<?xml version="1.0" encoding="UTF-8"?>

<ValueSet xmlns="http://hl7.org/fhir">
  <id value="qicore-observation-delta"/>
  <meta>
    <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"/>
  </meta>
  <text>
    <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><ul><li>Include these codes as defined in <a href="http://hl7.org/fhir/R4/v2/0078/index.html"><code>http://terminology.hl7.org/CodeSystem/v2-0078</code></a><table class="none"><tr><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td></tr><tr><td><a href="http://hl7.org/fhir/R4/v2/0078/index.html#v2-0078-B">B</a></td><td>Better-use when direction not relevant</td></tr><tr><td><a href="http://hl7.org/fhir/R4/v2/0078/index.html#v2-0078-D">D</a></td><td>Significant change down</td></tr><tr><td><a href="http://hl7.org/fhir/R4/v2/0078/index.html#v2-0078-U">U</a></td><td>Significant change up</td></tr><tr><td><a href="http://hl7.org/fhir/R4/v2/0078/index.html#v2-0078-W">W</a></td><td>Worse-use when direction not relevant</td></tr></table></li></ul></div>
  </text>
  <extension url="http://hl7.org/fhir/StructureDefinition/valueset-extensible">
    <valueBoolean value="true"/>
  </extension>
  <url value="http://hl7.org/fhir/us/qicore/ValueSet/qicore-observation-delta"/>
  <version value="4.1.0"/>
  <name value="QICoreObservationDelta"/>
  <title value="QICore Observation Delta Value Set Definition"/>
  <status value="draft"/>
  <experimental value="false"/>
  <date value="2018-08-22"/>
  <publisher value="http://www.hl7.org/Special/committees/cqi/index.cfm"/>
  <contact>
    <name value="Clinical Quality Information WG"/>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/cqi"/>
    </telecom>
  </contact>
  <description value="Code indicating how the current observation compares to previous observations - e.g., no change, rising trend, decreasing trend, etc..."/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="US"/>
    </coding>
  </jurisdiction>
  <compose>
    <include>
      <system value="http://terminology.hl7.org/CodeSystem/v2-0078"/>
      <concept>
        <code value="B"/>
        <display value="Better-use when direction not relevant"/>
      </concept>
      <concept>
        <code value="D"/>
        <display value="Significant change down"/>
      </concept>
      <concept>
        <code value="U"/>
        <display value="Significant change up"/>
      </concept>
      <concept>
        <code value="W"/>
        <display value="Worse-use when direction not relevant"/>
      </concept>
    </include>
  </compose>
</ValueSet>