Important: This is a draft IG for trial use. Click here to give feedback.

HdBe-SituationVie

CBB	Concept	Status
HdBe-LivingSituation	La situation de vie est l'environnement physique dans lequel le patient vit normalement, dort, possède ses vêtements, etc. Purpose Le but est de faire le point sur la situation de vie actuelle du patient. Cela concerne tout problème actuel ou futur que le patient rencontre ou pourrait rencontrer en vivant avec la maladie, ainsi que les limitations (futures) du patient. Il existe de nombreuses raisons de s'enquérir de la situation de vie du patient. La situation de vie peut être pertinente dans le souhait du patient de vivre de manière indépendante dans sa propre habitation en cas de maladie et/ou d'incapacité. En outre, la situation de vie est importante pour évaluer les risques de chute, en particulier chez les personnes vivant seules.	active

CBB

Concept

Status

HdBe-LivingSituation

La situation de vie est l'environnement physique dans lequel le patient vit normalement, dort, possède ses vêtements, etc.

Purpose

Le but est de faire le point sur la situation de vie actuelle du patient. Cela concerne tout problème actuel ou futur que le patient rencontre ou pourrait rencontrer en vivant avec la maladie, ainsi que les limitations (futures) du patient. Il existe de nombreuses raisons de s'enquérir de la situation de vie du patient. La situation de vie peut être pertinente dans le souhait du patient de vivre de manière indépendante dans sa propre habitation en cas de maladie et/ou d'incapacité. En outre, la situation de vie est importante pour évaluer les risques de chute, en particulier chez les personnes vivant seules.

active

LivingSituation			LivingSituation	Element id LivingSituation Short description SituationVie Definition Concept root du modèle d'information SituationVie. Ce concept root contient tous les éléments de données du modèle d'information SituationVie. 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 TypeHabitation Definition Type d'habitation dans lequel réside le patient. 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 Codes TypeHabitation 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 AdaptationLogement Definition Adaptations présentes dans le logement qui ont été apportées dans le contexte de la maladie ou de l'incapacité, afin de rendre le fonctionnement du patient plus sûr et plus confortable et de lui permettre une vie autonome. 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 Codes AdaptationLogement 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 ConditionVie Definition Conditions qui affectent l'accessibilité du logement ou le séjour dans le logement. 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 Codes ConditionVie 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 Commentaire Definition Commentaires en texte libre sur des problèmes ou des détails de la situation de vie du patient qui peuvent être pertinents. 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