HL7 Terminology
2.1.0 - Publication
This page is part of the HL7 Terminology (v2.1.0: Release) based on FHIR R4. The current version which supercedes this version is 5.2.0. For a full list of available versions, see the Directory of published versions
@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 xsd: <http://www.w3.org/2001/XMLSchema#> .
# - resource -------------------------------------------------------------------
a fhir:CodeSystem;
fhir:nodeRole fhir:treeRoot;
fhir:Resource.id [ fhir:value "v3-EntityHandling"];
fhir:Resource.language [ fhir:value "en"];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en\" lang=\"en\"><p><b>Properties</b></p><table class=\"grid\"><tr><td><b>Code</b></td><td><b>URL</b></td><td><b>Description</b></td><td><b>Type</b></td></tr><tr><td>Specializes</td><td/><td>The child code is a more narrow version of the concept represented by the parent code. I.e. Every child concept is also a valid parent concept. Used to allow determination of subsumption. Must be transitive, irreflexive, antisymmetric.</td><td>Coding</td></tr><tr><td>Generalizes</td><td/><td>Inverse of Specializes. Only included as a derived relationship.</td><td>Coding</td></tr><tr><td>internalId</td><td>http://terminology.hl7.org/CodeSystem/utg-concept-properties#v3-internal-id</td><td>The internal identifier for the concept in the HL7 Access database repository.</td><td>code</td></tr><tr><td>status</td><td>http://hl7.org/fhir/concept-properties#status</td><td>Designation of a concept's state. Normally is not populated unless the state is retired.</td><td>code</td></tr></table><p>This code system http://terminology.hl7.org/CodeSystem/v3-EntityHandling defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td><td><b>internalId</b></td><td><b>status</b></td></tr><tr><td style=\"white-space:nowrap\">AMB<a name=\"v3-EntityHandling-AMB\"> </a></td><td>Ambient Temperature</td><td>Keep at ambient temperature, 22 +/- 2C</td><td>10394</td><td>active</td></tr><tr><td style=\"white-space:nowrap\">C37<a name=\"v3-EntityHandling-C37\"> </a></td><td>Body Temperature</td><td>Critical to keep at body temperature 36-38C</td><td>10395</td><td>active</td></tr><tr><td style=\"white-space:nowrap\">CAMB<a name=\"v3-EntityHandling-CAMB\"> </a></td><td>Critical Ambient temperature</td><td>Critical ambient - must not be refrigerated or frozen.</td><td>14405</td><td>active</td></tr><tr><td style=\"white-space:nowrap\">CATM<a name=\"v3-EntityHandling-CATM\"> </a></td><td>Protect from Air</td><td>Critical. Do not expose to atmosphere. Do not uncap.</td><td>14409</td><td>active</td></tr><tr><td style=\"white-space:nowrap\">CFRZ<a name=\"v3-EntityHandling-CFRZ\"> </a></td><td>Critical frozen</td><td>Critical frozen. Specimen must not be allowed to thaw until immediately prior to testing.</td><td>14407</td><td>active</td></tr><tr><td style=\"white-space:nowrap\">CREF<a name=\"v3-EntityHandling-CREF\"> </a></td><td>Critical refrigerated temperature</td><td>Critical refrigerated - must not be allowed to freeze or warm until imediately prior to testing.</td><td>14406</td><td>active</td></tr><tr><td style=\"white-space:nowrap\">DFRZ<a name=\"v3-EntityHandling-DFRZ\"> </a></td><td>Deep Frozen</td><td>Deep Frozen -16 to -20C.</td><td>10398</td><td>active</td></tr><tr><td style=\"white-space:nowrap\">DRY<a name=\"v3-EntityHandling-DRY\"> </a></td><td>dry</td><td>Keep in a dry environment</td><td>10400</td><td>active</td></tr><tr><td style=\"white-space:nowrap\">FRZ<a name=\"v3-EntityHandling-FRZ\"> </a></td><td>frozen</td><td>Keep frozen below 0 ?C</td><td>10397</td><td>active</td></tr><tr><td style=\"white-space:nowrap\">MTLF<a name=\"v3-EntityHandling-MTLF\"> </a></td><td>Metal Free</td><td>Container is free of heavy metals, including lead.</td><td>14410</td><td>active</td></tr><tr><td style=\"white-space:nowrap\">NTR<a name=\"v3-EntityHandling-NTR\"> </a></td><td>nitrogen</td><td>Keep in liquid nitrogen</td><td>10399</td><td>active</td></tr><tr><td style=\"white-space:nowrap\">PRTL<a name=\"v3-EntityHandling-PRTL\"> </a></td><td>Protect from Light</td><td>Protect from light (eg. Wrap in aluminum foil).</td><td>10401</td><td>active</td></tr><tr><td style=\"white-space:nowrap\">PSA<a name=\"v3-EntityHandling-PSA\"> </a></td><td>do not shake</td><td>Do not shake</td><td>10404</td><td>active</td></tr><tr><td style=\"white-space:nowrap\">PSO<a name=\"v3-EntityHandling-PSO\"> </a></td><td>no shock</td><td>Protect against shock</td><td>10402</td><td>active</td></tr><tr><td style=\"white-space:nowrap\">REF<a name=\"v3-EntityHandling-REF\"> </a></td><td>Refrigerated temperature</td><td>Keep at refrigerated temperature:4-8C Accidental warming or freezing is of little consequence.</td><td>10396</td><td>active</td></tr><tr><td style=\"white-space:nowrap\">SBU<a name=\"v3-EntityHandling-SBU\"> </a></td><td>Shake before use</td><td>Shake thoroughly before using</td><td>14393</td><td>active</td></tr><tr><td style=\"white-space:nowrap\">UFRZ<a name=\"v3-EntityHandling-UFRZ\"> </a></td><td>Ultra frozen</td><td>Ultra cold frozen -75 to -85C. Ultra cold freezer is typically at temperature of dry ice.</td><td>14408</td><td>active</td></tr><tr><td style=\"white-space:nowrap\">UPR<a name=\"v3-EntityHandling-UPR\"> </a></td><td>upright</td><td>Keep upright, do not turn upside down</td><td>10403</td><td>active</td></tr></table></div>"
];
fhir:CodeSystem.url [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-EntityHandling"];
fhir:CodeSystem.identifier [
fhir:index 0;
fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ];
fhir:Identifier.value [ fhir:value "urn:oid:2.16.840.1.113883.5.42" ]
];
fhir:CodeSystem.version [ fhir:value "2.0.0"];
fhir:CodeSystem.name [ fhir:value "EntityHandling"];
fhir:CodeSystem.title [ fhir:value "EntityHandling"];
fhir:CodeSystem.status [ fhir:value "active"];
fhir:CodeSystem.date [ fhir:value "2019-03-20"^^xsd:date];
fhir:CodeSystem.publisher [ fhir:value "Health Level 7"];
fhir:CodeSystem.contact [
fhir:index 0;
fhir:ContactDetail.name [ fhir:value "Health Level Seven" ]
];
fhir:CodeSystem.hierarchyMeaning [ fhir:value "is-a"];
fhir:CodeSystem.content [ fhir:value "complete"];
fhir:CodeSystem.property [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-symmetry" ];
fhir:Extension.valueCode [ fhir:value "antisymmetric" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-transitivity" ];
fhir:Extension.valueCode [ fhir:value "transitive" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-reflexivity" ];
fhir:Extension.valueCode [ fhir:value "irreflexive" ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-isNavigable" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 4;
fhir:Extension.url [ fhir:value "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-relationshipKind" ];
fhir:Extension.valueCode [ fhir:value "Specializes" ] ], [
fhir:index 5;
fhir:Extension.url [ fhir:value "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-inverseName" ];
fhir:Extension.valueString [ fhir:value "Generalizes" ] ];
fhir:CodeSystem.property.code [ fhir:value "Specializes" ];
fhir:CodeSystem.property.description [ fhir:value "The child code is a more narrow version of the concept represented by the parent code. I.e. Every child concept is also a valid parent concept. Used to allow determination of subsumption. Must be transitive, irreflexive, antisymmetric." ];
fhir:CodeSystem.property.type [ fhir:value "Coding" ]
], [
fhir:index 1;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-symmetry" ];
fhir:Extension.valueCode [ fhir:value "antisymmetric" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-transitivity" ];
fhir:Extension.valueCode [ fhir:value "transitive" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-reflexivity" ];
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fhir:index 3;
fhir:Extension.url [ fhir:value "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-isNavigable" ];
fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ], [
fhir:index 4;
fhir:Extension.url [ fhir:value "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-relationshipKind" ];
fhir:Extension.valueCode [ fhir:value "Generalizes" ] ], [
fhir:index 5;
fhir:Extension.url [ fhir:value "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-inverseName" ];
fhir:Extension.valueString [ fhir:value "Specializes" ] ];
fhir:CodeSystem.property.code [ fhir:value "Generalizes" ];
fhir:CodeSystem.property.description [ fhir:value "Inverse of Specializes. Only included as a derived relationship." ];
fhir:CodeSystem.property.type [ fhir:value "Coding" ]
], [
fhir:index 2;
fhir:CodeSystem.property.code [ fhir:value "internalId" ];
fhir:CodeSystem.property.uri [ fhir:value "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v3-internal-id" ];
fhir:CodeSystem.property.description [ fhir:value "The internal identifier for the concept in the HL7 Access database repository." ];
fhir:CodeSystem.property.type [ fhir:value "code" ]
], [
fhir:index 3;
fhir:CodeSystem.property.code [ fhir:value "status" ];
fhir:CodeSystem.property.uri [ fhir:value "http://hl7.org/fhir/concept-properties#status" ];
fhir:CodeSystem.property.description [ fhir:value "Designation of a concept's state. Normally is not populated unless the state is retired." ];
fhir:CodeSystem.property.type [ fhir:value "code" ]
];
fhir:CodeSystem.concept [
fhir:index 0;
fhir:CodeSystem.concept.code [ fhir:value "AMB" ];
fhir:CodeSystem.concept.display [ fhir:value "Ambient Temperature" ];
fhir:CodeSystem.concept.definition [ fhir:value "Keep at ambient temperature, 22 +/- 2C" ];
fhir:CodeSystem.concept.property [
fhir:index 0;
fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ] ], [
fhir:index 1;
fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
fhir:CodeSystem.concept.property.valueCode [ fhir:value "10394" ] ]
], [
fhir:index 1;
fhir:CodeSystem.concept.code [ fhir:value "C37" ];
fhir:CodeSystem.concept.display [ fhir:value "Body Temperature" ];
fhir:CodeSystem.concept.definition [ fhir:value "Critical to keep at body temperature 36-38C" ];
fhir:CodeSystem.concept.property [
fhir:index 0;
fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ] ], [
fhir:index 1;
fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
fhir:CodeSystem.concept.property.valueCode [ fhir:value "10395" ] ]
], [
fhir:index 2;
fhir:CodeSystem.concept.code [ fhir:value "CAMB" ];
fhir:CodeSystem.concept.display [ fhir:value "Critical Ambient temperature" ];
fhir:CodeSystem.concept.definition [ fhir:value "Critical ambient - must not be refrigerated or frozen." ];
fhir:CodeSystem.concept.property [
fhir:index 0;
fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ] ], [
fhir:index 1;
fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
fhir:CodeSystem.concept.property.valueCode [ fhir:value "14405" ] ]
], [
fhir:index 3;
fhir:CodeSystem.concept.code [ fhir:value "CATM" ];
fhir:CodeSystem.concept.display [ fhir:value "Protect from Air" ];
fhir:CodeSystem.concept.definition [ fhir:value "Critical. Do not expose to atmosphere. Do not uncap." ];
fhir:CodeSystem.concept.property [
fhir:index 0;
fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ] ], [
fhir:index 1;
fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
fhir:CodeSystem.concept.property.valueCode [ fhir:value "14409" ] ]
], [
fhir:index 4;
fhir:CodeSystem.concept.code [ fhir:value "CFRZ" ];
fhir:CodeSystem.concept.display [ fhir:value "Critical frozen" ];
fhir:CodeSystem.concept.definition [ fhir:value "Critical frozen. Specimen must not be allowed to thaw until immediately prior to testing." ];
fhir:CodeSystem.concept.property [
fhir:index 0;
fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ] ], [
fhir:index 1;
fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
fhir:CodeSystem.concept.property.valueCode [ fhir:value "14407" ] ]
], [
fhir:index 5;
fhir:CodeSystem.concept.code [ fhir:value "CREF" ];
fhir:CodeSystem.concept.display [ fhir:value "Critical refrigerated temperature" ];
fhir:CodeSystem.concept.definition [ fhir:value "Critical refrigerated - must not be allowed to freeze or warm until imediately prior to testing." ];
fhir:CodeSystem.concept.property [
fhir:index 0;
fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ] ], [
fhir:index 1;
fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
fhir:CodeSystem.concept.property.valueCode [ fhir:value "14406" ] ]
], [
fhir:index 6;
fhir:CodeSystem.concept.code [ fhir:value "DFRZ" ];
fhir:CodeSystem.concept.display [ fhir:value "Deep Frozen" ];
fhir:CodeSystem.concept.definition [ fhir:value "Deep Frozen -16 to -20C." ];
fhir:CodeSystem.concept.property [
fhir:index 0;
fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ] ], [
fhir:index 1;
fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
fhir:CodeSystem.concept.property.valueCode [ fhir:value "10398" ] ]
], [
fhir:index 7;
fhir:CodeSystem.concept.code [ fhir:value "DRY" ];
fhir:CodeSystem.concept.display [ fhir:value "dry" ];
fhir:CodeSystem.concept.definition [ fhir:value "Keep in a dry environment" ];
fhir:CodeSystem.concept.property [
fhir:index 0;
fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ] ], [
fhir:index 1;
fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
fhir:CodeSystem.concept.property.valueCode [ fhir:value "10400" ] ]
], [
fhir:index 8;
fhir:CodeSystem.concept.code [ fhir:value "FRZ" ];
fhir:CodeSystem.concept.display [ fhir:value "frozen" ];
fhir:CodeSystem.concept.definition [ fhir:value "Keep frozen below 0 ?C" ];
fhir:CodeSystem.concept.property [
fhir:index 0;
fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ] ], [
fhir:index 1;
fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
fhir:CodeSystem.concept.property.valueCode [ fhir:value "10397" ] ]
], [
fhir:index 9;
fhir:CodeSystem.concept.code [ fhir:value "MTLF" ];
fhir:CodeSystem.concept.display [ fhir:value "Metal Free" ];
fhir:CodeSystem.concept.definition [ fhir:value "Container is free of heavy metals, including lead." ];
fhir:CodeSystem.concept.property [
fhir:index 0;
fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ] ], [
fhir:index 1;
fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
fhir:CodeSystem.concept.property.valueCode [ fhir:value "14410" ] ]
], [
fhir:index 10;
fhir:CodeSystem.concept.code [ fhir:value "NTR" ];
fhir:CodeSystem.concept.display [ fhir:value "nitrogen" ];
fhir:CodeSystem.concept.definition [ fhir:value "Keep in liquid nitrogen" ];
fhir:CodeSystem.concept.property [
fhir:index 0;
fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ] ], [
fhir:index 1;
fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
fhir:CodeSystem.concept.property.valueCode [ fhir:value "10399" ] ]
], [
fhir:index 11;
fhir:CodeSystem.concept.code [ fhir:value "PRTL" ];
fhir:CodeSystem.concept.display [ fhir:value "Protect from Light" ];
fhir:CodeSystem.concept.definition [ fhir:value "Protect from light (eg. Wrap in aluminum foil)." ];
fhir:CodeSystem.concept.property [
fhir:index 0;
fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ] ], [
fhir:index 1;
fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
fhir:CodeSystem.concept.property.valueCode [ fhir:value "10401" ] ]
], [
fhir:index 12;
fhir:CodeSystem.concept.code [ fhir:value "PSA" ];
fhir:CodeSystem.concept.display [ fhir:value "do not shake" ];
fhir:CodeSystem.concept.definition [ fhir:value "Do not shake" ];
fhir:CodeSystem.concept.property [
fhir:index 0;
fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ] ], [
fhir:index 1;
fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
fhir:CodeSystem.concept.property.valueCode [ fhir:value "10404" ] ]
], [
fhir:index 13;
fhir:CodeSystem.concept.code [ fhir:value "PSO" ];
fhir:CodeSystem.concept.display [ fhir:value "no shock" ];
fhir:CodeSystem.concept.definition [ fhir:value "Protect against shock" ];
fhir:CodeSystem.concept.property [
fhir:index 0;
fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ] ], [
fhir:index 1;
fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
fhir:CodeSystem.concept.property.valueCode [ fhir:value "10402" ] ]
], [
fhir:index 14;
fhir:CodeSystem.concept.code [ fhir:value "REF" ];
fhir:CodeSystem.concept.display [ fhir:value "Refrigerated temperature" ];
fhir:CodeSystem.concept.definition [ fhir:value "Keep at refrigerated temperature:4-8C Accidental warming or freezing is of little consequence." ];
fhir:CodeSystem.concept.property [
fhir:index 0;
fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ] ], [
fhir:index 1;
fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
fhir:CodeSystem.concept.property.valueCode [ fhir:value "10396" ] ]
], [
fhir:index 15;
fhir:CodeSystem.concept.code [ fhir:value "SBU" ];
fhir:CodeSystem.concept.display [ fhir:value "Shake before use" ];
fhir:CodeSystem.concept.definition [ fhir:value "Shake thoroughly before using" ];
fhir:CodeSystem.concept.property [
fhir:index 0;
fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ] ], [
fhir:index 1;
fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
fhir:CodeSystem.concept.property.valueCode [ fhir:value "14393" ] ]
], [
fhir:index 16;
fhir:CodeSystem.concept.code [ fhir:value "UFRZ" ];
fhir:CodeSystem.concept.display [ fhir:value "Ultra frozen" ];
fhir:CodeSystem.concept.definition [ fhir:value "Ultra cold frozen -75 to -85C. Ultra cold freezer is typically at temperature of dry ice." ];
fhir:CodeSystem.concept.property [
fhir:index 0;
fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ] ], [
fhir:index 1;
fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
fhir:CodeSystem.concept.property.valueCode [ fhir:value "14408" ] ]
], [
fhir:index 17;
fhir:CodeSystem.concept.code [ fhir:value "UPR" ];
fhir:CodeSystem.concept.display [ fhir:value "upright" ];
fhir:CodeSystem.concept.definition [ fhir:value "Keep upright, do not turn upside down" ];
fhir:CodeSystem.concept.property [
fhir:index 0;
fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ] ], [
fhir:index 1;
fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
fhir:CodeSystem.concept.property.valueCode [ fhir:value "10403" ] ]
].
# - ontology header ------------------------------------------------------------
a owl:Ontology;
owl:imports fhir:fhir.ttl.