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Subject: Example of rdfa in a medical note
Hi guys, I wanted to show you a conceptual sketch of how RDFA could be used in a medical note. Attached is an odf doc of a medical encounter note.
Also attached is the original odf content content.xml file out of the odf archive set.
<?xml version="1.0" encoding="UTF-8"?>
<?oxygen RNGSchema="file:/Applications/oXygen/frameworks/odf/OpenDocument-schema-v1.1-cs1.rng" type="xml"?>
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xmlns:chart="urn:oasis:names:tc:opendocument:xmlns:chart:1.0"
xmlns:dc="http://purl.org/dc/elements/1.1/"; xmlns:dom="http://www.w3.org/2001/xml-events";
xmlns:dr3d="urn:oasis:names:tc:opendocument:xmlns:dr3d:1.0"
xmlns:draw="urn:oasis:names:tc:opendocument:xmlns:drawing:1.0"
xmlns:fo="urn:oasis:names:tc:opendocument:xmlns:xsl-fo-compatible:1.0"
xmlns:form="urn:oasis:names:tc:opendocument:xmlns:form:1.0"
xmlns:math="http://www.w3.org/1998/Math/MathML";
xmlns:meta="urn:oasis:names:tc:opendocument:xmlns:meta:1.0"
xmlns:number="urn:oasis:names:tc:opendocument:xmlns:datastyle:1.0"
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xmlns:ooow="http://openoffice.org/2004/writer";
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xmlns:table="urn:oasis:names:tc:opendocument:xmlns:table:1.0"
xmlns:text="urn:oasis:names:tc:opendocument:xmlns:text:1.0"
xmlns:xforms="http://www.w3.org/2002/xforms"; xmlns:xlink="http://www.w3.org/1999/xlink";
xmlns:xsd="http://www.w3.org/2001/XMLSchema";
xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance";
xmlns:this="http://www.dukehealth.org/2003/10/12/aB6cD7eF8#";
xml:base="http://www.dukehealth.org/2003/10/12/aB6cD7eF8#";
xmlns:dukeid="http://www.dukehealth.org/id/";
xmlns:ex="http://www.example.org/";
xmlns:rdf="http://www.w3.org/1999/02/22-rdf-syntax-ns#";
xmlns:snomed="http://www.snomed.org/2006/07/01/snomedct#";
xmlns:cda="htttp://www.hl7.org/2006/v3/cda#"
xmlns:foaf="http://xmlns.com/foaf/0.1/";
xmlns:vcard="http://www.w3.org/2001/vcard-rdf/3.0#";>
<!--Irrelevant stuff-->
<office:scripts/>
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style:use-window-font-color="true"/>
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<!--end irrelevant stuff-->
<!--using an organizational UID as a person resource-->
<office:body rel="dc:author" href="dukeid:236762318">
<office:text>
<office:forms form:apply-design-mode="false" form:automatic-focus="false"/>
<text:sequence-decls>
<text:sequence-decl text:display-outline-level="0" text:name="Illustration"/>
<text:sequence-decl text:display-outline-level="0" text:name="Table"/>
<text:sequence-decl text:display-outline-level="0" text:name="Text"/>
<text:sequence-decl text:display-outline-level="0" text:name="Drawing"/>
</text:sequence-decls>
<text:p text:style-name="P1">
<text:span text:style-name="T1">Dictated Rpt: <text:s/>Final <text:s text:c="3"
/>10/12/2003 00:00</text:span>
</text:p>
<text:p text:style-name="P2"/>
<text:p text:style-name="P2" property="dc:title">TOP Interval Note</text:p>
<text:p text:style-name="P2"/>
<text:p text:style-name="P2" rel="cda:subjectOfInformation" href="dukeid:AB1234"><meta about="[_:patient]" property="ex:IDString">AB1234</meta></text:p></text:p>
<text:p text:style-name="P2"/>
<text:p text:style-name="P2" xml:id="patientName" about="[_:patient]" property="vcard:FN">SMITH, ANNA</text:p>
<text:p text:style-name="P2" cda:dateDictated>10/12/2003</text:p>
<text:p text:style-name="P2" about="[_:patient]">DOB: <span property="snomed:birthdate">7/11/1915 </span><text:s/>Age: <span property="snomed:age">89</span></text:p>
<text:p text:style-name="P2">TOP Interval Note</text:p>
<text:p text:style-name="P2" property="dc:author">Julie Jones, MD</text:p>
<text:p text:style-name="P2">Duke Case Number 987654</text:p>
<text:p text:style-name="P2"/>
<text:p text:style-name="P2"/>
<text:p text:style-name="P2" xml:id="profile" about="profile" rel="cda:sectionType" href="snomed:patientProfile">PATIENT PROFILE: Mrs. Smith is an 88-year-old Caucasian
lady who lives in Whitebridge, North Carolina, at Whitebridge Assisted Living
Facility. <text:s/></text:p>
<text:p text:style-name="P2">
<text:s text:c="2"/>
</text:p>
<text:p text:style-name="P2">PROBLEM LIST: <text:s text:c="2"/></text:p>
<text:p text:style-name="P2"/>
<text:p text:style-name="P2">
<text:s text:c="2"/>
</text:p>
<text:p text:style-name="P2">1. <text:s/>Stage II poorly differentiated adenocarcinoma
of the right upper lobe, dx 9/04 <text:s text:c="2"/></text:p>
<text:p text:style-name="P2"><text:s text:c="2"/>T2- 4 cm right upper lobe mass <text:s
text:c="2"/></text:p>
<text:p text:style-name="P2"><text:s text:c="2"/>N0- <text:s text:c="2"/></text:p>
<text:p text:style-name="P2"><text:s text:c="2"/>M0- no brain or bone mets <text:s
text:c="2"/></text:p>
<text:p text:style-name="P2">A. <text:s/>S/P Right upper lobectomy 9/27/04. <text:s
text:c="2"/></text:p>
<text:p text:style-name="P2">2. <text:s/>Hypertension. <text:s text:c="2"/></text:p>
<text:p text:style-name="P2">3. <text:s/>Polymyalgia rheumatica. <text:s text:c="2"/></text:p>
<text:p text:style-name="P2">4. <text:s/>Prolapsed bladder with chronic urinary tract
infections status post uncomplicated anterior repair and uretero sacral ligaments
suspension 9/20/05. <text:s text:c="2"/></text:p>
<text:p text:style-name="P2">5. <text:s/>Status post pulmonary embolism in 2004. <text:s
text:c="2"/></text:p>
<text:p text:style-name="P2"/>
<text:p text:style-name="P2">
<text:s text:c="2"/>
</text:p>
<text:p text:style-name="P2">ALLERGIES: <text:s/>No known drug allergies. <text:s/>She
has a sensitivity to Codeine which makes her very sedated. <text:s text:c="2"/></text:p>
<text:p text:style-name="P2"/>
<text:p text:style-name="P2">
<text:s text:c="2"/>
</text:p>
<text:p text:style-name="P2">INSURANCE/PRESCRIPTION INSURANCE: She has full insurance
coverage which pays for medications (percentage unknown by patient). <text:s
text:c="2"/></text:p>
<text:p text:style-name="P2"/>
<text:p text:style-name="P2">
<text:s text:c="2"/>
</text:p>
<text:p text:style-name="P2">SMOKING/EXPOSURE HISTORY: 10 pack years, stopping 35 years
ago. <text:s text:c="2"/></text:p>
<text:p text:style-name="P2"/>
<text:p text:style-name="P2">
<text:s text:c="2"/>
</text:p>
<text:p text:style-name="P2">HISTORY OF PRESENT ILLNESS: Ms. Smith began having
intermittent wheezing approximately 8 months after swallowing a large vitamin tablet
and choking on it. <text:s/>She was able to clear the tablet. <text:s/>After that
she was seen by her primary care physician who examined her and found nothing wrong.
<text:s/>Approximately 10 weeks ago her daughter-in-law was visiting and noted her
wheezing and arranged for her to have a chest x-ray. <text:s/>The chest x-ray showed
a mass in her right upper lobe and the patient was referred to Dr. Frank Brown for
surgical evaluation and treatment. <text:s/>On 9-27-01 she underwent right upper
lobectomy with pathology revealing poorly differentiated adenocarcinoma with very
close margins and 0/12 positive lymph nodes. <text:s text:c="2"/></text:p>
<text:p text:style-name="P2"/>
<text:p text:style-name="P2">
<text:s text:c="2"/>
</text:p>
<text:p text:style-name="P2">PAST MEDICAL HISTORY: See problem list. <text:s/>In
addition she has undergone pyloroplasty, vagotomy and cholecystectomy in the
1960's for chronic duodenal ulcer intermittent flares. <text:s/>She
underwent vaginal hysterectomy without oophorectomy in 1961 and tonsillectomy in
1929. <text:s text:c="2"/></text:p>
<text:p text:style-name="P2"/>
<text:p text:style-name="P2">
<text:s text:c="2"/>
</text:p>
<text:p text:style-name="P2">FAMILY HISTORY: Mrs. Smith's mother died at age 86
of a stroke. <text:s/>Her father died at age 92 also of a stroke. <text:s/>She had
one sister who lived out of the country and did not keep in touch, but Ms. Smith
believes she lived to be age 92. <text:s/>She is not sure if she is deceased.
<text:s/>She has three adult male children, ages 46, 49 and 51, all of whom are in
good health. <text:s/>A paternal aunt had a diagnosis of breast cancer, as does a
first cousin. <text:s text:c="2"/></text:p>
<text:p text:style-name="P2"/>
<text:p text:style-name="P2">
<text:s text:c="2"/>
</text:p>
<text:p text:style-name="P2">SOCIAL HISTORY: She is a retired music teacher who lives
with her husband in Whitebridge, NC. <text:s/>She speaks English and a little German
and French. <text:s/>She learns best with written information. <text:s/>She is
Baptist. <text:s/>She enjoys crafts and playing the piano. <text:s text:c="2"/></text:p>
<text:p text:style-name="P2"/>
<text:p text:style-name="P2">
<text:s text:c="2"/>
</text:p>
<text:p text:style-name="P2">INTERVAL HISTORY: <text:s/>Mrs. Smith returns to clinic
today for continued follow up. <text:s/>She continues to complain of fatigue, GI
upset and Achilles tendonitis which she links to her antibiotic regimen for MAI.
<text:s/>She does not complain of shortness of breath at rest, but does complain
that she occasionally coughs and is able to produce sputum following use of her
nebulizer treatment. <text:s/>Her biggest complaint today remains her Achilles
tendon. <text:s/>She states that she has pain upon walking but is able to find a
comfortable position, reclining or lying down. <text:s text:c="2"/></text:p>
<text:p text:style-name="P2"/>
<text:p text:style-name="P2">REVIEW OF SYSTEMS: Otherwise negative and complete. <text:s
text:c="2"/></text:p>
<text:p text:style-name="P2"/>
<text:p text:style-name="P2">
<text:s text:c="2"/>
</text:p>
<text:p text:style-name="P2">MEDICATIONS: <text:s text:c="2"/></text:p>
<text:p text:style-name="P2">Coumadin 10 mg on Monday and Friday; 7.5 mg others. <text:s
text:c="2"/></text:p>
<text:p text:style-name="P2">Prednisone 7.5 alternating with 5 mg po daily <text:s
text:c="2"/></text:p>
<text:p text:style-name="P2">Hydrochlorothiazide 25 mg po daily <text:s text:c="2"/></text:p>
<text:p text:style-name="P2">Miacalcin nasal spray, one spray per day. <text:s
text:c="2"/></text:p>
<text:p text:style-name="P2">Vitamin D 800 mg po daily <text:s text:c="2"/></text:p>
<text:p text:style-name="P2">TUMS two po daily <text:s text:c="2"/></text:p>
<text:p text:style-name="P2">Zantac 75 mg po bid <text:s text:c="2"/></text:p>
<text:p text:style-name="P2">Duonebs as needed <text:s text:c="2"/></text:p>
<text:p text:style-name="P2">Colace bid <text:s text:c="2"/></text:p>
<text:p text:style-name="P2">Azithromycin <text:s text:c="2"/></text:p>
<text:p text:style-name="P2">Mycobutin for MAI as of 5/2006 </text:p>
<text:p text:style-name="P2">
<text:s text:c="2"/>
</text:p>
<text:p text:style-name="P2"/>
<text:p text:style-name="P2">PHYSICAL EXAMINATION: <text:s/>This is a somewhat frail
lady in no acute distress. <text:s/>Height of 149 cm, weight 57 kg, temp 36.7 C,
pulse 84, BP 141/74, O2 saturation 95 percent on room air. <text:s/>Pain 0/10,
fatigue 0/10. <text:s/>Performance status 70%. <text:s text:c="2"/></text:p>
<text:p text:style-name="P2"/>
<text:p text:style-name="P2">Skin: Warm and dry. No icterus, purpura or rash. <text:s
text:c="2"/></text:p>
<text:p text:style-name="P2"/>
<text:p text:style-name="P2">
<text:s text:c="2"/>
</text:p>
<text:p text:style-name="P2">HEENT: Oral mucosa moist without lesions. <text:s
text:c="2"/></text:p>
<text:p text:style-name="P2"/>
<text:p text:style-name="P2">
<text:s text:c="2"/>
</text:p>
<text:p text:style-name="P2">Neck: <text:s/>No <text:s/>JVD, lymphadenopathy or carotid
bruits. <text:s/>No supraclavicular lymphadenopathy. <text:s text:c="2"/></text:p>
<text:p text:style-name="P2"/>
<text:p text:style-name="P2">
<text:s text:c="2"/>
</text:p>
<text:p text:style-name="P2">Lymph Nodes: No appreciable lymph nodes palpated. <text:s
text:c="2"/></text:p>
<text:p text:style-name="P2"/>
<text:p text:style-name="P2">
<text:s text:c="2"/>
</text:p>
<text:p text:style-name="P2">Lungs: Breath sounds are clear to auscultation and
percussion. No wheezes, rales or rhonchi. <text:s text:c="2"/></text:p>
<text:p text:style-name="P2"/>
<text:p text:style-name="P2">
<text:s text:c="2"/>
</text:p>
<text:p text:style-name="P2">Thorax: <text:s text:c="2"/>Symmetric, <text:s/>full
expansion bilaterally, <text:s/>no tenderness, no spinous process. <text:s
text:c="2"/></text:p>
<text:p text:style-name="P2"/>
<text:p text:style-name="P2">
<text:s text:c="2"/>
</text:p>
<text:p text:style-name="P2">Cardiac: <text:s text:c="2"/>RRR, without murmur, rub or
gallop. <text:s text:c="2"/></text:p>
<text:p text:style-name="P2"/>
<text:p text:style-name="P2">
<text:s text:c="2"/>
</text:p>
<text:p text:style-name="P2">Abdomen: <text:s/>Soft, non tender and non distended,
normoactive bowel sounds. <text:s text:c="2"/></text:p>
<text:p text:style-name="P2"/>
<text:p text:style-name="P2">
<text:s text:c="2"/>
</text:p>
<text:p text:style-name="P2">Extremities: No cyanosis, clubbing, trace edema right lower
extremity. <text:s text:c="2"/></text:p>
<text:p text:style-name="P2"/>
<text:p text:style-name="P2">
<text:s text:c="2"/>
</text:p>
<text:p text:style-name="P2">Neurologic: Alert and oriented X4. CNII-XII grossly intact.
Strength 5/5 all extremities. <text:s text:c="2"/>DTRs <text:s/>2+. Sensation,
intact to sharp and dull. <text:s/>Normal cerebellar exam. <text:s text:c="2"/></text:p>
<text:p text:style-name="P2"/>
<text:p text:style-name="P2">
<text:s text:c="2"/>
</text:p>
<text:p text:style-name="P2">LABORATORY/RADIOLOGY DATA: <text:s/>See Browser. <text:s
text:c="2"/></text:p>
<text:p text:style-name="P2"/>
<text:p text:style-name="P2">
<text:s text:c="2"/>
</text:p>
<text:p text:style-name="P2">X-ray of her left ankle shows no fractures, no soft tissue
injury, but does show some inflammation of the Achilles tendon incision. <text:s
text:c="2"/></text:p>
<text:p text:style-name="P2"/>
<text:p text:style-name="P2"/>
<text:p text:style-name="P2">ASSESSMENT AND PLAN: <text:s/>Mrs. Smith is an 89 year old
lady with a history of MAI as well as slightly progressive pulmonary nodules.
<text:s/>She does complain of fatigue, upset stomach and weight loss since she began
the antibiotic regimen for MAI. <text:s/>I recommended to her that she stop this
antibiotic regimen and will communicate with Dr. Jeremy Blount. <text:s/>Mrs. Smith
was in agreement with this and felt that this was a reasonable course of action.
<text:s/>We will continue the progression of both her fatigue and GI upset and also
possible symptoms of MAI and to help make a determination as to whether she should
return to antibiotic treatment for this treatment. <text:s/>At this point we will
continue to watch the increase in lung opacities, discussed at her previous clinic
visit. <text:s/>She will return in January 2004 to the clinic for ongoing follow up
with an ABC auto, OP16 and CT of the chest. </text:p>
<text:p text:style-name="P2"/>
<text:p text:style-name="P2"/>
<text:p text:style-name="P2">Mrs. Smith and her husband were given the opportunity to
ask questions and their questions were answered completely. <text:s/>They verbally
stated an understanding of the follow up and treatment plan. <text:s/>There were no
barriers to communication. <text:s text:c="2"/></text:p>
<text:p text:style-name="P2"/>
<text:p text:style-name="P2">Dr. Jones saw, examined and discussed the treatment plan
with this patient and Julie Resnick, M.D. </text:p>
<text:p text:style-name="P2"/>
<text:p text:style-name="P2"/>
<text:p text:style-name="P2">________________________ </text:p>
<text:p text:style-name="P2" xml:id="this-author" property="dc:author">Julie Resnick, M.D. For</text:p>
<text:p text:style-name="P2"/>
<text:p text:style-name="P2"/>
<text:p text:style-name="P2">
<text:s/>
</text:p>
<text:p text:style-name="P2"/>
<text:p text:style-name="P2">Julie Jones, MD</text:p>
<text:p text:style-name="P2">Division of Hematology/Oncology</text:p>
<text:p text:style-name="P2">ELECTRONICALLY SIGNED ON</text:p>
<text:p text:style-name="P2">October 29, 2006 AT 3:56:51 PM</text:p>
<text:p text:style-name="P2"/>
<text:p text:style-name="P2">KH/dnh</text:p>
<text:p text:style-name="P2">Dictated on: <text:s text:c="4"/>10/20/2003</text:p>
<text:p text:style-name="P2">Transcribed on: <text:s/>10/21/2003</text:p>
<text:p text:style-name="P2"/>
<text:p text:style-name="P2"/>
<text:p text:style-name="P2">Dr. Frank Brown - DUMC</text:p>
<text:p text:style-name="P2"/>
<text:p text:style-name="P2">Dr. Leland Wilburt</text:p>
<text:p text:style-name="P2">Whitebridge Health Center</text:p>
<text:p text:style-name="P2">15 Oak Street</text:p>
<text:p text:style-name="P2">Whitebridge, NC <text:s/>27000</text:p>
<text:p text:style-name="P2"/>
<text:p text:style-name="P2"/>
<text:p text:style-name="P2"/>
<text:p text:style-name="P2">
<text:s text:c="27"/>
</text:p>
<text:p text:style-name="Standard"/>
</office:text>
</office:body>
</office:document-content>
Below, with comments interspersed, is a portion of the content.xml
with added rdfa-style markup, as I would tentatively conceptualize it.
(This is VERY rough, and it is the most raggedy of strawmen.)
<?xml version="1.0" encoding="UTF-8"?>
<?oxygen RNGSchema="file:/Applications/oXygen/frameworks/odf/
OpenDocument-schema-v1.1-cs1.rng" type="xml"?>
------------BIG COMMENT 1: odf-document-content
<office:document-content office:version="1.0" element start
============-BEGIN BIG COMMENT 2: ODF boilerplate namespace
declarations---------------------------
xmlns:chart="urn:oasis:names:tc:opendocument:xmlns:chart:1.0"
xmlns:dc="http://purl.org/dc/elements/1.1/"; xmlns:dom="http://
www.w3.org/2001/xml-events"
xmlns:dr3d="urn:oasis:names:tc:opendocument:xmlns:dr3d:1.0"
xmlns:draw="urn:oasis:names:tc:opendocument:xmlns:drawing:1.0"
xmlns:fo="urn:oasis:names:tc:opendocument:xmlns:xsl-fo-
compatible:1.0"
xmlns:form="urn:oasis:names:tc:opendocument:xmlns:form:1.0"
xmlns:math="http://www.w3.org/1998/Math/MathML";
xmlns:meta="urn:oasis:names:tc:opendocument:xmlns:meta:1.0"
xmlns:number="urn:oasis:names:tc:opendocument:xmlns:datastyle:1.0"
xmlns:office="urn:oasis:names:tc:opendocument:xmlns:office:1.0"
xmlns:ooo="http://openoffice.org/2004/office"; xmlns:oooc="http://
openoffice.org/2004/calc"
xmlns:ooow="http://openoffice.org/2004/writer";
xmlns:script="urn:oasis:names:tc:opendocument:xmlns:script:1.0"
xmlns:style="urn:oasis:names:tc:opendocument:xmlns:style:1.0"
xmlns:svg="urn:oasis:names:tc:opendocument:xmlns:svg-compatible:
1.0"
xmlns:table="urn:oasis:names:tc:opendocument:xmlns:table:1.0"
xmlns:text="urn:oasis:names:tc:opendocument:xmlns:text:1.0"
xmlns:xforms="http://www.w3.org/2002/xforms"; xmlns:xlink="http://
www.w3.org/1999/xlink"
xmlns:xsd="http://www.w3.org/2001/XMLSchema";
xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance";
================-END BIG COMMENT 2:
boilerplate--------------------------------------
=============--BEGIN BIG COMMENT 3: these are namespace and other
declarations that
==============are NEW and relate to the rdfa
-------an "official" url for THIS DOCUMENT so it can be referred
to in "webspace"----------------
-------here I'm imagining that this is conferred by the
curatorial organization, in this case dukehealth.org------------
xmlns:this="http://www.dukehealth.org/2003/10/12/aB6cD7eF8#";
-------an xml:base declaration of the url of the
document------------------
-------having a base url is ---I think---important, because I propose
to use xml:id's appended to the "official" document url
-------to identify document fragments as targets of rdf assertions.
Having a base makes this a lot cleaner
------ This does have the side effect of mandating that the
attributes not intended to be in the document
-------namespace should all be namespace-qualified (I think ---
Elias?). This may be an issue for some people.
xml:base="http://www.dukehealth.org/2003/10/12/aB6cD7eF8#";
-------a bunch of namespace declarations to declare the user
vocabularies that I will be using in this document
----------------------an imaginary dukehealth namespace for
organizational unique id's of patients and doctors
xmlns:dukeid="http://www.dukehealth.org/id/";
-----------------------the usual example.org namespace for the heck
of it
xmlns:ex="http://www.example.org/";
----------------------the SNOMED-CT namespace: SNOMED is a huge
controlled vocabulary of medical terms and properties
xmlns:snomed="http://www.snomed.org/2006/07/01/snomedct#";
-------------------the HL7 namespace: HL7 ("Health Level 7") is a big
e-business vocabulary of medical transactions
xmlns:cda="htttp://www.hl7.org/2006/v3/cda#"
--------------------the FOAF and vcard vocabularies: I'd like to use
some of these for demographic properties
xmlns:foaf="http://xmlns.com/foaf/0.1/";
xmlns:vcard="http://www.w3.org/2001/vcard-rdf/3.0#";>
=================END BIG COMMENT 3==========================
-==================BEGIN BIG COMMENT 4====================
<office:scripts/>
<office:font-face-decls>
........................... (deleted: a whole bunch of formatting
information from the original odf)
</office:automatic-styles>
===================END BIG COMMENT 4========================
==================BENIGN BIG COMMENT 5===============================
------------------now here comes the text content itself.
------------------first thing we do is make a statement in rdfa about
the author of the whole caboodle.
------------------we use Dublin core for this, and we identify the
author with her dukehealth identity url
<office:body rel="dc:author" href="dukeid:236762318">
<office:text>
---------------------deleting a bunch more irrelevant formatting
information.........
<office:forms form:apply-design-mode="false"
form:automatic-focus="false"/>
...............................etc. etc.
--------------------picking up again with the good stuff...
---------------------NOW, we have the title of the note, and we
indicate this, again, using Dublin core vocab
<text:p text:style-name="P2" property="dc:title">TOP
Interval Note</text:p>
<text:p text:style-name="P2"/>
-----------------we want to state in rdf who this whole document is
"about", i.e. who's the patient?
----------------we use an HL7 Clinical Document Architecture (cda)
vocabulary property to do this
----------------and we identify the patient with her duke identity url
<text:p text:style-name="P2"
rel="cda:subjectOfInformation" href="dukeid:AB1234">
------------------Here's an alternative approach to making statements
about the patient.
------------------Suppose she hasn't had a dukeid assigned yet.
------------------No problem, we just want to create a blank url as a
"vessel" for statements about the
------------------patient. We can later indicate that this blank node
is actually sameAs the definitive
------------------patient id. RDF/RDFA lets you coin new blank nodes
with explicit internal identifiers:
<meta about="[_:patient]" property="ex:IDString">AB1234</meta></
text:p></text:p>
-----------------In the line above, we've wrapped a piece of text in
a meta element. We then created a blank RDF node with and internal
-----------------identifier of "patient"; the identifier doesn't
matter, as it won't "live" outside this document. But we now have
-----------------a convenient node that is a temporary "holder" for
our patient, and we can now assert properties about her.
----------------The above asserts that "something [namely, as we will
later make clear, our patient] has the IDstring "AB1234".
----------------Note that meta as used here is not a native odf
element (I don't think....Patrick?)
----------------Now I'll go to town and make all kinds of assertions
about this "somebody".
----------------In the statement below, I say that this "somebody" is
named "SMITH, ANNA".
----------------I elect to do this using the vcard vocabulary; I
could use a different vocabulary if I wanted...
<text:p text:style-name="P2" xml:id="patientName"
about="[_:patient]" property="vcard:FN">SMITH, ANNA</text:p>
---------------The above is also the first we've seen of the use of
xml:id. I'm thinking I might want to refer to this bit of
---------------text later for some reason. For example, I might want
to make some assertions about where this
---------------name came from, or that it is the name of the same
person who earlier went by a different name, or something
---------------like that. So I want to have a "handle" on this
particular bit of the document.
---------------That's my xml:id. Notice that because I have an
xml:base declaration in-scope (way up top, remember?)
---------------that the full id of this element is:
thisDocument:patientName, or to be more explicit:
---------------http://www.dukehealth.org/2003/10/12/
aB6cD7eF8#patientName
--------------It's important to remember that I chose patientName as
the identifier here, but it might as well have been called "adhjsfeqiun"
-------------I only know it's the name of the patient because of the
rdf assertions.
-------------Also note that this identifier is a url, and could be
referred to from an external document, e.g. some subsequent odf
encounter note).
---------------------Now back to using the cda vocabulary.
<text:p text:style-name="P2"
property="cda:dateDictated">10/12/2003</text:p>
---------------------Here, I'm merely pointing to a date string.
--------------------I could declare the string to be a resource of
type xs:date, and
-------------------that would probably be better, in fact. I'd do
that by wrapping
-------------------it in a meta element and putting a type assertion
around it.
===============END BIG COMMENT 4================
================BEGIN BIG COMMENT 5============
---------Time is short right now, so I won't comment the below
extensively.
----------we can talk about it in the call if you like.
<text:p text:style-name="P2" about="[_:patient]">DOB:
<span property="snomed:birthdate">7/11/1915 </span><text:s/>Age:
<span property="snomed:age">89</span></text:p>
<text:p text:style-name="P2">TOP Interval Note</text:p>
<text:p text:style-name="P2" property="dc:author">Julie
Jones, MD</text:p>
<text:p text:style-name="P2">Duke Case Number 987654</
text:p>
<text:p text:style-name="P2"/>
<text:p text:style-name="P2"/>
<text:p text:style-name="P2" xml:id="profile"
about="profile" rel="cda:sectionType"
href="snomed:patientProfile">PATIENT PROFILE: Mrs. Smith is an 88-
year-old Caucasian
lady who lives in Whitebridge, North Carolina, at
Whitebridge Assisted Living
Facility. <text:s/></text:p>
<text:p text:style-name="P2">
<text:s text:c="2"/>
</text:p>
<text:p text:style-name="P2">PROBLEM LIST: <text:s
text:c="2"/></text:p>
<text:p text:style-name="P2"/>
<text:p text:style-name="P2">
<text:s text:c="2"/>
</text:p>
<span about="[_:patient]">
<text:p text:style-name="P2">1. <text:s
rel="snomed:hasProblemListItem" href="snomed:5474758432"/>Stage II
poorly differentiated adenocarcinoma
of the right upper lobe, dx 9/04 <text:s text:c="2"/
></text:p>
<text:p text:style-name="P2"><text:s text:c="2"/>T2- 4
cm right upper lobe mass <text:s
text:c="2"/></text:p>
<text:p text:style-name="P2"><text:s text:c="2"/>N0-
<text:s text:c="2"/></text:p>
<text:p text:style-name="P2"><text:s text:c="2"/>M0- no
brain or bone mets <text:s
text:c="2"/></text:p>
<text:p text:style-name="P2">A. <text:s/>S/P Right upper
lobectomy 9/27/04. <text:s
text:c="2"/></text:p>
<text:p text:style-name="P2">2. <text:s
rel="snomed:hasProblemListItem" href="snomed:457843234"/
>Hypertension. <text:s text:c="2"/></text:p>
<text:p text:style-name="P2">3. <text:s
rel="snomed:hasProblemListItem" href="snomed:5843245365"/>Polymyalgia
rheumatica. <text:s text:c="2"/></text:p>
<text:p text:style-name="P2">4. <text:s
rel="snomed:hasProblemListItem" href="snomed:28u549695"/>Prolapsed
bladder with chronic urinary tract
infections status post uncomplicated anterior repair
and uretero sacral ligaments
suspension 9/20/05. <text:s text:c="2"/></text:p>
<text:p text:style-name="P2">5. <text:s
rel="snomed:hasProblemListItem" href="snomed:8589392-45"/>Status post
pulmonary embolism in
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