extension ( [ fhir:url [ fhir:v "participantRole"^^xsd:anyURI ; fhir:l fhir:participantRole ] ; fhir:value [ a fhir:Code ; fhir:v "informed" ] ] [ fhir:url [ fhir:v "participantReference"^^xsd:anyURI ; fhir:l fhir:participantReference ] ; fhir:value [ a fhir:Reference ; fhir:l ; fhir:reference [ fhir:v "Practitioner/3f6c2e15-9c4b-45ee-9b57-1d9b2dff6a18" ] ; fhir:display [ fhir:v "Daniel Morgan" ] ] ] ) ; fhir:url [ fhir:v "https://metadata.phase2.scip.synanetics.cloud/fhir/r4/StructureDefinition/Extension-MODS-ParticipantCareActor"^^xsd:anyURI ; fhir:l ] ] [ fhir:extension ( [ fhir:url [ fhir:v "participantRole"^^xsd:anyURI ; fhir:l fhir:participantRole ] ; fhir:value [ a fhir:Code ; fhir:v "informed" ] ] [ fhir:url [ fhir:v "participantReference"^^xsd:anyURI ; fhir:l fhir:participantReference ] ; fhir:value [ a fhir:Reference ; fhir:l ; fhir:reference [ fhir:v "Practitioner/b7c9b3fa-0b7e-49ab-9c3d-7d4ea5db8a21" ] ; fhir:display [ fhir:v "Sophie Patel" ] ] ] ) ; fhir:url [ fhir:v "https://metadata.phase2.scip.synanetics.cloud/fhir/r4/StructureDefinition/Extension-MODS-ParticipantCareActor"^^xsd:anyURI ; fhir:l ] ] ) ; # fhir:status [ fhir:v "final"] ; # fhir:category ( [ fhir:coding ( [ fhir:system [ fhir:v "https://metadata.phase2.synanetics.cloud/fhir/r4/CodeSystem/MODS-ObservationCategory-1"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "3" ] ; fhir:display [ fhir:v "Observations" ] ] ) ] ) ; # fhir:code [ fhir:coding ( [ fhir:system [ fhir:v "https://metadata.phase2.synanetics.cloud/fhir/r4/CodeSystem/MODS-ObservationCode-1"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "6" ] ; fhir:display [ fhir:v "Risk" ] ] ) ] ; # fhir:subject [ fhir:l ; fhir:reference [ fhir:v "Patient/5662b4ad-b076-4239-8767-5ad625c9151a" ] ; fhir:display [ fhir:v "Saura Swanimathan" ] ] ; # fhir:effective [ a fhir:Period ; fhir:start [ fhir:v "2025-01-01"^^xsd:date ] ] ; # fhir:performer ( [ fhir:l ; fhir:reference [ fhir:v "Practitioner/800b48d8-5cd0-4f29-beaa-d34302efd8b5" ] ; fhir:display [ fhir:v "Emma Wright" ] ] ) ; # fhir:component ( [ fhir:code [ fhir:coding ( [ fhir:system [ fhir:v "https://metadata.phase2.scip.synanetics.cloud/fhir/r4/CodeSystem/MODS-ObservationComponentCode-1"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "coded" ] ; fhir:display [ fhir:v "Coded" ] ] ) ] ; fhir:value [ a fhir:CodeableConcept ; fhir:coding ( [ fhir:system [ fhir:v "https://metadata.phase2.scip.synanetics.cloud/fhir/r4/CodeSystem/MODS-RiskCategory-1"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "Diabetes" ] ; fhir:display [ fhir:v "Diabetes" ] ] ) ] ] [ fhir:code [ fhir:coding ( [ fhir:system [ fhir:v "https://metadata.phase2.scip.synanetics.cloud/fhir/r4/CodeSystem/MODS-ObservationComponentCode-1"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "text" ] ; fhir:display [ fhir:v "Free-text" ] ] ) ] ; fhir:value [ a fhir:String ; fhir:v "Risk of hypoglycaemia or hyperglycaemia related to Type 2 diabetes, changes in routine, and transition to a new care environment." ] ] [ fhir:code [ fhir:coding ( [ fhir:system [ fhir:v "https://metadata.phase2.scip.synanetics.cloud/fhir/r4/CodeSystem/MODS-RiskComponentCode-1"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "triggers" ] ; fhir:display [ fhir:v "Triggers" ] ] ) ] ; fhir:value [ a fhir:String ; fhir:v "Missed or delayed meals; changes to usual breakfast routine; insulin or oral hypoglycaemic taken without food; infection or acute illness; increased agitation or reduced oral intake; overnight fasting beyond usual pattern." ] ] [ fhir:code [ fhir:coding ( [ fhir:system [ fhir:v "https://metadata.phase2.scip.synanetics.cloud/fhir/r4/CodeSystem/MODS-RiskComponentCode-1"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "relapse-indicators" ] ; fhir:display [ fhir:v "Relapse Indicators" ] ] ) ] ; fhir:value [ a fhir:String ; fhir:v "Early warning signs of low blood glucose: sweating, pallor, shakiness, dizziness, headache, confusion, irritability, drowsiness. Early signs of high blood glucose: increased thirst, frequent urination, fatigue, blurred vision." ] ] [ fhir:code [ fhir:coding ( [ fhir:system [ fhir:v "https://metadata.phase2.scip.synanetics.cloud/fhir/r4/CodeSystem/MODS-RiskComponentCode-1"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "comment" ] ; fhir:display [ fhir:v "Comment" ] ] ) ] ; fhir:value [ a fhir:String ; fhir:v "Comfort benefits from predictable routines and is usually woken at 07:30 for breakfast and medications. Offer water regularly, confirm meal and medication timing, and keep a calm environment with familiar cues (e.g., soft gospel music, pink cardigan) to reduce stress. If hypoglycaemia is suspected, follow local protocol (fast‑acting carbohydrate then longer‑acting snack) and escalate per service guidance." ] ] ) . # # -------------------------------------------------------------------------------------