MCC eCare Plan Implementation Guide
1.0.0-ballot2 - ballot United States of America flag

This page is part of the MCC eCare Plan Implementation Guide (v1.0.0-ballot2: STU 1 Ballot 2) based on FHIR R4. . For a full list of available versions, see the Directory of published versions

MCC Observation SDOH Assessment Value Sets

This table holds the value sets that may be used with the MCC Observation SDOH Assessment Profile. In general, these value sets represent simple social determinants of health questions that may have answers lists that should be used with them and are assocated with the code in LOINC. In some cases the value (answer) at Observation.value may be boolean true | false. They may or may not be part of a larger LOINC panel that could be referred to or from a QuestionnaireResponse profile.

Table Key

  • Value Set Name and Link: All of these value sets are housed in the NLM Value Set Authority Center (VSAC). The value set name is a link to the value set. You must have an NLM/UMLS account to access. There is no charge for an account. Note: the first time you click on the value set name link in a given session, there my be a delay in loading and you will need to sign in once loaded.
  • Value Set Clinical Focus: The Value Set Clinical Focus is the same as the clinical focus as written in VSAC which is a free text statement describing the general context of the concepts in the set.
  • OID: The Object Identifier (OID) of the set. OIDs of value sets are unique, whereas the names may not be. If accessing the value set outside of this table link, it is safest to perform that search with the OID
  • Profile Element: The Profile element asserts the location within the profile the value set term SHALL be used.

MCC Value Sets Use and Validation The value sets in the MCC Value Set Library pages are not bound within any profile. As a result “automatic” validation (confirmation) that a code sent in an instance is a member of that value set will not occurr. Validation support can be added in implementation. These several different purposes and no clinically appropriate use is precluded:

  • Querying for patients that have experienced particular symptoms
  • Within Quality Measures or for research using Clinical Quality Language (CQL) (for example)
  • For display within applications
  • Terminology validation support

Accessing Value Sets using FHIR Value Set Resource

  • To fetch the FHIR ValueSet resource (in other words, the value set definition) use:
  • GET https://cts.nlm.nih.gov/fhir/ValueSet/[VSAC OID]
  • To fetch the FHIR ValueSet resource expansion use the FHIR $expand operation:
  • GET https://cts.nlm.nih.gov/fhir/ValueSet/[VSAC OID]/$expand

For more information refer to the FHIR Terminology Service for VSAC Resources

Value Set Name and VSAC Link

Value Set Clinical Focus

OID

Profile Element

Caregiver Availability

This set of values addresses terms representing an observation of caregiver availability.

2.16.840.1.113762.1.4.1222.1058

Observation.code

Caregiver Characteristics

This set of values addresses terms representing an observation of caregiver characteristics.

2.16.840.1.113762.1.4.1222.1057

Observation.code

Criminal Justice Involvement or Incarceration History

This set of values addresses terms representing an observation of criminal justice involvement or incarceration history.

2.16.840.1.113762.1.4.1222.1082

Observation.code

Current or Former Occupation

This set of values addresses terms representing an observation of current or former occupation.

2.16.840.1.113762.1.4.1222.1048

Observation.code

Dependents in Home

This set of values addresses terms representing an observation of the number of dependents in home.

2.16.840.1.113762.1.4.1222.1065

Observation.code

English Proficiency

This set of values addresses terms representing an observation of English proficiency.

2.16.840.1.113762.1.4.1222.1030

Observation.code

Experiences of Discrimination

This set of values addresses terms representing questions intended to capture experiences of discrimination.

2.16.840.1.113762.1.4.1222.1080

Observation.code

Exposure to Environmental Hazards

This set of values addresses terms representing an observation of exposure to environmental hazards.

2.16.840.1.113762.1.4.1222.1075

Observation.code

Immigration Status

This set of values addresses terms representing an observation of immigration status or citizenship.

2.16.840.1.113762.1.4.1222.1083

Observation.code

Income Level

This set of values addresses terms representing questions intended to capture observations of individual or household income level.

2.16.840.1.113762.1.4.1222.1053

Observation.code

Leisure Activity Engagement

This set of values addresses terms representing an observation of engagement in leisure activities.

2.16.840.1.113762.1.4.1222.1069

Observation.code

Living Situation

This set of values addresses terms representing questions about living situations/living arrangements.

2.16.840.1.113762.1.4.1222.1060

Observation.code

Marital or Spousal Status

This set of values addresses terms representing an observation of marital or spousal status.

2.16.840.1.113762.1.4.1222.1064

Observation.code

Neglect

This set of values addresses terms representing an observation of neglect.

2.16.840.1.113762.1.4.1222.1042

Observation.code

Physical Activity Level

This set of values addresses terms representing questions about physical activity level.

2.16.840.1.113762.1.4.1222.1068

Observation.code

Unsafe Neighborhood

This set of values contains terms representing Questions about neighborhood safety.

2.16.840.1.113762.1.4.1222.1076

Observation.code

Work Productivity

This set of values represent question terms about work productivity.

2.16.840.1.113762.1.4.1222.1050

Observation.code