This page is part of the SDOH Clinical Care for Multiple Domains (v2.0.0: STU 2) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
Home Page
Official URL: http://hl7.org/fhir/us/sdoh-clinicalcare/ImplementationGuide/hl7.fhir.us.sdoh-clinicalcare
Social Determinants of Health (SDOH) are increasingly being recognized as essential factors that influence healthcare outcomes. This HL7 Implementation Guide (IG) defines how to exchange SDOH content defined by the Gravity Project using the HL7 FHIR standard. It defines how to represent coded content used to support the following care activities: screening, clinical assessment/diagnosis, goal setting, and the planning and performing of interventions. This IG addresses the need to gather SDOH information in multiple settings, share that information between stakeholders, and exchange referrals between organizations to address specific social risk needs, all with appropriate patient consent. In addition, the IG demonstrates how to share clinical data to support secondary purposes such as population health, quality, and research. The guide supports the following use cases:
Document SDOH data in conjunction with patient encounters with providers, payers, and community services
Document and track SDOH-related interventions to completion
Identify cohorts of individuals that have a common relationship to another entity (e.g., covered by the same payer)
This implementation guide was developed by the Gravity Project, which specifically focuses on using HL7 FHIR to define standards for the exchange of SDOH-related information. Both the project and this implementation guide are focused on the U.S. environment. This implementation guide leverages content from the US Core Implementation Guide and binds to US-specific terminology. However, the basic constructs and interaction patterns may well be applicable outside the U.S.
Change History describes the changes included in the STU 2 ballot version of the IG and Change History describes the changes applied to the balloted version
Synchronizing Applications with API Data Sources that describes the suggested method for synchronizing patient/client or Community Based Organization applications with referral systems FHIR APIs
FHIR Artifacts to understand the individual FHIR artifacts described in this IG
Privacy and Security for implementers that are concerned with privacy and security aspects related to implementing the information exchanges defined in this IG
MustSupport and Missing Data to understand the interpretation of the MustSupport flags and the treatment of Missing Data used in this IG
Artifacts Index provides easy access for all implementers the FHIR R4 profiles, examples and other FHIR artifacts defined in this implementation guide and linked from this section – this section also includes details for the declared capability statements for respective servers and clients
Downloads links to allow implementers to download the IG and various artifacts
Support for external terminologies for ServiceRequest and Procedure
If implementers of this IG wish to use terminologies that are not part of the required value sets for specific elements that have a type of CodableConcept (such as ServiceRequest.code and Procedure.code) they may include a specific Coding that specifies a system (URL that is defined and supported by the terminology author) as well as the specific code (define in the terminology) as long as the meaning of the code is a concept that is logically the same as, or contained in the concept, of the required code.
The following is an example for a ServiceRequest or Procedure where the external terminology
URL is : http://terminologysystem and the code is : SummerProgram
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
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
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 http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org.
Example resources in the R4 version of the FHIR standard
Dependencies
No dependencies found
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.<br/>This includes two components:<br/>* Support more sophisticated questionnaire/form use-cases such as those needed for research, oncology, pathology and other clinical domains.<br/>*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)
The Subscription R5 Backport Implementation Guide enables servers running verions of FHIR earlier than R5 to implement a subset of R5 Subscriptions in a standardized way. (built Mon, Dec 14, 2020 16:30+0000+00:00)