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Source1

{
  "resourceType": "ValueSet",
  "id": "SHIFTBHEATSHIFTBHSOM",
  "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/SHIFTBHEATSHIFTBHSOM",
  "identifier": [
    {
      "system": "urn:ietf:rfc:3986",
      "value": "urn:oid:1.3.6.1.4.1.66281.3.1.48.22"
    }
  ],
  "version": "0.2.0",
  "name": "SHIFTBHEATSHIFTBHSOM",
  "title": "SHIFT BH EAT | SHIFT BH SOM",
  "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 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.; SHIFT BH SOM: Term is related to a somatization or functional disorder. Use ONLY when the term is exclusively characterized as a somatized or functional disorder; do not apply if the term could also be tagged under another category.\n\nIdentified as: ShiftCustomActSensitivityCodes#BHEAT, ShiftCustomActSensitivityCodes#BHSOM",
  "useContext": [
    {
      "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"
          }
        ]
      }
    },
    {
      "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": "BHSOM"
          }
        ]
      }
    }
  ],
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "001"
        }
      ]
    }
  ],
  "compose": {
    "inactive": true,
    "include": [
      {
        "system": "http://hl7.org/fhir/sid/icd-9-cm",
        "concept": [
          {
            "code": "307.53",
            "display": "Rumination disorder"
          },
          {
            "code": "307.54",
            "display": "Psychogenic vomiting"
          }
        ]
      },
      {
        "system": "http://snomed.info/sct",
        "concept": [
          {
            "code": "192630004"
          }
        ]
      }
    ]
  },
  "expansion": {
    "identifier": "urn:uuid:ec33c0e2-6afd-495e-ac62-24cb97a96ed4",
    "timestamp": "2026-09-17T11:42:30-05:00",
    "parameter": [
      {
        "name": "used-codesystem",
        "valueUri": "http://hl7.org/fhir/sid/icd-9-cm|2015"
      },
      {
        "name": "used-codesystem",
        "valueUri": "http://snomed.info/sct"
      }
    ],
    "contains": [
      {
        "system": "http://hl7.org/fhir/sid/icd-9-cm",
        "code": "307.53"
      },
      {
        "system": "http://hl7.org/fhir/sid/icd-9-cm",
        "code": "307.54"
      },
      {
        "system": "http://snomed.info/sct",
        "code": "192630004"
      }
    ]
  }
}