{ "description": "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 Fast Healthcare Interoperability Resources (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:\\n* Document SDOH data in conjunction with the patient encounters with providers, payers, and community services\\n* Document and track SDOH related interventions to completion\\n* Identify cohorts of individuals that have a common relationship to another entity (e.g., covered by the same payer)\\n\\n\\nThis 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.\\n\\n### Content and organization\\n\\nThe implementation guide is organized into the following sections:\\n\\n* Background: Includes [Gravity Background](gravity_background.html), [SDOH Clinical Care Scope](sdoh_clinical_care_scope.html), [Functional Use Cases](functional_use_cases.html), and [Technical Background](technical_background.html), that describe the environment in which this implementation guide establishes standards for information exchange\\n* Context: Describes the [Survey Instrument Support](survey_instrument_support.html),[ QuestionnaireResponse Mapping Instructions](mapping_instructions.html), [Support for Multiple Domains](support_for_multiple_domains.html), and [Exchange Workflow diagram](exchange_workflow.html) that describes a high-level overview of expected process flow\\n* Specifications: Provides a overview of the [FHIR Artifacts](fhir_artifacts_overview.html) defined and used in this IG, description of [Privacy and Security](privacy_and_security.html) issues, and explains [MustSupport and Missing Data](mustsupport_and_missing_data.html) concepts \\n* [Downloads](downloads.html): Provides for the download of various IG related artifacts\\n* [Credits](credits.html): Identifies the individuals and organizations involved in developing this implementation guide\\n* [Artifacts Index](artifacts.html): Introduces and provides links to the FHIR R4 profiles, examples and other FHIR artifacts used in this implementation guide\\n\\n### Note to Implementers\\n\\nImplementers should pay specific attention to the following sections:\\n\\n* [Technical Background](technical_background.html) if the implementer needs basic FHIR information references\\n* [Survey Instrument Support](survey_instrument_support.html), and [ QuestionnaireResponse Mapping Instructions](mapping_instructions.html) if implementing support for structured assessment instruments\\n* [Support for Multiple Domains](support_for_multiple_domains.html) to understand this IG's approach to domain specific value sets\\n* [Exchange Workflow diagram](exchange_workflow.html) to understand the exchange workflows\\n* [FHIR Artifacts](fhir_artifacts_overview.html) to understand the individual FHIR artifacts described in this IG\\n* [Privacy and Security](privacy_and_security.html) for implementers that are concerned with privacy and security aspects related to implementing the information exchanges defined in this IG\\n* [MustSupport and Missing Data](mustsupport_and_missing_data.html) to understand the interpretation of the MustSupport flags and the treatment of Missing Data used in this IG \\n* [Artifacts Index](artifacts.html) all implementers need to understand the FHIR R4 profiles, examples and other FHIR artifacts defined in this implementation guide and linked from this section\\n* [Downloads](downloads.html) links to allow implementers to download the IG and various artifacts\\n\\n", "_filename": "ImplementationGuide-hl7.fhir.us.sdoh-clinicalcare.json", "package_name": "hl7.fhir.us.sdoh-clinicalcare", "definition": { "page": { "page": [ { "title": "Gravity Background", "nameUrl": "gravity_background.html", "generation": "markdown" }, { "title": "SDOH Clinical Care Scope", "nameUrl": "sdoh_clinical_care_scope.html", "generation": "markdown" }, { "title": "Functional Use Cases", "nameUrl": "functional_use_cases.html", "generation": "markdown" }, { "title": "Survey Instrument Support", "nameUrl": "survey_instrument_support.html", "generation": "markdown" }, { "title": "Mapping Instructions", "nameUrl": "mapping_instructions.html", "generation": "markdown" }, { "title": "Support for Multiple Domains", "nameUrl": "support_for_multiple_domains.html", "generation": "markdown" }, { "title": "Exchange Workflow", "nameUrl": "exchange_workflow.html", "generation": "markdown" }, { "title": "Technical Background", "nameUrl": "technical_background.html", "generation": "markdown" }, { "title": "FHIR Artifacts Overview", "nameUrl": "fhir_artifacts_overview.html", "generation": "markdown" }, { "title": "Checking Task Status", "nameUrl": "checking_task_status.html", "generation": "markdown" }, { "title": "Privacy and Security", "nameUrl": "privacy_and_security.html", "generation": "markdown" }, { "title": "MustSupport and Missing Data", "nameUrl": "mustsupport_and_missing_data.html", "generation": "markdown" }, { "title": "Downloads", "nameUrl": "downloads.html", "generation": "markdown" }, { "title": "Credits", "nameUrl": "credits.html", "generation": "markdown" } ], "title": "Home Page", "nameUrl": "index.html", "generation": "markdown" }, "grouping": [ { "id": "new-group0", "name": "Capabilities" }, { "id": "new-group1", "name": "Profiles" }, { "id": "new-group4", "name": "Value Sets" }, { "id": "new-group7", "name": "Code Systems" }, { "id": "new-group2", "name": "Examples" }, { "id": "new-group5", "name": "Hunger Vital Signs Examples" }, { "id": "new-group6", "name": "PRAPARE Examples" }, { "id": "new-group3", "name": "Images" }, { "id": "new-group8", "name": "Search Parameters" } ], "resource": [ { "name": "SDOH Clinical Care Referral Source", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "CapabilityStatement" } ], "reference": { "display": "SDOH Clinical Care Referral Source", "reference": "CapabilityStatement/SDOH-ClinicalCareReferralSource" }, "groupingId": "new-group0", "description": "Defines the capabilities of systems that initiate referrals and other aspects of the SDOH care process" }, { "name": "SDOH Clinical Care Coordination Platform", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "CapabilityStatement" } ], "reference": { "display": "SDOH Clinical Care Coordination Platform", "reference": "CapabilityStatement/SDOH-ClinicalCareCoordinationPlatform" }, "groupingId": "new-group0", "description": "Defines the capabilities of systems that act as intermediaries between systems that initiate referrals and those that action them" }, { "name": "SDOH Clinical Care Referral Recipient", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "CapabilityStatement" } ], "reference": { "display": "SDOH Clinical Care Referral Recipient", "reference": "CapabilityStatement/SDOH-ClinicalCareReferralRecipient" }, "groupingId": "new-group0", "description": "Defines the capabilities of systems that action referrals for SDOH care" }, { "name": "SDOH Clinical Care Referral Recipient - Light", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "CapabilityStatement" } ], "reference": { "display": "SDOH Clinical Care Referral Recipient - Light", "reference": "CapabilityStatement/SDOH-ClinicalCareReferralRecipientLight" }, "groupingId": "new-group0", "description": "Defines the capabilities of systems that action referrals for SDOH care that don't have their own FHIR server" }, { "name": "Task.output.valueReference SearchParameter", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "SearchParameter" } ], "reference": { "display": "Task.output.valueReference SearchParameter", "reference": "SearchParameter/Task-output-reference" }, "groupingId": "new-group8", "description": "Allows searching by Task.output.value" }, { "name": "ServiceRequest.supportingInfo SearchParameter", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "SearchParameter" } ], "reference": { "display": "ServiceRequest.supportingInfo SearchParameter", "reference": "SearchParameter/ServiceRequest-supporting-info" }, "groupingId": "new-group8", "description": "Allows searching by ServiceRequest.supportingInfo" }, { "name": "SDOHCC Condition", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "StructureDefinition:resource" } ], "reference": { "display": "SDOHCC Condition", "reference": "StructureDefinition/SDOHCC-Condition" }, "groupingId": "new-group1", "description": "This profile constrains the Condition resource for conditions that represent Social Determinants of Health." }, { "name": "SDOHCC Consent", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "StructureDefinition:resource" } ], "reference": { "display": "SDOHCC Consent", "reference": "StructureDefinition/SDOHCC-Consent" }, "groupingId": "new-group1", "description": "This profile constrains the Consent resource for use related to the release of Social Determinants of Health information to non-HIPAA covered organizations." }, { "name": "SDOHCC Goal", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "StructureDefinition:resource" } ], "reference": { "display": "SDOHCC Goal", "reference": "StructureDefinition/SDOHCC-Goal" }, "groupingId": "new-group1", "description": "This profile constrains the Goal resource for goals that address Social Determinants of Health." }, { "name": "SDOHCC Group", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "StructureDefinition:resource:abstract" } ], "reference": { "display": "SDOHCC Group", "reference": "StructureDefinition/SDOHCC-Group" }, "groupingId": "new-group1", "description": "This profile constrains the Group resource for use in identifying patients who have any Social Determinants of Health condition and are members of a specific payer organization." }, { "name": "SDOHCC Observation Assessment", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "StructureDefinition:resource:abstract" } ], "reference": { "display": "SDOHCC Observation Assessment", "reference": "StructureDefinition/SDOHCC-ObservationAssessment" }, "groupingId": "new-group1", "description": "This profile constrains the Observation resource for use related to Social Determinants of Health observations that involve assessment (e.g., by a provider or payer) 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 06/10/2022 - Jira ticket 32892." }, { "name": "SDOHCC Observation Screening Response", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "StructureDefinition:resource" } ], "reference": { "display": "SDOHCC Observation Screening Response", "reference": "StructureDefinition/SDOHCC-ObservationScreeningResponse" }, "groupingId": "new-group1", "description": "This profile constrains the Observation resource for observations that represent question and answer pairs from 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." }, { "name": "SDOHCC Procedure", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "StructureDefinition:resource" } ], "reference": { "display": "SDOHCC Procedure", "reference": "StructureDefinition/SDOHCC-Procedure" }, "groupingId": "new-group1", "description": "This profile constrains the Procedure resource for interventions that address Social Determinants of Health." }, { "name": "SDOHCC ServiceRequest", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "StructureDefinition:resource" } ], "reference": { "display": "SDOHCC ServiceRequest", "reference": "StructureDefinition/SDOHCC-ServiceRequest" }, "groupingId": "new-group1", "description": "This profile constrains the ServiceRequest resource for requests that address Social Determinants of Health." }, { "name": "SDOHCC Task", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "StructureDefinition:resource" } ], "reference": { "display": "SDOHCC Task", "reference": "StructureDefinition/SDOHCC-Task" }, "groupingId": "new-group1", "description": "This profile constrains the Task resource for use in requesting fulfillment of an SDOHCC ServiceRequest (i.e. referral for service) and subsequently tracking and managing the fulfillment of that referral." }, { "name": "SDOHCC ValueSet HCPCSII", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "ValueSet" } ], "reference": { "display": "SDOHCC ValueSet HCPCSII", "reference": "ValueSet/SDOHCC-ValueSetHCPCSII" }, "groupingId": "new-group4", "description": "This value set is defined intensionally to include all Healthcare Common Procedure Coding System (HCPCS) level II alphanumeric codes." }, { "name": "SDOHCC ValueSet ICD10CM", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "ValueSet" } ], "reference": { "display": "SDOHCC ValueSet ICD10CM", "reference": "ValueSet/SDOHCC-ValueSetICD10CM" }, "groupingId": "new-group4", "description": "This value set contains all of ICD-10-CM." }, { "name": "SDOHCC ValueSet LOINC SNOMEDCT", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "ValueSet" } ], "reference": { "display": "SDOHCC ValueSet LOINC SNOMEDCT", "reference": "ValueSet/SDOHCC-ValueSetLOINCSNOMEDCT" }, "groupingId": "new-group4", "description": "This value set contains all of LOINC and SNOMED CT." }, { "name": "SDOHCC ValueSet Observation Status", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "ValueSet" } ], "reference": { "display": "SDOHCC ValueSet Observation Status", "reference": "ValueSet/SDOHCC-ValueSetObservationStatus" }, "groupingId": "new-group4", "description": "This value set is defined intensionally to include the specified codes from the HL7 ObservationStatus value set." }, { "name": "SDOHCC ValueSet SDOH Category", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "ValueSet" } ], "reference": { "display": "SDOHCC ValueSet SDOH Category", "reference": "ValueSet/SDOHCC-ValueSetSDOHCategory" }, "groupingId": "new-group4", "description": "This value set is defined extensionally to include codes that represent Social Determinant of Health domains." }, { "name": "SDOHCC ValueSet SNOMEDCT CPT LOINC HCPCSII", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "ValueSet" } ], "reference": { "display": "SDOHCC ValueSet SNOMEDCT CPT LOINC HCPCSII", "reference": "ValueSet/SDOHCC-ValueSetSNOMEDCTCPTLOINCHCPCSII" }, "groupingId": "new-group4", "description": "This value set contains all SNOMED CT Procedure codes, and all of CPT, LOINC and HCPCSII." }, { "name": "SDOHCC CodeSystem Temporary Codes", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "CodeSystem" } ], "reference": { "display": "SDOHCC CodeSystem Temporary Codes", "reference": "CodeSystem/SDOHCC-CodeSystemTemporaryCodes" }, "groupingId": "new-group7", "description": "A local code system defined within the context of the SDOH-ClinicalCare IG." }, { "name": "SDOHCC Consent Information Disclosure Example", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "Consent" } ], "reference": { "display": "SDOHCC Consent Information Disclosure Example", "reference": "Consent/SDOHCC-ConsentInformationDisclosureExample" }, "groupingId": "new-group2", "description": "An example of a Consent for information disclosure related to SDOH information.", "exampleCanonical": "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Consent" }, { "name": "SDOHCC Goal Food Security Example", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "Goal" } ], "reference": { "display": "SDOHCC Goal Food Security Example", "reference": "Goal/SDOHCC-GoalFoodSecurityExample" }, "groupingId": "new-group2", "description": "An example of a food security Goal that addresses a food insecurity Condition.", "exampleCanonical": "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Goal" }, { "name": "SDOHCC Group SDOH Patients For Payer Example", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "Group" } ], "reference": { "display": "SDOHCC Group SDOH Patients For Payer Example", "reference": "Group/SDOHCC-GroupSDOHPatientsForPayerExample" }, "groupingId": "new-group2", "description": "An example of Group for patients that have any SDOH condition and are members of a specific payer organization.", "exampleCanonical": "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Group" }, { "name": "SDOHCC Observation Assessment Social Isolation Example", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "Observation" } ], "reference": { "display": "SDOHCC Observation Assessment Social Isolation Example", "reference": "Observation/SDOHCC-ObservationAssessmentSocialIsolationExample" }, "groupingId": "new-group2", "description": "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 Connectedness) that is not currently included in the \"SDOHCC ValueSet SDOH Category\". This illustrates that categorization is possible using SDOH category codes that are not yet in the SDOHCC ValueSet SDOH Category (which will continue to be expanded as the Gravity Project continues to develop SDOH terminology content).", "exampleCanonical": "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationAssessment" }, { "name": "SDOHCC Observation Assessment Inadequate Food Intake Example", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "Observation" } ], "reference": { "display": "SDOHCC Observation Assessment Inadequate Food Intake Example", "reference": "Observation/SDOHCC-ObservationAssessmentInadequateFoodIntakeExample" }, "groupingId": "new-group2", "description": "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.).", "exampleCanonical": "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationAssessment" }, { "name": "SDOHCC Observation Assessment Transport Too Expensive Example", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "Observation" } ], "reference": { "display": "SDOHCC Observation Assessment Transport Too Expensive Example", "reference": "Observation/SDOHCC-ObservationAssessmentTransportTooExpensiveExample" }, "groupingId": "new-group2", "description": "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.", "exampleCanonical": "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationAssessment" }, { "name": "SDOHCC Organization Payer Example", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "Organization" } ], "reference": { "display": "SDOHCC Organization Payer Example", "reference": "Organization/SDOHCC-OrganizationPayerExample" }, "groupingId": "new-group2", "description": "An example of a payer organization. This example is used as the referenced organization in other SDOHCC examples.", "exampleCanonical": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization" }, { "name": "Patient Colin Abbas Example", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "Patient" } ], "reference": { "display": "Patient Colin Abbas Example", "reference": "Patient/pat-53234" }, "groupingId": "new-group2", "description": "An example of a patient. This example is used as the referenced subject in other SDOHCC examples.", "exampleCanonical": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient" }, { "name": "SDOHCC Procedure Food Pantry Application Assistance Example", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "Procedure" } ], "reference": { "display": "SDOHCC Procedure Food Pantry Application Assistance Example", "reference": "Procedure/SDOHCC-ProcedureFoodPantryApplicationAssistanceExample" }, "groupingId": "new-group2", "description": "An example of a Procedure for assistance with applying to a food pantry that is based on a ServiceRequest and references as its reason a food insecurity Condition.", "exampleCanonical": "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Procedure" }, { "name": "SDOHCC ServiceRequest Food Pantry Application Assistance Example", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "ServiceRequest" } ], "reference": { "display": "SDOHCC ServiceRequest Food Pantry Application Assistance Example", "reference": "ServiceRequest/SDOHCC-ServiceRequestFoodPantryApplicationAssistanceExample" }, "groupingId": "new-group2", "description": "An example of a completed ServiceRequest for assistance with applying to a food pantry that references as its reason a food insecurity Condition.", "exampleCanonical": "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ServiceRequest" }, { "name": "SDOHCC ServiceRequest Based On Another Service Request Example", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "ServiceRequest" } ], "reference": { "display": "SDOHCC ServiceRequest Based On Another Service Request Example", "reference": "ServiceRequest/SDOHCC-ServiceRequestBasedOnAnotherServiceRequestExample" }, "groupingId": "new-group2", "description": "An example of a completed filler order ServiceRequest that can be used to pass on another ServiceRequest (i.e., SDOHCC ServiceRequest Food Pantry Application Assistance Example) from an intermediary organization to another organization (e.g., when a Coordination Platform receives a ServiceRequest from a referral source and passes it on to a Community Based Organization).", "exampleCanonical": "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ServiceRequest" }, { "name": "SDOHCC Service Request Active Food Pantry Application Assist Example", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "ServiceRequest" } ], "reference": { "display": "SDOHCC Service Request Active Food Pantry Application Assist Example", "reference": "ServiceRequest/SDOHCC-ServiceRequestActiveFoodPantryApplicationAssistExample" }, "groupingId": "new-group2", "description": "An example of an active ServiceRequest for assistance with applying to a food pantry that references as its reason a food insecurity Condition.", "exampleCanonical": "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ServiceRequest" }, { "name": "SDOHCC Service Request Active Based On Another Service Request Example", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "ServiceRequest" } ], "reference": { "display": "SDOHCC Service Request Active Based On Another Service Request Example", "reference": "ServiceRequest/SDOHCC-ServiceRequestActiveBasedOnAnotherServiceRequestExample" }, "groupingId": "new-group2", "description": "An example of an active filler order ServiceRequest that can be used to pass on another ServiceRequest (i.e., SDOHCC ServiceRequest Active Food Pantry Application Assist Example) from an intermediary organization to another organization (e.g., when a Coordination Platform receives a ServiceRequest from a referral source and passes it on to a Community Based Organization).", "exampleCanonical": "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ServiceRequest" }, { "name": "SDOHCC Task Order Fulfillment Accepted Example", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "Task" } ], "reference": { "display": "SDOHCC Task Order Fulfillment Accepted Example", "reference": "Task/SDOHCC-TaskOrderFulfillmentAcceptedExample" }, "groupingId": "new-group2", "description": "An example of an accepted Task that has as the Task.focus a ServiceRequest for assistance with applying to a food pantry.", "exampleCanonical": "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Task" }, { "name": "SDOHCC Task Order Accepted Part Of Another Task Example", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "Task" } ], "reference": { "display": "SDOHCC Task Order Accepted Part Of Another Task Example", "reference": "Task/SDOHCC-TaskOrderAcceptedPartOfAnotherTaskExample" }, "groupingId": "new-group2", "description": "An example of an accepted Task that can be used to pass on another Task (i.e., SDOHCC Task Order Fulfillment Accepted Example) 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).", "exampleCanonical": "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Task" }, { "name": "SDOHCC Task Order Fulfillment Completed Example", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "Task" } ], "reference": { "display": "SDOHCC Task Order Fulfillment Completed Example", "reference": "Task/SDOHCC-TaskOrderFulfillmentCompletedExample" }, "groupingId": "new-group2", "description": "An example of a completed Task 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.", "exampleCanonical": "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Task" }, { "name": "SDOHCC Task Order Completed Part Of Another Task Example", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "Task" } ], "reference": { "display": "SDOHCC Task Order Completed Part Of Another Task Example", "reference": "Task/SDOHCC-TaskOrderCompletedPartOfAnotherTaskExample" }, "groupingId": "new-group2", "description": "An example of a completed Task that can be used to pass on another Task (i.e., SDOHCC Task Order Fulfillment Completed Example) 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).", "exampleCanonical": "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Task" }, { "name": "SDOHCC Questionnaire Hunger Vital Sign", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "Questionnaire" } ], "reference": { "display": "SDOHCC Questionnaire Hunger Vital Sign", "reference": "Questionnaire/SDOHCC-QuestionnaireHungerVitalSign" }, "groupingId": "new-group5", "description": "A Questionnaire instance that represents the questions and answers from the LOINC Hunger Vital Sign [HVS] questionnaire (LOINC code 88121-9).", "exampleCanonical": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-extract|2.7" }, { "name": "SDOHCC QuestionnaireResponse Hunger Vital Sign Example", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "QuestionnaireResponse" } ], "reference": { "display": "SDOHCC QuestionnaireResponse Hunger Vital Sign Example", "reference": "QuestionnaireResponse/SDOHCC-QuestionnaireResponseHungerVitalSignExample" }, "groupingId": "new-group5", "description": "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.", "exampleCanonical": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaireresponse|2.7" }, { "name": "SDOHCC StructureMap Hunger Vital Sign", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "StructureMap" } ], "reference": { "display": "SDOHCC StructureMap Hunger Vital Sign", "reference": "StructureMap/SDOHCC-StructureMapHungerVitalSign" }, "groupingId": "new-group5", "description": "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)." }, { "name": "SDOHCC Observation Response Hunger Vital Sign Grouping Example", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "Observation" } ], "reference": { "display": "SSDOHCC Observation Response Hunger Vital Sign Grouping Example", "reference": "Observation/SDOHCC-ObservationResponseHungerVitalSignGroupingExample" }, "groupingId": "new-group5", "description": "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).", "exampleCanonical": "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationScreeningResponse" }, { "name": "SDOHCC Observation Response Hunger Vital Sign Question 1 Example", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "Observation" } ], "reference": { "display": "SDOHCC Observation Response Hunger Vital Sign Question 1 Example", "reference": "Observation/SDOHCC-ObservationResponseHungerVitalSignQuestion1Example" }, "groupingId": "new-group5", "description": "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.", "exampleCanonical": "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationScreeningResponse" }, { "name": "SDOHCC Observation Response Hunger Vital Sign Question 2 Example", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "Observation" } ], "reference": { "display": "SDOHCC Observation Response Hunger Vital Sign Question 2 Example", "reference": "Observation/SDOHCC-ObservationResponseHungerVitalSignQuestion2Example" }, "groupingId": "new-group5", "description": "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.", "exampleCanonical": "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationScreeningResponse" }, { "name": "SDOHCC Observation Response Hunger Vital Sign Question 3 Example", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "Observation" } ], "reference": { "display": "SDOHCC Observation Response Hunger Vital Sign Question 3 Example", "reference": "Observation/SDOHCC-ObservationResponseHungerVitalSignQuestion3Example" }, "groupingId": "new-group5", "description": "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.", "exampleCanonical": "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationScreeningResponse" }, { "name": "SDOHCC Condition Food Insecurity Example", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "Condition" } ], "reference": { "display": "SDOHCC Condition Food Insecurity Example", "reference": "Condition/SDOHCC-ConditionFoodInsecurityExample" }, "groupingId": "new-group5", "description": "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).", "exampleCanonical": "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Condition" }, { "name": "SDOHCC Questionnaire PRAPARE", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "Questionnaire" } ], "reference": { "display": "SDOHCC Questionnaire PRAPARE", "reference": "Questionnaire/SDOHCC-QuestionnairePRAPARE" }, "groupingId": "new-group6", "description": "A Questionnaire instance that represents the questions and answers from the PRAPARE questionnaire represented in LOINC (code 93025-5).", "exampleCanonical": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-extract|2.7" }, { "name": "SDOHCC QuestionnaireResponse PRAPARE Example", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "QuestionnaireResponse" } ], "reference": { "display": "SDOHCC QuestionnaireResponse PRAPARE Example", "reference": "QuestionnaireResponse/SDOHCC-QuestionnaireResponsePRAPAREExample" }, "groupingId": "new-group6", "description": "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.", "exampleCanonical": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaireresponse|2.7" }, { "name": "SDOHCC StructureMap PRAPARE", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "StructureMap" } ], "reference": { "display": "SDOHCC StructureMap PRAPARE", "reference": "StructureMap/SDOHCC-StructureMapPRAPARE" }, "groupingId": "new-group6", "description": "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)." }, { "name": "SDOHCC Observation Response PRAPARE Employment Status Example", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "Observation" } ], "reference": { "display": "SDOHCC Observation Response PRAPARE Employment Status Example", "reference": "Observation/SDOHCC-ObservationResponsePRAPAREEmploymentStatusExample" }, "groupingId": "new-group6", "description": "An example of a screening response Observation that represents a question and answer related to employment status from the PRAPARE questionnaire represented in LOINC.", "exampleCanonical": "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationScreeningResponse" }, { "name": "SDOHCC Observation Response PRAPARE Housing Status Example", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "Observation" } ], "reference": { "display": "SDOHCC Observation Response PRAPARE Housing Status Example", "reference": "Observation/SDOHCC-ObservationResponsePRAPAREHousingStatusExample" }, "groupingId": "new-group6", "description": "An example of a screening response Observation that represents a question and answer related to housing status from the PRAPARE questionnaire represented in LOINC.", "exampleCanonical": "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationScreeningResponse" }, { "name": "SDOHCC Observation Response PRAPARE Unmet Needs Multiselect Example", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "Observation" } ], "reference": { "display": "SDOHCC Observation Response PRAPARE Unmet Needs Multiselect Example", "reference": "Observation/SDOHCC-ObservationResponsePRAPAREUnmetNeedsMultiselectExample" }, "groupingId": "new-group6", "description": "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.", "exampleCanonical": "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationScreeningResponse" }, { "name": "SDOHCC Condition Unemployed Example", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "Condition" } ], "reference": { "display": "SDOHCC Condition Unemployed Example", "reference": "Condition/SDOHCC-ConditionUnemployedExample" }, "groupingId": "new-group6", "description": "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).", "exampleCanonical": "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Condition" }, { "name": "SDOHCC Condition Homeless Example", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "Condition" } ], "reference": { "display": "SDOHCC Condition Homeless Example", "reference": "Condition/SDOHCC-ConditionHomelessExample" }, "groupingId": "new-group6", "description": "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).", "exampleCanonical": "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Condition" } ], "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter", "extension": [ { "url": "code", "valueString": "jira-code" }, { "url": "value", "valueString": "sdoh-cc" } ] }, { "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter", "extension": [ { "url": "code", "valueString": "path-expansion-params" }, { "url": "value", "valueString": "SDOH-expansion-parameters.json" } ] }, { "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter", "extension": [ { "url": "code", "valueString": "copyrightyear" }, { "url": "value", "valueString": "2020+" } ] }, { "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter", "extension": [ { "url": "code", "valueString": "releaselabel" }, { "url": "value", "valueString": "STU 1" } ] }, { "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter", "extension": [ { "url": "code", "valueString": "path-liquid" }, { "url": "value", "valueString": "template/liquid" } ] }, { "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter", "extension": [ { "url": "code", "valueString": "path-liquid" }, { "url": "value", "valueString": "input/liquid" } ] }, { "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter", "extension": [ { "url": "code", "valueString": "path-qa" }, { "url": "value", "valueString": "temp/qa" } ] }, { "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter", "extension": [ { "url": "code", "valueString": "path-temp" }, { "url": "value", "valueString": "temp/pages" } ] }, { "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter", "extension": [ { "url": "code", "valueString": "path-output" }, { "url": "value", "valueString": "output" } ] }, { "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter", "extension": [ { "url": "code", "valueString": "path-suppressed-warnings" }, { "url": "value", "valueString": "input/ignoreWarnings.txt" } ] }, { "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter", "extension": [ { "url": "code", "valueString": "path-history" }, { "url": "value", "valueString": "http://hl7.org/fhir/us/sdoh-clinicalcare/history.html" } ] }, { "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter", "extension": [ { "url": "code", "valueString": "template-html" }, { "url": "value", "valueString": "template-page.html" } ] }, { "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter", "extension": [ { "url": "code", "valueString": "template-md" }, { "url": "value", "valueString": "template-page-md.html" } ] }, { "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter", "extension": [ { "url": "code", "valueString": "apply-contact" }, { "url": "value", "valueString": "true" } ] }, { "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter", "extension": [ { "url": "code", "valueString": "apply-context" }, { "url": "value", "valueString": "true" } ] }, { "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter", "extension": [ { "url": "code", "valueString": "apply-copyright" }, { "url": "value", "valueString": "true" } ] }, { "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter", "extension": [ { "url": "code", "valueString": "apply-jurisdiction" }, { "url": "value", "valueString": "true" } ] }, { "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter", "extension": [ { "url": "code", "valueString": "apply-license" }, { "url": "value", "valueString": "true" } ] }, { "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter", "extension": [ { "url": "code", "valueString": "apply-publisher" }, { "url": "value", "valueString": "true" } ] }, { "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter", "extension": [ { "url": "code", "valueString": "apply-version" }, { "url": "value", "valueString": "true" } ] }, { "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter", "extension": [ { "url": "code", "valueString": "active-tables" }, { "url": "value", "valueString": "true" } ] } ], "parameter": [ { "code": "path-resource", "value": "input/capabilities" }, { "code": "path-resource", "value": "input/examples" }, { "code": "path-resource", "value": "input/extensions" }, { "code": "path-resource", "value": "input/models" }, { "code": "path-resource", "value": "input/operations" }, { "code": "path-resource", "value": "input/profiles" }, { "code": "path-resource", "value": "input/resources" }, { "code": "path-resource", "value": "input/vocabulary" }, { "code": "path-resource", "value": "input/maps" }, { "code": "path-resource", "value": "input/testing" }, { "code": "path-resource", "value": "input/history" }, { "code": "path-resource", "value": "fsh-generated/resources" }, { "code": "path-pages", "value": "template/config" }, { "code": "path-pages", "value": "input/images" }, { "code": "path-tx-cache", "value": "input-cache/txcache" } ] }, "date": "2021-05-03", "meta": { "source": "#ZSVhx38vaXP2G96i", "versionId": "647", "lastUpdated": "2021-07-07T12:18:47.664+00:00" }, "publisher": "HL7 International - Patient Care WG", "fhirVersion": [ "4.0.1" ], "license": "CC0-1.0", "jurisdiction": [ { "coding": [ { "code": "US", "system": "urn:iso:std:iso:3166" } ] } ], "dependsOn": [ { "uri": "http://hl7.org/fhir/us/core/ImplementationGuide/hl7.fhir.us.core", "version": "3.1.1", "packageId": "hl7.fhir.us.core" }, { "uri": "http://hl7.org/fhir/uv/sdc/ImplementationGuide/sdc", "version": "2.7.0", "packageId": "hl7.fhir.uv.sdc" }, { "uri": "http://hl7.org/fhir/uv/subscriptions-backport/ImplementationGuide/hl7.fhir.uv.subscriptions-backport", "version": "0.1.0", "packageId": "hl7.fhir.uv.subscriptions-backport" } ], "name": "Sdohclinicalcare", "type": null, "experimental": null, "resourceType": "ImplementationGuide", "title": "SDOH Clinical Care", "package_version": "1.0.0", "status": "active", "id": "a18e8ecd-1b63-419f-9868-4cdbd2649524", "kind": null, "url": "http://hl7.org/fhir/us/sdoh-clinicalcare/ImplementationGuide/hl7.fhir.us.sdoh-clinicalcare", "version": "1.0.0", "packageId": "hl7.fhir.us.sdoh-clinicalcare", "contact": [ { "name": "HL7 International - Patient Care", "telecom": [ { "value": "http://www.hl7.org/Special/committees/patientcare", "system": "url" } ] } ] }