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Source1

{
  "resourceType": "ValueSet",
  "id": "ShiftBHSHIFTBHEAT",
  "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/ShiftBHSHIFTBHEAT",
  "identifier": [
    {
      "system": "urn:ietf:rfc:3986",
      "value": "urn:oid:1.3.6.1.4.1.66281.3.1.48.20"
    }
  ],
  "version": "0.2.0",
  "name": "ShiftBHSHIFTBHEAT",
  "title": "SHIFT BH EAT",
  "status": "active",
  "experimental": false,
  "date": "2026-08-01",
  "publisher": "SHIFT-Task-Force",
  "contact": [
    {
      "name": "SHIFT-Task-Force",
      "telecom": [
        {
          "system": "url",
          "value": "http://shift-project.org"
        }
      ]
    }
  ],
  "description": "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#BHEAT",
  "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"
          }
        ]
      }
    }
  ],
  "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-10-cm",
        "concept": [
          {
            "code": "F50.01",
            "display": "Anorexia Nervosa"
          },
          {
            "code": "F50.02",
            "display": "Anorexia Nervosa"
          },
          {
            "code": "F50.9",
            "display": "Unspecified Feeding or Eating Disorder (UFED)"
          },
          {
            "code": "F50.2",
            "display": "Bulimia Nervosa"
          },
          {
            "code": "F50.81",
            "display": "Binge-Eating Disorder"
          },
          {
            "code": "F98.21",
            "display": "Rumination Disorder"
          },
          {
            "code": "F50.82",
            "display": "Avoidant/Restrictive Food Intake Disorder (ARFID)"
          },
          {
            "code": "F50.89",
            "display": "Other Specified Feeding or Eating Disorder (OSFED)"
          },
          {
            "code": "E66.0",
            "display": "Obesity due to excess calories"
          },
          {
            "code": "E66.01",
            "display": "Morbid (severe) obesity due to excess calories"
          },
          {
            "code": "E66.3",
            "display": "Overweight"
          },
          {
            "code": "E66.9",
            "display": "Obesity, unspecified"
          },
          {
            "code": "F50",
            "display": "Eating disorders"
          },
          {
            "code": "F50.00",
            "display": "Anorexia nervosa, unspecified"
          },
          {
            "code": "F50.010",
            "display": "Anorexia nervosa, restricting type, mild"
          },
          {
            "code": "F50.011",
            "display": "Anorexia nervosa, restricting type, moderate"
          },
          {
            "code": "F50.012",
            "display": "Anorexia nervosa, restricting type, severe"
          },
          {
            "code": "F50.013",
            "display": "Anorexia nervosa, restricting type, extreme"
          },
          {
            "code": "F50.014",
            "display": "Anorexia nervosa, restricting type, in remission"
          },
          {
            "code": "F50.019",
            "display": "Anorexia nervosa, restricting type, unspecified"
          },
          {
            "code": "F50.020",
            "display": "Anorexia nervosa, binge eating/purging type, mild"
          },
          {
            "code": "F50.021",
            "display": "Anorexia nervosa, binge eating/purging type, moderate"
          },
          {
            "code": "F50.022",
            "display": "Anorexia nervosa, binge eating/purging type, severe"
          },
          {
            "code": "F50.023",
            "display": "Anorexia nervosa, binge eating/purging type, extreme"
          },
          {
            "code": "F50.024",
            "display": "Anorexia nervosa, binge eating/purging type, in remission"
          },
          {
            "code": "F50.029",
            "display": "Anorexia nervosa, binge eating/purging type, unspecified"
          },
          {
            "code": "F50.20",
            "display": "Bulimia nervosa, unspecified"
          },
          {
            "code": "F50.21",
            "display": "Bulimia nervosa, mild"
          },
          {
            "code": "F50.22",
            "display": "Bulimia nervosa, moderate"
          },
          {
            "code": "F50.23",
            "display": "Bulimia nervosa, severe"
          },
          {
            "code": "F50.24",
            "display": "Bulimia nervosa, extreme"
          },
          {
            "code": "F50.25",
            "display": "Bulimia nervosa, in remission"
          },
          {
            "code": "F50.8",
            "display": "Other eating disorders"
          },
          {
            "code": "F50.810",
            "display": "Binge eating disorder, mild"
          },
          {
            "code": "F50.811",
            "display": "Binge eating disorder, moderate"
          },
          {
            "code": "F50.812",
            "display": "Binge eating disorder, severe"
          },
          {
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            "display": "Binge eating disorder, extreme"
          },
          {
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            "display": "Binge eating disorder, in remission"
          },
          {
            "code": "F50.819",
            "display": "Binge eating disorder, unspecified"
          },
          {
            "code": "F50.84",
            "display": "Rumination disorder in adults"
          },
          {
            "code": "F55",
            "display": "Abuse of non-psychoactive substances"
          },
          {
            "code": "F55.2",
            "display": "Abuse of laxatives"
          },
          {
            "code": "F55.3",
            "display": "Abuse of steroids or hormones"
          },
          {
            "code": "F98",
            "display": "Other behavioral and emotional disorders with onset usually occurring in childhood and adolescence"
          },
          {
            "code": "F98.29",
            "display": "Other feeding disorders of infancy and early childhood"
          },
          {
            "code": "R63.0",
            "display": "Anorexia"
          },
          {
            "code": "R63.2",
            "display": "Polyphagia"
          },
          {
            "code": "R63.30",
            "display": "Feeding difficulties, unspecified"
          },
          {
            "code": "R63.39",
            "display": "Other feeding difficulties"
          },
          {
            "code": "R63.4",
            "display": "Abnormal weight loss"
          },
          {
            "code": "R63.5",
            "display": "Abnormal weight gain"
          },
          {
            "code": "R63.6",
            "display": "Underweight"
          },
          {
            "code": "Z68",
            "display": "Body mass index [BMI]"
          },
          {
            "code": "Z68.1",
            "display": "Body mass index [BMI] 19.9 or less, adult"
          },
          {
            "code": "Z68.3",
            "display": "Body mass index [BMI] 30-39, adult"
          },
          {
            "code": "Z68.30",
            "display": "Body mass index [BMI] 30.0-30.9, adult"
          }
        ]
      },
      {
        "system": "http://hl7.org/fhir/sid/icd-9-cm",
        "concept": [
          {
            "code": "307.1",
            "display": "Anorexia Nervosa"
          },
          {
            "code": "307.5",
            "display": "Unspecified Feeding or Eating Disorder (UFED)"
          },
          {
            "code": "307.51",
            "display": "Bulimia Nervosa"
          },
          {
            "code": "307.53",
            "display": "Rumination Disorder"
          },
          {
            "code": "307.59",
            "display": "Avoidant/Restrictive Food Intake Disorder (ARFID)"
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          {
            "code": "278",
            "display": "Overweight, obesity and other hyperalimentation"
          },
          {
            "code": "783",
            "display": "Anorexia"
          },
          {
            "code": "783.1",
            "display": "Abnormal weight gain"
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            "display": "Feeding difficulties and mismanagement"
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          {
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            "display": "Polyphagia"
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          {
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            "display": "Morbid obesity"
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            "display": "Overweight"
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            "code": "307.50",
            "display": "Eating disorder, unspecified"
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            "display": "Loss of weight"
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