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

: ChestPainSymptom

Page standards status: Informative

Raw ttl | Download


@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 "ChestPainSymptom"] ; # 
  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 ChestPainSymptom</b></p><a name=\"ChestPainSymptom\"> </a><a name=\"hcChestPainSymptom\"> </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-ShortnessOfBreathSymptom.html\">Observation Symptom</a></p><p><b>Supporting info</b>: <a href=\"Condition-Type2DiabetesMellitus.html\">Condition Type 2 diabetes mellitus</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-JaneDoe.html\">Jane Doe  Female, DoB: 1965-01-01</a></p><p><b>effective</b>: 2025-09-23 13:22:00+0200 --&gt; 2025-09-23 13:42:00+0200</p><p><b>issued</b>: 2025-09-15 13:28:17+0200</p><p><b>performer</b>: <a href=\"Patient-JaneDoe.html\">Jane Doe  Female, DoB: 1965-01-01</a></p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 22253000}\">Pain</span></p><p><b>bodySite</b>: <span title=\"Codes:{http://snomed.info/sct 51185008}\">Thoracic 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 279098001}\">Crushing pain</span></p></blockquote><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 6736007}\">Midgrade</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 226029000}\">Exercises</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 307486002}\">Single event</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/ShortnessOfBreathSymptom ;
fhir:reference [ fhir:v "Observation/ShortnessOfBreathSymptom" ]     ]
  ] [
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:Condition/Type2DiabetesMellitus ;
fhir:reference [ fhir:v "Condition/Type2DiabetesMellitus" ]     ]
  ] ) ; # 
  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/JaneDoe ;
fhir:reference [ fhir:v "Patient/JaneDoe" ]
  ] ; # 
  fhir:effective [
a fhir:Period ;
fhir:start [ fhir:v "2025-09-23T13:22:00.239+02:00"^^xsd:dateTime ] ;
fhir:end [ fhir:v "2025-09-23T13:42:00.239+02:00"^^xsd:dateTime ]
  ] ; # 
  fhir:issued [ fhir:v "2025-09-15T13:28:17.239+02:00"^^xsd:dateTime] ; # 
  fhir:performer ( [
fhir:l fhir:Patient/JaneDoe ;
fhir:reference [ fhir:v "Patient/JaneDoe" ]
  ] ) ; # 
  fhir:value [
a fhir:CodeableConcept ;
    ( fhir:coding [
a sct:22253000 ;
fhir:system [
fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
fhir:l <http://snomed.info/sct>       ] ;
fhir:code [ fhir:v "22253000" ]     ] ) ;
fhir:text [ fhir:v "Pain" ]
  ] ; # 
  fhir:bodySite [
    ( fhir:coding [
a sct:51185008 ;
fhir:system [
fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
fhir:l <http://snomed.info/sct>       ] ;
fhir:code [ fhir:v "51185008" ] ;
fhir:display [ fhir:v "Thoracic 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:279098001 ;
fhir:system [
fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
fhir:l <http://snomed.info/sct>         ] ;
fhir:code [ fhir:v "279098001" ]       ] )     ]
  ] [
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:6736007 ;
fhir:system [
fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
fhir:l <http://snomed.info/sct>         ] ;
fhir:code [ fhir:v "6736007" ]       ] )     ]
  ] [
fhir:code [
      ( fhir:coding [
a loinc:100752-5 ;
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org>         ] ;
fhir:code [ fhir:v "100752-5" ] ;
fhir:display [ fhir:v "Exacerbating factors - Reported" ]       ] )     ] ;
fhir:value [
a fhir:CodeableConcept ;
      ( fhir:coding [
a sct:226029000 ;
fhir:system [
fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
fhir:l <http://snomed.info/sct>         ] ;
fhir:code [ fhir:v "226029000" ]       ] )     ]
  ] [
fhir:code [
      ( fhir:coding [
a loinc:100753-3 ;
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org>         ] ;
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:l <http://snomed.info/sct>         ] ;
fhir:code [ fhir:v "128975004" ]       ] )     ]
  ] [
fhir:code [
      ( fhir:coding [
a loinc:104156-5 ;
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org>         ] ;
fhir:code [ fhir:v "104156-5" ] ;
fhir:display [ fhir:v "Condition frequency - Reported" ]       ] )     ] ;
fhir:value [
a fhir:CodeableConcept ;
      ( fhir:coding [
a sct:307486002 ;
fhir:system [
fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
fhir:l <http://snomed.info/sct>         ] ;
fhir:code [ fhir:v "307486002" ]       ] )     ]
  ] [
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" ]       ] )     ]
  ] ) . #