@prefix dce: .
@prefix owl: .
@prefix rdfs: .
@prefix skos: .
@prefix xsd: .
@prefix quant: .
@prefix event: .
@prefix agent: .
@prefix humanbody: .
@prefix clisko: .
@prefix heca: .
@prefix clinobs: .
a owl:Ontology;
dce:title """Clinical Observation"""@en;
dce:creator """Hans Cools, MD; Agfa Healthcare/Belgium"""@en;
dce:contributor """Until 2010: Pieterjan De Potter; Ghent University - IBBT/ELIS - Multimedia Lab/Belgium"""@en;
dce:publisher """Agfa Healthcare/Belgium"""@en;
dce:description """Formal description of general clinical findings, observables, and their relations."""@en;
dce:format """OWL Full"""@en;
rdfs:comment """Copyright (c) 2009 Agfa-Gevaert Group / Ghent University - IBBT/ELIS - Multimedia Lab All Rights Reserved THIS IS UNPUBLISHED PROPRIETARY SOURCE CODE OF Agfa-Gevaert Group/ Ghent University - IBBT/ELIS - Multimedia Lab The copyright notice above does not evidence any actual or intended publication of such source code."""@en;
skos:note """For vital signs see:
http://www.agfa.com/w3c/2009/bloodPressure#BloodPressure
http://www.agfa.com/w3c/2009/bodyTemperature#BodyTemperature
http://www.agfa.com/w3c/2009/pulseRate#PulseRate
http://www.agfa.com/w3c/2009/respiratoryRate#RespiratoryRate."""@en.
#
# CLASSES
#
clinobs:Finding
a rdfs:Class;
rdfs:isDefinedBy ;
rdfs:label """clinical finding"""@en;
skos:definition """A manifestation of a patient's health state, e.g. fever."""@en;
skos:note """Abstracted whether found by patient (often referred to as symptom), health care professional (sign) or someone else."""@en;
rdfs:subClassOf event:Finding; #, [
#a owl:Restriction; owl:onProperty agent:hasPlayedRole; owl:someValuesFrom heca:Patient];
skos:exactMatch [
a skos:Concept; skos:inScheme clisko:sct20080731; skos:notation "404684003"^^clisko:sct20080731DT].
clinobs:GeneralFinding
a rdfs:Class;
rdfs:isDefinedBy ;
rdfs:label """general clinical finding"""@en;
skos:definition """A manifestation of a patient's health state involving the whole body."""@en;
rdfs:subClassOf clinobs:Finding.
clinobs:Observable
a rdfs:Class;
rdfs:isDefinedBy ;
rdfs:label """clinical observable"""@en;
skos:definition """Something that can be observed in a patient, e.g. body temperature."""@en;
rdfs:subClassOf event:Observable;
skos:exactMatch [
a skos:Concept; skos:inScheme clisko:sct20080731; skos:notation "363787002"^^clisko:sct20080731DT].
# clinobs:PatientState
clinobs:VitalSign
a rdfs:Class;
rdfs:isDefinedBy ;
rdfs:label """vital sign"""@en;
skos:definition """Sign of life, indicator of a person's general physical condition, to assess the most basic body functions."""@en;
rdfs:subClassOf clinobs:Observable;
skos:exactMatch [
a skos:Concept; skos:inScheme clisko:sct20080731; skos:notation "46680005"^^clisko:sct20080731DT].
clinobs:CardiacRate
a rdfs:Class;
rdfs:isDefinedBy ;
rdfs:label """cardiac rate"""@en;
skos:definition """Rate of human cardiac pumping as heart beats per unit of time."""@en;
rdfs:subClassOf quant:Frequency;
skos:exactMatch [
a skos:Concept; skos:inScheme clisko:sct20080731; skos:notation "258983007"^^clisko:sct20080731DT].
clinobs:Pain
a rdfs:Class;
rdfs:isDefinedBy ;
rdfs:label """pain"""@en;
skos:definition """Sensory experience as the unpleasant awareness of a noxious stimulus"""@en;
rdfs:subClassOf clinobs:Finding;
skos:exactMatch [
a skos:Concept; skos:inScheme clisko:sct20080731; skos:notation "22253000"^^clisko:sct20080731DT], [
a skos:Concept; skos:inScheme clisko:icpc2; skos:notation "A01"^^clisko:icpc2DT], [
a skos:Concept; skos:inScheme clisko:icd10; skos:notation "R52.9"^^clisko:icd10DT].
clinobs:RadiatingPain
a rdfs:Class;
rdfs:isDefinedBy ;
rdfs:label """radiating pain"""@en;
rdfs:subClassOf clinobs:Pain;
skos:exactMatch [
a skos:Concept; skos:inScheme clisko:sct20080731; skos:notation "301369003"^^clisko:sct20080731DT], [
a skos:Concept; skos:inScheme clisko:icpc2; skos:notation "L99"^^clisko:icpc2DT], [
a skos:Concept; skos:inScheme clisko:icd10; skos:notation "M54.1"^^clisko:icd10DT].
clinobs:Headache
a rdfs:Class;
rdfs:isDefinedBy ;
rdfs:label """headache"""@en;
rdfs:subClassOf clinobs:Pain;
rdfs:subClassOf [
a owl:Restriction; owl:onProperty clinobs:hasSite; owl:minCardinality """1"""^^xsd:nonNegativeInteger];
skos:exactMatch [
a skos:Concept; skos:inScheme clisko:sct20080731; skos:notation "25064002"^^clisko:sct20080731DT], [
a skos:Concept; skos:inScheme clisko:icpc2; skos:notation "N01"^^clisko:icpc2DT], [
a skos:Concept; skos:inScheme clisko:icd10; skos:notation "R51"^^clisko:icd10DT].
clinobs:NeckPain
a rdfs:Class;
rdfs:isDefinedBy ;
rdfs:label """neck pain"""@en;
rdfs:subClassOf clinobs:Pain;
skos:exactMatch [
a skos:Concept; skos:inScheme clisko:sct20080731; skos:notation "81680005"^^clisko:sct20080731DT], [
a skos:Concept; skos:inScheme clisko:icpc2; skos:notation "L01"^^clisko:icpc2DT], [
a skos:Concept; skos:inScheme clisko:icd10; skos:notation "M54.2"^^clisko:icd10DT].
clinobs:PainInHeadAndNeckRegion
a rdfs:Class;
rdfs:isDefinedBy ;
rdfs:label """pain of head and neck region"""@en;
rdfs:subClassOf clinobs:Pain;
skos:exactMatch [
a skos:Concept; skos:inScheme clisko:sct20080731; skos:notation "301365009"^^clisko:sct20080731DT].
clinobs:ChestPain
a rdfs:Class;
rdfs:isDefinedBy ;
rdfs:label """chest pain"""@en;
rdfs:subClassOf clinobs:Pain;
skos:exactMatch [
a skos:Concept; skos:inScheme clisko:sct20080731; skos:notation "29857009"^^clisko:sct20080731DT], [
a skos:Concept; skos:inScheme clisko:icpc2; skos:notation "A11"^^clisko:icpc2DT], [
a skos:Concept; skos:inScheme clisko:icd10; skos:notation "R07.4"^^clisko:icd10DT].
clinobs:LeftSidedChestPain
a rdfs:Class;
rdfs:isDefinedBy ;
rdfs:label """left sided chest pain"""@en;
rdfs:subClassOf clinobs:ChestPain;
skos:exactMatch [
a skos:Concept; skos:inScheme clisko:sct20080731; skos:notation "285385002"^^clisko:sct20080731DT].
clinobs:PainRadiatingToLeftArm
a rdfs:Class;
rdfs:isDefinedBy ;
rdfs:label """pain radiating to left arm"""@en;
rdfs:subClassOf clinobs:RadiatingPain;
skos:exactMatch [
a skos:Concept; skos:inScheme clisko:sct20080731; skos:notation "425677008"^^clisko:sct20080731DT].
clinobs:PainRadiatingToCentreOfChest
a rdfs:Class;
rdfs:isDefinedBy ;
rdfs:label """pain radiating to centre of chest"""@en;
rdfs:subClassOf clinobs:RadiatingPain;
skos:exactMatch [
a skos:Concept; skos:inScheme clisko:sct20080731; skos:notation "427365005"^^clisko:sct20080731DT].
clinobs:PainRadiatingToHead
a rdfs:Class;
rdfs:isDefinedBy ;
rdfs:label """pain radiating to head"""@en;
rdfs:subClassOf clinobs:RadiatingPain;
skos:exactMatch [
a skos:Concept; skos:inScheme clisko:sct20080731; skos:notation "425839000"^^clisko:sct20080731DT].
clinobs:PainRadiatingToJaw
a rdfs:Class;
rdfs:isDefinedBy ;
rdfs:label """pain radiating to jaw"""@en;
rdfs:subClassOf clinobs:RadiatingPain;
skos:exactMatch [
a skos:Concept; skos:inScheme clisko:sct20080731; skos:notation "426555006"^^clisko:sct20080731DT].
clinobs:PainRadiatingToLeftSideOfChest
a rdfs:Class;
rdfs:isDefinedBy ;
rdfs:label """pain radiating to left side of chest"""@en;
rdfs:subClassOf clinobs:RadiatingPain;
skos:exactMatch [
a skos:Concept; skos:inScheme clisko:sct20080731; skos:notation "427293006"^^clisko:sct20080731DT].
clinobs:PainRadiatingToUpperAbdomen
a rdfs:Class;
rdfs:isDefinedBy ;
rdfs:label """pain radiating to upper abdomen"""@en;
rdfs:subClassOf clinobs:RadiatingPain;
skos:exactMatch [
a skos:Concept; skos:inScheme clisko:sct20080731; skos:notation "427075000"^^clisko:sct20080731DT].
# SuprapubicPain
# FlankPain
# CostovertebranAngleTenderness
clinobs:Stiffness
a rdfs:Class;
rdfs:isDefinedBy ;
rdfs:label """stiffness"""@en;
rdfs:subClassOf clinobs:Finding;
skos:exactMatch [
a skos:Concept; skos:inScheme clisko:sct20080731; skos:notation "271587009"^^clisko:sct20080731DT].
clinobs:NeckStiffness
a rdfs:Class;
rdfs:isDefinedBy ;
rdfs:label """neck stiffness"""@en;
rdfs:subClassOf clinobs:Stiffness;
skos:exactMatch [
a skos:Concept; skos:inScheme clisko:sct20080731; skos:notation "161882006"^^clisko:sct20080731DT], [
a skos:Concept; skos:inScheme clisko:icpc2; skos:notation "L01"^^clisko:icpc2DT], [
a skos:Concept; skos:inScheme clisko:icd10; skos:notation "M54.2"^^clisko:icd10DT].
clinobs:Syncope
a rdfs:Class;
rdfs:isDefinedBy ;
rdfs:label """syncope"""@en;
skos:definition """Brief loss of consciousness caused by transient cerebral ischemia"""@en;
skos:exactMatch [
a skos:Concept; skos:inScheme clisko:sct20080731; skos:notation "271594007"^^clisko:sct20080731DT].
clinobs:Dyspnoea
a rdfs:Class;
rdfs:isDefinedBy ;
rdfs:label """dyspnoea"""@en;
rdfs:subClassOf clinobs:Finding;
skos:exactMatch [
a skos:Concept; skos:inScheme clisko:sct20080731; skos:notation "267036007"^^clisko:sct20080731DT], [
a skos:Concept; skos:inScheme clisko:icpc2; skos:notation "R02"^^clisko:icpc2DT], [
a skos:Concept; skos:inScheme clisko:icd10; skos:notation "R06.0"^^clisko:icd10DT].
clinobs:DyspnoeaAtRest
a rdfs:Class;
rdfs:isDefinedBy ;
rdfs:label """dyspnoea at rest"""@en;
rdfs:subClassOf clinobs:Dyspnoea;
skos:exactMatch [
a skos:Concept; skos:inScheme clisko:sct20080731; skos:notation "161941007"^^clisko:sct20080731DT].
clinobs:DyspnoeaOnExertion
a rdfs:Class;
rdfs:isDefinedBy ;
rdfs:label """dyspnoea on exertion"""@en;
rdfs:subClassOf clinobs:Dyspnoea;
skos:exactMatch [
a skos:Concept; skos:inScheme clisko:sct20080731; skos:notation "60845006"^^clisko:sct20080731DT].
clinobs:Tachypnoea
a rdfs:Class;
rdfs:isDefinedBy ;
rdfs:label """tachypnoea"""@en;
skos:definition """Increased respiration rate, rapid breathing."""@en;
rdfs:subClassOf clinobs:Finding;
skos:exactMatch [
a skos:Concept; skos:inScheme clisko:sct20080731; skos:notation "271823003"^^clisko:sct20080731DT], [
a skos:Concept; skos:inScheme clisko:icpc2; skos:notation "R02"^^clisko:icpc2DT], [
a skos:Concept; skos:inScheme clisko:icd10; skos:notation "R06.0"^^clisko:icd10DT].
clinobs:Fatigue
a rdfs:Class;
rdfs:isDefinedBy ;
rdfs:label """fatigue"""@en;
rdfs:subClassOf clinobs:GeneralFinding;
skos:exactMatch [
a skos:Concept; skos:inScheme clisko:sct20080731; skos:notation "84229001"^^clisko:sct20080731DT], [
a skos:Concept; skos:inScheme clisko:icpc2; skos:notation "A04"^^clisko:icpc2DT], [
a skos:Concept; skos:inScheme clisko:icd10; skos:notation "R53"^^clisko:icd10DT].
clinobs:WeightLoss
a rdfs:Class;
rdfs:isDefinedBy ;
rdfs:label """weight loss"""@en;
skos:definition """"Reduction of total body mass, due to a loss of fluid, body fat or adipose tissue and/or lean mass, namely bone mineral deposits, muscle, tendon and other connective tissue."""@en;
rdfs:subClassOf clinobs:GeneralFinding;
skos:exactMatch [
a skos:Concept; skos:inScheme clisko:sct20080731; skos:notation "267024001"^^clisko:sct20080731DT].
# "267024001"^^clisko:sct20080731DT, abnormal weight loss
# "309257005"^^clisko:sct20080731DT, excessive weight loss
clinobs:Fever
a rdfs:Class;
rdfs:isDefinedBy ;
rdfs:label """fever"""@en;
skos:definition """Increase in internal body temperature above normal due to temporary elevation in the body's thermoregulatory set-point."""@en;
rdfs:subClassOf clinobs:GeneralFinding;
skos:exactMatch [
a skos:Concept; skos:inScheme clisko:sct20080731; skos:notation "386661006"^^clisko:sct20080731DT], [
a skos:Concept; skos:inScheme clisko:icpc2; skos:notation "A03"^^clisko:icpc2DT], [
a skos:Concept; skos:inScheme clisko:icd10; skos:notation "R50.9"^^clisko:icd10DT].
clinobs:SleepHyperhidrosis
a rdfs:Class;
rdfs:isDefinedBy ;
rdfs:label """sleep hyperhidrosis"""@en;
rdfs:subClassOf clinobs:GeneralFinding;
skos:exactMatch [
a skos:Concept; skos:inScheme clisko:sct20080731; skos:notation "42984000"^^clisko:sct20080731DT], [
a skos:Concept; skos:inScheme clisko:icd10; skos:notation "R61.9"^^clisko:icd10DT].
clinobs:SwollenAnkle
a rdfs:Class;
rdfs:isDefinedBy ;
rdfs:label """swollen ankle"""@en;
rdfs:subClassOf clinobs:Finding;
skos:exactMatch [
a skos:Concept; skos:inScheme clisko:sct20080731; skos:notation "267039000"^^clisko:sct20080731DT], [
a skos:Concept; skos:inScheme clisko:icpc2; skos:notation "L16"^^clisko:icpc2DT], [
a skos:Concept; skos:inScheme clisko:icd10; skos:notation "M25.4"^^clisko:icd10DT].
clinobs:Oedema
a rdfs:Class;
rdfs:isDefinedBy ;
rdfs:label """oedema"""@en;
rdfs:subClassOf clinobs:Finding;
skos:exactMatch [
a skos:Concept; skos:inScheme clisko:sct20080731; skos:notation "267038008"^^clisko:sct20080731DT], [
a skos:Concept; skos:inScheme clisko:icpc2; skos:notation "K07"^^clisko:icpc2DT], [
a skos:Concept; skos:inScheme clisko:icd10; skos:notation "R60.9"^^clisko:icd10DT].
clinobs:AnkleOedema
a rdfs:Class;
rdfs:isDefinedBy ;
rdfs:label """ankle oedema"""@en;
rdfs:subClassOf clinobs:Oedema;
skos:exactMatch [
a skos:Concept; skos:inScheme clisko:sct20080731; skos:notation "26237000"^^clisko:sct20080731DT].
clinobs:Palpitations
a rdfs:Class;
rdfs:isDefinedBy ;
rdfs:label """palpitations"""@en;
rdfs:subClassOf clinobs:Finding;
skos:exactMatch [
a skos:Concept; skos:inScheme clisko:sct20080731; skos:notation "80313002"^^clisko:sct20080731DT], [
a skos:Concept; skos:inScheme clisko:icpc2; skos:notation "K04"^^clisko:icpc2DT], [
a skos:Concept; skos:inScheme clisko:icd10; skos:notation "R00.2"^^clisko:icd10DT].
clinobs:RespiratoryCrackles
a rdfs:Class;
rdfs:isDefinedBy ;
rdfs:label """respiratory crackles"""@en;
rdfs:subClassOf clinobs:Finding;
skos:exactMatch [
a skos:Concept; skos:inScheme clisko:sct20080731; skos:notation "48409008"^^clisko:sct20080731DT], [
a skos:Concept; skos:inScheme clisko:icpc2; skos:notation "R29"^^clisko:icpc2DT], [
a skos:Concept; skos:inScheme clisko:icd10; skos:notation "R09.8"^^clisko:icd10DT].
# Nausea
clinobs:Vomiting
a rdfs:Class;
rdfs:isDefinedBy ;
rdfs:label """vomiting"""@en;
rdfs:subClassOf clinobs:Finding;
skos:exactMatch [
a skos:Concept; skos:inScheme clisko:sct20080731; skos:notation "300359004"^^clisko:sct20080731DT], [
a skos:Concept; skos:inScheme clisko:icpc2; skos:notation "D10"^^clisko:icpc2DT], [
a skos:Concept; skos:inScheme clisko:icd10; skos:notation "R11"^^clisko:icd10DT].
clinobs:Rash
a rdfs:Class;
rdfs:isDefinedBy ;
rdfs:label """rash"""@en;
skos:definition """Change of skin appearance (e.g. eruption), color, and/or texture."""@en;
rdfs:subClassOf clinobs:Finding;
skos:exactMatch [
a skos:Concept; skos:inScheme clisko:sct20080731; skos:notation "271807003"^^clisko:sct20080731DT], [
a skos:Concept; skos:inScheme clisko:icd10; skos:notation "R21"^^clisko:icd10DT].
clinobs:LocalizedRash
a rdfs:Class;
rdfs:isDefinedBy ;
rdfs:label """localized rash"""@en;
rdfs:subClassOf clinobs:Rash;
skos:exactMatch [
a skos:Concept; skos:inScheme clisko:icpc2; skos:notation "S06"^^clisko:icpc2DT].
clinobs:GeneralizedRash
a rdfs:Class;
rdfs:isDefinedBy ;
rdfs:label """generalized rash"""@en;
rdfs:subClassOf clinobs:Rash;
skos:exactMatch [
a skos:Concept; skos:inScheme clisko:icpc2; skos:notation "S07"^^clisko:icpc2DT].
# Nasopharyngeal carriage of Neisseria meningitidis
#
# PROPERTIES
#
clinobs:hasObservable
a owl:ObjectProperty;
rdfs:isDefinedBy ;
rdfs:label """has clinical observable"""@en;
skos:definition """Specifying an observable of a human patient."""@en;
rdfs:domain [a owl:Restriction; owl:onProperty agent:playsRole; owl:someValuesFrom heca:Patient];
rdfs:range clinobs:Observable.
clinobs:hasSite
a owl:ObjectProperty;
rdfs:isDefinedBy ;
rdfs:label """has clinical finding site"""@en;
skos:definition """Specifying a human body site where a manifestation of a patient's health state is found."""@en;
rdfs:domain clinobs:Finding;
rdfs:range [
rdfs:subClassOf humanbody:Structure, [
skos:exactMatch [
a skos:Concept; skos:inScheme clisko:sct20080731; skos:notation "363698007"^^clisko:sct20080731DT]]].
clinobs:hasFinding
a owl:ObjectProperty;
rdfs:isDefinedBy ;
rdfs:label """has clinical finding"""@en;
skos:definition """Specifying a finding a human patient has."""@en;
rdfs:subPropertyOf agent:actsIn;
rdfs:domain [a owl:Restriction; owl:onProperty agent:playsRole; owl:someValuesFrom heca:Patient];
rdfs:range clinobs:Finding.
clinobs:findingOf
a owl:ObjectProperty;
rdfs:isDefinedBy ;
rdfs:label """clinical finding of"""@en;
skos:definition """Specifying a human patient having a clinical finding."""@en;
rdfs:subPropertyOf agent:hasAgent;
rdfs:domain clinobs:Finding;
rdfs:range [a owl:Restriction; owl:onProperty agent:playsRole; owl:someValuesFrom heca:Patient].
clinobs:isNotFinding
a owl:ObjectProperty;
rdfs:isDefinedBy ;
rdfs:label """is not clinical finding"""@en;
skos:definition """Specifying a clinical finding not found in a human patient."""@en;
rdfs:domain clinobs:Finding;
rdfs:range clinobs:Finding.