SDOH Clinical Care
1.1.0 - STU 2 ballot

This page is part of the SDOH Clinical Care for Multiple Domains (v1.1.0: STU 2 Ballot 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

Artifacts Summary

This page provides a list of the FHIR artifacts defined as part of this implementation guide.

Capability Statements

SDOHCC Coordination Platform Capability Statement

This resource describes the required and desired behavior of systems acting as SDOH clinical care ‘coordination platforms’ (CPs).

SDOHCC Patient Application

This resource describes the required and desired behavior of systems acting as apps for patients and care-givers who need to monitor progress on SDOH referrals and may need to take actions such as filling out forms, booking appointments, etc.

SDOHCC Referral Recipient Capability Statement

This resource describes the required and desired behavior of systems acting as SDOH clinical care ‘referral recipients’.

SDOHCC Referral Recipient - Light Capability Statement

This resource describes the required and desired behavior of systems acting as ‘light-weight’ SDOH clinical care ‘referral recipients’.

SDOHCC Referral Source Capability Statement

This resource describes the required and desired behavior of systems acting as SDOH clinical care ‘referral sources’.

Profiles

SDOHCC Condition

Profile for Social Determinants of Health (SDOH) conditions.

SDOHCC Consent

Profile for consent related to the release of Social Determinants of Health (SDOH) information to non-HIPAA covered organizations.

SDOHCC Goal

Profile for goals that address Social Determinants of Health (SDOH).

SDOHCC Group

Profile for identifying groups of patients who have a Social Determinants of Health (SDOH) condition and are members of a specific payer organization.

SDOHCC HealthcareService

Profile that describes the means by which a healthcare service can be contacted.

SDOHCC Location

Profile that describes address information for a healthcare service.

SDOHCC Observation Assessment

Profile for Social Determinants of Health (SDOH) observations that involve assessment (e.g., by a provider, payer, etc.) as opposed to being derived only from screening surveys (as is the case for the SDOHCC Screening Response Observation). The Cross-Group Projects work group granted an exception to US Core on 06/10/2021 - Jira ticket 32892.

SDOHCC Observation Screening Response

Profile for observations that represent question and answer pairs from Social Determinants of Health (SDOH) screening instruments that are represented in LOINC. The Cross-Group Projects work group granted an exception to US Core on 12/03/2020 - Jira ticket 29795.

SDOHCC Procedure

Profile for interventions that address Social Determinants of Health.

SDOHCC ServiceRequest

Profile for service requests that address Social Determinants of Health.

SDOHCC Task For Patient

Profile for SDOH-related tasks to be carried out by the patient or someone acting on their behalf.

SDOHCC Task For Referral Management

Profile for tasks requesting fulfillment of an SDOHCC ServiceRequest (i.e. referral for service) and subsequently tracking and managing the fulfillment of that referral.

Value Sets

SDOHCC ValueSet LOINC SNOMEDCT

This value set contains all of LOINC and SNOMED CT.

SDOHCC ValueSet Observation Status

Codes for the status of a screening response observation.

SDOHCC ValueSet SDOH Category

Codes that represent Social Determinants of Health (SDOH) domains.

SDOHCC ValueSet SDOH Questionnaire Category

Codes that represent categories of Social Determinants of Health (SDOH) questionnaires.

SDOHCC ValueSet Task Code

Codes for the general action a task involves.

SDOHCC ValueSet Task Priority

Codes for the priority of a task for a patient.

SDOHCC ValueSet Task Status

Codes for the status of a task for a patient.

SDOHCC ValueSet 211 LA County

This value set includes codes from the 211 LA County Taxonomy.

Code Systems

SDOHCC CodeSystem Temporary Codes

A local code system defined within the context of the SDOH-CC IG.

Examples

Patient Colin Abbas Example

An example of a patient. This example is used as the referenced patient in other examples in this IG.

SDOHCC Consent Information Disclosure Example

An example of a Consent for information disclosure related to SDOH information.

SDOHCC Goal Food Security Example

An example of a food security Goal that addresses a food insecurity Condition.

SDOHCC Group SDOH Patients For Payer Example

An example of Group for patients that have any SDOH condition and are members of a specific payer organization.

SDOHCC HealthcareService Telecom Appointment Example

An example of a HealthcareService with telecom(s) that can be used to make an appointment flagged. This example is used as the referenced healthcare service in other IG examples.

SDOHCC Location Example

An example of a Location for a HealthcareService that the patient might want to schedule an appointment at. This example is used as the referenced location in other IG examples.

SDOHCC Observation Assessment Social Isolation Example

An example of a social isolation Observation that is not necessarily derived only from a screening survey. This observation involves additional assessment (e.g., by a provider, payer, etc.). This example also includes an Observation.category (i.e., Social Connection) that, at the time the example was added to the IG, was not yet in the “SDOHCC ValueSet SDOH Category”. The example illustrates that categorization is possible using category codes that may not yet be included in the SDOHCC ValueSet SDOH Category (which will continue to be expanded as the Gravity Project continues to develop SDOH terminology content).

SDOHCC Observation Assessment Inadequate Food Intake Example

An example of an inadequate food intake Observation that is not necessarily derived only from a screening survey. This observation involves additional assessment (e.g., by a provider, payer, etc.).

SDOHCC Observation Assessment Transport Too Expensive Example

An example of a transportation Observation that is not necessarily derived only from a screening survey. This observation involves additional assessment (e.g., by a provider, payer, etc.). This example also includes an Observation.category (i.e., Transportation Insecurity) that is included in the “SDOHCC ValueSet SDOH Category”. Additionally, a subcategory of Transportation Insecurity (i.e., Transportation Insecurity Financial) is included to illustrate that it is possible to further subcategorize a “SDOHCC ValueSet SDOH Category” code with a code that is not in the ValueSet.

SDOHCC Organization Clinic Example

An example of a clinic Organization. This example is used as the referenced organization in other IG examples.

SDOHCC Organization Coordination Platform Example

An example of a coordination platform Organization. This example is used as the referenced organization in other IG examples.

SDOHCC Organization Payer Example

An example of a payer organization. This example is used as the referenced organization in other SDOHCC examples.

SDOHCC Practitioner Dr Jan Water Example

An example of a Practitioner. This example is used as the referenced practitioner in other IG examples.

SDOHCC Practitioner Role Dr Jan Water Example

An example of a family medicine physician PractitionerRole. This example is used as the referenced practitioner role in other IG examples.

SDOHCC Procedure Food Pantry Application Assistance Example

An example of a completed Procedure for assistance with applying to a food pantry that is based on a ServiceRequest and references as its reason a food insecurity Condition.

SDOHCC Procedure Provision Of Food Example

An example of a completed Procedure where Procedure.code.coding includes a SNOMED CT code for ‘Provision of food’ and a more specific LA 211 Taxonomy code for “Thanksgiving Baskets’.

SDOHCC Procedure Summer Food Program Application Assistance Example

An example of a completed Procedure for assistance with applying to a summer food program that is based on a ServiceRequest and references as its reason a food insecurity Condition.

SDOHCC ServiceRequest Active Food Pantry Application Assist Example

An example of an active ServiceRequest for assistance with applying to a food pantry that references as its reason a food insecurity Condition.

SDOHCC ServiceRequest Completed Food Pantry Application Assist Example

An example of a completed ServiceRequest for assistance with applying to a food pantry that references as its reason a food insecurity Condition.

SDOHCC ServiceRequest Subreferral Garden Program Example

An example of a completed, original-order ServiceRequest (i.e., SDOHCC Service Request Active Food Pantry Application Assist Example) that is based on a Service Request to an intermediary organization (e.g., a Coordination Platform) that then created this Service Request (i.e., Assistance with application for garden program) to be fulfilled by a Community Based Organization.

SDOHCC ServiceRequest Subreferral Summer Food Program Example

An example of a completed, original-order ServiceRequest (i.e., SDOHCC Service Request Active Food Pantry Application Assist Example) that is based on a Service Request to an intermediary organization (e.g., a Coordination Platform) that then created this Service Request (i.e., Assistance with application for Summer Food Service Program) to be fulfilled by a Community Based Organization.

SDOHCC Task Referral Management Order Fulfillment Accepted Example

An example of an accepted Task For Referral Management that has as the Task.focus a ServiceRequest for assistance with applying to a food pantry.

SDOHCC Task Referral Management Order Fulfillment Completed Example

An example of a completed Task For Referral Management that has a ServiceRequest for assistance with applying to a food pantry as the Task.focus and a Procedure for assistance with applying to a food pantry as the Task.output.

SDOHCC Task Referral Management Order Subtask Accepted Example

An example of an accepted Task For Referral Management that delegates responsibility to fulfill a referral from an intermediary organization to another organization (e.g., when a Coordination Platform receives a Task from a referral source and passes it on to a Community Based Organization).

SDOHCC Task Referral Management Order Subtask Completed Example

An example of a completed Task For Referral Management that delegates responsibility to fulfill a referral from an intermediary organization to another organization (e.g., when a Coordination Platform receives a Task from a referral source and passes it on to a Community Based Organization).

SDOHCC Task Patient Make Appointment Completed Example

An example of a completed Task For Patient where the task was to make an appointment.

SDOHCC Task Patient Risk Questionnaire Completed Example

An example of a completed Task For Patient where the task was to complete a Hunger Vital Signs questionnaire (a questionnaire of the category ‘risk questionnaire’).

Hunger Vital Signs Examples

SDOHCC Questionnaire Hunger Vital Sign

A Questionnaire instance that represents the questions and answers from the LOINC Hunger Vital Sign [HVS] questionnaire (LOINC code 88121-9).

SDOHCC QuestionnaireResponse Hunger Vital Sign Example

An example of an SDC QuestionnaireResponse that represents questions and selected answers from the LOINC Hunger Vital Sign [HVS] questionnaire (LOINC code 88121-9). The example is generated using the LHC-Forms SDC Questionnaire App.

SDOHCC StructureMap Hunger Vital Sign

A StructureMap instance that represents the resource that transforms specific questions and answers from the LOINC Hunger Vital Sign [HVS] questionnaire (LOINC code 88121-9) into their corresponding Observations (SDOHCC Observation Response Hunger Vital Sign Q1 Example, SDOHCC Observation Response Hunger Vital Sign Q2 Example, and SDOHCC Observation response Hunger Vital Sign Q3 Example) and derived Condition (SDOHCC Condition Food Insecurity Example).

SDOHCC Observation Response Hunger Vital Sign Grouping Example

An example of an Observation grouping that has as its members the 3 Observations generated from the LOINC Hunger Vital Sign [HVS] questionnaire (LOINC code 88121-9).

SDOHCC Observation Response Hunger Vital Sign Question 1 Example

An example of a screening response Observation that represents the first question (LOINC code 88122-7) and answer from the Hunger Vital Sign [HVS] screening questionnaire represented in LOINC.

SDOHCC Observation Response Hunger Vital Sign Question 2 Example

An example of a screening response Observation that represents the second question (LOINC code 88123-5) and answer from the Hunger Vital Sign [HVS] screening questionnaire represented in LOINC.

SDOHCC Observation Response Hunger Vital Sign Question 3 Example

An example of a screening response Observation that represents Food insecurity risk [HVS] (LOINC code 88124-3) from the Hunger Vital Sign [HVS] questionnaire (LOINC code 88121-9). This Observation is derived from the two Observations generated from the first two questions in the Hunger Vital Sign [HVS] questionnaire. This Observation does not have an Observation.performer because Food insecurity risk [HVS] is derived as opposed to answered directly on the questionnaire.

SDOHCC Condition Food Insecurity Example

An example of a food insecurity Condition (a health concern) that references, as evidence, Observations derived from the LOINC Hunger Vital Sign [HVS] questionnaire (88121-9).

PRAPARE Examples

SDOHCC Questionnaire PRAPARE

A Questionnaire instance that represents the questions and answers from the PRAPARE questionnaire represented in LOINC (code 93025-5).

SDOHCC QuestionnaireResponse PRAPARE Example

An example of an SDC QuestionnaireResponse that represents questions and selected answers from the PRAPARE questionnaire represented in LOINC (code 93025-5). The example is generated using the LHC-Forms SDC Questionnaire App.

SDOHCC StructureMap PRAPARE

A StructureMap instance that represents the resource that transforms specific questions and answers from the PRAPARE questionnaire represented in LOINC (code 93025-5) into their corresponding Observations and derived Conditions (health concerns).

SDOHCC Observation Response PRAPARE Employment Status Example

An example of a screening response Observation that represents a question and answer related to employment status from the PRAPARE questionnaire represented in LOINC.

SDOHCC Observation Response PRAPARE Housing Status Example

An example of a screening response Observation that represents a question and answer related to housing status from the PRAPARE questionnaire represented in LOINC.

SDOHCC Observation Response PRAPARE Unmet Needs Multiselect Example

An example of a screening response Observation that represents a PRAPARE question represented in LOINC that allows more than one answer. In this case, the LOINC question is used for Observation.code and for Observation.component.code. Observation.value is omitted. Answers, whether multiple or single (including exceptions and flavors of null), are represented using Observation.component.value.

SDOHCC Condition Unemployed Example

An example of a Condition (a health concern) that is based on an Observation related to employment status that is derived from a QuestionnaireResponse to PRAPARE (represented in LOINC).

SDOHCC Condition Homeless Example

An example of a homelessness Condition (a health concern) that is based on an Observation related to housing status that is derived from a QuestionnaireResponse to PRAPARE (represented in LOINC).

Extensions

SDOHCC Extension HealthcareService Telecom Appointment

Extension for flagging a HealthcareService.telecom as one the patient can use to make an appointment.

Search Parameters

ServiceRequestSupportingInfo

Any resources referenced by ServiceRequest.supportingInfo

TaskOutputReference

The value of any outputs of type ‘Reference’

Draft Artifacts for Race and Ethnicity Observations

SDOHCC Observation Ethnicity

Profile for observations about ethnicity using Office of Management and Budget (OMB) ethnicity category codes and CDC ethnicity codes. This profile is intended for draft use only. The Cross-Group Projects work group granted an exception to US Core on 11/18/2021 - Jira ticket 34245.

SDOHCC Observation Race

Profile for observations about race using Office of Management and Budget (OMB) race category codes and CDC race codes. This profile is intended for draft use only. The Cross-Group Projects work group granted an exception to US Core on 11/18/2021 - Jira ticket 34245.

SDOHCC Observation Ethnicity Example

An example of a patient ethnicity Observation where the ethnicity is Hispanic or Latino (detailed as part Cuban, and part Puerto Rican).

SDOHCC Observation Race Example

An example of a patient race Observation highlighting all elements and repetitions where possible.

SDOHCC Observation Race Practitioner Example

An example of a practitioner race Observation that uses an extension to allow an observation to be about a practitioner.

SDOHCC ValueSet Observation DataAbsentReason

Codes for the reason an observation does not have a value.

SDOHCC ValueSet Observation Method

Codes that represent specific methods by which an individual’s race or ethnicity information can be elicited.