|Submitted By: Clem McDonald / National Library of Medicine
|Data Element Information
|Rationale for Separate Consideration
|Please consider these data elements for alcohol use for Level 2
|Use Case Description(s)
|Use Case Description
|Each year, an estimated 88,000 people (approximately 62,000 men and 26,000 women) die from alcohol-related causes annually, making alcohol the third leading preventable cause of death in the United States, behind tobacco and diet/physical inactivity.
|Estimate the breadth of applicability of the use case(s) for this data element
|The U.S. Preventive Services Task Force (USPSTF) recommends screening for unhealthy alcohol use in adults aged 18 years and older, including pregnant women, with a Grade B recommendation:
Alcohol use is widely screened and assessed by care providers.
|Maturity of Use and Technical Specifications for Data Element
|See below for relevant LOINC codes:
5640-8 Ethanol [Mass/volume] in Blood
69721-9 Do you ever drink alcohol - including beer or wine [Reported.PHQ]
74013-4 Alcoholic drinks per day
11286-2 Alcohol binge episodes per month - Reported
74043-1 Alcohol use disorder
64718-0 During this pregnancy, did you receive help with an alcohol or drug problem [PhenX]
72109-2 Alcohol Use Disorder Identification Test - Consumption [AUDIT-C]
|HL7® FHIR® US Core Implementation Guide v3.1.0 based on FHIR R4
|This data element has been used at scale between multiple different production environments to support the majority of anticipated stakeholders
|Extent of exchange
|5 or more. This data element has been tested at scale between multiple different production environments to support the majority of anticipated stakeholders.
|Restrictions on Standardization (e.g. proprietary code)
|Data elements around the quantity of alcohol consumed may be measured in different units, or entered in different locations within electronic health records. However, these are minimal, as they do not involve access to proprietary code.
|Restrictions on Use (e.g. licensing, user fees)
|Privacy and Security Concerns
|If data are aggregated and not linked to personal identifiers, concerns are minimal. Alcohol use disorder is widely stigmatized, thus, care must be taken to ensure privacy and security.
|Estimate of Overall Burden
|Low estimate of burden to implement.