STU-1642 - patients home environment

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    • Type: Change Request
    • Resolution: Persuasive with Modification
    • Priority: Highest
    • C-CDA Templates Clinical Notes (CDA)
    • 2.1.0 [deprecated]
    • Structured Documents
    • Value sets [deprecated]
    • Hide

      We will update the value set and add a Jira issue to recommend improving the purpose statement of template.

      And we will reach out to the Gravity project for subsequent improvements.

      Show
      We will update the value set and add a Jira issue to recommend improving the purpose statement of template. And we will reach out to the Gravity project for subsequent improvements.
    • Rob M / Lisa N : 19-0-0
    • Clarification
    • Non-substantive

      Specification - Extended

      HL7 CDA® R2 IG: C-CDA Templates for Clinical Notes DSTU Release 2.1 - US Realm

      Document Description

      extended per extended per TSC tracker 12437, again with 14128 and jira.hl7.org/browse/TSC-38

      Existing Wording

      This template represents the patient's home environment including, but not limited to, type of residence (trailer, single family home, assisted living), living arrangement (e.g., alone, with parents), and housing status (e.g., evicted, homeless, home owner). . . . 5. SHALL contain exactly one [1..1] code (CONF:1098-31352). a. This code SHALL contain exactly one [1..1] @code="75274-1" Characteristics of residence (CONF:1098-31353). b. This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.6.1" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:1098-31354). 6. SHALL contain exactly one [1..1] statusCode (CONF:1098-27901). a. This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: ActStatus urn:oid:2.16.840.1.113883.5.14 STATIC) (CONF:1098-27902). 7. SHALL contain exactly one [1..1] value with @xsi:type="CD", where the code SHOULD be selected from ValueSet Residence and Accommodation Type urn:oid:2.16.840.1.113883.11.20.9.49 DYNAMIC (CONF:1098-28823). Table 247: Residence and Accommodation Type Value Set: Residence and Accommodation Type urn:oid:2.16.840.1.113883.11.20.9.49 A value set of SNOMED-CT codes descending from "365508006" "Residence and accommodation circumstances - finding" reflecting type of residence, status of accommodations, living situation and environment. Value Set Source: https://vsac.nlm.nih.gov Code Code System Code System OID Print Name 424661000 SNOMED CT urn:oid:2.16.840.1.113883.6.96 cluttered living space (finding) 160708008 SNOMED CT urn:oid:2.16.840.1.113883.6.96 stairs in house (finding) 160751007 SNOMED CT urn:oid:2.16.840.1.113883.6.96 eviction from dwelling (finding) 423859003 SNOMED CT urn:oid:2.16.840.1.113883.6.96 crowded living space (finding) 160720000 SNOMED CT urn:oid:2.16.840.1.113883.6.96 harassment by landlord (finding) 105529008 SNOMED CT urn:oid:2.16.840.1.113883.6.96 lives alone (finding) 60585007 SNOMED CT urn:oid:2.16.840.1.113883.6.96 slum area living (finding) 365508006 SNOMED CT urn:oid:2.16.840.1.113883.6.96 unsatisfactory living conditions (finding) 422491004 SNOMED CT urn:oid:2.16.840.1.113883.6.96 housing contains exposed wiring (finding) ...

      Proposed Wording

      Either change the description to reflect a single concept and the type of information represented by the value set, or add the concepts/value sets for type of residence, living arrangement, and housing status. Regardless of the approach, the value set(s) should be reviewed to include the concepts indicated (type of residence (trailer, single family home, assisted living), living arrangement (e.g., alone, with parents), and housing status (e.g., evicted, homeless, home owner))

            Assignee:
            Unassigned
            Reporter:
            Lori Fourquet
            Watchers:
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              Created:
              Updated:
              Resolved: