SDOH Clinical Care
1.0.0 - STU 1

This page is part of the SDOH Clinical Care for Multiple Domains (v1.0.0: STU 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

: SDOHCC CodeSystem Temporary Codes - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:CodeSystem;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "SDOHCC-CodeSystemTemporaryCodes"];
  fhir:Resource.meta [
     fhir:Meta.versionId [ fhir:value "3" ];
     fhir:Meta.lastUpdated [ fhir:value "2021-06-14T15:48:44.088+00:00"^^xsd:dateTime ];
     fhir:Meta.source [ fhir:value "#3UiNjtreoPIpWf7V" ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>This code system http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">sdoh-category-unspecified<a name=\"SDOHCC-CodeSystemTemporaryCodes-sdoh-category-unspecified\"> </a></td><td>SDOH Category Unspecified</td><td>Category for Social Determinant of Health artifacts that are not further specified with respect to category.</td></tr><tr><td style=\"white-space:nowrap\">food-insecurity<a name=\"SDOHCC-CodeSystemTemporaryCodes-food-insecurity\"> </a></td><td>Food Insecurity</td><td>Category for Social Determinant of Health artifacts that pertain to Food Insecurity (which is defined as: Uncertain, limited, or unstable access to food that is: adequate in quantity and in nutritional quality; culturally acceptable; safe and acquired in socially acceptable ways.) This SDOH category covers records relevant to circumstances that range from Food Insecurity to Food Security.</td></tr><tr><td style=\"white-space:nowrap\">housing-instability<a name=\"SDOHCC-CodeSystemTemporaryCodes-housing-instability\"> </a></td><td>Housing Instability</td><td>Category for Social Determinant of Health artifacts that pertain to Housing Instability (which is defined as: Currently consistently housed, but experiencing any of the following circumstances in the past 12 months: being behind on rent or mortgage, multiple moves, or housing cost burden.) This SDOH category covers records relevant to circumstances that range from Housing Instability to Stably Housed.</td></tr><tr><td style=\"white-space:nowrap\">homelessness<a name=\"SDOHCC-CodeSystemTemporaryCodes-homelessness\"> </a></td><td>Homelessness</td><td>Category for Social Determinant of Health artifacts that pertain to Homelessness (which is defined as including: 1) Sheltered Homelessness: because of economic difficulties, currently living in a shelter, motel, temporary or transitional living situation, scattered-site housing, or not having a consistent place to sleep at night; and 2) Unsheltered Homelessness: residing in a place not meant for human habitation, such as cars, parks, sidewalks, abandoned buildings, on the street.) This SDOH category covers records relevant to circumstances that range Homelessness to Housed.</td></tr><tr><td style=\"white-space:nowrap\">inadequate-housing<a name=\"SDOHCC-CodeSystemTemporaryCodes-inadequate-housing\"> </a></td><td>Inadequate Housing</td><td>Category for Social Determinant of Health artifacts that pertain to Inadequate Housing (which is defined as: Housing does not meet habitability standards.) This SDOH category covers records relevant to circumstances that range from Inadequate Housing to Adequate Housing.</td></tr><tr><td style=\"white-space:nowrap\">transportation-insecurity<a name=\"SDOHCC-CodeSystemTemporaryCodes-transportation-insecurity\"> </a></td><td>Transportation Insecurity</td><td>Category for Social Determinant of Health artifacts that pertain to Transportation Insecurity (which is defined as: Uncertain, limited, or no access to safe, reliable, accessible, affordable, and socially acceptable transportation infrastructure and modalities necessary for maintaining one’s health, well-being, or livelihood.) This SDOH category covers records relevant to circumstances that range from Transportation Insecurity to Transportation Security.</td></tr><tr><td style=\"white-space:nowrap\">financial-insecurity<a name=\"SDOHCC-CodeSystemTemporaryCodes-financial-insecurity\"> </a></td><td>Financial Insecurity</td><td>Category for Social Determinant of Health artifacts that pertain to Financial Insecurity (which is defined as: A state of being wherein a person has difficulty fully meeting current and/or ongoing financial obligations and/or does not feel secure in their financial future.) This SDOH category covers records relevant to circumstances that range from Financial Insecurity to Financial Security.</td></tr><tr><td style=\"white-space:nowrap\">material-hardship<a name=\"SDOHCC-CodeSystemTemporaryCodes-material-hardship\"> </a></td><td>Material Hardship</td><td>Category for Social Determinant of Health artifacts that pertain to Material Hardship (which is defined as: The lack of specific socially perceived basic physical necessities.) This SDOH category covers records relevant to circumstances that range from 'Unable to obtain physical necessity X' to 'Able to obtain physical necessity X'.</td></tr><tr><td style=\"white-space:nowrap\">educational-attainment<a name=\"SDOHCC-CodeSystemTemporaryCodes-educational-attainment\"> </a></td><td>Educational Attainment</td><td>Category for Social Determinant of Health artifacts that pertain to the level of education attained (which, in this context, is defined by whether one has or has not met academic criteria for high school diploma or equivalent.) This SDOH category covers records relevant to circumstances that range from 'Lacks a high school diploma/certificate' to 'Has a high school diploma/certificate'.</td></tr><tr><td style=\"white-space:nowrap\">employment-status<a name=\"SDOHCC-CodeSystemTemporaryCodes-employment-status\"> </a></td><td>Employment Status</td><td>Category for Social Determinant of Health artifacts that pertain to the status of one's employment (which, in this context, is defined by whether one has or does not have a job and is looking for and available for work). This SDOH category covers records relevant to circumstances that range from 'In labor force' (Unemployed to Employed), or 'Not in labor force'.</td></tr><tr><td style=\"white-space:nowrap\">veteran-status<a name=\"SDOHCC-CodeSystemTemporaryCodes-veteran-status\"> </a></td><td>Veteran Status</td><td>Category for Social Determinant of Health artifacts that pertain to veteran status (which, in this context, is defined by whether one has or has not served as active military with honorable release or discharge.) This SDOH category covers records relevant to circumstances that range from 'History of military service' to 'No history of military service'.</td></tr><tr><td style=\"white-space:nowrap\">stress<a name=\"SDOHCC-CodeSystemTemporaryCodes-stress\"> </a></td><td>Stress</td><td>Category for Social Determinant of Health artifacts that pertain to Stress (which is defined as: When a person perceives the demands of environmental stimuli to be greater than their ability to meet, mitigate, or alter those demands.) This SDOH category covers records relevant to circumstances that range from Stress to 'No stress'.</td></tr><tr><td style=\"white-space:nowrap\">resulting-activity<a name=\"SDOHCC-CodeSystemTemporaryCodes-resulting-activity\"> </a></td><td>Resulting Activity</td><td>Code used for Task.output.type to represent the activity/action that is the result of a fulfilled task.</td></tr><tr><td style=\"white-space:nowrap\">sdoh-condition-category<a name=\"SDOHCC-CodeSystemTemporaryCodes-sdoh-condition-category\"> </a></td><td>Current Condition Category From SDOH Category</td><td>Code used for Group.characteristic to identify Group members with a current SDOH Condition (identified by a Condition with Condition.category from SDOH domain value set referenced by Group.characteristic.value).</td></tr><tr><td style=\"white-space:nowrap\">payer-coverage<a name=\"SDOHCC-CodeSystemTemporaryCodes-payer-coverage\"> </a></td><td>Coverage By Payer Organization</td><td>Code used for Group.characteristic to identify Group members currently covered by a specific payer organization.</td></tr></table></div>"
  ];
  fhir:CodeSystem.url [ fhir:value "http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes"];
  fhir:CodeSystem.version [ fhir:value "1.0.0"];
  fhir:CodeSystem.name [ fhir:value "SDOHCCCodeSystemTemporaryCodes"];
  fhir:CodeSystem.title [ fhir:value "SDOHCC CodeSystem Temporary Codes"];
  fhir:CodeSystem.status [ fhir:value "active"];
  fhir:CodeSystem.experimental [ fhir:value "true"^^xsd:boolean];
  fhir:CodeSystem.date [ fhir:value "2020-05-14T12:55:47+00:00"^^xsd:dateTime];
  fhir:CodeSystem.publisher [ fhir:value "HL7 International - Patient Care WG"];
  fhir:CodeSystem.contact [
     fhir:index 0;
     fhir:ContactDetail.name [ fhir:value "HL7 International - Patient Care" ];
     fhir:ContactDetail.telecom [
       fhir:index 0;
       fhir:ContactPoint.system [ fhir:value "url" ];
       fhir:ContactPoint.value [ fhir:value "http://www.hl7.org/Special/committees/patientcare" ]     ]
  ];
  fhir:CodeSystem.description [ fhir:value "A local code system defined within the context of the SDOH-ClinicalCare IG."];
  fhir:CodeSystem.jurisdiction [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "urn:iso:std:iso:3166" ];
       fhir:Coding.code [ fhir:value "US" ]     ]
  ];
  fhir:CodeSystem.purpose [ fhir:value "The purpose of this code system is to enable temporary codes to be assigned to concepts that are needed to document SDOH-related data elements defined by the Gravity Project community and concepts that are needed to facilitate the use of FHIR to exchange data as required in the use cases covered by this IG.  After the IG has been sufficiently tested through HL7 Connectathons and the coded concepts have been confirmed as fit for the intended purpose, and consensus on the use of the codes has been confirmed through the HL7 Ballot process, the temporary codes will be replaced with coded concepts established within nationally recognized, open code systems.  The replacement of temporary codes with permanent codes is intended to happen prior to the IG being published by HL7."];
  fhir:CodeSystem.copyright [ fhir:value "(c) 2020 HL7.org"];
  fhir:CodeSystem.content [ fhir:value "complete"];
  fhir:CodeSystem.concept [
     fhir:index 0;
     fhir:CodeSystem.concept.code [ fhir:value "sdoh-category-unspecified" ];
     fhir:CodeSystem.concept.display [ fhir:value "SDOH Category Unspecified" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Category for Social Determinant of Health artifacts that are not further specified with respect to category." ]
  ], [
     fhir:index 1;
     fhir:CodeSystem.concept.code [ fhir:value "food-insecurity" ];
     fhir:CodeSystem.concept.display [ fhir:value "Food Insecurity" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Category for Social Determinant of Health artifacts that pertain to Food Insecurity (which is defined as: Uncertain, limited, or unstable access to food that is: adequate in quantity and in nutritional quality; culturally acceptable; safe and acquired in socially acceptable ways.) This SDOH category covers records relevant to circumstances that range from Food Insecurity to Food Security." ]
  ], [
     fhir:index 2;
     fhir:CodeSystem.concept.code [ fhir:value "housing-instability" ];
     fhir:CodeSystem.concept.display [ fhir:value "Housing Instability" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Category for Social Determinant of Health artifacts that pertain to Housing Instability (which is defined as: Currently consistently housed, but experiencing any of the following circumstances in the past 12 months: being behind on rent or mortgage, multiple moves, or housing cost burden.) This SDOH category covers records relevant to circumstances that range from Housing Instability to Stably Housed." ]
  ], [
     fhir:index 3;
     fhir:CodeSystem.concept.code [ fhir:value "homelessness" ];
     fhir:CodeSystem.concept.display [ fhir:value "Homelessness" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Category for Social Determinant of Health artifacts that pertain to Homelessness (which is defined as including: 1) Sheltered Homelessness: because of economic difficulties, currently living in a shelter, motel, temporary or transitional living situation, scattered-site housing, or not having a consistent place to sleep at night; and 2) Unsheltered Homelessness: residing in a place not meant for human habitation, such as cars, parks, sidewalks, abandoned buildings, on the street.) This SDOH category covers records relevant to circumstances that range Homelessness to Housed." ]
  ], [
     fhir:index 4;
     fhir:CodeSystem.concept.code [ fhir:value "inadequate-housing" ];
     fhir:CodeSystem.concept.display [ fhir:value "Inadequate Housing" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Category for Social Determinant of Health artifacts that pertain to Inadequate Housing (which is defined as: Housing does not meet habitability standards.) This SDOH category covers records relevant to circumstances that range from Inadequate Housing to Adequate Housing." ]
  ], [
     fhir:index 5;
     fhir:CodeSystem.concept.code [ fhir:value "transportation-insecurity" ];
     fhir:CodeSystem.concept.display [ fhir:value "Transportation Insecurity" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Category for Social Determinant of Health artifacts that pertain to Transportation Insecurity (which is defined as: Uncertain, limited, or no access to safe, reliable, accessible, affordable, and socially acceptable transportation infrastructure and modalities necessary for maintaining one’s health, well-being, or livelihood.) This SDOH category covers records relevant to circumstances that range from Transportation Insecurity to Transportation Security." ]
  ], [
     fhir:index 6;
     fhir:CodeSystem.concept.code [ fhir:value "financial-insecurity" ];
     fhir:CodeSystem.concept.display [ fhir:value "Financial Insecurity" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Category for Social Determinant of Health artifacts that pertain to Financial Insecurity (which is defined as: A state of being wherein a person has difficulty fully meeting current and/or ongoing financial obligations and/or does not feel secure in their financial future.) This SDOH category covers records relevant to circumstances that range from Financial Insecurity to Financial Security." ]
  ], [
     fhir:index 7;
     fhir:CodeSystem.concept.code [ fhir:value "material-hardship" ];
     fhir:CodeSystem.concept.display [ fhir:value "Material Hardship" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Category for Social Determinant of Health artifacts that pertain to Material Hardship (which is defined as: The lack of specific socially perceived basic physical necessities.) This SDOH category covers records relevant to circumstances that range from 'Unable to obtain physical necessity X' to 'Able to obtain physical necessity X'." ]
  ], [
     fhir:index 8;
     fhir:CodeSystem.concept.code [ fhir:value "educational-attainment" ];
     fhir:CodeSystem.concept.display [ fhir:value "Educational Attainment" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Category for Social Determinant of Health artifacts that pertain to the level of education attained (which, in this context, is defined by whether one has or has not met academic criteria for high school diploma or equivalent.) This SDOH category covers records relevant to circumstances that range from 'Lacks a high school diploma/certificate' to 'Has a high school diploma/certificate'." ]
  ], [
     fhir:index 9;
     fhir:CodeSystem.concept.code [ fhir:value "employment-status" ];
     fhir:CodeSystem.concept.display [ fhir:value "Employment Status" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Category for Social Determinant of Health artifacts that pertain to the status of one's employment (which, in this context, is defined by whether one has or does not have a job and is looking for and available for work). This SDOH category covers records relevant to circumstances that range from 'In labor force' (Unemployed to Employed), or 'Not in labor force'." ]
  ], [
     fhir:index 10;
     fhir:CodeSystem.concept.code [ fhir:value "veteran-status" ];
     fhir:CodeSystem.concept.display [ fhir:value "Veteran Status" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Category for Social Determinant of Health artifacts that pertain to veteran status (which, in this context, is defined by whether one has or has not served as active military with honorable release or discharge.) This SDOH category covers records relevant to circumstances that range from 'History of military service' to 'No history of military service'." ]
  ], [
     fhir:index 11;
     fhir:CodeSystem.concept.code [ fhir:value "stress" ];
     fhir:CodeSystem.concept.display [ fhir:value "Stress" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Category for Social Determinant of Health artifacts that pertain to Stress (which is defined as: When a person perceives the demands of environmental stimuli to be greater than their ability to meet, mitigate, or alter those demands.) This SDOH category covers records relevant to circumstances that range from Stress to 'No stress'." ]
  ], [
     fhir:index 12;
     fhir:CodeSystem.concept.code [ fhir:value "resulting-activity" ];
     fhir:CodeSystem.concept.display [ fhir:value "Resulting Activity" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Code used for Task.output.type to represent the activity/action that is the result of a fulfilled task." ]
  ], [
     fhir:index 13;
     fhir:CodeSystem.concept.code [ fhir:value "sdoh-condition-category" ];
     fhir:CodeSystem.concept.display [ fhir:value "Current Condition Category From SDOH Category" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Code used for Group.characteristic to identify Group members with a current SDOH Condition (identified by a Condition with Condition.category from SDOH domain value set referenced by Group.characteristic.value)." ]
  ], [
     fhir:index 14;
     fhir:CodeSystem.concept.code [ fhir:value "payer-coverage" ];
     fhir:CodeSystem.concept.display [ fhir:value "Coverage By Payer Organization" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Code used for Group.characteristic to identify Group members currently covered by a specific payer organization." ]
  ].

# - ontology header ------------------------------------------------------------

 a owl:Ontology;
  owl:imports fhir:fhir.ttl.