Assessments of a health-related matter of interest, importance, or worry to a patient, patient’s family, or patient’s healthcare provider that could identify a need, problem, or condition.

Data Element

Information from the submission form

This data element carries information on Self-care that is exchanged as observations. (Observations are characteristics that can be tested, measured, or observed and are communicated with a name-value pair structure). Self-care is a broad domain. Using the conceptual framework of the the International Classification of Function (ICF), it includes aspects such as eating, caring for teeth, putting clothes on, etc. Notes: • This data element is constrained to health data represented in data structures for observations. Observations should be represented using terminologies supporting this conceptual model, such as LOINC, which is designed for this purpose. Representing problems, goals, and other types of information related to functioning should use other data class structures as appropriate. • Examples of Self-care concepts can be found in the ICF browser at: • Examples of demonstrated use of Self-care data can be found in the PACIO FHIR Functional Status Implementation Guide which supports exchange of observation data such as eating, oral hygiene, upper body dressing using assessments coded with LOINC.


Advance Self-care to USCDI Level 2

The data element "Self-care" is an important and consistently documented indicator of how someone takes care of themself.  The details of self-care are documented by healthcare providers at all levels of care.  Important concepts included in this data element are listed below:
  • Washing oneself
  • Caring for body parts
  • Toileting
  • Dressing
  • Eating
  • Drinking
  • Looking after one's health
The use of this data element and its associated concepts are well structured and described in the International Classification of Functioning, Disability and Health (ICF). Moving selfcare to USCDI Level 2 is an important recognition of widespread use and advancement.

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