{
  "resourceType": "ValueSet",
  "id": "qicore-observation-delta",
  "meta": {
    "profile": [
      "http://hl7.org/fhir/StructureDefinition/shareablevalueset"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<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>"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/valueset-extensible",
      "valueBoolean": true
    }
  ],
  "url": "http://hl7.org/fhir/us/qicore/ValueSet/qicore-observation-delta",
  "version": "4.1.0",
  "name": "QICoreObservationDelta",
  "title": "QICore Observation Delta Value Set Definition",
  "status": "draft",
  "experimental": false,
  "date": "2018-08-22",
  "publisher": "http://www.hl7.org/Special/committees/cqi/index.cfm",
  "contact": [
    {
      "name": "Clinical Quality Information WG",
      "telecom": [
        {
          "system": "url",
          "value": "http://www.hl7.org/Special/committees/cqi"
        }
      ]
    }
  ],
  "description": "Code indicating how the current observation compares to previous observations - e.g., no change, rising trend, decreasing trend, etc...",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "US"
        }
      ]
    }
  ],
  "compose": {
    "include": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v2-0078",
        "concept": [
          {
            "code": "B",
            "display": "Better-use when direction not relevant"
          },
          {
            "code": "D",
            "display": "Significant change down"
          },
          {
            "code": "U",
            "display": "Significant change up"
          },
          {
            "code": "W",
            "display": "Worse-use when direction not relevant"
          }
        ]
      }
    ]
  }
}