SHIFT SLS ValueSets Implementation Guide
0.1.0 - 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 0.1.0 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

## : Abortion-Related Health Topics (Health Net California) - TTL Representation

Active as of 2023-01-01

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    @prefix fhir: <http://hl7.org/fhir/> .
    @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 xsd: <http://www.w3.org/2001/XMLSchema#> .

    # - resource -------------------------------------------------------------------

     a fhir:ValueSet ;
      fhir:nodeRole fhir:treeRoot ;
      fhir:id [ fhir:v "AB352AbortionTopicsHealthNet"] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet AB352AbortionTopicsHealthNet</b></p><a name=\"AB352AbortionTopicsHealthNet\"> </a><a name=\"hcAB352AbortionTopicsHealthNet\"> </a><ul><li>Include these codes as defined in <code>http://hl7.org/fhir/sid/icd-10-cm</code><span title=\"Version is not explicitly stated. No matching Code System found\"> version Not Stated (use latest from terminology server)</span><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td>O00.00</td><td style=\"color: #cccccc\">Abdominal pregnancy without intrauterine pregnancy</td></tr><tr><td>O00.01</td><td style=\"color: #cccccc\">Abdominal pregnancy with intrauterine pregnancy</td></tr><tr><td>O00.101</td><td style=\"color: #cccccc\">Right tubal pregnancy without intrauterine pregnancy</td></tr><tr><td>O00.102</td><td style=\"color: #cccccc\">Left tubal pregnancy without intrauterine pregnancy</td></tr><tr><td>O00.109</td><td style=\"color: #cccccc\">Unspecified tubal pregnancy without intrauterine pregnancy</td></tr><tr><td>O00.111</td><td style=\"color: #cccccc\">Right tubal pregnancy with intrauterine pregnancy</td></tr><tr><td>O00.112</td><td style=\"color: #cccccc\">Left tubal pregnancy with intrauterine pregnancy</td></tr><tr><td>O00.119</td><td style=\"color: #cccccc\">Unspecified tubal pregnancy with intrauterine pregnancy</td></tr><tr><td>O00.201</td><td style=\"color: #cccccc\">Right ovarian pregnancy without intrauterine pregnancy</td></tr><tr><td>O00.202</td><td style=\"color: #cccccc\">Left ovarian pregnancy without intrauterine pregnancy</td></tr><tr><td>O00.209</td><td style=\"color: #cccccc\">Unspecified ovarian pregnancy without intrauterine pregnancy</td></tr><tr><td>O00.211</td><td style=\"color: #cccccc\">Right ovarian pregnancy with intrauterine pregnancy</td></tr><tr><td>O00.212</td><td style=\"color: #cccccc\">Left ovarian pregnancy with intrauterine pregnancy</td></tr><tr><td>O00.219</td><td style=\"color: #cccccc\">Unspecified ovarian pregnancy with intrauterine pregnancy</td></tr><tr><td>O00.80</td><td style=\"color: #cccccc\">Other ectopic pregnancy without intrauterine pregnancy</td></tr><tr><td>O00.81</td><td style=\"color: #cccccc\">Other ectopic pregnancy with intrauterine pregnancy</td></tr><tr><td>O00.90</td><td style=\"color: #cccccc\">Unspecified ectopic pregnancy without intrauterine pregnancy</td></tr><tr><td>O00.91</td><td style=\"color: #cccccc\">Unspecified ectopic pregnancy with intrauterine pregnancy</td></tr><tr><td>O01.1</td><td style=\"color: #cccccc\">Incomplete and partial hydatidiform mole</td></tr><tr><td>O01.9</td><td style=\"color: #cccccc\">Hydatidiform mole, unspecified</td></tr><tr><td>O02.1</td><td style=\"color: #cccccc\">Missed abortion</td></tr><tr><td>O03.0</td><td style=\"color: #cccccc\">Genital tract and pelvic infection following incomplete spontaneous abortion</td></tr><tr><td>O03.1</td><td style=\"color: #cccccc\">Delayed or excessive hemorrhage following incomplete spontaneous abortion</td></tr><tr><td>O03.2</td><td style=\"color: #cccccc\">Embolism following incomplete spontaneous abortion</td></tr><tr><td>O03.30</td><td style=\"color: #cccccc\">Unspecified complication following incomplete spontaneous abortion</td></tr><tr><td>O03.32</td><td style=\"color: #cccccc\">Renal failure following incomplete spontaneous abortion</td></tr><tr><td>O03.33</td><td style=\"color: #cccccc\">Metabolic disorder following incomplete spontaneous abortion</td></tr><tr><td>O03.34</td><td style=\"color: #cccccc\">Damage to pelvic organs following incomplete spontaneous abortion</td></tr><tr><td>O03.35</td><td style=\"color: #cccccc\">Other venous complications following incomplete spontaneous abortion</td></tr><tr><td>O03.36</td><td style=\"color: #cccccc\">Cardiac arrest following incomplete spontaneous abortion</td></tr><tr><td>O03.37</td><td style=\"color: #cccccc\">Sepsis following incomplete spontaneous abortion</td></tr><tr><td>O03.38</td><td style=\"color: #cccccc\">Urinary tract infection following incomplete spontaneous abortion</td></tr><tr><td>O03.39</td><td style=\"color: #cccccc\">Incomplete spontaneous abortion with other complications</td></tr><tr><td>O03.4</td><td style=\"color: #cccccc\">Incomplete spontaneous abortion without complication</td></tr><tr><td>O03.5</td><td style=\"color: #cccccc\">Genital tract and pelvic infection following complete or unspecified spontaneous abortion</td></tr><tr><td>O03.6</td><td style=\"color: #cccccc\">Delayed or excessive hemorrhage following complete or unspecified spontaneous abortion</td></tr><tr><td>O03.7</td><td style=\"color: #cccccc\">Embolism following complete or unspecified spontaneous abortion</td></tr><tr><td>O03.80</td><td style=\"color: #cccccc\">Unspecified complication following complete or unspecified spontaneous abortion</td></tr><tr><td>O03.81</td><td style=\"color: #cccccc\">Shock following complete or unspecified spontaneous abortion</td></tr><tr><td>O03.82</td><td style=\"color: #cccccc\">Renal failure following complete or unspecified spontaneous abortion</td></tr><tr><td>O03.83</td><td style=\"color: #cccccc\">Metabolic disorder following complete or unspecified spontaneous abortion</td></tr><tr><td>O03.84</td><td style=\"color: #cccccc\">Damage to pelvic organs following complete or unspecified spontaneous abortion</td></tr><tr><td>O03.85</td><td style=\"color: #cccccc\">Other venous complications following complete or unspecified spontaneous abortion</td></tr><tr><td>O03.86</td><td style=\"color: #cccccc\">Cardiac arrest following complete or unspecified spontaneous abortion</td></tr><tr><td>O03.87</td><td style=\"color: #cccccc\">Sepsis following complete or unspecified spontaneous abortion</td></tr><tr><td>O03.88</td><td style=\"color: #cccccc\">Urinary tract infection following complete or unspecified spontaneous abortion</td></tr><tr><td>O03.89</td><td style=\"color: #cccccc\">Complete or unspecified spontaneous abortion with other complications</td></tr><tr><td>O03.9</td><td style=\"color: #cccccc\">Complete or unspecified spontaneous abortion without complication</td></tr><tr><td>O04.5</td><td style=\"color: #cccccc\">Genital tract and pelvic infection following (induced) termination of pregnancy</td></tr><tr><td>O04.6</td><td style=\"color: #cccccc\">Delayed or excessive hemorrhage following (induced) termination of pregnancy</td></tr><tr><td>O04.7</td><td style=\"color: #cccccc\">Embolism following (induced) termination of pregnancy</td></tr><tr><td>O04.80</td><td style=\"color: #cccccc\">(Induced) termination of pregnancy with unspecified complications</td></tr><tr><td>O04.81</td><td style=\"color: #cccccc\">Shock following (induced) termination of pregnancy</td></tr><tr><td>O04.82</td><td style=\"color: #cccccc\">Renal failure following (induced) termination of pregnancy</td></tr><tr><td>O04.83</td><td style=\"color: #cccccc\">Metabolic disorder following (induced) termination of pregnancy</td></tr><tr><td>O04.84</td><td style=\"color: #cccccc\">Damage to pelvic organs following (induced) termination of pregnancy</td></tr><tr><td>O04.85</td><td style=\"color: #cccccc\">Other venous complications following (induced) termination of pregnancy</td></tr><tr><td>O04.86</td><td style=\"color: #cccccc\">Cardiac arrest following (induced) termination of pregnancy</td></tr><tr><td>O04.87</td><td style=\"color: #cccccc\">Sepsis following (induced) termination of pregnancy</td></tr><tr><td>O04.88</td><td style=\"color: #cccccc\">Urinary tract infection following (induced) termination of pregnancy</td></tr><tr><td>O04.89</td><td style=\"color: #cccccc\">(Induced) termination of pregnancy with other complications</td></tr><tr><td>O07.0</td><td style=\"color: #cccccc\">Genital tract and pelvic infection following failed attempted termination of pregnancy</td></tr><tr><td>O07.1</td><td style=\"color: #cccccc\">Delayed or excessive hemorrhage following failed attempted termination of pregnancy</td></tr><tr><td>O07.2</td><td style=\"color: #cccccc\">Embolism following failed attempted termination of pregnancy</td></tr><tr><td>O07.30</td><td style=\"color: #cccccc\">Failed attempted termination of pregnancy with unspecified complications</td></tr><tr><td>O07.31</td><td style=\"color: #cccccc\">Shock following failed attempted termination of pregnancy</td></tr><tr><td>O07.32</td><td style=\"color: #cccccc\">Renal failure following failed attempted termination of pregnancy</td></tr><tr><td>O07.33</td><td style=\"color: #cccccc\">Metabolic disorder following failed attempted termination of pregnancy</td></tr><tr><td>O07.34</td><td style=\"color: #cccccc\">Damage to pelvic organs following failed attempted termination of pregnancy</td></tr><tr><td>O07.35</td><td style=\"color: #cccccc\">Other venous complications following failed attempted termination of pregnancy</td></tr><tr><td>O07.36</td><td style=\"color: #cccccc\">Cardiac arrest following failed attempted termination of pregnancy</td></tr><tr><td>O07.37</td><td style=\"color: #cccccc\">Sepsis following failed attempted termination of pregnancy</td></tr><tr><td>O07.38</td><td style=\"color: #cccccc\">Urinary tract infection following failed attempted termination of pregnancy</td></tr><tr><td>O07.39</td><td style=\"color: #cccccc\">Failed attempted termination of pregnancy with other complications</td></tr><tr><td>O07.4</td><td style=\"color: #cccccc\">Failed attempted termination of pregnancy without complication</td></tr><tr><td>O08.2</td><td style=\"color: #cccccc\">Embolism following ectopic and molar pregnancy</td></tr><tr><td>O08.3</td><td style=\"color: #cccccc\">Shock following ectopic and molar pregnancy</td></tr><tr><td>O08.4</td><td style=\"color: #cccccc\">Renal failure following ectopic and molar pregnancy</td></tr><tr><td>O08.82</td><td style=\"color: #cccccc\">Sepsis following ectopic and molar pregnancy</td></tr><tr><td>O08.83</td><td style=\"color: #cccccc\">Urinary tract infection following an ectopic and molar pregnancy</td></tr><tr><td>O08.89</td><td style=\"color: #cccccc\">Other complications following an ectopic and molar pregnancy</td></tr><tr><td>O20.0</td><td style=\"color: #cccccc\">Threatened abortion</td></tr><tr><td>O20.8</td><td style=\"color: #cccccc\">Other hemorrhage in early pregnancy</td></tr><tr><td>O20.9</td><td style=\"color: #cccccc\">Hemorrhage in early pregnancy, unspecified</td></tr><tr><td>Q89.7</td><td style=\"color: #cccccc\">Multiple congenital malformations, not elsewhere classified</td></tr><tr><td>Z33.2</td><td style=\"color: #cccccc\">Encounter for elective termination of pregnancy</td></tr><tr><td>Z64.0</td><td style=\"color: #cccccc\">Problems related to unwanted pregnancy</td></tr></table></li></ul></div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:url [
    fhir:v "http://SHIFT-Task-Force.github.io/slsValueSets/ValueSet/AB352AbortionTopicsHealthNet"^^xsd:anyURI ;
    fhir:l <http://SHIFT-Task-Force.github.io/slsValueSets/ValueSet/AB352AbortionTopicsHealthNet>
      ] ; #
      fhir:version [ fhir:v "0.1.0"] ; #
      fhir:name [ fhir:v "AB352AbortionTopicsHealthNet"] ; #
      fhir:title [ fhir:v "Abortion-Related Health Topics (Health Net California)"] ; #
      fhir:status [ fhir:v "active"] ; #
      fhir:experimental [ fhir:v false] ; #
      fhir:date [ fhir:v "2023-01-01T00:00:00Z"^^xsd:dateTime] ; #
      fhir:publisher [ fhir:v "SHIFT-Task-Force"] ; #
      fhir:contact ( [
    fhir:name [ fhir:v "SHIFT-Task-Force" ] ;
        ( fhir:telecom [
    fhir:system [ fhir:v "url" ] ;
    fhir:value [ fhir:v "http://shift-project.org" ]     ] )
      ] ) ; #
      fhir:description [ fhir:v "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.\n\n**Where the Explanation is Located:**\n\n1. **Provider Bulletin 24-351 (New Laws Help Safeguard Privacy):** Health Net (and its affiliate Wellcare) issued this bulletin to explain the requirements of AB 352. The bulletin explicitly identifies abortion and abortion-related services as \"Sensitive Services\" that must be:\n   - Segregated from the rest of the patient's medical record.\n   - Excluded from automatic sharing with the California Data Exchange Framework (DxF).\n   - Protected from out-of-state subpoenas or investigations.\n   - **Reference:** [Wellcare/Health Net Bulletin 24-351](https://providerlibrary.healthnetcalifornia.com/)\n\n2. **Health Net Provider Library - `Pregnancy Termination` Section:** The website hosts a dedicated page for pregnancy termination benefits. It explains that to comply with California laws (specifically SB 245 for cost-sharing and AB 352 for privacy), providers must use specific diagnosis codes. The 500073 PDF serves as the technical master list for these required codes.\n   - **Reference:** [Pregnancy Termination - Health Net Provider Library](https://providerlibrary.healthnetcalifornia.com/)\n\n3. **The PDF Itself:** The document title, `ICD-10-CM Codes for Abortion-Related Services,` is the direct label Health Net uses on its search results and directory pages to explain what the file contains. It lists codes ranging from O00 (Ectopic pregnancy) to Z33.2 (Encounter for elective termination).\n\n**How Health Net Directs Providers to Use This File:**\n\nAccording 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:\n- Block that data from being sent to out-of-state entities.\n- Prevent the data from being discovered in automated health information exchanges.\n\n**Direct Link to the Document:** [500073-Abortion-DX-Code-List.pdf](https://providerlibrary.healthnetcalifornia.com/content/dam/centene/healthnet/pdfs/providerlibrary/500073-Abortion-DX-Code-List.pdf)\n\n**Note:** This list may not be all-inclusive and is subject to change."] ; #
      fhir:useContext ( [
    fhir:code [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/usage-context-type"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/usage-context-type>       ] ;
    fhir:code [ fhir:v "focus" ]     ] ;
    fhir:value [
    a fhir:CodeableConcept ;
          ( fhir:coding [
    fhir:system [
    fhir:v "http://SHIFT-Task-Force.github.io/slsValueSets/CodeSystem/AB352HealthSensitivityCs"^^xsd:anyURI ;
    fhir:l <http://SHIFT-Task-Force.github.io/slsValueSets/CodeSystem/AB352HealthSensitivityCs>         ] ;
    fhir:code [ fhir:v "ABORTION" ]       ] )     ]
      ] ) ; #
      fhir:jurisdiction ( [
        ( fhir:coding [
    fhir:system [
    fhir:v "http://unstats.un.org/unsd/methods/m49/m49.htm"^^xsd:anyURI ;
    fhir:l <http://unstats.un.org/unsd/methods/m49/m49.htm>       ] ;
    fhir:code [ fhir:v "001" ]     ] )
      ] ) ; #
      fhir:compose [
    fhir:inactive [ fhir:v true ] ;
        ( fhir:include [
    fhir:system [
    fhir:v "http://hl7.org/fhir/sid/icd-10-cm"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/sid/icd-10-cm>       ] ;
          ( fhir:concept [
    fhir:code [ fhir:v "O00.00" ]       ] [
    fhir:code [ fhir:v "O00.01" ]       ] [
    fhir:code [ fhir:v "O00.101" ]       ] [
    fhir:code [ fhir:v "O00.102" ]       ] [
    fhir:code [ fhir:v "O00.109" ]       ] [
    fhir:code [ fhir:v "O00.111" ]       ] [
    fhir:code [ fhir:v "O00.112" ]       ] [
    fhir:code [ fhir:v "O00.119" ]       ] [
    fhir:code [ fhir:v "O00.201" ]       ] [
    fhir:code [ fhir:v "O00.202" ]       ] [
    fhir:code [ fhir:v "O00.209" ]       ] [
    fhir:code [ fhir:v "O00.211" ]       ] [
    fhir:code [ fhir:v "O00.212" ]       ] [
    fhir:code [ fhir:v "O00.219" ]       ] [
    fhir:code [ fhir:v "O00.80" ]       ] [
    fhir:code [ fhir:v "O00.81" ]       ] [
    fhir:code [ fhir:v "O00.90" ]       ] [
    fhir:code [ fhir:v "O00.91" ]       ] [
    fhir:code [ fhir:v "O01.1" ]       ] [
    fhir:code [ fhir:v "O01.9" ]       ] [
    fhir:code [ fhir:v "O02.1" ]       ] [
    fhir:code [ fhir:v "O03.0" ]       ] [
    fhir:code [ fhir:v "O03.1" ]       ] [
    fhir:code [ fhir:v "O03.2" ]       ] [
    fhir:code [ fhir:v "O03.30" ]       ] [
    fhir:code [ fhir:v "O03.32" ]       ] [
    fhir:code [ fhir:v "O03.33" ]       ] [
    fhir:code [ fhir:v "O03.34" ]       ] [
    fhir:code [ fhir:v "O03.35" ]       ] [
    fhir:code [ fhir:v "O03.36" ]       ] [
    fhir:code [ fhir:v "O03.37" ]       ] [
    fhir:code [ fhir:v "O03.38" ]       ] [
    fhir:code [ fhir:v "O03.39" ]       ] [
    fhir:code [ fhir:v "O03.4" ]       ] [
    fhir:code [ fhir:v "O03.5" ]       ] [
    fhir:code [ fhir:v "O03.6" ]       ] [
    fhir:code [ fhir:v "O03.7" ]       ] [
    fhir:code [ fhir:v "O03.80" ]       ] [
    fhir:code [ fhir:v "O03.81" ]       ] [
    fhir:code [ fhir:v "O03.82" ]       ] [
    fhir:code [ fhir:v "O03.83" ]       ] [
    fhir:code [ fhir:v "O03.84" ]       ] [
    fhir:code [ fhir:v "O03.85" ]       ] [
    fhir:code [ fhir:v "O03.86" ]       ] [
    fhir:code [ fhir:v "O03.87" ]       ] [
    fhir:code [ fhir:v "O03.88" ]       ] [
    fhir:code [ fhir:v "O03.89" ]       ] [
    fhir:code [ fhir:v "O03.9" ]       ] [
    fhir:code [ fhir:v "O04.5" ]       ] [
    fhir:code [ fhir:v "O04.6" ]       ] [
    fhir:code [ fhir:v "O04.7" ]       ] [
    fhir:code [ fhir:v "O04.80" ]       ] [
    fhir:code [ fhir:v "O04.81" ]       ] [
    fhir:code [ fhir:v "O04.82" ]       ] [
    fhir:code [ fhir:v "O04.83" ]       ] [
    fhir:code [ fhir:v "O04.84" ]       ] [
    fhir:code [ fhir:v "O04.85" ]       ] [
    fhir:code [ fhir:v "O04.86" ]       ] [
    fhir:code [ fhir:v "O04.87" ]       ] [
    fhir:code [ fhir:v "O04.88" ]       ] [
    fhir:code [ fhir:v "O04.89" ]       ] [
    fhir:code [ fhir:v "O07.0" ]       ] [
    fhir:code [ fhir:v "O07.1" ]       ] [
    fhir:code [ fhir:v "O07.2" ]       ] [
    fhir:code [ fhir:v "O07.30" ]       ] [
    fhir:code [ fhir:v "O07.31" ]       ] [
    fhir:code [ fhir:v "O07.32" ]       ] [
    fhir:code [ fhir:v "O07.33" ]       ] [
    fhir:code [ fhir:v "O07.34" ]       ] [
    fhir:code [ fhir:v "O07.35" ]       ] [
    fhir:code [ fhir:v "O07.36" ]       ] [
    fhir:code [ fhir:v "O07.37" ]       ] [
    fhir:code [ fhir:v "O07.38" ]       ] [
    fhir:code [ fhir:v "O07.39" ]       ] [
    fhir:code [ fhir:v "O07.4" ]       ] [
    fhir:code [ fhir:v "O08.2" ]       ] [
    fhir:code [ fhir:v "O08.3" ]       ] [
    fhir:code [ fhir:v "O08.4" ]       ] [
    fhir:code [ fhir:v "O08.82" ]       ] [
    fhir:code [ fhir:v "O08.83" ]       ] [
    fhir:code [ fhir:v "O08.89" ]       ] [
    fhir:code [ fhir:v "O20.0" ]       ] [
    fhir:code [ fhir:v "O20.8" ]       ] [
    fhir:code [ fhir:v "O20.9" ]       ] [
    fhir:code [ fhir:v "Q89.7" ]       ] [
    fhir:code [ fhir:v "Z33.2" ]       ] [
    fhir:code [ fhir:v "Z64.0" ]       ] )     ] )
      ] . #