Generated Narrative: ValueSet ShiftAllSensitivityCodes

This value set includes codes based on the following rules:

• Include these codes as defined in http://SHIFT-Task-Force.github.io/SLS-ValueSets/CodeSystem/ShiftCustomActSensitivityCodes version 📦0.2.0

  Code	Display	Definition
  ABORTION	ABORTION	Elective termination of a pregnancy, including medical abortifacients and surgical abortion procedures, plus gynecologic procedures such as dilation and curettage that are also used in abortion. Includes a history of abortion. Miscarriage is NOT here (it is SHIFT PREG).
  BHAGG	BH AGG	Term is related to aggressive or violent behavior, including medications used as chemical restraint, physical restraint procedures, and screening tools for violent behaviors. Excludes terms indicating the patient was the victim of violence; applies only to terms indicating the patient committed or is likely to commit aggressive or violent acts. Purpose of use: identify EHR terms suggesting the patient may have a history of, or be prone to, aggressive or violent behavior. RxNorm-specific scope: include only chemical-restraint medications/formulations (typically short-acting IM forms - IM haloperidol short-acting, IM ziprasidone, IM olanzapine short-acting, IM aripiprazole short-acting, IM droperidol, IM chlorpromazine, IM lorazepam, IM midazolam, IM diphenhydramine in restraint cocktails, IM ketamine for severe agitation). Cross-tag with SHIFT BH CORE only when the same formulation is also routinely used for daily BH treatment (e.g., IM lorazepam = AGG | CORE). PO forms of these molecules go in BH CORE only. Long-acting depot injectables (haloperidol decanoate, olanzapine pamoate, paliperidone palmitate, aripiprazole long-acting) go in BH CORE only - they are maintenance, not chemical restraint.
  BHDEV	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).
  BHEAT	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.
  BHNCD	BH NCD	Term is related to a neurocognitive disorder, including dementia, delirium, and amnesia.
  BHPERS	BH PERS	Term is related to a defined personality disorder. Reserved for clearly defined and diagnosed fixed personality disorders, not personality traits.
  BHSOM	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.
  CONTRACEPTION	CONTRACEPTION	Contraception and family planning, including emergency contraception. Excludes abortion and medical abortifacients.
  FERTILITY	FERTILITY	Infertility issues and fertility treatments, including assisted reproductive technology (ART) and in vitro fertilization (IVF).
  GAC	GAC	Gender-affirming care: any social, psychological, behavioural or medical (including hormonal treatment or surgery) intervention designed to support and affirm an individual's gender identity. Includes breast reconstruction and hair implants for cis-gendered individuals as well as transgender care, and terms capturing a patient's preferred gender identity, pronouns, and preferred name.
  PREG	PREG	Pregnancy, peripartum, and postpartum data, including comorbidities (e.g., gestational diabetes), breastfeeding, postpartum depression, and pregnancy complications. Includes preconception screening tests and counseling. Miscarriage is classified here (not SHIFT ABORTION).
  REPROOTHER	REPRO OTHER	Other reproductive-health issues: gynecologic routine care/disease (e.g., endometriosis)/cancer (e.g., ovarian cancer); male reproductive-tract routine care (e.g., prostate cancer screening)/disease/cancer (e.g., epididymitis, testicular torsion, testicular cancer); menopause; low testosterone; menorrhagia; PCOS; etc.
  STI	STI	All sexually transmitted infections, including those also transmissible by other routes (e.g., blood) but frequently transmitted by sexual contact, and including HIV-related terms and comorbidities.
  SUDAMPH	SUD AMPH	Term related to amphetamine misuse or amphetamine use disorders (including methamphetamine).
  SUDCBD	SUD CBD	Term related to cannabis misuse or cannabis use disorders (including synthetic cannabinoids and nabilone).
  SUDCOC	SUD COC	Term related to cocaine misuse or cocaine use disorders.
  SUDETOH	SUD ETOH	Term related to alcohol misuse or alcohol use disorder.
  SUDHAL	SUD HAL	Term related to hallucinogen misuse or hallucinogen use disorders (LSD, psilocybin, mescaline, DMT, PCP/phencyclidine, ketamine, MDMA-as-hallucinogen).
  SUDINH	SUD INH	Term related to inhalant misuse or inhalant use disorders (toluene, glue, solvents, nitrous oxide, alkyl nitrites/poppers).
  SUDOPD	SUD OPD	Term related to opioid misuse or opioid use disorders (heroin, morphine, codeine, oxycodone, hydrocodone, fentanyl, methadone, buprenorphine, tramadol, etc.).
  SUDOTH	SUD OTH	Term related to other addictive disorders (gambling, sun/sunbed addiction, laxative abuse, caffeine, dextromethorphan).
  SUDPOLY	SUD POLY	Term related to polysubstance, mixed substance, or combined substance use (involves multiple substances simultaneously).
  SUDSED	SUD SED	Term related to sedative, hypnotic, or anxiolytic misuse or use disorders (benzodiazepines, barbiturates, Z-drugs, antiepileptics).
  SUDTOB	SUD TOB	Term related to tobacco/nicotine misuse or tobacco use disorders.
  ShiftOtherBreast	ShiftOtherBreast	Local SHIFT Sensitivity Code ShiftOtherBreast

• Include these codes as defined in http://terminology.hl7.org/CodeSystem/v3-ActCode version 📦11.0.0

  Code	Display	Definition
  BH	behavioral health information sensitivity	Policy for handling information related to behavioral and emotional disturbances affecting social adjustment and physical health, which is afforded heightened confidentiality. *Usage Note:* If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law in addition to this more generic code.
  SEX	sexuality and reproductive health information sensitivity	Policy for handling sexuality and reproductive health information, which will be afforded heightened confidentiality. Information handling protocols based on organizational policies related to sexuality and reproductive health information that is deemed sensitive. *Usage Note:* If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.
  SUD	substance use disorder information sensitivity	Policy for handling information related to alcohol or drug use disorders and conditions caused by these disorders, which is afforded heightened confidentiality. *Usage Note:* If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law in addition to this more generic code.