| Submitted By: Raymonde Uy / National Association of Community Health Centers (NACHC) | |
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| Data Element Information | |
| Use Case Description(s) | |
| Use Case Description | The Use Case for sexual health and activity is to best identify patients at risk for STIs and unintended pregnancy and to appropriately engage patients in ongoing sexual screening and contraceptive services. This is important for primary and preventive care as well as for both research and public health use cases. 1. https://ecqi.healthit.gov/mcw/2020/ecqm-dataelement/assessmentperformedsexuallyactive.html 2. https://www.ncbi.nlm.nih.gov/medgen/537028 3. https://dphhs.mt.gov/Portals/85/hrd/documents/MTDAPHRequiredClinicalDataElements20180907.xlsx Note: *eCQM Data Element “Assessment, Performed: Sexually Active” is limited to vaginal intercourse, and does not capture or include sexual activity data elements that are related to sexually transmitted infections secondary to sexual activity aside from vaginal intercourse. |
| Estimated number of stakeholders capturing, accessing using or exchanging | Most healthcare institutions caring for sexually-transmitted conditions and all federally qualified health centers (FQHCs) gather data about sexual activity. This encompasses, in 2019, 29 million patients at 1400+ FQHCs with more than 13000 health care delivery sites. The evaluation of social determinants of health, however, should be considered a required component of a patient-centered, value-based approach to care and therefore should be potentially relevant for any patient or care setting. |
| Healthcare Aims |
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| Maturity of Use and Technical Specifications for Data Element | |
| Applicable Standard(s) | SNOMED CT: (Parent code and all children codes in the hierarchy) 414254005 - Finding of frequency of sexual activity (finding) 162171002 - Currently not sexually active (finding) 228453005 - Sexually active (finding) *LOINC 64728-9 - Have you ever had vaginal intercourse [PhenX] *Note Montana's Department of Public Health and Human Services (DPHHS) includes SNOMED CT codes in their “Adolescent Wellness” Registry, addressing the “STI Screening” measure, together with the “Chlamydia Screening in Women” measure. |
| Additional Specifications | http://build.fhir.org/ig/hspc/ACOG-OPA-IG/output/ |
| Current Use | Extensively used in production environments |
| Number of organizations/individuals with which this data element has been electronically exchanged | 5 or more. This data element has been tested at scale between multiple different production environments to support the majority of anticipated stakeholders. |
| Potential Challenges | |
| Restrictions on Standardization (e.g. proprietary code) | None |
| Restrictions on Use (e.g. licensing, user fees) | None |
| Privacy and Security Concerns | This information can be seen as 'sensitive' information. |
| Estimate of Overall Burden | Minimal |
Data Element |
Information from the submission form |
|---|---|
| Sexual Activity |
Description
Information on the sexual activity of the patient
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Submitted by RUy on 2022-09-30
Sexual Activity as SDOH data element under USCDI or ISA
NACHC would like to resupport this data element for consideration / inclusion to USCDIv3. All federally qualified health centers (FQHCs) gather SDOH data, which includes a focus on this data element through the PRAPARE screening tool. This data is relevant to and encompasses in 2019 29 million patients at 1400+ FQHCs with more than 13000 health care delivery sites. If this data element is not considered for addition to USCDI, we would like to comment on it's addition to ISA as a coded data element under SDOH, with applicable standards and representation accross ICD-10-CM, SNOMED-CT and LOINC. Please see attached document supporting this.2022-09-30 NACHC USCDIv3 Letter of Support_17.pdf