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: H2Q-MC-LZZT Research Study - TTL Representation

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@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:ResearchStudy;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "H2Q-MC-LZZT-ResearchStudy"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: H2Q-MC-LZZT (USUAL), id: NCTA12313212 (OFFICIAL), PLAC: NCTA12313212 (SECONDARY), PUBCHEM: 60809</p><p><b>title</b>: Safety and Efficacy of the Xanomeline Transdermal Therapeutic System (TTS) in Patients with Mild to Moderate Alzheimer’s Disease</p><p><b>protocol</b>: <a href=\"PlanDefinition-H2Q-MC-LZZT-ProtocolDesign.html\">Generated Summary: url: http://example.org/br-and-r/soa/PlanDefinition/H2Q-MC-LZZT-ProtocolDesign; version: 0.1.1; status: active; date: May 26, 2021, 2:52:13 PM</a></p><p><b>status</b>: completed</p><p><b>primaryPurposeType</b>: <span title=\"Codes: \">treatment</span></p><p><b>phase</b>: <span title=\"Codes: \">phase-3</span></p><p><b>category</b>: <span title=\"Codes: {http://ncimeta.nci.nih.gov C98388}\">Interventional Study</span>, <span title=\"Codes: {http://ncimeta.nci.nih.gov C15417}\">Randomized Clinical Trial</span>, <span title=\"Codes: {http://ncimeta.nci.nih.gov C15228}\">Double Blind Study</span>, <span title=\"Codes: {http://ncimeta.nci.nih.gov C49648}\">Placebo Control</span>, <span title=\"Codes: {http://ncimeta.nci.nih.gov C82639}\">Parallel Study</span></p><p><b>focus</b>: <span title=\"Codes: {http://ncimeta.nci.nih.gov C152926}\">Xanomeline</span>, <span title=\"Codes: {http://ncimeta.nci.nih.gov C149996}\">Transdermal Patch Dosage Form</span>, <span title=\"Codes: {https://pubmed.ncbi.nlm.nih.gov 9109749}\">Effects of xanomeline, a selective muscarinic receptor agonist, on cognitive function and behavioral symptoms in Alzheimer disease</span></p><p><b>condition</b>: <span title=\"Codes: \">Alzheimer's Disease (Disorder)</span></p><p><b>contact</b>: Bob James, Ph.D.: ph: 555-555-5555(WORK)</p><h3>RelatedArtifacts</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr><tr><td>*</td></tr></table><p><b>keyword</b>: <span title=\"Codes: {https://id.nlm.nih.gov/mesh D018721}\">Selective M1 muscarinic agonists</span>, <span title=\"Codes: {https://id.nlm.nih.gov/mesh D000544}\">Alzheimer Disease</span>, <span title=\"Codes: {https://id.nlm.nih.gov/mesh D018721}\">Selective M1 muscarinic agonists</span></p><p><b>description</b>: ## Xanomeline (LY246708)\n### Protocol H2Q-MC-LZZT(c) \nSafety and Efficacy of the Xanomeline Transdermal Therapeutic System (TTS) in Patients with Mild to Moderate Alzheimer’s Disease</p><p><b>enrollment</b>: </p><ul><li><a href=\"Group-H2Q-MC-LZZT-ResearchStudy-Inclusion.html\">Generated Summary: type: person; </a></li><li><a href=\"Group-H2Q-MC-LZZT-ResearchStudy-Exclusion.html\">Generated Summary: type: person; </a></li></ul><p><b>sponsor</b>: <a href=\"Organization-EliLillyAndCompany.html\">Generated Summary: id: Eli Lilly and Company (OFFICIAL); <span title=\"Codes: \">crs</span></a></p><p><b>principalInvestigator</b>: <a href=\"Practitioner-SamGetWell.html\">Generated Summary: UPIN: ABC123 (OFFICIAL); active; Samuel Home ; Phone: 555-123-5467; gender: male</a></p><p><b>reasonStopped</b>: <span title=\"Codes: \">accrual-goal-met</span></p><blockquote><p><b>arm</b></p><p><b>name</b>: Placebo</p><p><b>type</b>: <span title=\"Codes: {http://ncimeta.nci.nih.gov C49648}\">C49648</span></p><p><b>description</b>: Placebo arm</p></blockquote><blockquote><p><b>arm</b></p><p><b>name</b>: Low-dose xanomeline arm</p><p><b>type</b>: <span title=\"Codes: {http://ncimeta.nci.nih.gov C174266}\">C174266</span></p><p><b>description</b>: Low-dose xanomeline arm (50 cm2 TTS Formulation E, 54 mg xanomeline)</p></blockquote><blockquote><p><b>arm</b></p><p><b>name</b>: High-dose xanomeline arm</p><p><b>type</b>: <span title=\"Codes: {http://ncimeta.nci.nih.gov C174266}\">C174266</span></p><p><b>description</b>: High-dose xanomeline arm (75 cm2 TTS Formulation E, 81 mg xanomeline)</p></blockquote><blockquote><p><b>objective</b></p><p><b>name</b>: To determine if there is a statistically significant relationship (overall Type 1 error rate, α=.05) between the change in both ADAS-Cog and CIBIC+ scores, and drug dose (0, 50 cm2 [54 mg], and 75 cm2 [81 mg]).</p><p><b>type</b>: <span title=\"Codes: \">primary</span></p></blockquote><blockquote><p><b>objective</b></p><p><b>name</b>: To document the safety profile of the xanomeline TTS.</p><p><b>type</b>: <span title=\"Codes: \">primary</span></p></blockquote><blockquote><p><b>objective</b></p><p><b>name</b>: To assess the dose-dependent improvement in behavior. Improved scores on the Revised Neuropsychiatric Inventory (NPI-X) will indicate improvement in these areas.</p><p><b>type</b>: <span title=\"Codes: \">secondary</span></p></blockquote><blockquote><p><b>objective</b></p><p><b>name</b>: To assess the dose-dependent improvements in activities of daily living. Improved scores on the Disability Assessment for Dementia (DAD) will indicate improvement in these areas.</p><p><b>type</b>: <span title=\"Codes: \">secondary</span></p></blockquote><blockquote><p><b>objective</b></p><p><b>name</b>: To assess the dose-dependent improvements in an extended assessment of cognition that integrates attention/concentration tasks. The Alzheimer’s Disease Assessment Scale-14 item Cognitive Subscale, hereafter referred to as ADAS-Cog (14), will be used for this assessment.</p><p><b>type</b>: <span title=\"Codes: \">secondary</span></p></blockquote><blockquote><p><b>objective</b></p><p><b>name</b>: To assess the treatment response as a function of Apo E genotype.</p><p><b>type</b>: <span title=\"Codes: \">secondary</span></p></blockquote></div>"
  ];
  fhir:ResearchStudy.identifier [
     fhir:index 0;
     fhir:Identifier.use [ fhir:value "usual" ];
     fhir:Identifier.value [ fhir:value "H2Q-MC-LZZT" ]
  ], [
     fhir:index 1;
     fhir:Identifier.use [ fhir:value "official" ];
     fhir:Identifier.system [ fhir:value "https://clinicaltrials.gov/show/" ];
     fhir:Identifier.value [ fhir:value "NCTA12313212" ]
  ], [
     fhir:index 2;
     fhir:Identifier.use [ fhir:value "secondary" ];
     fhir:Identifier.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.code [ fhir:value "PLAC" ]       ]     ];
     fhir:Identifier.value [ fhir:value "NCTA12313212" ]
  ], [
     fhir:index 3;
     fhir:Identifier.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.code [ fhir:value "PUBCHEM" ]       ]     ];
     fhir:Identifier.value [ fhir:value "60809" ]
  ];
  fhir:ResearchStudy.title [ fhir:value "Safety and Efficacy of the Xanomeline Transdermal Therapeutic System (TTS) in Patients with Mild to Moderate Alzheimer’s Disease"];
  fhir:ResearchStudy.protocol [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "PlanDefinition/H2Q-MC-LZZT-ProtocolDesign" ]
  ];
  fhir:ResearchStudy.status [ fhir:value "completed"];
  fhir:ResearchStudy.primaryPurposeType [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.code [ fhir:value "treatment" ]     ]
  ];
  fhir:ResearchStudy.phase [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.code [ fhir:value "phase-3" ]     ]
  ];
  fhir:ResearchStudy.category [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://ncimeta.nci.nih.gov" ];
       fhir:Coding.code [ fhir:value "C98388" ];
       fhir:Coding.display [ fhir:value "Interventional Study" ]     ]
  ], [
     fhir:index 1;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://ncimeta.nci.nih.gov" ];
       fhir:Coding.code [ fhir:value "C15417" ];
       fhir:Coding.display [ fhir:value "Randomized Clinical Trial" ]     ]
  ], [
     fhir:index 2;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://ncimeta.nci.nih.gov" ];
       fhir:Coding.code [ fhir:value "C15228" ];
       fhir:Coding.display [ fhir:value "Double Blind Study" ]     ]
  ], [
     fhir:index 3;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://ncimeta.nci.nih.gov" ];
       fhir:Coding.code [ fhir:value "C49648" ];
       fhir:Coding.display [ fhir:value "Placebo Control" ]     ]
  ], [
     fhir:index 4;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://ncimeta.nci.nih.gov" ];
       fhir:Coding.code [ fhir:value "C82639" ];
       fhir:Coding.display [ fhir:value "Parallel Study" ]     ]
  ];
  fhir:ResearchStudy.focus [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://ncimeta.nci.nih.gov" ];
       fhir:Coding.code [ fhir:value "C152926" ];
       fhir:Coding.display [ fhir:value "Xanomeline" ]     ]
  ], [
     fhir:index 1;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://ncimeta.nci.nih.gov" ];
       fhir:Coding.code [ fhir:value "C149996" ];
       fhir:Coding.display [ fhir:value "Transdermal Patch Dosage Form" ]     ]
  ], [
     fhir:index 2;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "https://pubmed.ncbi.nlm.nih.gov" ];
       fhir:Coding.code [ fhir:value "9109749" ];
       fhir:Coding.display [ fhir:value "Effects of xanomeline, a selective muscarinic receptor agonist, on cognitive function and behavioral symptoms in Alzheimer disease" ]     ]
  ];
  fhir:ResearchStudy.condition [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.code [ fhir:value "26929004" ];
       fhir:Coding.display [ fhir:value "Alzheimer's Disease (Disorder)" ]     ]
  ];
  fhir:ResearchStudy.contact [
     fhir:index 0;
     fhir:ContactDetail.name [ fhir:value "Bob James, Ph.D." ];
     fhir:ContactDetail.telecom [
       fhir:index 0;
       fhir:ContactPoint.system [ fhir:value "phone" ];
       fhir:ContactPoint.value [ fhir:value "555-555-5555" ];
       fhir:ContactPoint.use [ fhir:value "work" ]     ]
  ];
  fhir:ResearchStudy.relatedArtifact [
     fhir:index 0;
     fhir:RelatedArtifact.type [ fhir:value "documentation" ];
     fhir:RelatedArtifact.label [ fhir:value "Arch Neurol.1997;54(4):465-473" ];
     fhir:RelatedArtifact.display [ fhir:value "Arch Neurol.1997;54(4):465-473" ];
     fhir:RelatedArtifact.citation [ fhir:value "Bodick NC, Offen WW, Levey AI, et al. Effects of xanomeline, a selective muscarinic receptor agonist, on cognitive function and behavioral symptoms in Alzheimer disease. Arch Neurol. 1997;54(4):465-473. doi:10.1001/archneur.1997.00550160091022" ]
  ], [
     fhir:index 1;
     fhir:RelatedArtifact.type [ fhir:value "documentation" ];
     fhir:RelatedArtifact.label [ fhir:value "Protocol H2Q-MC-LZZT(c)" ];
     fhir:RelatedArtifact.url [ fhir:value "https://clinicaltrials.gov/show/NCTA12313212/Lzzt_protocol_redacted.pdf" ]
  ];
  fhir:ResearchStudy.keyword [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "https://id.nlm.nih.gov/mesh" ];
       fhir:Coding.code [ fhir:value "D018721" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Selective M1 muscarinic agonists" ]
  ], [
     fhir:index 1;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "https://id.nlm.nih.gov/mesh" ];
       fhir:Coding.code [ fhir:value "D000544" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Alzheimer Disease" ]
  ], [
     fhir:index 2;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "https://id.nlm.nih.gov/mesh" ];
       fhir:Coding.code [ fhir:value "D018721" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Selective M1 muscarinic agonists" ]
  ];
  fhir:ResearchStudy.description [ fhir:value "## Xanomeline (LY246708)\n### Protocol H2Q-MC-LZZT(c) \nSafety and Efficacy of the Xanomeline Transdermal Therapeutic System (TTS) in Patients with Mild to Moderate Alzheimer’s Disease"];
  fhir:ResearchStudy.enrollment [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "Group/H2Q-MC-LZZT-ResearchStudy-Inclusion" ]
  ], [
     fhir:index 1;
     fhir:Reference.reference [ fhir:value "Group/H2Q-MC-LZZT-ResearchStudy-Exclusion" ]
  ];
  fhir:ResearchStudy.sponsor [
     fhir:Reference.reference [ fhir:value "Organization/EliLillyAndCompany" ]
  ];
  fhir:ResearchStudy.principalInvestigator [
     fhir:Reference.reference [ fhir:value "Practitioner/SamGetWell" ]
  ];
  fhir:ResearchStudy.reasonStopped [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.code [ fhir:value "accrual-goal-met" ]     ]
  ];
  fhir:ResearchStudy.arm [
     fhir:index 0;
     fhir:ResearchStudy.arm.name [ fhir:value "Placebo" ];
     fhir:ResearchStudy.arm.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://ncimeta.nci.nih.gov" ];
         fhir:Coding.code [ fhir:value "C49648" ]       ]     ];
     fhir:ResearchStudy.arm.description [ fhir:value "Placebo arm" ]
  ], [
     fhir:index 1;
     fhir:ResearchStudy.arm.name [ fhir:value "Low-dose xanomeline arm" ];
     fhir:ResearchStudy.arm.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://ncimeta.nci.nih.gov" ];
         fhir:Coding.code [ fhir:value "C174266" ]       ]     ];
     fhir:ResearchStudy.arm.description [ fhir:value "Low-dose xanomeline arm (50 cm2 TTS Formulation E, 54 mg xanomeline)" ]
  ], [
     fhir:index 2;
     fhir:ResearchStudy.arm.name [ fhir:value "High-dose xanomeline arm" ];
     fhir:ResearchStudy.arm.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://ncimeta.nci.nih.gov" ];
         fhir:Coding.code [ fhir:value "C174266" ]       ]     ];
     fhir:ResearchStudy.arm.description [ fhir:value "High-dose xanomeline arm (75 cm2 TTS Formulation E, 81 mg xanomeline)" ]
  ];
  fhir:ResearchStudy.objective [
     fhir:index 0;
     fhir:ResearchStudy.objective.name [ fhir:value "To determine if there is a statistically significant relationship (overall Type 1 error rate, α=.05) between the change in both ADAS-Cog and CIBIC+ scores, and drug dose (0, 50 cm2 [54 mg], and 75 cm2 [81 mg])." ];
     fhir:ResearchStudy.objective.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.code [ fhir:value "primary" ]       ]     ]
  ], [
     fhir:index 1;
     fhir:ResearchStudy.objective.name [ fhir:value "To document the safety profile of the xanomeline TTS." ];
     fhir:ResearchStudy.objective.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.code [ fhir:value "primary" ]       ]     ]
  ], [
     fhir:index 2;
     fhir:ResearchStudy.objective.name [ fhir:value "To assess the dose-dependent improvement in behavior. Improved scores on the Revised Neuropsychiatric Inventory (NPI-X) will indicate improvement in these areas." ];
     fhir:ResearchStudy.objective.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.code [ fhir:value "secondary" ]       ]     ]
  ], [
     fhir:index 3;
     fhir:ResearchStudy.objective.name [ fhir:value "To assess the dose-dependent improvements in activities of daily living. Improved scores on the Disability Assessment for Dementia (DAD) will indicate improvement in these areas." ];
     fhir:ResearchStudy.objective.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.code [ fhir:value "secondary" ]       ]     ]
  ], [
     fhir:index 4;
     fhir:ResearchStudy.objective.name [ fhir:value "To assess the dose-dependent improvements in an extended assessment of cognition that integrates attention/concentration tasks. The Alzheimer’s Disease Assessment Scale-14 item Cognitive Subscale, hereafter referred to as ADAS-Cog (14), will be used for this assessment." ];
     fhir:ResearchStudy.objective.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.code [ fhir:value "secondary" ]       ]     ]
  ], [
     fhir:index 5;
     fhir:ResearchStudy.objective.name [ fhir:value "To assess the treatment response as a function of Apo E genotype." ];
     fhir:ResearchStudy.objective.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.code [ fhir:value "secondary" ]       ]     ]
  ].

# - ontology header ------------------------------------------------------------

 a owl:Ontology;
  owl:imports fhir:fhir.ttl.