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RDF Representation using POMR of Patient 1. 54-year-old man with diabetes was referred to the Hypertension Clinic in Jichi Medical School Hospital with symptoms of dizziness and orthostatic intolerance. In 2002, he started insulin therapy (Hemoglobin A1c 9 %), and in 2004, he was started
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54-year-old man with diabetes was referred to the Hypertension Clinic in Jichi Medical School Hospital with symptoms of dizziness and orthostatic intolerance. In 2002, he started insulin therapy (Hemoglobin A1c 9 %), and in 2004, he was started on a once daily dose of valsartan 80 mg for hypertension. He sometimes complained of dizziness and fainting while standing. On 13 February 2005, he fell down while riding a bicycle. As the clinic BP was 84/60 mm Hg on 14 March, and the valsartan was stopped. He was referred to otolaryngology and neurology, but no significant abnormalities were detected.
Informal “Triples” • Patient P1 • P1 sex male • P1 age 54 • P1 disease diabetes • P1 referred-to "Hypertension Clinic" • "Hypertension Clinic" department-of "Jichi Medical School Hospital" • P1 symptom dizziness • P1 symptom "orthostatic intolerance" • [P1 therapy "Insulin Therapy"] • [...] started-in 2002 • [P1 lab-result HemoglobinA1c] • [...] value 9% • [...] measurement-date 2002 • [P1 therapy Valsartan] • [...] dose 80mg • [...] frequency "Once Daily" • [...] started 2004 • [...] stopped "14 March 2005" • [P1 symptom dizziness] • [...] frequency Sometimes • [P1 symptom fainting] • [...] position "while standing" • [P1 history "fall"] • [...] activity "riding a bicycle" • [P1 vital-sign BP] • [...] systolic 84 • [...] diastolic 60 • [...] measurement-date "14 March 2005" • P1 referred-to otolaryngology • P1 referred-to neurology • not ([P1 clinical-finding abnormality] • [...] emphasis significant)
P1 rdf:type sdtm:Subject sdtm:subjectOf cm1 rdf:type sdtm:ConcomitantMeds myOnt:drugInformation sdtm:occurrence myOnt:administrationInfo drug1 sdtm:MedicationCategory medra:hypertension administration1 rdf:type myOnt:Administration “Yes” sdtm:total-daily-dose sdtm:reportedName sdtm:dose “80” sdtm:dose-units sdtm:route “80” “Valstartan” sdtm:dose-frequency “oral” 1 “mg” sdtm:medicationEndDate sdtm:medicationStartDate date1 rdf:type owltime:DateTimeDescription date2 rdf:type owltime:DateTimeDescription owltime:unitType owltime:year owltime:unitType owltime:year owltime:month owltime:day unitYear 2004 14 unitDay 2005 3
P1 rdf:type sdtm:Subject sdtm:subjectOf lab1 rdf:type sdtm:LabTestResult myOnt:testInformation sdtm:specimenID myOnt:resultInformation test1 sdtm:LabTestCategory sdtm:hematology result1 rdf:type myOnt:LabResult S1 rdf:type sdtm:Specimen sdtm:standardizedUnit sdtm:shortName sdtm:originalResult “8.6” sdtm:originalUnit “%” “HGB” “%” sdtm:standardizedResult “8.6”
P1 rdf:type sdtm:Subject sdtm:subjectOf exam1 rdf:type sdtm:PhysicalExam myOnt:testInformation myOnt:resultInformation test1 sdtm:LabTestCategory sdtm:vasculature result1 rdf:type myOnt:LabResult sdtm:standardizedUnit sdtm:TestName sdtm:originalResult “123” sdtm:originalUnit “mm Hg” “mm Hg” sdtm:standardizedResult “Standing Systolic Blood Pressure” “123”
P1 rdf:type sdtm:Subject sdtm:subjectOf adverseEvent1 rdf:type sdtm:AdverseEvent sdtm:adverseEventTerm sdtm:adverseEventSeverity “Fell while riding Bicycle” “moderate” sdtm:startDate sdtm:isSerious “N” date1 rdf:type owltime:DateTimeDescription “13 Feb 2005”
P1 rdf:type sdtm:Subject sdtm:subjectOf medHistEvent1 rdf:type sdtm:MedicalHistoryEvent sdtm:medicalHistoryTerm sdtm:medicalHistoryCategory “Blood Pressure” sdtm:startDateofMedicalHistoryEvent “Hypotension” sdtm:dateOfHistoryCollection date1 rdf:type owltime:DateTimeDescription date2 rdf:type owltime:DateTimeDescription “14 March 2005” “14 March 2005”