FHIR R4 Symptoms Implementation Guide
0.1.0 - ci-build International flag

FHIR R4 Symptoms Implementation Guide, published by HL7 International / Clinical Interoperability Council. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-symptoms-ig/ and changes regularly. See the Directory of published versions

: DizzinessSymptom - TTL Representation

Page standards status: Informative

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <https://loinc.org/rdf/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:Observation ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "DizzinessSymptom"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/uv/symptoms/StructureDefinition/SymptomObservation"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/uv/symptoms/StructureDefinition/SymptomObservation>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Observation DizzinessSymptom</b></p><a name=\"DizzinessSymptom\"> </a><a name=\"hcDizzinessSymptom\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-SymptomObservation.html\">Symptom Observation</a></p></div><p><b>Supporting info</b>: <a href=\"Observation-HearingLossSymptom.html\">Observation Symptom</a></p><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://hl7.org/fhir/uv/symptoms/CodeSystem/SymptomTemporary symptom}\">Symptom</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 75325-1}\">Symptom</span></p><p><b>subject</b>: <a href=\"Patient-JohnDoe.html\">John Doe  Male, DoB: 1953-02-21</a></p><p><b>effective</b>: 2025-09-25 13:22:17+0200 --&gt; 2025-10-16 13:42:17+0200</p><p><b>issued</b>: 2025-10-16 13:42:17+0200</p><p><b>performer</b>: <a href=\"Patient-JohnDoe.html\">John Doe  Male, DoB: 1953-02-21</a></p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 404640003}\">Dizziness (finding)</span></p><p><b>bodySite</b>: <span title=\"Codes:{http://snomed.info/sct 69536005}\">Head structure</span></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 64750-3}\">Severity of symptoms</span></p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 371923003}\">Mild to moderate (qualifier value)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 89253-9}\">Trend</span></p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 35105006}\">Increased</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 100752-5}\">Exacerbating factors - Reported</span></p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 303385001}\">Changes position</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 100753-3}\">Alleviating factors - Reported</span></p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 128975004}\">Resting state</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 104156-5}\">Condition frequency - Reported</span></p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 70232002}\">Frequent</span></p></blockquote><blockquote><p><b>component</b></p><p><b>Note</b>: @2025-10-16</p><blockquote><div><p>Not alleviated by rest</p>\n</div></blockquote><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/uv/symptoms/CodeSystem/SymptomTemporary OTHEREVENT}\">Other Events</span></p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 128975004}\">Resting state</span></p></blockquote></div>"^^rdf:XMLLiteral
  ] ; # 
  fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo"^^xsd:anyURI ] ;
fhir:value [
a fhir:Reference ;
fhir:reference [ fhir:v "Observation/HearingLossSymptom" ]     ]
  ] ) ; # 
  fhir:status [ fhir:v "final"] ; # 
  fhir:category ( [
    ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/uv/symptoms/CodeSystem/SymptomTemporary"^^xsd:anyURI ] ;
fhir:code [ fhir:v "symptom" ]     ] )
  ] ) ; # 
  fhir:code [
    ( fhir:coding [
a loinc:75325-1 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "75325-1" ] ;
fhir:display [ fhir:v "Symptom" ]     ] )
  ] ; # 
  fhir:subject [
fhir:reference [ fhir:v "Patient/JohnDoe" ]
  ] ; # 
  fhir:effective [
a fhir:Period ;
fhir:start [ fhir:v "2025-09-25T13:22:17.239+02:00"^^xsd:dateTime ] ;
fhir:end [ fhir:v "2025-10-16T13:42:17.239+02:00"^^xsd:dateTime ]
  ] ; # 
  fhir:issued [ fhir:v "2025-10-16T13:42:17.239+02:00"^^xsd:dateTime] ; # 
  fhir:performer ( [
fhir:reference [ fhir:v "Patient/JohnDoe" ]
  ] ) ; # 
  fhir:value [
a fhir:CodeableConcept ;
    ( fhir:coding [
a sct:404640003 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "404640003" ]     ] ) ;
fhir:text [ fhir:v "Dizziness (finding)" ]
  ] ; # 
  fhir:bodySite [
    ( fhir:coding [
a sct:69536005 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "69536005" ] ;
fhir:display [ fhir:v "Head structure" ]     ] )
  ] ; # 
  fhir:component ( [
fhir:code [
      ( fhir:coding [
a loinc:64750-3 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "64750-3" ] ;
fhir:display [ fhir:v "Severity of symptoms" ]       ] )     ] ;
fhir:value [
a fhir:CodeableConcept ;
      ( fhir:coding [
a sct:371923003 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "371923003" ]       ] )     ]
  ] [
fhir:code [
      ( fhir:coding [
a loinc:89253-9 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "89253-9" ] ;
fhir:display [ fhir:v "Trend" ]       ] )     ] ;
fhir:value [
a fhir:CodeableConcept ;
      ( fhir:coding [
a sct:35105006 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "35105006" ]       ] )     ]
  ] [
fhir:code [
      ( fhir:coding [
a loinc:100752-5 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "100752-5" ] ;
fhir:display [ fhir:v "Exacerbating factors - Reported" ]       ] )     ] ;
fhir:value [
a fhir:CodeableConcept ;
      ( fhir:coding [
a sct:303385001 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "303385001" ]       ] )     ]
  ] [
fhir:code [
      ( fhir:coding [
a loinc:100753-3 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "100753-3" ] ;
fhir:display [ fhir:v "Alleviating factors - Reported" ]       ] )     ] ;
fhir:value [
a fhir:CodeableConcept ;
      ( fhir:coding [
a sct:128975004 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "128975004" ]       ] )     ]
  ] [
fhir:code [
      ( fhir:coding [
a loinc:104156-5 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "104156-5" ] ;
fhir:display [ fhir:v "Condition frequency - Reported" ]       ] )     ] ;
fhir:value [
a fhir:CodeableConcept ;
      ( fhir:coding [
a sct:70232002 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "70232002" ]       ] )     ]
  ] [
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/note"^^xsd:anyURI ] ;
fhir:value [
a fhir:Annotation ;
fhir:time [ fhir:v "2025-10-16"^^xsd:date ] ;
fhir:text [ fhir:v "Not alleviated by rest" ]       ]     ] ) ;
fhir:code [
      ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/uv/symptoms/CodeSystem/SymptomTemporary"^^xsd:anyURI ] ;
fhir:code [ fhir:v "OTHEREVENT" ]       ] )     ] ;
fhir:value [
a fhir:CodeableConcept ;
      ( fhir:coding [
a sct:128975004 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "128975004" ]       ] )     ]
  ] ) . #