EHR RM.owl
type: Ontology
imports: Demographic RM.owl
comment: Ontology based on the openEHR EHR Reference Model Revision: 4.3.2 Written in owl by Isabel Roman
imports: protege

INSTRUCTION
type: Class
subclass of: http://lodlaundromat.org/.well-known/genid/f74673fd9fe015c60cfd174ab1cd8927#1
mis use: Not to be used for plan items which are only specified in general terms, e.g. "comence bronchodilator"
use: Used for any actionable statement such as medication and therapeutic orders, monitoring, recall and review. Enoug details must be provided for the specification to be excuted by an actor.
subclass of: http://lodlaundromat.org/.well-known/genid/f74673fd9fe015c60cfd174ab1cd8927#2
purpose: The root of an action specification
label: INSTRUCCION @es
subclass of: ENTRY
CEN: n/a
subclass of: http://lodlaundromat.org/.well-known/genid/f74673fd9fe015c60cfd174ab1cd8927#3
subclass of: http://lodlaundromat.org/.well-known/genid/f74673fd9fe015c60cfd174ab1cd8927#4
GEHR: G1_INSTRUCTION
HL7: Act subtype Substance_adminsitration, any Act type which is really an action specification (cf and Act in the past)
subclass of: http://lodlaundromat.org/.well-known/genid/f74673fd9fe015c60cfd174ab1cd8927#5
subclass of: http://lodlaundromat.org/.well-known/genid/f74673fd9fe015c60cfd174ab1cd8927#6

http://lodlaundromat.org/.well-known/genid/f74673fd9fe015c60cfd174ab1cd8927#1
type: Restriction
on property: action
cardinality: 1

action
type: ObjectProperty
domain: INSTRUCTION
label: accion @es
comment: description of the action to be executed
range: DATA STRUCTURE

http://lodlaundromat.org/.well-known/genid/f74673fd9fe015c60cfd174ab1cd8927#2
type: Restriction
max cardinality: 1
on property: profile

profile
type: ObjectProperty
comment: configuration data mappings from archetyped model of action
domain: INSTRUCTION
range: DATA STRUCTURE
label: perfil @es

ENTRY
type: Class
OMGDTF: COAS::HealthRecordEntry and COAS::ObservationQualifier
subclass of: http://lodlaundromat.org/.well-known/genid/f74673fd9fe015c60cfd174ab1cd8927#20
GEHR: *_CONTENT
OMGHDTF: COAS::HealthRecordEntry and COAS::ObservationQualifier, a generic class which is used to represent context attributes which are concretely modelled here
purpose: The abstract parent of all ENTRY subtypes. An ENTRY is the root of a logical item of "hard" clinical information created in the "clinical statement" context. It is also the minimal unit of information any query should return.
subclass of: http://lodlaundromat.org/.well-known/genid/f74673fd9fe015c60cfd174ab1cd8927#21
subclass of: http://lodlaundromat.org/.well-known/genid/f74673fd9fe015c60cfd174ab1cd8927#22
subclass of: http://lodlaundromat.org/.well-known/genid/f74673fd9fe015c60cfd174ab1cd8927#23
subclass of: CONTENT ITEM
HL7: Act
synapses: The Item class is the clossest match for Entry as described here
CEN: ClusterOCC
label: ENTRADA @es
subclass of: http://lodlaundromat.org/.well-known/genid/f74673fd9fe015c60cfd174ab1cd8927#24
subclass of: http://lodlaundromat.org/.well-known/genid/f74673fd9fe015c60cfd174ab1cd8927#25
equivalent class: http://lodlaundromat.org/.well-known/genid/f74673fd9fe015c60cfd174ab1cd8927#26
abstract: true

http://lodlaundromat.org/.well-known/genid/f74673fd9fe015c60cfd174ab1cd8927#3
type: Restriction
on property: state
cardinality: 1

state
type: ObjectProperty
range: DV STATE
comment: current state of the action in a state machine description
label: estado @es
domain: INSTRUCTION

data
type: ObjectProperty
domain: http://lodlaundromat.org/.well-known/genid/f74673fd9fe015c60cfd174ab1cd8927#50
label: datos @es

http://lodlaundromat.org/.well-known/genid/f74673fd9fe015c60cfd174ab1cd8927#5
type: Restriction
max cardinality: 1
on property: data

http://lodlaundromat.org/.well-known/genid/f74673fd9fe015c60cfd174ab1cd8927#6
type: Restriction
max cardinality: 1
on property: guideline id

guideline id
type: ObjectProperty
domain: INSTRUCTION
label: identificador de la guia (protocolo) @es
range: OBJECT REF
comment: Identifier guideline creating this action if relevant

TRANSACTION
type: Class
subclass of: http://lodlaundromat.org/.well-known/genid/f74673fd9fe015c60cfd174ab1cd8927#7
subclass of: LOCATABLE
GEHR: G1_TRANSACTION_VERSION
subclass of: http://lodlaundromat.org/.well-known/genid/f74673fd9fe015c60cfd174ab1cd8927#8
label: TRANSACCION @es
synapses: Composition class
subclass of: http://lodlaundromat.org/.well-known/genid/f74673fd9fe015c60cfd174ab1cd8927#9
purpose: One version in a VERSIONED_TRANSACTION. A transaction is considered the unit of modification of the record, the unit of transmission in record extracts, and the unit of attestation by authorising clinicians. In this latter sense, it may be considered equivalent to a signed document.
CEN: Composition
subclass of: http://lodlaundromat.org/.well-known/genid/f74673fd9fe015c60cfd174ab1cd8927#10
HL7: CDA DOCUMENT

http://lodlaundromat.org/.well-known/genid/f74673fd9fe015c60cfd174ab1cd8927#7
type: Restriction
on property: content
cardinality: 1

content
type: ObjectProperty
range: ORGANISER
label: contenido @es
domain: TRANSACTION
comment: The clinical session content of this transaction, i.e. the information generated in the clinical session

http://lodlaundromat.org/.well-known/genid/f74673fd9fe015c60cfd174ab1cd8927#8
type: Restriction
max cardinality: 1
on property: feeder audit

feeder audit
type: ObjectProperty
range: VERSION AUDIT
label: auditor origen @es
domain: TRANSACTION
comment: Audit trail from non-openEHR system of original commit of information ofrming the content of the current item.

http://lodlaundromat.org/.well-known/genid/f74673fd9fe015c60cfd174ab1cd8927#9
type: Restriction
max cardinality: 1
on property: context

context
type: ObjectProperty
label: contexto @es
range: CLINICAL CONTEXT
domain: TRANSACTION
comment: The clinical session context of this transaction, i.e. the contextual attributes of the clinical session

http://lodlaundromat.org/.well-known/genid/f74673fd9fe015c60cfd174ab1cd8927#10
type: Restriction
cardinality: 1
on property: is persistent

is persistent
type: ObjectProperty
range: BOOLEAN
label: es persistente @es
domain: http://lodlaundromat.org/.well-known/genid/f74673fd9fe015c60cfd174ab1cd8927#47

ehr
type: Class
subclass of: LOCATABLE
GEHR: G1_EHR
subclass of: http://lodlaundromat.org/.well-known/genid/f74673fd9fe015c60cfd174ab1cd8927#11
synapses: RecordFolder class
subclass of: http://lodlaundromat.org/.well-known/genid/f74673fd9fe015c60cfd174ab1cd8927#12
purpose: The EHR class is the centre node of the EHR "repository" for a subject of care
subclass of: http://lodlaundromat.org/.well-known/genid/f74673fd9fe015c60cfd174ab1cd8927#13
subclass of: http://lodlaundromat.org/.well-known/genid/f74673fd9fe015c60cfd174ab1cd8927#14
subclass of: http://lodlaundromat.org/.well-known/genid/f74673fd9fe015c60cfd174ab1cd8927#15
CEN: EHCR
subclass of: http://lodlaundromat.org/.well-known/genid/f74673fd9fe015c60cfd174ab1cd8927#16

http://lodlaundromat.org/.well-known/genid/f74673fd9fe015c60cfd174ab1cd8927#11
type: Restriction
cardinality: 1
on property: contributions

contributions
type: ObjectProperty
range: LIST CONTRIBUTION
domain: ehr
label: contribuciones @es
comment: List of contributions causing changes to this EHR. Each contribution contains a list of versions, which may include paths pointing to any number of VERSIONABLE items items of type TRANSACTION and FOLDER_TREE

http://lodlaundromat.org/.well-known/genid/f74673fd9fe015c60cfd174ab1cd8927#12
type: Restriction
cardinality: 1
on property: subject

subject
type: ObjectProperty
label: sujeto @es
domain: http://lodlaundromat.org/.well-known/genid/f74673fd9fe015c60cfd174ab1cd8927#44

http://lodlaundromat.org/.well-known/genid/f74673fd9fe015c60cfd174ab1cd8927#14
type: Restriction
on property: directory
max cardinality: 1

directory
type: ObjectProperty
domain: ehr
label: directorio @es
comment: Optional directory structure for this EHR
range: VERSION REPOSITORY FOLDER

http://lodlaundromat.org/.well-known/genid/f74673fd9fe015c60cfd174ab1cd8927#15
type: Restriction
on property: all transactions
cardinality: 1

all transactions
type: ObjectProperty
domain: ehr
comment: Master list of all transaction references in this EHR
label: todas las transacciones @es
range: LIST OBJECT ID

http://lodlaundromat.org/.well-known/genid/f74673fd9fe015c60cfd174ab1cd8927#16
type: Restriction
cardinality: 1
on property: time created

time created
type: ObjectProperty
comment: time of creation of the repository
label: instante de creacion @es
domain: ehr
range: DV DATE TIME

OBSERVATION
type: Class
GEHR: G1_OBSERVATION_CONTENT, G1_SUBJECTIVE_CONTENT
label: OBSERVACION @es
HL7: Observation
use: OBSERVATION is used for all notional objective (i.e. measured in some way) observations of phenomenena as well as all statements or opinios (i.e. subjective data) about things in the past.
CEN: Cluster
subclass of: http://lodlaundromat.org/.well-known/genid/f74673fd9fe015c60cfd174ab1cd8927#17
mis use: not used for future statements of any kind, including instructions, intentions, plans etc...
purpose: Entry subtype for all clinical data in the past or present, i.e. which (by the time it is recorded) has already ocurred. OBSERVATION data is expressed using the class HISTORY_T, which guarantees that it is situated in time.
subclass of: http://lodlaundromat.org/.well-known/genid/f74673fd9fe015c60cfd174ab1cd8927#18
subclass of: ENTRY

http://lodlaundromat.org/.well-known/genid/f74673fd9fe015c60cfd174ab1cd8927#17
type: Restriction
on property: data
cardinality: 1

http://lodlaundromat.org/.well-known/genid/f74673fd9fe015c60cfd174ab1cd8927#20
type: Restriction
cardinality: 1
on property: provider

provider
type: ObjectProperty
domain: ENTRY
comment: Id of provider of statement in this ENTRY, which might be: the patient a patient agent (parent, guardian...) the clinician a device or software
label: proveedor @es
range: PARTICIPATION

http://lodlaundromat.org/.well-known/genid/f74673fd9fe015c60cfd174ab1cd8927#21
type: Restriction
max cardinality: 1
on property: protocol

protocol
type: ObjectProperty
comment: Description of how and/or why th information in this entry was arrived at. For OBSERVATIONS, this is a description of the method or instrument used. For EVALUATIONS, how the evaluation was arrived at. For INSTRUCTIONS, how to execute the instruction. This may take the form of references to guidelines, including manually folowed and executable; knoledge references such as paper in Medline; clinical reasons within a largercare process
label: protocolo @es
range: DATA STRUCTURE
domain: ENTRY

http://lodlaundromat.org/.well-known/genid/f74673fd9fe015c60cfd174ab1cd8927#23
type: Restriction
on property: act id
max cardinality: 1

act id
type: ObjectProperty
range: STRING
comment: Optional act identifier used by e.g. a workflow system for an act to which this ENTRY correspondes in some way. This identifier might have internal syntax and meaning to an external processor.
label: id del acto @es
domain: ENTRY

http://lodlaundromat.org/.well-known/genid/f74673fd9fe015c60cfd174ab1cd8927#24
type: Restriction
on property: subject
cardinality: 1

http://lodlaundromat.org/.well-known/genid/f74673fd9fe015c60cfd174ab1cd8927#25
type: Restriction
max cardinality: 1
on property: other participations

other participations
type: ObjectProperty
range: LIST PARTICIPATION
label: otras participaciones @es
comment: Other participations at ENTRY level-archetypable
domain: ENTRY

EVALUATION
type: Class
mis use: Should not be used for actionable statements such as medication orders these are represented with the INSTRUCTION type
subclass of: http://lodlaundromat.org/.well-known/genid/f74673fd9fe015c60cfd174ab1cd8927#37
GEHR: G1_SUBJECTIVE_CONTENT
purpose: Entry type for evaluation statements
subclass of: http://lodlaundromat.org/.well-known/genid/f74673fd9fe015c60cfd174ab1cd8927#38
label: EVALUACION @es
subclass of: ENTRY
use: Used for all kinds of statements which evaluate other information, such as interpretations of observations, diagnoses, differential diagnoses, hypotheses, problem assessments and plans
CEN: Cluster
HL7: Observation

CLINICAL CONTEXT
type: Class
synapses: Composition
label: CONTEXTO CLINICO @es
subclass of: http://lodlaundromat.org/.well-known/genid/f74673fd9fe015c60cfd174ab1cd8927#30
subclass of: http://lodlaundromat.org/.well-known/genid/f74673fd9fe015c60cfd174ab1cd8927#31
subclass of: http://lodlaundromat.org/.well-known/genid/f74673fd9fe015c60cfd174ab1cd8927#32
subclass of: http://lodlaundromat.org/.well-known/genid/f74673fd9fe015c60cfd174ab1cd8927#33
subclass of: http://lodlaundromat.org/.well-known/genid/f74673fd9fe015c60cfd174ab1cd8927#34
purpose: Documents the clinical context of the clinical session (or encounter). The context information recorded here are independent of the attributes recorded in the version audit, which document the "system interaction" context, i.e. the context of a user interacting with the health record system. Clinical sessions include patient contacts, and any other business activity, such aas pathology investigations which take place on behalf of the patient
HL7: TBD
subclass of: http://lodlaundromat.org/.well-known/genid/f74673fd9fe015c60cfd174ab1cd8927#35

http://lodlaundromat.org/.well-known/genid/f74673fd9fe015c60cfd174ab1cd8927#30
type: Restriction
on property: session time
cardinality: 1

session time
type: ObjectProperty
domain: CLINICAL CONTEXT
range: DV INTERVAL DV DATE TIME
label: intervalo de la sesion @es
comment: Start and endd times of the clinical sesion

http://lodlaundromat.org/.well-known/genid/f74673fd9fe015c60cfd174ab1cd8927#31
type: Restriction
on property: other context
max cardinality: 1

other context
type: ObjectProperty
range: DATA STRUCTURE
label: otros contextos @es
domain: CLINICAL CONTEXT
comment: Other optional context which will be archetyped.

http://lodlaundromat.org/.well-known/genid/f74673fd9fe015c60cfd174ab1cd8927#32
type: Restriction
cardinality: 1
on property: participations

participations
type: ObjectProperty
label: participantes @es
domain: CLINICAL CONTEXT
comment: Parties involved in the clinical session. These would normally include the physician and often the patient (but not the latter if the clincal session is a pathology test for example)
range: LIST PARTICIPATION

http://lodlaundromat.org/.well-known/genid/f74673fd9fe015c60cfd174ab1cd8927#33
type: Restriction
cardinality: 1
on property: practice setting

practice setting
type: ObjectProperty
range: DV TEXT
domain: CLINICAL CONTEXT
comment: The practice setting, e.g. "outpatient facility", "hospital unit", "general practice" etc, which may be optionally coded. HL7 PracticeSetting domain may be useful for this.
label: catacteristicas practicas @es

http://lodlaundromat.org/.well-known/genid/f74673fd9fe015c60cfd174ab1cd8927#34
type: Restriction
cardinality: 1
on property: location

location
type: ObjectProperty
comment: The actual location where the session occurred, e.g. "microbiol lab 2", "home", "ward A3" and so on
range: STRING
domain: CLINICAL CONTEXT
label: localizacion @es

http://lodlaundromat.org/.well-known/genid/f74673fd9fe015c60cfd174ab1cd8927#35
type: Restriction
on property: health care facility
cardinality: 1

health care facility
type: ObjectProperty
comment: The HCF in the health system which took part in the encounter; usually, this is where the encounter physically took place, but not in the case of patinet home visits, internet contacts or emergency care.
label: servicio del sistema sanitario @es
domain: CLINICAL CONTEXT
range: PARTY REF

VERSIONED TRANSACTION
type: Class
subclass of: VERSION REPOSITORY TRANSACTION
GEHR: G1_VERSIONED_TRANSACTION
label: TRANSACCION VERSIONADA @es
subclass of: http://lodlaundromat.org/.well-known/genid/f74673fd9fe015c60cfd174ab1cd8927#36
purpose: Version-controlled transaction abstraction, defined by inheriting VERSION_REPOSITORY_TRANSACTION

http://lodlaundromat.org/.well-known/genid/f74673fd9fe015c60cfd174ab1cd8927#36
type: Restriction
cardinality: 1
on property: is persistent

http://lodlaundromat.org/.well-known/genid/f74673fd9fe015c60cfd174ab1cd8927#37
type: Restriction
on property: data
cardinality: 1

FOLDER
type: Class
CEN: FOLDER
label: CARPETA @es
purpose: The concept of a named folder
subclass of: http://lodlaundromat.org/.well-known/genid/f74673fd9fe015c60cfd174ab1cd8927#40
subclass of: http://lodlaundromat.org/.well-known/genid/f74673fd9fe015c60cfd174ab1cd8927#41
synapses: RecordFolder
subclass of: LOCATABLE

http://lodlaundromat.org/.well-known/genid/f74673fd9fe015c60cfd174ab1cd8927#40
type: Restriction
on property: transactions
cardinality: 1

transactions
type: ObjectProperty
comment: The list of references to versioned transactions in this folder. Since more than one folder can include the same transaction, this relationship is an association.
domain: FOLDER
range: LIST OBJECT ID
label: transacciones @es

http://lodlaundromat.org/.well-known/genid/f74673fd9fe015c60cfd174ab1cd8927#41
type: Restriction
on property: folders
cardinality: 1

folders
type: ObjectProperty
comment: Sub-folders of this FOLDER
range: LIST FOLDER
domain: FOLDER

ORGANISER
type: Class
CEN: Headed_section
subclass of: http://lodlaundromat.org/.well-known/genid/f74673fd9fe015c60cfd174ab1cd8927#43
label: ORGANIZADOR @es
subclass of: CONTENT ITEM
OMGHDTF: COAS::CompositeObservation
purpose: Represents a heading in a heading structure, or "organiser tree"
use: Created according to archetyped structures for typical headings such as SOAP, physical examination, but also pathology result heading structures
mis use: Should not be used instead of ENTRY hierarchical structures.

http://lodlaundromat.org/.well-known/genid/f74673fd9fe015c60cfd174ab1cd8927#43
type: Restriction
cardinality: 1
on property: content items

content items
type: ObjectProperty
label: elementos contenidos @es
domain: ORGANISER
range: LIST CONTENT ITEM
comment: Ordered list of content items under this organiser, which may include: more ORGANISERs ENTRYs