SHIFT SLS ValueSets Implementation Guide
0.0.1 - ci-build
SHIFT SLS ValueSets Implementation Guide
0.0.1 - ci-build
SHIFT SLS ValueSets Implementation Guide, published by SHIFT-Task-Force. This guide is not an authorized publication; it is the continuous build for version 0.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/SHIFT-Task-Force/SLS-ValueSets/ and changes regularly. See the Directory of published versions
This page provides a list of the FHIR artifacts defined as part of this implementation guide.
These define sets of codes used by systems conforming to this implementation guide.
| AB352 Segmentation Tags |
ValueSet of security labels used to segment AB352-sensitive health information in meta.security. |
| Abortion-Related Health Topics (Health Net California) |
Health Net explains and references 500073-Abortion-DX-Code-List.pdf file primarily within its Provider Library and through Provider Bulletins related to legislative compliance. The specific explanation is found in the context of Assembly Bill (AB) 352, which mandates the segregation and protection of sensitive health data. Where the Explanation is Located:
How Health Net Directs Providers to Use This File: According to the site's AB 352 guidance, Health Net recommends that IT and Billing departments download this PDF and use the listed codes to create firewalls in EHR systems. If a patient's record contains any code found in 500073-Abortion-DX-Code-List.pdf, the system should automatically:
Direct Link to the Document: 500073-Abortion-DX-Code-List.pdf Note: This list may not be all-inclusive and is subject to change. |
| Contraception-Related Health Topics |
Clinical concepts related to contraception drawn from LOINC, SNOMED CT, and ICD-10-CM. Intended for segmentation of sensitive reproductive health information under AB352. This ValueSet does not include code recommendations from Health Net California. Health Net California does not have a single source document for contraception-related codes similar to their abortion-related code list. Instead, Health Net references multiple sources, including the DHCS Family PACT Code List, within various policy documents.
|
| Gender-Affirming Care Codes (Health Net California) |
CPT and ICD-10-CM codes referenced in Health Net California's clinical policy 'HNCA.CP.MP.496 - Gender Affirming Procedures'. Intended for segmentation of gender-affirming care under AB352. Health Net Bulletin 24-351 Health Net's bulletin 24-351 explicitly tells providers that services defined in policies like HNCA.CP.MP.496 must be:
Where to Find and Download HNCA.CP.MP.496.pdf Health Net maintains this policy in several locations within their provider libraries:
|
| Synthea Codes for attention_deficit_disorder |
A ValueSet containing all clinical codes found in the sensitive Synthea module: attention_deficit_disorder. |
| Synthea Codes for cerebral_palsy |
A ValueSet containing all clinical codes found in the sensitive Synthea module: cerebral_palsy. |
| Synthea Codes for cystic_fibrosis |
A ValueSet containing all clinical codes found in the sensitive Synthea module: cystic_fibrosis. |
| Synthea Codes for dementia |
A ValueSet containing all clinical codes found in the sensitive Synthea module: dementia. |
| Synthea Codes for opioid_addiction |
A ValueSet containing all clinical codes found in the sensitive Synthea module: opioid_addiction. |
| Synthea Codes for pregnancy |
A ValueSet containing all clinical codes found in the sensitive Synthea module: pregnancy. |
| Synthea Codes for self_harm |
A ValueSet containing all clinical codes found in the sensitive Synthea module: self_harm. |
| Synthea Codes for spina_bifida |
A ValueSet containing all clinical codes found in the sensitive Synthea module: spina_bifida. |
| Synthea Cognitive Disability Codes |
A comprehensive ValueSet encompassing codes from all Synthea modules related to cognitive and neurological disabilities. |
| Synthea Genetic Disability Codes |
A comprehensive ValueSet encompassing codes from all Synthea modules related to genetic diseases. |
| Synthea Mental and Behavioral Health Codes |
A comprehensive ValueSet encompassing codes from all Synthea modules related to mental health conditions, including ADD, PTSD, and self-harm events. |
| Synthea Reproductive Health Codes |
A comprehensive ValueSet encompassing codes from all Synthea modules related to reproductive health, including pregnancy, contraception, and sexual activity. |
| Synthea Substance Abuse Codes |
A comprehensive ValueSet encompassing codes from all Synthea modules related to Opioid Addiction, OUD treatment, and chronic pain prescribing. |
| ValueSet - Example Behavioral Health Codes |
Example set of codes representing behavioral health conditions requiring special privacy protections Identified as: v3-ActCode#BH |
| ValueSet - Example Hallucinogen Codes |
Example set of codes representing hallucinogen abuse requiring special privacy protections Identified as: local#hallucinogen and local#bh_substances/SUD |
| ValueSet - Example Opioid Codes |
Example set of codes representing opioid abuse requiring special privacy protections. Identified as: local#opioid |
| ValueSet - Example Sensitive Kind Codes |
Example set of codes representing kinds of sensitive information requiring special privacy protections |
| ValueSet - Example Sexuality and Reproductive Health Codes |
Example set of codes representing sexuality and reproductive health requiring special privacy protections Identified as: v3-ActCode#SEX |
| ValueSet - Example Substance Use Codes |
Example set of codes representing substance use requiring special privacy protections. Inclusive of medications, conditions, and observations; as no matter where these codes show up they would indicate the sensitivity kind SUD. Identified as: SUD |
| clinical codes that indicate ETH |
codes that when found in data would indicate the data is likely ETH related ETH - substance abuse information sensitivity (alcohol or drug-abuse information)
|
| clinical codes that indicate ETH |
codes that when found in data would indicate the data is likely ETH related ETH - substance abuse information sensitivity (alcohol or drug-abuse information) These valueSets are |
| clinical codes that indicate ETHUD |
codes that when found in data would indicate the data is likely ETHUD related ETHUD - alcohol abuse information sensitivity (alcohol abuse information)
|
| clinical codes that indicate HIV |
HIV/AIDS information
|
| clinical codes that indicate OPIOIDUD |
codes that when found in data would indicate the data is likely OPIOIDUD related OPIOIDUD - Opioid substance abuse information sensitivity (drug-abuse information)
|
| clinical codes that indicate PSY |
codes that when found in data would indicate the data is likely PSY related PSY - psychiatry disorder information sensitivity ??should this include MH (Mental Health), PSYTHPN (psychotherapy note), and SUD (substance use)??
|
| clinical codes that indicate SDV |
SDV - Sexual assault, abuse or domestic violence ??should this also include SEX (sexuality and reproductive health information sensitivity), PREGNANT (pregnancy), STD (sexually transmitted disease)? The SAMHSA valuesets seem to be labeled as if they are only about sexuality and reproductive health, but do include sexual abuse and sexually transmitted disease.
|
These define new code systems used by systems conforming to this implementation guide.
| CodeSystem - Local Sensitive Kind Codes |
Local CodeSystem for Sensitive Kind Codes used in meta.security labels |
| Health Information Sensitivity Categories |
Code system defining sensitivity categories for health information segmentation under California AB352. Note did not use HL7 v2-ActCodes as two of the three categories are not represented there, and the GENDER code may be more broad than GENDER_AFFIRMING_CARE as intended here. |
These are example instances that show what data produced and consumed by systems conforming with this implementation guide might look like.
| AB352 Organizational Privacy Consent - Allow All |
A FHIR Consent instance that is an explicit consent for AB 352 protected data, with provisions that reflect Patient allowing all access.
|
| AB352 Organizational Privacy Consent - breath |
A FHIR Consent instance that is an explicit consent for AB 352 protected data, with provisions that reflect the statutory requirements, with auto-filter bypassed for in-state recipients. Breath first - not possible with R6 consent structure, but shown here for clarity.
|
| AB352 Organizational Privacy Consent - depth |
A FHIR Consent instance that is an explicit consent for AB 352 protected data, with provisions that reflect the statutory requirements, with auto-filter bypassed for in-state recipients.
|
| AB352 Organizational Privacy Consent - four deep |
A FHIR Consent instance that is an explicit consent for AB 352 protected data, with provisions that reflect the statutory requirements, with auto-filter bypassed for in-state recipients, and exception for data from 2014.
|
| California Location |
Location resource representing California for use in Consent provisions. |