This page is part of the SDOH Clinical Care for Multiple Domains (v2.2.0: STU 2.2) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

SDOH Clinical Care ImplementationGuide Resource

Page standards status: Informative

Official URL: http://hl7.org/fhir/us/sdoh-clinicalcare/ImplementationGuide/hl7.fhir.us.sdoh-clinicalcare	Version: 2.0.0-update
NPM package name: hl7.fhir.us.sdoh-clinicalcare	ComputableName: Sdohclinicalcare
Copyright/Legal: Used by permission of HL7 International, all rights reserved Creative Commons License

This HL7 Implementation Guide (IG) defines how to exchange Social Determinants of Health (SDOH) content defined by the Gravity Project using the HL7 FHIR standard..

• XML
• JSON

Cross Version Analysis

This is an R4 IG. None of the features it uses are changed in R4B, so it can be used as is with R4B systems. Packages for both R4 (hl7.fhir.us.sdoh-clinicalcare.r4) and R4B (hl7.fhir.us.sdoh-clinicalcare.r4b) are available.

IG Dependencies

This IG Contains the following dependencies on other IGs.

Package hl7.fhir.uv.extensions.r4#5.1.0 This IG defines the global extensions - the ones defined for everyone. These extensions are always in scope wherever FHIR is being used (built Sat, Apr 27, 2024 18:39+1000+10:00)

Package hl7.fhir.r4.examples#4.0.1 Example resources in the R4 version of the FHIR standard

Package hl7.fhir.uv.sdc#3.0.0 The SDC specification provides an infrastructure to standardize the capture and expanded use of patient-level data collected within an EHR. This includes two components: * Support more sophisticated questionnaire/form use-cases such as those needed for research, oncology, pathology and other clinical domains. *Support pre-population and auto-population of EHR data into forms/questionnaires for uses outside direct clinical care (patient safety, adverse event reporting, public health reporting, etc.). (built Tue, Mar 8, 2022 18:32+0000+00:00)

Package hl7.fhir.uv.subscriptions-backport.r4#1.1.0 The Subscription R5 Backport Implementation Guide enables servers running versions of FHIR earlier than R5 to implement a subset of R5 Subscriptions in a standardized way. (built Wed, Jan 11, 2023 15:34+1100+11:00)

Global Profiles

There are no Global profiles defined

Copyrights

This publication includes IP covered under the following statements.

• (c) 2020 HL7.org
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  • SDOHCC CodeSystem Temporary Codes: CDE payer's SDOH condition patients, Condition/SDOHCC-ConditionAsserterDeviceExample... Show 58 more, Condition/SDOHCC-ConditionFoodInsecurityExample, Condition/SDOHCC-ConditionHomelessExample, Condition/SDOHCC-ConditionUnemployedExample, Goal/SDOHCC-GoalFoodSecurityExample, Observation/SDOHCC-ObservationAssessmentInadequateFoodIntakeExample, Observation/SDOHCC-ObservationAssessmentTransportTooExpensiveExample, Observation/SDOHCC-ObservationEthnicityOMBExample, Observation/SDOHCC-ObservationGenderIdentityExample, Observation/SDOHCC-ObservationPersonalPronounsExample, Observation/SDOHCC-ObservationRaceOMBExample, Observation/SDOHCC-ObservationRaceOMBMotherExample, Observation/SDOHCC-ObservationRaceOMBPractitionerExample, Observation/SDOHCC-ObservationRecordedSexGenderExample, Observation/SDOHCC-ObservationResponseHungerVitalSignQuestion3Example, Observation/SDOHCC-ObservationResponseNHANESGroupingExample, Observation/SDOHCC-ObservationResponseNHANESQuestion1Example, Observation/SDOHCC-ObservationResponseNHANESQuestion2Example, Observation/SDOHCC-ObservationResponseNHANESQuestion3Example, Observation/SDOHCC-ObservationResponseNHANESQuestion4Example, Observation/SDOHCC-ObservationResponseNHANESQuestion5Example, Observation/SDOHCC-ObservationResponseNHANESQuestion6Example, Observation/SDOHCC-ObservationResponsePRAPAREChildCareNeedExample, Observation/SDOHCC-ObservationResponsePRAPAREClothingNeedExample, Observation/SDOHCC-ObservationResponsePRAPAREEmploymentStatusExample, Observation/SDOHCC-ObservationResponsePRAPAREHousingStatusExample, Observation/SDOHCC-ObservationSexualOrientationExample, Procedure/SDOHCC-ProcedureFoodPantryApplicationAssistanceExample, Procedure/SDOHCC-ProcedureProvisionOfFoodExample, Procedure/SDOHCC-ProcedureSummerFoodProgramApplicationAssistanceExample, SDOHCCCondition, SDOHCCGoal, SDOHCCGroup, SDOHCCObservationAssessment, SDOHCCObservationEthnicityOMB, SDOHCCObservationGenderIdentity, SDOHCCObservationPersonalCharacteristic, SDOHCCObservationPersonalPronouns, SDOHCCObservationRaceOMB, SDOHCCObservationRecordedSexGender, SDOHCCObservationScreeningResponse, SDOHCCObservationSexualOrientation, SDOHCCProcedure, SDOHCCServiceRequest, SDOHCCTaskForPatient, SDOHCCTaskForReferralManagement, SDOHCCValueSetObservationMethod, SDOHCCValueSetSDOHCategory, SDOHCCValueSetSDOHQuestionnaireCategory, SDOHCCValueSetTaskCode, ServiceRequest/SDOHCC-ServiceRequestActiveFoodPantryApplicationAssistExample, ServiceRequest/SDOHCC-ServiceRequestSubreferralGardenProgramExample, ServiceRequest/SDOHCC-ServiceRequestSubreferralSummerFoodProgramExample, Task/SDOHCC-TaskPatientInformationRequestCompletedExample, Task/SDOHCC-TaskPatientMakeAppointmentCompletedExample, Task/SDOHCC-TaskPatientReviewInformationCompletedExample, Task/SDOHCC-TaskPatientRiskQuestionnaireCompletedExample, Task/SDOHCC-TaskReferralManagementOrderFulfillmentCompletedExample and Task/SDOHCC-TaskReferralManagementOrderSubtaskCompletedExample
• ISO Maintains the copyright on the country codes, and controls it's use carefully. For futher details see the ISO 3166 web page: https://www.iso.org/iso-3166-country-codes.html
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  • ISO 3166-1 Codes for the representation of names of countries and their subdivisions — Part 1: Country code: SDOHCCCodeSystemTemporaryCodes, SDOHCCCondition... Show 46 more, SDOHCCConsent, SDOHCCExtensionConditionAsserter, SDOHCCExtensionHealthcareServiceTelecomAppointment, SDOHCCGoal, SDOHCCGroup, SDOHCCHealthcareService, SDOHCCHungerVitalSignMap, SDOHCCLocation, SDOHCCObservationAssessment, SDOHCCObservationEthnicityOMB, SDOHCCObservationGenderIdentity, SDOHCCObservationPersonalCharacteristic, SDOHCCObservationPersonalPronouns, SDOHCCObservationRaceOMB, SDOHCCObservationRecordedSexGender, SDOHCCObservationScreeningResponse, SDOHCCObservationSexualOrientation, SDOHCCPRAPAREMap, SDOHCCProcedure, SDOHCCQuestionnaireHungerVitalSign, SDOHCCQuestionnairePRAPARE, SDOHCCServiceRequest, SDOHCCTaskForPatient, SDOHCCTaskForReferralManagement, SDOHCCValueSetLOINCSNOMEDCT, SDOHCCValueSetOMBEthnicityCategories, SDOHCCValueSetOMBRaceCategories, SDOHCCValueSetObservationDataAbsentReason, SDOHCCValueSetObservationDerivedFromIdType, SDOHCCValueSetObservationMethod, SDOHCCValueSetObservationStatus, SDOHCCValueSetPronounsValue, SDOHCCValueSetReferralTaskStatus, SDOHCCValueSetSDOHCategory, SDOHCCValueSetSDOHQuestionnaireCategory, SDOHCCValueSetTaskCode, SDOHCCValueSetTaskPriority, SDOHCCValueSetTaskStatus, SDOHCC_CoordinationPlatform, SDOHCC_PatientApp, SDOHCC_ReferralRecipient, SDOHCC_ReferralRecipientLight, SDOHCC_ReferralSource, Sdohclinicalcare, ServiceRequestSupportingInfo and TaskOutputReference
• The UCUM codes, UCUM table (regardless of format), and UCUM Specification are copyright 1999-2009, Regenstrief Institute, Inc. and the Unified Codes for Units of Measures (UCUM) Organization. All rights reserved. https://ucum.org/trac/wiki/TermsOfUse
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  • Unified Code for Units of Measure (UCUM): Observation/SDOHCC-ObservationResponseNHANESQuestion2Example, Observation/SDOHCC-ObservationResponseNHANESQuestion3Example, Observation/SDOHCC-ObservationResponseNHANESQuestion4Example, SDOHCCObservationScreeningResponse and SDOHCCQuestionnairePRAPARE
• This material contains content from LOINC. LOINC is copyright © 1995-2020, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license. LOINC® is a registered United States trademark of Regenstrief Institute, Inc.
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  • LOINC: Goal/SDOHCC-GoalFoodSecurityExample, Observation/SDOHCC-ObservationEthnicityOMBExample... Show 35 more, Observation/SDOHCC-ObservationGenderIdentityExample, Observation/SDOHCC-ObservationPersonalPronounsExample, Observation/SDOHCC-ObservationRaceOMBExample, Observation/SDOHCC-ObservationRaceOMBMotherExample, Observation/SDOHCC-ObservationRaceOMBPractitionerExample, Observation/SDOHCC-ObservationRecordedSexGenderExample, Observation/SDOHCC-ObservationResponseHungerVitalSignQuestion3Example, Observation/SDOHCC-ObservationResponseNHANESGroupingExample, Observation/SDOHCC-ObservationResponseNHANESQuestion1Example, Observation/SDOHCC-ObservationResponseNHANESQuestion2Example, Observation/SDOHCC-ObservationResponseNHANESQuestion3Example, Observation/SDOHCC-ObservationResponseNHANESQuestion4Example, Observation/SDOHCC-ObservationResponseNHANESQuestion5Example, Observation/SDOHCC-ObservationResponseNHANESQuestion6Example, Observation/SDOHCC-ObservationResponsePRAPAREChildCareNeedExample, Observation/SDOHCC-ObservationResponsePRAPAREClothingNeedExample, Observation/SDOHCC-ObservationResponsePRAPAREEmploymentStatusExample, Observation/SDOHCC-ObservationResponsePRAPAREHousingStatusExample, Observation/SDOHCC-ObservationSexualOrientationExample, QuestionnaireResponse/SDOHCC-QuestionnaireResponseHungerVitalSignExample, QuestionnaireResponse/SDOHCC-QuestionnaireResponsePRAPAREExample, SDOHCCGoal, SDOHCCObservationAssessment, SDOHCCObservationEthnicityOMB, SDOHCCObservationGenderIdentity, SDOHCCObservationPersonalCharacteristic, SDOHCCObservationPersonalPronouns, SDOHCCObservationRaceOMB, SDOHCCObservationRecordedSexGender, SDOHCCObservationScreeningResponse, SDOHCCObservationSexualOrientation, SDOHCCQuestionnaireHungerVitalSign, SDOHCCQuestionnairePRAPARE, SDOHCCValueSetLOINCSNOMEDCT and SDOHCCValueSetPronounsValue
• This material contains content that is copyright of SNOMED International. Implementers of these specifications must have the appropriate SNOMED CT Affiliate license - for more information contact https://www.snomed.org/get-snomed or info@snomed.org.
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  • SNOMED Clinical Terms® (SNOMED CT®): Condition/SDOHCC-ConditionAsserterDeviceExample, Condition/SDOHCC-ConditionFoodInsecurityExample... Show 21 more, Condition/SDOHCC-ConditionHomelessExample, Condition/SDOHCC-ConditionUnemployedExample, Device/SDOHCC-DeviceSoftwareExample, Goal/SDOHCC-GoalFoodSecurityExample, Observation/SDOHCC-ObservationAssessmentInadequateFoodIntakeExample, Observation/SDOHCC-ObservationAssessmentTransportTooExpensiveExample, Observation/SDOHCC-ObservationGenderIdentityExample, Procedure/SDOHCC-ProcedureFoodPantryApplicationAssistanceExample, Procedure/SDOHCC-ProcedureProvisionOfFoodExample, Procedure/SDOHCC-ProcedureSummerFoodProgramApplicationAssistanceExample, SDOHCCCondition, SDOHCCGoal, SDOHCCObservationAssessment, SDOHCCObservationGenderIdentity, SDOHCCProcedure, SDOHCCServiceRequest, SDOHCCTaskForReferralManagement, SDOHCCValueSetLOINCSNOMEDCT, ServiceRequest/SDOHCC-ServiceRequestActiveFoodPantryApplicationAssistExample, ServiceRequest/SDOHCC-ServiceRequestSubreferralGardenProgramExample and ServiceRequest/SDOHCC-ServiceRequestSubreferralSummerFoodProgramExample
• This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license
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  • ConditionVerificationStatus: Condition/SDOHCC-ConditionAsserterDeviceExample, Condition/SDOHCC-ConditionFoodInsecurityExample, Condition/SDOHCC-ConditionHomelessExample and Condition/SDOHCC-ConditionUnemployedExample
  • Consent PolicyRule Codes: Consent/SDOHCC-ConsentInformationDisclosureExample
  • Consent Scope Codes: Consent/SDOHCC-ConsentInformationDisclosureExample
  • Goal achievement status: Goal/SDOHCC-GoalFoodSecurityExample
  • Observation Category Codes: Observation/SDOHCC-ObservationAssessmentInadequateFoodIntakeExample, Observation/SDOHCC-ObservationAssessmentTransportTooExpensiveExample... Show 14 more, Observation/SDOHCC-ObservationResponseHungerVitalSignQuestion3Example, Observation/SDOHCC-ObservationResponseNHANESGroupingExample, Observation/SDOHCC-ObservationResponseNHANESQuestion1Example, Observation/SDOHCC-ObservationResponseNHANESQuestion2Example, Observation/SDOHCC-ObservationResponseNHANESQuestion3Example, Observation/SDOHCC-ObservationResponseNHANESQuestion4Example, Observation/SDOHCC-ObservationResponseNHANESQuestion5Example, Observation/SDOHCC-ObservationResponseNHANESQuestion6Example, Observation/SDOHCC-ObservationResponsePRAPAREChildCareNeedExample, Observation/SDOHCC-ObservationResponsePRAPAREClothingNeedExample, Observation/SDOHCC-ObservationResponsePRAPAREEmploymentStatusExample, Observation/SDOHCC-ObservationResponsePRAPAREHousingStatusExample, SDOHCCObservationAssessment and SDOHCCObservationScreeningResponse
• This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html
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  • Condition Clinical Status Codes: Condition/SDOHCC-ConditionAsserterDeviceExample, Condition/SDOHCC-ConditionFoodInsecurityExample, Condition/SDOHCC-ConditionHomelessExample and Condition/SDOHCC-ConditionUnemployedExample
  • DataAbsentReason: SDOHCCObservationEthnicityOMB, SDOHCCObservationGenderIdentity, SDOHCCObservationRaceOMB and SDOHCCValueSetObservationDataAbsentReason
  • identifierType: Observation/SDOHCC-ObservationRecordedSexGenderExample, Patient/pat-53234, SDOHCCObservationRecordedSexGender and SDOHCCValueSetObservationDerivedFromIdType
• This material derives from the HL7 Terminology THO. THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html
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  • ActCode: Consent/SDOHCC-ConsentInformationDisclosureExample and SDOHCCConsent
  • NullFlavor: SDOHCCObservationEthnicityOMB, SDOHCCObservationGenderIdentity... Show 6 more, SDOHCCObservationPersonalPronouns, SDOHCCObservationRaceOMB, SDOHCCObservationRecordedSexGender, SDOHCCObservationSexualOrientation, SDOHCCValueSetObservationMethod and SDOHCCValueSetPronounsValue
  • ObservationInterpretation: Observation/SDOHCC-ObservationResponseHungerVitalSignQuestion3Example
  • RoleCode: RelatedPerson/SDOHCC-RelatedPersonMotherExample

Parameter Settings

The following IG Parameters are set for this Implementation Guide: