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

STU2 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-34236)

• SDOHCC ValueSet Observation Status
• SDOHCC ValueSet SDOH Category

StructureDefinitions

US Core (FHIR-34236)

• Updated from 3.1.1 to 4.0.0

Updated Profiles (FHIR-34236)

• 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 34236)

• • 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 (FHIR-34238) (FHIR-34339)
• SDOHCC Observation Race (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 Changes – this page
• Functional Use Cases – added Patient/Client use case (FHIR-34255) (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)
• Synchronizing Applications with API Data Sources – new (FHIR-34255)
• FHIR Artifacts Overview – updated to refer to new or changed artifacts
• Draft Specifications for Race and Ethnicity– 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)