Open Nursing Core FHIR Implementation Guide (ONC-IG)
1.0.0 - release

Open Nursing Core FHIR Implementation Guide (ONC-IG) - Local Development build (v1.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

ValueSet: ONC Empathy & Relational Engagement Index

Official URL: https://opennursingcoreig.com/ValueSet/onc-empathy-index-vs Version: 1.0.0
Active as of 2026-01-27 Computable Name: ONCEmpathyIndexVS

A clinical scale measuring the depth of therapeutic empathy in nurse-patient interactions. Traditional EHRs ignore this; the Super-Gold Standard makes it a primary outcome.

References

Logical Definition (CLD)

  • Include these codes as defined in https://opennursingcoreig.com/CodeSystem/onc-observation-codes version 📦1.0.0
    CodeDisplayDefinition
    empathy-1Low Empathy: Task-focused interaction with minimal person-centred engagement.Task-focused interaction with minimal person-centred engagement.
    empathy-2Basic Empathy: Professional interaction with patient identity acknowledged.Professional interaction with patient identity acknowledged.
    empathy-3Moderate Empathy: Active relational engagement with shared decision making.Active relational engagement with shared decision making.
    empathy-4High Empathy: Authentic partnership with deep understanding of patient experience.Authentic partnership with deep understanding of patient experience.
    empathy-5Relational Excellence: Flourishing partnership with total alignment on 'What Matters to Me'.Flourishing partnership with total alignment on 'What Matters to Me'.

 

Expansion

Expansion performed internally based on codesystem ONC Observation Codes v1.0.0 (CodeSystem)

This value set contains 5 concepts

SystemCodeDisplay (en)DefinitionJSONXML
https://opennursingcoreig.com/CodeSystem/onc-observation-codes  empathy-1Low Empathy: Task-focused interaction with minimal person-centred engagement.Task-focused interaction with minimal person-centred engagement.
https://opennursingcoreig.com/CodeSystem/onc-observation-codes  empathy-2Basic Empathy: Professional interaction with patient identity acknowledged.Professional interaction with patient identity acknowledged.
https://opennursingcoreig.com/CodeSystem/onc-observation-codes  empathy-3Moderate Empathy: Active relational engagement with shared decision making.Active relational engagement with shared decision making.
https://opennursingcoreig.com/CodeSystem/onc-observation-codes  empathy-4High Empathy: Authentic partnership with deep understanding of patient experience.Authentic partnership with deep understanding of patient experience.
https://opennursingcoreig.com/CodeSystem/onc-observation-codes  empathy-5Relational Excellence: Flourishing partnership with total alignment on 'What Matters to Me'.Flourishing partnership with total alignment on 'What Matters to Me'.

Explanation of the columns that may appear on this page:

Level A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
System The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code The code (used as the code in the resource instance)
Display The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition An explanation of the meaning of the concept
Comments Additional notes about how to use the code