<ValueSet xmlns="http://hl7.org/fhir">
  <id value="spark1185" />
  <meta>
    <versionId value="spark1354" />
    <lastUpdated value="2015-10-02T14:00:14.549+00:00" />
    <profile value="http://hl7.org/fhir/StructureDefinition/valueset-shareable-definition" />
  </meta>
  <text>
    <status value="generated" />
    <div xmlns="http://www.w3.org/1999/xhtml">
      <h2>QICore Observation Delta Value Set Definition</h2>
      <p>Code indicating how the current observation compares to previous observations - e.g., no change, rising trend, decreasing trend, etc...</p>
      <p>This value set includes codes from the following code systems:</p>
      <ul>
        <li>Include these codes as defined in 
          <a href="../v2/0078/index.html">http://hl7.org/fhir/v2/0078</a><table><tr><td><b>Code</b></td><td><b>Display</b></td></tr><tr><td>B</td><td>Better-use when direction not relevant</td><td /></tr><tr><td>D</td><td>Significant change down</td><td /></tr><tr><td>U</td><td>Significant change up</td><td /></tr><tr><td>W</td><td>Worse-use when direction not relevant</td><td /></tr></table></li>
      </ul>
    </div>
  </text>
  <extension url="http://hl7.org/fhir/StructureDefinition/valueset-oid">
    <valueUri value="urn:oid:2.16.840.1.113883.4.642.2.0" />
  </extension>
  <url value="http://hl7.org/fhir/ValueSet/qicore-observation-delta" />
  <version value="0.1.0" />
  <name value="QICore Observation Delta Value Set Definition" />
  <status value="draft" />
  <experimental value="true" />
  <publisher value="HL7 Clinical Quality Information (CQI) Work Group" />
  <contact>
    <telecom>
      <system value="other" />
      <value value="http://www.hl7.org/Special/committees/cqi" />
    </telecom>
  </contact>
  <date value="2015-02-09" />
  <description value="Code indicating how the current observation compares to previous observations - e.g., no change, rising trend, decreasing trend, etc..." />
  <extensible value="true" />
  <compose>
    <include>
      <system value="http://hl7.org/fhir/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>