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HdBe-LivingSituation

CBB	Description	Status
HdBe-LivingSituation	The living situation is the physical environment in which the patient normally lives, sleeps, keeps their clothing, etc. Purpose The goal is to take stock of the patient’s current living situation. This is in regard to any current or future problems the patient encounters or could encounter when living with the disease and the patient’s (future) constraints. There are many reasons to ask about the patient’s living situation. The living situation can be relevant in the patient’s wish to live in their own home independently in the event of disease and/or disability. Furthermore, the living situation is important in evaluating the risks of falling, particularly among people living alone.	active

CBB

Description

Status

The living situation is the physical environment in which the patient normally lives, sleeps, keeps their clothing, etc.

Purpose

The goal is to take stock of the patient’s current living situation. This is in regard to any current or future problems the patient encounters or could encounter when living with the disease and the patient’s (future) constraints. There are many reasons to ask about the patient’s living situation. The living situation can be relevant in the patient’s wish to live in their own home independently in the event of disease and/or disability. Furthermore, the living situation is important in evaluating the risks of falling, particularly among people living alone.

active

LivingSituation			LivingSituation	Element id LivingSituation Short description LivingSituation Definition Root concept of the LivingSituation information model. This root concept contains all data elements of the LivingSituation information model. Data type LivingSituation Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
id		0..1	string	There are no (further) constraints on this element Element id LivingSituation.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id LivingSituation.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
HouseType		0..1	CodeableConceptBinding	Element id LivingSituation.HouseType Short description HouseType Definition Type of home the patient lives in. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data type CodeableConcept Binding HouseType codes TypeOfHome (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
HomeAdaption		0..*	CodeableConceptBinding	Element id LivingSituation.HomeAdaption Short description HomeAdaption Definition Adaptions present in the home that have been made in the context of the illness or disability to make the functioning of the patient safer and more comfortable and to enable independent living. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data type CodeableConcept Binding HomeAdaption codes HomeAdaption (extensible) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
LivingCondition		0..*	CodeableConceptBinding	Element id LivingSituation.LivingCondition Short description LivingCondition Definition Conditions that affect the accessibility of the home or the stay in the home. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data type CodeableConcept Binding LivingCondition codes HomeAccessibility (extensible) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
Comment		0..1	string	Element id LivingSituation.Comment Short description Comment Definition Comments in free text on problems or details of the patient’s living situation that may be relevant. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a

LivingSituation		0..*
LivingSituation.HouseType	CodeableConcept	0..1
LivingSituation.HomeAdaption	CodeableConcept	0..*
LivingSituation.LivingCondition	CodeableConcept	0..*
LivingSituation.Comment	string	0..1

LivingSituation
Definition	Root concept of the LivingSituation information model. This root concept contains all data elements of the LivingSituation information model.
Cardinality	0...*
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a
LivingSituation.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
LivingSituation.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a rim: N/A
LivingSituation.HouseType
Definition	Type of home the patient lives in.
Cardinality	0...1
Type	CodeableConcept
Binding	HouseType codes TypeOfHome (required)
Comments	Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
LivingSituation.HomeAdaption
Definition	Adaptions present in the home that have been made in the context of the illness or disability to make the functioning of the patient safer and more comfortable and to enable independent living.
Cardinality	0...*
Type	CodeableConcept
Binding	HomeAdaption codes HomeAdaption (extensible)
Comments	Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
LivingSituation.LivingCondition
Definition	Conditions that affect the accessibility of the home or the stay in the home.
Cardinality	0...*
Type	CodeableConcept
Binding	LivingCondition codes HomeAccessibility (extensible)
Comments	Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
LivingSituation.Comment
Definition	Comments in free text on problems or details of the patient’s living situation that may be relevant.
Cardinality	0...1
Type	string
Comments	Note that FHIR strings SHALL NOT exceed 1MB in size
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a

Example instances

LivingSituation
HouseType	257630004 - House (code by SNOMED CT)
HomeAdaption	465153004 - Stairlift, chair (code by SNOMED CT) 465302005 - Assistive toilet (code by SNOMED CT)
LivingCondition	424661000 - Cluttered living space (code by SNOMED CT)
Comment	The cluttered living space becomes increasingly a problem.

zib LivingSituation-v3.3 difference

Concept	Category	Description
`HouseType`	terminology	Replaced TypeOfHome concepts with SNOMED terminology and removed concepts not relevant in the Belgian context.

Terminology Bindings

Path	Name	Strength	URL
HouseType	TypeOfHome	required	https://fhir.healthdata.be/ValueSet/TypeOfHome
HomeAdaption	HomeAdaption	extensible	https://fhir.healthdata.be/ValueSet/HomeAdaption
LivingCondition	HomeAccessibility	extensible	https://fhir.healthdata.be/ValueSet/HomeAccessibility