This page is part of the SDOH Clinical Care for Multiple Domains (v2.1.0: STU 2.1) 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

STU2 Ballot Changes

Jira Tickets – all applied – see changes below

1. FHIR-34237 – Replace Task with a Task for Referrals and one for the Patient, and add documentation
   • Patient task should support surveys, documentation, and contact information
2. FHIR-34238 – Add Draft observations for race and ethnicity that support the identification of “source” and “method” of collection and add documentation – need US core exceptions from CPWG for observations – submitted variance request to CPG and was approved (see profiles)
3. FHIR-34242 – Change ServiceRequest and Procedure profiles to use US core value set for .code
4. FHIR-34243 – Change Condition profile to use US Core .code value set and provide guidance on the use of both SNOMED-CT and ICD-10 (as codings)
5. FHIR-34244 – Add profile for HealthcareService and Location to use in the Patient Task to indicate contact information
6. FHIR-34246 – Add Service order detail in the ServiceRequest to indicate that the service organization is not to call the patient/client
7. FHIR-34255 – Define workflow with patient involvement
8. FHIR-34256 – Define workflow with multiple services organization
9. FHIR-34257 – Add additional examples for each of the new / changed profiles /requirements
10. FHIR-34236 – Update profiles must support and element definitions based on feedback from implementers
11. FHIR-34233 – Add support for external terminologies as part of ServiceRequest and Procedure.
12. FHIR-34339 – Add Guidance on relationship between new Race and Ethnicity Observation with US Core

This ballot is focused on a number of additions and corrections based on feedback from addresses several additions, modifications, technical corrections, errata, clarifications listed below.

CodeSystems

Added values and notes FHIR-34237, FHIR-34238, FHIR-34246

• SDOHCC CodeSystem Temporary Codes

Value Sets

Adopted US Core Value Sets FHIR-34233

• FHIR-34243

• Condition: from Condition/Problem/Diagnosis Codes to US Core Condition Code
• ServiceRequest: from Procedure Codes (SNOMED CT) to US Core Procedure Codes
• Procedure: from SDOHCC ValueSet SNOMEDCT CPT LOINC HCPCSII to US Core Procedure Codes

Removed Values Sets (no longer required) FHIR-34233

• SDOHCC ValueSet HCPCSII
• SDOHCC ValueSet ICD10CM
• SDOHCC ValueSet SNOMEDCT CPT LOINC HCPCSII

Added Value Sets for Race/Ethnicity Observation Profile FHIR-34238

• SDOHCC ValueSet Observation DataAbsentReason
• FHIR-34238 SDOHCC ValueSet Observation Method

Added Value Sets for Patient Task FHIR-34237

• SDOHCC ValueSet SDOH Questionnaire Category
• SDOHCC ValueSet Task Code
• SDOHCC ValueSet Task Priority
• SDOHCC ValueSet Task Status

Added values and notes FHIR-34233

• SDOHCC ValueSet Observation Status
• SDOHCC ValueSet SDOH Category

StructureDefinitions

US Core FHIR-34233

• Updated from 3.1.1 to 4.0.0

Updated Profiles FHIR-34233

• SDOHCC Condition FHIR-34243

• • Changed Condition.code value set to use US Core Condition Code value set.
• • Added guidance on use of SDOH value sets

• SDOHCC Goal FHIR 34233

• • Added guidance on use of SDOH value sets in VSAC
• • Make Goal.value due date MS

• SDOHCC Procedure FHIR-34233, FHIR-34242

• • Procedure.code – added reference to US Core Condition Code value set FHIR-34233
• • Procedure.code.coding – added slice for example of social services taxonomy (e.g. 211 LA) as Must Support

• SDOHCC ServiceRequest FHIR-34246, FHIR-34233, FHIR-34242

• • ServiceRequest.status –- updated guidance
• • ServiceRequest.code – removed slices and added reference to US Core Procedure value set
• • ServiceRequest.code.coding – added slice for example of social services taxonomy (e.g. 211 LA) as Must Support
• • ServiceRequest.reasonReference – added guidance
• • ServiceRequest.orderDetail – added order detail to indicate that the service organization is not to call the patient/client

Added new profiles

• SDOHCC Healthcare Service FHIR-34244, FHIR-34237
• • Extension: SDOHCC Extension HealthcareService Telecom Appointment FHIR-34244, FHIR-34237
• SDOHCC Location FHIR-34244, FHIR-34237
• SDOHCC Task For Patient FHIR-34244, FHIR-34237
• SDOHCC Task For Referral Management FHIR-34237

New Draft Observation Profiles for Race and Ethnicity

• SDOHCC Observation Ethnicity OMB FHIR-34238, FHIR-34339
• SDOHCC Observation Race OMB FHIR-34238, FHIR-34339

Removed

• SDOHCC Task FHIR-34237

CapabilityStatements

Changed name and updated content

• From SDOH Clinical Care Coordination Platform to SDOHCC Coordination Platform Capability Statement
• From SDOH Clinical Care Referral Recipient - Light to SDOHCC Referral Recipient - Light
• From SDOH Clinical Care Referral Recipient to SDOHCC Referral Recipient
• From SDOH Clinical Care Referral Source to SDOHCC Referral Source

Added CapabilityStatement

• SDOHCC Patient Application FHIR-34255

Documentation

• Home Page – added reference to new content
• STU2 Ballot Changes – this page
• Functional Use Cases – added Patient/Client use case FHIR-34255
• Support for Multiple Domains – added support for VSAC group value sets FHIR-34236
• Exchange Workflow – added new workflow for Patient/Client and CBO applications FHIR-34255, FHIR-34256
• Connecting Applications with API Data Sources – new FHIR-34255
• FHIR Artifacts Overview[artifacts.html] – updated to refer to new or changed artifacts
• Draft Specifications for Personal Characteristics– new FHIR-34339

Examples

• Many of the examples have been renamed, updated, or added to appropriately provide examples of the changes noted above FHIR-34257