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Comment: Au response.

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CountryDateResponse
 The Netherlands 2020-01-08 We use some of the concepts in this hierarchy in our nursing problem reference list and value sets. So the (community) nurses can register this content in their systems. For example whether the housing is unsatisfactory, and what obstacles/iissues there are in and around the house like elevators.
 US  2020-01-08

 There is ample evidence of use for these concepts in value sets from VSAC (including in the CORE problem list), which is not surprising, since many of them account for social determinants of health. These value sets are developed by several organizations, including HL7.

Here is the detail of the codes, together with the steward of the value set.

Inadequate Home Environment – Steward: The Joint Commission
160721001 Housing unsuited to needs (finding)

Problem – Steward: HL7
105531004 Housing unsatisfactory (finding) SNOMEDCT 2019-09 2.16.840.1.113883.6.96
160721001 Housing unsuited to needs (finding) SNOMEDCT 2019-09 2.16.840.1.113883.6.96
161036002 Housing adequate (finding) SNOMEDCT 2019-09 2.16.840.1.113883.6.96
185960001 Housing problem solved (finding) SNOMEDCT 2019-09 2.16.840.1.113883.6.96
266935003 Housing lack (finding) SNOMEDCT 2019-09 2.16.840.1.113883.6.96
275643002 Housing - awaiting action (finding) SNOMEDCT 2019-09 2.16.840.1.113883.6.96
310853003 Housing report status (finding) SNOMEDCT 2019-09 2.16.840.1.113883.6.96
310855005 Housing report requested (finding) SNOMEDCT 2019-09 2.16.840.1.113883.6.96
310856006 Housing report sent (finding) SNOMEDCT 2019-09 2.16.840.1.113883.6.96
310857002 Housing report paid (finding) SNOMEDCT 2019-09 2.16.840.1.113883.6.96
365500004 Housing, local environment and transport finding (finding) SNOMEDCT 2019-09 2.16.840.1.113883.6.96
422491004 Housing contains exposed wiring (finding) SNOMEDCT 2019-09 2.16.840.1.113883.6.96
422712008 Housing contains unsafe equipment (finding) SNOMEDCT 2019-09 2.16.840.1.113883.6.96
422883004 Housing contains unsafe appliance (finding) SNOMEDCT 2019-09 2.16.840.1.113883.6.96
423155007 Housing contains structural barriers to movement (finding) SNOMEDCT 2019-09 2.16.840.1.113883.6.96
423824003 Housing structurally unsound (finding) SNOMEDCT 2019-09 2.16.840.1.113883.6.96
704045001 Housing assessment completed (situation)

Nursing Problem List Subset – Steward: Nursing Informatics Group Steward
105531004 Housing unsatisfactory (finding) SNOMEDCT 2019-09 2.16.840.1.113883.6.96
266935003 Housing lack (finding)

Procedure – Steward: HL7
225340009 Housing assessment (procedure) SNOMEDCT 2019-09 2.16.840.1.113883.6.96
385985008 Housing related procedures (regime/therapy) SNOMEDCT 2019-09 2.16.840.1.113883.6.96
410297008 Housing education, guidance, and counseling (procedure) SNOMEDCT 2019-09 2.16.840.1.113883.6.96
410341008 Housing case management (procedure) SNOMEDCT 2019-09 2.16.840.1.113883.6.96
410392000 Housing surveillance (regime/therapy)

Residence and Accommodation Type – Steward: MD Partners
105531004 Housing unsatisfactory (finding) SNOMEDCT 2019-09 2.16.840.1.113883.6.96
160721001 Housing unsuited to needs (finding) SNOMEDCT 2019-09 2.16.840.1.113883.6.96
161036002 Housing adequate (finding) SNOMEDCT 2019-09 2.16.840.1.113883.6.96
185960001 Housing problem solved (finding) SNOMEDCT 2019-09 2.16.840.1.113883.6.96
266935003 Housing lack (finding) SNOMEDCT 2019-09 2.16.840.1.113883.6.96
275643002 Housing - awaiting action (finding) SNOMEDCT 2019-09 2.16.840.1.113883.6.96
422491004 Housing contains exposed wiring (finding) SNOMEDCT 2019-09 2.16.840.1.113883.6.96
422712008 Housing contains unsafe equipment (finding) SNOMEDCT 2019-09 2.16.840.1.113883.6.96
422883004 Housing contains unsafe appliance (finding) SNOMEDCT 2019-09 2.16.840.1.113883.6.96
423155007 Housing contains structural barriers to movement (finding) SNOMEDCT 2019-09 2.16.840.1.113883.6.96
423824003 Housing structurally unsound (finding)

SNOMED CT CORE Problem List – Steward: NLM
105531004 Housing unsatisfactory (finding) SNOMEDCT 2019-09 2.16.840.1.113883.6.96
266935003 Housing lack (finding)

Social History Type – Steward: HL7
442133001 Housing history (observable entity)

Social Indications – Steward: The Joint Commission
266935003 Housing lack (finding)

Social Reasons S – Steward: Lantana
105531004 Housing unsatisfactory (finding) SNOMEDCT 2019-09 2.16.840.1.113883.6.96
266935003 Housing lack (finding) SNOMEDCT 2019-09 2.16.840.1.113883.6.96
275643002 Housing - awaiting action (finding) SNOMEDCT 2019-09 2.16.840.1.113883.6.96
423824003 Housing structurally unsound (finding)


 Australia 30/1/2020 Sorry Cathy, I just realised I hadn't posted my feedback on this one. We've nothing in our national spefications, but I suspected HL7 as confirmed by US response above (I had a look through FHIR specs and couldn't find anything, though they might have some). Only implementations we're aware of are at least one hospital, that might use these in "alerts". E.g. "Housing structurally unsound" as a warning for home visits. We don't hany visibility on their use though.   
   
   
   
   
   
Member countries without a CMAG rep  

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