FHIR R4 Symptoms Implementation Guide
1.0.0-ballot - STU 1 Ballot 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 1.0.0-ballot 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

: AbdominalPainSymptom

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 "AbdominalPainSymptom"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/uv/symptoms/StructureDefinition/SymptomObservation"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/uv/symptoms/StructureDefinition/SymptomObservation>     ] )
  ] ; # 
  fhir:language [ fhir:v "en"] ; # 
  fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en\" lang=\"en\"><p class=\"res-header-id\"><b>Generated Narrative: Observation AbdominalPainSymptom</b></p><a name=\"AbdominalPainSymptom\"> </a><a name=\"hcAbdominalPainSymptom\"> </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\">Language: en</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-SymptomObservation.html\">Symptom Observation</a></p></div><p><b>Supporting info</b>: <a href=\"Observation-ConstipationSymptom.html\">Observation Symptom</a></p><p><b>Supporting info</b>: <a href=\"Observation-AbdominalDiscomfortSymptom.html\">Observation Symptom</a></p><p><b>Supporting info</b>: <a href=\"Observation-WeightLossSymptom.html\">Observation Symptom</a></p><p><b>Supporting info</b>: <a href=\"Observation-UnmedicatedAbdominalPainSymptom.html\">Observation Symptom</a></p><p><b>Supporting info</b>: <a href=\"Observation-MedicatedAbdominalPainSymptom.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-MrDoe.html\">Doe  Male, DoB Unknown</a></p><p><b>effective</b>: 2025-09-01 13:22:17+0200 --&gt; (ongoing)</p><p><b>issued</b>: 2025-11-10 13:42:17+0200</p><p><b>performer</b>: <a href=\"Patient-MrDoe.html\">Doe  Male, DoB Unknown</a></p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 21522001}\">Abdominal pain (finding)</span></p><p><b>bodySite</b>: <span title=\"Codes:{http://snomed.info/sct 113276009}\">Intestinal structure (body structure)</span></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 56823-8}\">Problem quality or description</span></p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 279093005}\">Cramping pain</span></p></blockquote><blockquote><p><b>component</b></p><p><b>Assessment Scale Information</b>: <a href=\"Observation-InitialPainAssessmentCollection.html\">Observation Pain scale [Type]</a></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 24484000}\">Severe</span></p></blockquote><blockquote><p><b>component</b></p><p><b>Functional Assessment</b>: <a href=\"Observation-AppetiteFunctionalAssessmentCollection.html\">Observation Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Measures Panel</a></p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/sid/icf b1302}\">Appetite</span></p><p><b>value</b>: <span title=\"Codes:{http://loinc.org LA6568-5}\">Not at all</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 89261-2}\">Clinical course</span></p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 18131002}\">Acute fulminating</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 231877006}\">Worse</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 99495-4}\">Speed of condition onset</span></p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 385315009}\">Sudden onset</span></p></blockquote></div>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:extension ( [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo>     ] ;
fhir:value [
a fhir:Reference ;
fhir:l fhir:Observation/ConstipationSymptom ;
fhir:reference [ fhir:v "Observation/ConstipationSymptom" ]     ]
  ] [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo>     ] ;
fhir:value [
a fhir:Reference ;
fhir:l fhir:Observation/AbdominalDiscomfortSymptom ;
fhir:reference [ fhir:v "Observation/AbdominalDiscomfortSymptom" ]     ]
  ] [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo>     ] ;
fhir:value [
a fhir:Reference ;
fhir:l fhir:Observation/WeightLossSymptom ;
fhir:reference [ fhir:v "Observation/WeightLossSymptom" ]     ]
  ] [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo>     ] ;
fhir:value [
a fhir:Reference ;
fhir:l fhir:Observation/UnmedicatedAbdominalPainSymptom ;
fhir:reference [ fhir:v "Observation/UnmedicatedAbdominalPainSymptom" ]     ]
  ] [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo>     ] ;
fhir:value [
a fhir:Reference ;
fhir:l fhir:Observation/MedicatedAbdominalPainSymptom ;
fhir:reference [ fhir:v "Observation/MedicatedAbdominalPainSymptom" ]     ]
  ] ) ; # 
  fhir:status [ fhir:v "final"] ; # 
  fhir:category ( [
    ( fhir:coding [
fhir:system [
fhir:v "http://hl7.org/fhir/uv/symptoms/CodeSystem/SymptomTemporary"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/uv/symptoms/CodeSystem/SymptomTemporary>       ] ;
fhir:code [ fhir:v "symptom" ]     ] )
  ] ) ; # 
  fhir:code [
    ( fhir:coding [
a loinc:75325-1 ;
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org>       ] ;
fhir:code [ fhir:v "75325-1" ] ;
fhir:display [ fhir:v "Symptom" ]     ] )
  ] ; # 
  fhir:subject [
fhir:l fhir:Patient/MrDoe ;
fhir:reference [ fhir:v "Patient/MrDoe" ]
  ] ; # 
  fhir:effective [
a fhir:Period ;
fhir:start [ fhir:v "2025-09-01T13:22:17.239+02:00"^^xsd:dateTime ]
  ] ; # 
  fhir:issued [ fhir:v "2025-11-10T13:42:17.239+02:00"^^xsd:dateTime] ; # 
  fhir:performer ( [
fhir:l fhir:Patient/MrDoe ;
fhir:reference [ fhir:v "Patient/MrDoe" ]
  ] ) ; # 
  fhir:value [
a fhir:CodeableConcept ;
    ( fhir:coding [
a sct:21522001 ;
fhir:system [
fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
fhir:l <http://snomed.info/sct>       ] ;
fhir:code [ fhir:v "21522001" ]     ] ) ;
fhir:text [ fhir:v "Abdominal pain (finding)" ]
  ] ; # 
  fhir:bodySite [
    ( fhir:coding [
a sct:113276009 ;
fhir:system [
fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
fhir:l <http://snomed.info/sct>       ] ;
fhir:code [ fhir:v "113276009" ] ;
fhir:display [ fhir:v "Intestinal structure (body structure)" ]     ] )
  ] ; # 
  fhir:component ( [
fhir:code [
      ( fhir:coding [
a loinc:56823-8 ;
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org>         ] ;
fhir:code [ fhir:v "56823-8" ] ;
fhir:display [ fhir:v "Problem quality or description" ]       ] )     ] ;
fhir:value [
a fhir:CodeableConcept ;
      ( fhir:coding [
a sct:279093005 ;
fhir:system [
fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
fhir:l <http://snomed.info/sct>         ] ;
fhir:code [ fhir:v "279093005" ]       ] )     ]
  ] [
    ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/uv/symptoms/StructureDefinition/AssessmentScaleInformation"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/uv/symptoms/StructureDefinition/AssessmentScaleInformation>       ] ;
fhir:value [
a fhir:Reference ;
fhir:l fhir:Observation/InitialPainAssessmentCollection ;
fhir:reference [ fhir:v "Observation/InitialPainAssessmentCollection" ]       ]     ] ) ;
fhir:code [
      ( fhir:coding [
a loinc:64750-3 ;
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org>         ] ;
fhir:code [ fhir:v "64750-3" ] ;
fhir:display [ fhir:v "Severity of symptoms" ]       ] )     ] ;
fhir:value [
a fhir:CodeableConcept ;
      ( fhir:coding [
a sct:24484000 ;
fhir:system [
fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
fhir:l <http://snomed.info/sct>         ] ;
fhir:code [ fhir:v "24484000" ]       ] )     ]
  ] [
    ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/uv/symptoms/StructureDefinition/FunctionalAssessment"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/uv/symptoms/StructureDefinition/FunctionalAssessment>       ] ;
fhir:value [
a fhir:Reference ;
fhir:l fhir:Observation/AppetiteFunctionalAssessmentCollection ;
fhir:reference [ fhir:v "Observation/AppetiteFunctionalAssessmentCollection" ]       ]     ] ) ;
fhir:code [
      ( fhir:coding [
fhir:system [
fhir:v "http://hl7.org/fhir/sid/icf"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/sid/icf>         ] ;
fhir:code [ fhir:v "b1302" ]       ] )     ] ;
fhir:value [
a fhir:CodeableConcept ;
      ( fhir:coding [
a loinc:LA6568-5 ;
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org>         ] ;
fhir:code [ fhir:v "LA6568-5" ]       ] )     ]
  ] [
fhir:code [
      ( fhir:coding [
a loinc:89261-2 ;
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org>         ] ;
fhir:code [ fhir:v "89261-2" ] ;
fhir:display [ fhir:v "Clinical course" ]       ] )     ] ;
fhir:value [
a fhir:CodeableConcept ;
      ( fhir:coding [
a sct:18131002 ;
fhir:system [
fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
fhir:l <http://snomed.info/sct>         ] ;
fhir:code [ fhir:v "18131002" ]       ] )     ]
  ] [
fhir:code [
      ( fhir:coding [
a loinc:89253-9 ;
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org>         ] ;
fhir:code [ fhir:v "89253-9" ] ;
fhir:display [ fhir:v "Trend" ]       ] )     ] ;
fhir:value [
a fhir:CodeableConcept ;
      ( fhir:coding [
a sct:231877006 ;
fhir:system [
fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
fhir:l <http://snomed.info/sct>         ] ;
fhir:code [ fhir:v "231877006" ]       ] )     ]
  ] [
fhir:code [
      ( fhir:coding [
a loinc:99495-4 ;
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org>         ] ;
fhir:code [ fhir:v "99495-4" ] ;
fhir:display [ fhir:v "Speed of condition onset" ]       ] )     ] ;
fhir:value [
a fhir:CodeableConcept ;
      ( fhir:coding [
a sct:385315009 ;
fhir:system [
fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
fhir:l <http://snomed.info/sct>         ] ;
fhir:code [ fhir:v "385315009" ]       ] )     ]
  ] ) . #