US Core Implementation Guide
5.0.0 - STU5 Release United States of America flag

US Core Implementation Guide, published by HL7 International - Cross-Group Projects. This is not an authorized publication; it is the continuous build for version 5.0.0). This version is based on the current content of https://github.com/HL7/US-Core/ and changes regularly. See the Directory of published versions

ValueSet: US Core Common SDOH Assessments

Official URL: http://hl7.org/fhir/us/core/ValueSet/us-core-common-sdoh-assessments Version: 5.0.0
Active as of 2022-04-14 Computable Name: USCoreCommonSDOHAssessments

Copyright/Legal: This material contains content from LOINC (http://loinc.org). LOINC is copyright © 1995-2020, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license at http://loinc.org/license. LOINC® is a registered United States trademark of Regenstrief Institute, Inc

Common SDOH assessment concepts covering the following categories (Gravity Project SDOH Domains):

  • Food (Food Insecurity)
  • Housing (Housing Instability)
  • Health (Social Connection, Stress)
  • Employment (Employment Status)
  • Care (SDOH Category Unspecified)
  • Transit (Transportation Insecurity)
  • Money (Financial Insecurity)
  • Goods (Material Hardship)
  • Education (SDOH Category Unspecified)
  • Legal (SDOH Category Unspecified)

References

Logical Definition (CLD)

  • Include these codes as defined in http://loinc.org
    CodeDisplay
    93028-9Have you spent more than 2 nights in a row in a jail, prison, detention center, or juvenile correctional facility in past 1 year [PRAPARE]
    93025-5Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE]
    69861-3Because of a physical, mental, or emotional condition, do you have difficulty doing errands alone such as visiting a physician's office or shopping
    93027-1Are you a refugee
    81375-8Self assessment of health status [Reported]
    93034-7Discharged from the U.S. Armed Forces
    68516-4On those days that you engage in moderate to strenuous exercise, how many minutes, on average, do you exercise
    96782-8Wants help with school or training
    93029-7How often do you see or talk to people that you care about and feel close to [PRAPARE]
    68517-2How many times in the past year have you have X or more drinks in a day
    96842-0How often have you used any tobacco product in past 12 months
    88123-5Within the past 12 months the food we bought just didn't last and we didn't have money to get more [U.S. FSS]
    76501-6Within the last year, have you been afraid of your partner or ex-partner
    95618-5Physically hurt you [HITS]
    93038-8Stress level
    69858-9Because of a physical, mental, or emotional condition, do you have serious difficulty concentrating, remembering, or making decisions
    93159-2How often do you feel lonely or isolated from those around you [CMS Assessment]
    96780-2Wants help finding or keeping work or a job
    44250-9Little interest or pleasure in doing things in last 2 weeks
    68524-8How many times in the past year have you used an illegal drug or used a prescription medication for non-medical reasons
    88121-9Hunger Vital Sign [HVS]
    93026-3Do you feel physically and emotionally safe where you currently live [PRAPARE]
    82589-3Highest level of education
    89555-7How many days per week did you engage in moderate to strenuous physical activity in the last 30 days
    96781-0Able to get help with daily activities when needed
    95530-2Prescription drug use for non-medical reasons in the past year
    56799-0Address
    63586-2What was your best estimate of the total income of all family members from all sources, before taxes, in last year [PhenX]
    96779-4Has the electric, gas, oil, or water company threatened to shut off services in your home in past 12 months
    93677-3Do you need help with legal issues [WellRx]
    63512-8How many people are living or staying at this address [#]
    76437-3Primary insurance
    88124-3Food insecurity risk [HVS]
    32624-9Race
    97023-6Accountable health communities (AHC) health-related social needs (HRSN) supplemental questions
    93035-4Has season or migrant farm work been your or your family's main source of income at any point in past 2 years [PRAPARE]
    54899-0Preferred language
    93033-9Are you worried about losing your housing [PRAPARE]
    93031-3Have you or any family members you live with been unable to get any of the following when it was really needed in past 1 year [PRAPARE]
    56051-6Hispanic or Latino
    88122-7Within the past 12 months we worried whether our food would run out before we got money to buy more [U.S. FSS]
    93030-5Has lack of transportation kept you from medical appointments, meetings, work, or from getting things needed for daily living
    97027-7Speaks a language other than English at home
    71802-3Housing status
    44255-8Feeling down, depressed, or hopeless in last 2 weeks
    67875-5Employment status - current
    76513-1How hard is it for you to pay for the very basics like food, housing, medical care, and heating

 

Expansion

This value set contains 47 concepts

Expansion based on Loinc v2.72

All codes in this table are from the system http://loinc.org

CodeDisplay
  93028-9Have you spent more than 2 nights in a row in a jail, prison, detention center, or juvenile correctional facility in past 1 year [PRAPARE]
  93025-5Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE]
  69861-3Because of a physical, mental, or emotional condition, do you have difficulty doing errands alone such as visiting a physician's office or shopping
  93027-1Are you a refugee
  81375-8Self assessment of health status [Reported]
  93034-7Discharged from the U.S. Armed Forces
  68516-4On those days that you engage in moderate to strenuous exercise, how many minutes, on average, do you exercise
  96782-8Wants help with school or training
  93029-7How often do you see or talk to people that you care about and feel close to [PRAPARE]
  68517-2How many times in the past year have you have X or more drinks in a day
  96842-0How often have you used any tobacco product in past 12 months
  88123-5Within the past 12 months the food we bought just didn't last and we didn't have money to get more [U.S. FSS]
  76501-6Within the last year, have you been afraid of your partner or ex-partner
  95618-5Physically hurt you [HITS]
  93038-8Stress level
  69858-9Because of a physical, mental, or emotional condition, do you have serious difficulty concentrating, remembering, or making decisions
  93159-2How often do you feel lonely or isolated from those around you [CMS Assessment]
  96780-2Wants help finding or keeping work or a job
  44250-9Little interest or pleasure in doing things in last 2 weeks
  68524-8How many times in the past year have you used an illegal drug or used a prescription medication for non-medical reasons
  88121-9Hunger Vital Sign [HVS]
  93026-3Do you feel physically and emotionally safe where you currently live [PRAPARE]
  82589-3Highest level of education
  89555-7How many days per week did you engage in moderate to strenuous physical activity in the last 30 days
  96781-0Able to get help with daily activities when needed
  95530-2Prescription drug use for non-medical reasons in the past year
  56799-0Address
  63586-2What was your best estimate of the total income of all family members from all sources, before taxes, in last year [PhenX]
  96779-4Has the electric, gas, oil, or water company threatened to shut off services in your home in past 12 months
  93677-3Do you need help with legal issues [WellRx]
  63512-8How many people are living or staying at this address [#]
  76437-3Primary insurance
  88124-3Food insecurity risk [HVS]
  32624-9Race
  97023-6Accountable health communities (AHC) health-related social needs (HRSN) supplemental questions
  93035-4Has season or migrant farm work been your or your family's main source of income at any point in past 2 years [PRAPARE]
  54899-0Preferred language
  93033-9Are you worried about losing your housing [PRAPARE]
  93031-3Have you or any family members you live with been unable to get any of the following when it was really needed in past 1 year [PRAPARE]
  56051-6Hispanic or Latino
  88122-7Within the past 12 months we worried whether our food would run out before we got money to buy more [U.S. FSS]
  93030-5Has lack of transportation kept you from medical appointments, meetings, work, or from getting things needed for daily living
  97027-7Speaks a language other than English at home
  71802-3Housing status
  44255-8Feeling down, depressed, or hopeless in last 2 weeks
  67875-5Employment status - current
  76513-1How hard is it for you to pay for the very basics like food, housing, medical care, and heating

Explanation of the columns that may appear on this page:

Level A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
System The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code The code (used as the code in the resource instance)
Display The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition An explanation of the meaning of the concept
Comments Additional notes about how to use the code