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Source1

{
  "resourceType": "ValueSet",
  "id": "SHIFTBHDEVSHIFTBHEAT",
  "meta": {
    "profile": [
      "http://SHIFT-Task-Force.github.io/SLS-ValueSets/StructureDefinition/ShiftSlsValueSet"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "url": "http://SHIFT-Task-Force.github.io/SLS-ValueSets/ValueSet/SHIFTBHDEVSHIFTBHEAT",
  "identifier": [
    {
      "system": "urn:ietf:rfc:3986",
      "value": "urn:oid:1.3.6.1.4.1.66281.3.1.48.18"
    }
  ],
  "version": "0.2.0",
  "name": "SHIFTBHDEVSHIFTBHEAT",
  "title": "SHIFT BH DEV | SHIFT BH EAT",
  "status": "active",
  "experimental": false,
  "date": "2026-08-01",
  "publisher": "SHIFT-Task-Force",
  "contact": [
    {
      "name": "SHIFT-Task-Force",
      "telecom": [
        {
          "system": "url",
          "value": "https://www.shiftinterop.org/"
        }
      ]
    }
  ],
  "description": "SHIFT BH DEV: Term is related to a developmental or intellectual disability, including autism spectrum disorder, motor tics, learning disabilities or delays, speech delay, ADHD, or similar. Excludes dementia, amnesia, and delirium (those are NCD).; SHIFT BH EAT: Term either (1) is the name of an eating disorder, body dysmorphic disorder, or similar body-image issue (diagnostic codes, e.g. anorexia nervosa, bulimia, binge eating disorder, ARFID, orthorexia, rumination, weight fixation, BDD), or (2) is a body-measurement / nutrition / obesity term that would be particularly triggering to a patient with an eating disorder if visible in their record - including diagnoses of obesity / morbid obesity / childhood obesity, behavioral counseling for obesity (HCPCS G0447 / G0473), and clinical measures of weight, BMI, or ideal body weight (BMI findings, body weight observable entities, underweight, abnormal/unintentional weight loss, dosing/dialysis/dry body weight). All body-measurement and obesity-finding rows in scope under (2) carry Etiology/Status = 'Medical' since the underlying etiology is medical/measurement rather than BH. Excludes organic eating disturbances such as pica or decreased appetite from medical causes. Excludes universal screening procedures with no ED-specific signal (nutritional assessment, malnutrition screening / MUST screening tools, generic 'at increased risk for nutritional problem' findings). Excludes developmental motor delays (e.g., developmental delay in feeding - that is DEV, not BH EAT). Excludes specialized non-triggering body-measurement contexts (birth weight, Broselow Luten pediatric resuscitation weight, pre-amputation body weight). Excludes generic quality-reporting BMI documentation codes (HCPCS G8417 / G8418 / G8420) that are universally documented in primary care and carry no meaningful BH signal. MEDICATIONS - EXCLUDED: weight-loss / anti-obesity drugs themselves do NOT belong in BH EAT (phentermine, phendimetrazine, diethylpropion, phentermine/topiramate (Qsymia), orlistat, naltrexone/bupropion, GLP-1 agonists). A weight-loss prescription indicates treatment of obesity, not an eating disorder, so its EHR presence is not a BH EAT signal. INCLUDED: medications FDA-approved to treat an eating disorder itself - lisdexamfetamine (Vyvanse), the only agent indicated for binge eating disorder - which is tagged 'SHIFT BH DEV | SHIFT BH EAT' since its dominant use remains ADHD. CONTRAST with the Shift SUD value sets: LABORATORY ASSAYS for anorectic weight-loss agents that are drugs of misuse DO carry Cross-Ref = EAT there, because a positive test for a diet drug can reflect the compensatory diet-pill misuse that DSM-5 describes in bulimia nervosa and anorexia nervosa binge-eating/purging type. The test is the eating-disorder signal; the prescription is not.\n\nIdentified as: ShiftCustomActSensitivityCodes#BHDEV, ShiftCustomActSensitivityCodes#BHEAT",
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        "code": "focus"
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://SHIFT-Task-Force.github.io/SLS-ValueSets/CodeSystem/ShiftCustomActSensitivityCodes",
            "code": "BHDEV"
          }
        ]
      }
    },
    {
      "code": {
        "system": "http://terminology.hl7.org/CodeSystem/usage-context-type",
        "code": "focus"
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://SHIFT-Task-Force.github.io/SLS-ValueSets/CodeSystem/ShiftCustomActSensitivityCodes",
            "code": "BHEAT"
          }
        ]
      }
    }
  ],
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "001"
        }
      ]
    }
  ],
  "compose": {
    "inactive": true,
    "include": [
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        "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
        "concept": [
          {
            "code": "700810",
            "display": "lisdexamfetamine"
          },
          {
            "code": "673579",
            "display": "lisdexamfetamine dimesylate"
          },
          {
            "code": "711043",
            "display": "Vyvanse"
          },
          {
            "code": "854830",
            "display": "lisdexamfetamine dimesylate 20 MG Oral Capsule"
          },
          {
            "code": "854834",
            "display": "lisdexamfetamine dimesylate 30 MG Oral Capsule"
          },
          {
            "code": "854838",
            "display": "lisdexamfetamine dimesylate 40 MG Oral Capsule"
          },
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            "code": "854842",
            "display": "lisdexamfetamine dimesylate 70 MG Oral Capsule"
          },
          {
            "code": "854846",
            "display": "lisdexamfetamine dimesylate 60 MG Oral Capsule"
          },
          {
            "code": "854850",
            "display": "lisdexamfetamine dimesylate 50 MG Oral Capsule"
          },
          {
            "code": "1593856",
            "display": "lisdexamfetamine dimesylate 10 MG Oral Capsule"
          },
          {
            "code": "1871456",
            "display": "lisdexamfetamine dimesylate 40 MG Chewable Tablet"
          },
          {
            "code": "1871460",
            "display": "lisdexamfetamine dimesylate 30 MG Chewable Tablet"
          },
          {
            "code": "1871462",
            "display": "lisdexamfetamine dimesylate 20 MG Chewable Tablet"
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            "code": "1871464",
            "display": "lisdexamfetamine dimesylate 10 MG Chewable Tablet"
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            "code": "1871466",
            "display": "lisdexamfetamine dimesylate 60 MG Chewable Tablet"
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            "code": "1871468",
            "display": "lisdexamfetamine dimesylate 50 MG Chewable Tablet"
          },
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            "code": "2726048",
            "display": "lisdexamfetamine dimesylate 10 MG/ML Oral Solution"
          },
          {
            "code": "854832",
            "display": "lisdexamfetamine dimesylate 20 MG Oral Capsule [Vyvanse]"
          },
          {
            "code": "854836",
            "display": "lisdexamfetamine dimesylate 30 MG Oral Capsule [Vyvanse]"
          },
          {
            "code": "854840",
            "display": "lisdexamfetamine dimesylate 40 MG Oral Capsule [Vyvanse]"
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          {
            "code": "854844",
            "display": "lisdexamfetamine dimesylate 70 MG Oral Capsule [Vyvanse]"
          },
          {
            "code": "854848",
            "display": "lisdexamfetamine dimesylate 60 MG Oral Capsule [Vyvanse]"
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            "code": "854852",
            "display": "lisdexamfetamine dimesylate 50 MG Oral Capsule [Vyvanse]"
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            "display": "lisdexamfetamine dimesylate 10 MG Oral Capsule [Vyvanse]"
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            "code": "1871459",
            "display": "lisdexamfetamine dimesylate 40 MG Chewable Tablet [Vyvanse]"
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            "code": "1871461",
            "display": "lisdexamfetamine dimesylate 30 MG Chewable Tablet [Vyvanse]"
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            "code": "1871463",
            "display": "lisdexamfetamine dimesylate 20 MG Chewable Tablet [Vyvanse]"
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            "code": "1871465",
            "display": "lisdexamfetamine dimesylate 10 MG Chewable Tablet [Vyvanse]"
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            "code": "1871467",
            "display": "lisdexamfetamine dimesylate 60 MG Chewable Tablet [Vyvanse]"
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            "code": "1871469",
            "display": "lisdexamfetamine dimesylate 50 MG Chewable Tablet [Vyvanse]"
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            "code": "2726055",
            "display": "lisdexamfetamine dimesylate 10 MG/ML Oral Solution [Arynta]"
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            "display": "lisdexamfetamine Oral Capsule"
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            "code": "1871455",
            "display": "lisdexamfetamine Chewable Tablet"
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            "code": "2726045",
            "display": "lisdexamfetamine Oral Solution"
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            "code": "705294",
            "display": "lisdexamfetamine Oral Capsule [Vyvanse]"
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            "code": "1871457",
            "display": "lisdexamfetamine Chewable Tablet [Vyvanse]"
          },
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            "code": "2726053",
            "display": "lisdexamfetamine Oral Solution [Arynta]"
          },
          {
            "code": "854829",
            "display": "lisdexamfetamine dimesylate 20 MG"
          },
          {
            "code": "854833",
            "display": "lisdexamfetamine dimesylate 30 MG"
          },
          {
            "code": "854837",
            "display": "lisdexamfetamine dimesylate 40 MG"
          },
          {
            "code": "854841",
            "display": "lisdexamfetamine dimesylate 70 MG"
          },
          {
            "code": "854845",
            "display": "lisdexamfetamine dimesylate 60 MG"
          },
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            "code": "854849",
            "display": "lisdexamfetamine dimesylate 50 MG"
          },
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            "code": "1593855",
            "display": "lisdexamfetamine dimesylate 10 MG"
          },
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            "code": "2726043",
            "display": "lisdexamfetamine dimesylate 10 MG/ML"
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            "code": "854831",
            "display": "lisdexamfetamine dimesylate 20 MG [Vyvanse]"
          },
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            "code": "854835",
            "display": "lisdexamfetamine dimesylate 30 MG [Vyvanse]"
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            "code": "854839",
            "display": "lisdexamfetamine dimesylate 40 MG [Vyvanse]"
          },
          {
            "code": "854843",
            "display": "lisdexamfetamine dimesylate 70 MG [Vyvanse]"
          },
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            "code": "854847",
            "display": "lisdexamfetamine dimesylate 60 MG [Vyvanse]"
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            "code": "854851",
            "display": "lisdexamfetamine dimesylate 50 MG [Vyvanse]"
          },
          {
            "code": "1593857",
            "display": "lisdexamfetamine dimesylate 10 MG [Vyvanse]"
          },
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            "code": "2726050",
            "display": "lisdexamfetamine dimesylate 10 MG/ML [Arynta]"
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  },
  "expansion": {
    "identifier": "urn:uuid:3f912410-de05-479c-9cf3-30ff1215cd8b",
    "timestamp": "2026-09-17T11:42:30-05:00",
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        "valueUri": "http://www.nlm.nih.gov/research/umls/rxnorm"
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}