Data Element

Information from the submission form

Domestic Life/ Instrumental Activities of Daily Living (IADLs)
Description
This data element carries information on Domestic Life/IADL that is exchanged as observations. (Observations are characteristics that can be tested, measured, or observed and are communicated with a name-value pair structure). Domestic Life/IADL is a broad domain. Using the conceptual framework of the the International Classification of Function (ICF), it includes aspects such as preparing simple meals, cleaning living area, shopping, 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 Domestic Life/IADL concepts can be found in the ICF browser at: https://apps.who.int/classifications/icfbrowser • Examples of demonstrated use of Domestic Life/IADL data can be found in the PACIO FHIR Functional Status Implementation Guide which supports exchange of observation data such as make light hot meal, light daily housework, light shopping using assessments coded with LOINC.

Comment

Advance Domestic Life to USCDI Level 2

The data element "domestic life" is an important and consistently documented indicator of how someone performs domestic and everyday actions and tasks.  Often referred to as “Instrumental Activities of Daily Living” (IADLs), these details are documented by healthcare providers at all levels of care.  Important concepts included in this data element are listed below:
  • Acquisition of necessities
  • Household tasks
  • Caring for household objects and assisting others
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 the "Domestic Life" data element to USCDI Level 2 is an important recognition of widespread use and advancement.

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