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

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: ONC Empathy & Relational Engagement Index - XML Representation

Active as of 2026-01-27

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<ValueSet xmlns="http://hl7.org/fhir">
  <id value="onc-empathy-index-vs"/>
  <text>
    <status value="extensions"/>
    <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 &#x1F4E6;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>
  </text>
  <url value="https://opennursingcoreig.com/ValueSet/onc-empathy-index-vs"/>
  <version value="1.0.0"/>
  <name value="ONCEmpathyIndexVS"/>
  <title value="ONC Empathy &amp; Relational Engagement Index"/>
  <status value="active"/>
  <date value="2026-01-27T09:30:37+00:00"/>
  <publisher value="The Open Nursing Community"/>
  <description
               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."/>
  <compose>
    <include>
      <system
              value="https://opennursingcoreig.com/CodeSystem/onc-observation-codes"/>
      <concept>
        <code value="empathy-1"/>
        <display
                 value="Low Empathy: Task-focused interaction with minimal person-centred engagement."/>
      </concept>
      <concept>
        <code value="empathy-2"/>
        <display
                 value="Basic Empathy: Professional interaction with patient identity acknowledged."/>
      </concept>
      <concept>
        <code value="empathy-3"/>
        <display
                 value="Moderate Empathy: Active relational engagement with shared decision making."/>
      </concept>
      <concept>
        <code value="empathy-4"/>
        <display
                 value="High Empathy: Authentic partnership with deep understanding of patient experience."/>
      </concept>
      <concept>
        <code value="empathy-5"/>
        <display
                 value="Relational Excellence: Flourishing partnership with total alignment on 'What Matters to Me'."/>
      </concept>
    </include>
  </compose>
</ValueSet>