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

: ONC Empathy & Relational Engagement Index - TTL Representation

Active as of 2026-07-10

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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 -------------------------------------------------------------------

<http://hl7.org/fhir/ValueSet/onc-empathy-index-vs> a fhir:ValueSet ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "onc-empathy-index-vs"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "extensions" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet onc-empathy-index-vs</b></p><a name=\"onc-empathy-index-vs\"> </a><a name=\"hconc-empathy-index-vs\"> </a><ul><li>Include these codes as defined in <a href=\"CodeSystem-onc-observation-codes.html\"><code>https://opennursingcoreig.com/CodeSystem/onc-observation-codes</code></a><span title=\"Version is not explicitly stated, which means it is fixed to the version provided in this specification\"> version ?1.0.0</span><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a href=\"CodeSystem-onc-observation-codes.html#onc-observation-codes-empathy-1\">empathy-1</a></td><td>Low Empathy: Task-focused interaction with minimal person-centred engagement.</td><td>Task-focused interaction with minimal person-centred engagement.</td></tr><tr><td><a href=\"CodeSystem-onc-observation-codes.html#onc-observation-codes-empathy-2\">empathy-2</a></td><td>Basic Empathy: Professional interaction with patient identity acknowledged.</td><td>Professional interaction with patient identity acknowledged.</td></tr><tr><td><a href=\"CodeSystem-onc-observation-codes.html#onc-observation-codes-empathy-3\">empathy-3</a></td><td>Moderate Empathy: Active relational engagement with shared decision making.</td><td>Active relational engagement with shared decision making.</td></tr><tr><td><a href=\"CodeSystem-onc-observation-codes.html#onc-observation-codes-empathy-4\">empathy-4</a></td><td>High Empathy: Authentic partnership with deep understanding of patient experience.</td><td>Authentic partnership with deep understanding of patient experience.</td></tr><tr><td><a href=\"CodeSystem-onc-observation-codes.html#onc-observation-codes-empathy-5\">empathy-5</a></td><td>Relational Excellence: Flourishing partnership with total alignment on 'What Matters to Me'.</td><td>Flourishing partnership with total alignment on 'What Matters to Me'.</td></tr></table></li></ul></div>"
  ] ;
  fhir:ValueSet.url [ fhir:value "https://opennursingcoreig.com/ValueSet/onc-empathy-index-vs"] ;
  fhir:ValueSet.version [ fhir:value "1.0.0"] ;
  fhir:ValueSet.name [ fhir:value "ONCEmpathyIndexVS"] ;
  fhir:ValueSet.title [ fhir:value "ONC Empathy & Relational Engagement Index"] ;
  fhir:ValueSet.status [ fhir:value "active"] ;
  fhir:ValueSet.date [ fhir:value "2026-07-10T11:01:35+00:00"^^xsd:dateTime] ;
  fhir:ValueSet.publisher [ fhir:value "The Open Nursing Community"] ;
  fhir:ValueSet.description [ fhir:value "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."] ;
  fhir:ValueSet.compose [
     fhir:ValueSet.compose.include [
       fhir:index 0 ;
       fhir:ValueSet.compose.include.system [ fhir:value "https://opennursingcoreig.com/CodeSystem/onc-observation-codes" ] ;
       fhir:ValueSet.compose.include.concept [
         fhir:index 0 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "empathy-1" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Low Empathy: Task-focused interaction with minimal person-centred engagement." ]
       ], [
         fhir:index 1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "empathy-2" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Basic Empathy: Professional interaction with patient identity acknowledged." ]
       ], [
         fhir:index 2 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "empathy-3" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Moderate Empathy: Active relational engagement with shared decision making." ]
       ], [
         fhir:index 3 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "empathy-4" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "High Empathy: Authentic partnership with deep understanding of patient experience." ]
       ], [
         fhir:index 4 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "empathy-5" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Relational Excellence: Flourishing partnership with total alignment on 'What Matters to Me'." ]
       ]
     ]
  ] .

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

<http://hl7.org/fhir/ValueSet/onc-empathy-index-vs.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/ValueSet/onc-empathy-index-vs.ttl> .