This page is part of the SDOH Clinical Care for Multiple Domains (v0.1.0: STU 1 Ballot 1) based on FHIR R4. The current version which supercedes this version is 2.0.0. For a full list of available versions, see the Directory of published versions

SDOH Clinical Care Scope

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SDOH Clinical Care Scope

The Gravity Project focus is on defining structure and coded content exchange to support multiple social domains. The initial focus is on three domains: food insecurity, housing instability and homelessness, and transportation access.

Out of Scope

This project will not validate or provide incentives for implementation of the identified SDOH data elements.

Conceptual Framework

Coded SDOH content is captured across core health care activities: screening/assessment, establishing health concerns, goal setting, care planning, interventions, outcomes and reporting. The conceptual framework illustrated below shows how these activities form a cycle of care. Over time, a patient’s progress toward care goals can be tracked and measured.

Data Modeling Framework

The figure below was derived from the HL7 Patient Care WG Domain Analysis model for Care Plan information. It informs the design of the FHIR Resources used in this IG.

The relationships between the various types of information are supported by the designs developed for the resources. The diagram below shows the data model for the screening response observation, condition (health concern), goal (patient-centered goal), service request and procedure/intervention. The mind map illustration represents profiles developed in this IG for the FHIR Observation, Condition, Goal, ServiceRequest and Procedure Resources.

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