SDOH Clinical Care
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SDOH Clinical Care, published by HL7 International / Patient Care. This guide is not an authorized publication; it is the continuous build for version 2.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-sdoh-clinicalcare/ and changes regularly. See the Directory of published versions

CodeSystem: SDOHCC CodeSystem Temporary Codes (Experimental)

Official URL: http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes Version: 2.1.0
Standards status: Informative Computable Name: SDOHCCCodeSystemTemporaryCodes

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

The purpose of this code system is to enable temporary codes to be assigned to concepts that are needed to document SDOH-related data elements defined by the Gravity Project community and concepts that are needed to facilitate the use of FHIR to exchange data as required in the use cases covered by this IG. After the IG has been sufficiently tested through HL7 Connectathons and the coded concepts have been confirmed as fit for the intended purpose, and consensus on the use of the codes has been confirmed through the HL7 Ballot process, the temporary codes will be replaced with coded concepts established within nationally recognized, open code systems. The replacement of temporary codes with permanent codes is intended to happen in a future version of the IG.

This Code system is referenced in the content logical definition of the following value sets:

This case-sensitive code system http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes defines the following codes:

CodeDisplayDefinition
sdoh-category-unspecified SDOH Category UnspecifiedCategory for Social Determinant of Health artifacts that are not further specified with respect to category.
food-insecurity Food InsecurityCategory for Social Determinant of Health artifacts that pertain to Food Insecurity (which is defined as: Uncertain, limited, or unstable access to food that is: adequate in quantity and in nutritional quality; culturally acceptable; safe and acquired in socially acceptable ways.) This SDOH category covers records relevant to circumstances that range from Food Insecurity to Food Security.
housing-instability Housing InstabilityCategory for Social Determinant of Health artifacts that pertain to Housing Instability (which is defined as: Currently consistently housed, but experiencing any of the following circumstances in the past 12 months: being behind on rent or mortgage, multiple moves, or housing cost burden.) This SDOH category covers records relevant to circumstances that range from Housing Instability to Stably Housed.
homelessness HomelessnessCategory for Social Determinant of Health artifacts that pertain to Homelessness (which is defined as including: 1) Sheltered Homelessness: because of economic difficulties, currently living in a shelter, motel, temporary or transitional living situation, scattered-site housing, or not having a consistent place to sleep at night; and 2) Unsheltered Homelessness: residing in a place not meant for human habitation, such as cars, parks, sidewalks, abandoned buildings, on the street.) This SDOH category covers records relevant to circumstances that range Homelessness to Housed.
inadequate-housing Inadequate HousingCategory for Social Determinant of Health artifacts that pertain to Inadequate Housing (which is defined as: Housing does not meet habitability standards.) This SDOH category covers records relevant to circumstances that range from Inadequate Housing to Adequate Housing.
transportation-insecurity Transportation InsecurityCategory for Social Determinant of Health artifacts that pertain to Transportation Insecurity (which is defined as: Uncertain, limited, or no access to safe, reliable, accessible, affordable, and socially acceptable transportation infrastructure and modalities necessary for maintaining one’s health, well-being, or livelihood.) This SDOH category covers records relevant to circumstances that range from Transportation Insecurity to Transportation Security.
financial-insecurity Financial InsecurityCategory for Social Determinant of Health artifacts that pertain to Financial Insecurity (which is defined as: A state of being wherein a person has difficulty fully meeting current and/or ongoing financial obligations and/or does not feel secure in their financial future.) This SDOH category covers records relevant to circumstances that range from Financial Insecurity to Financial Security.
material-hardship Material HardshipCategory for Social Determinant of Health artifacts that pertain to Material Hardship (which is defined as: The lack of specific socially perceived basic physical necessities.) This SDOH category covers records relevant to circumstances that range from 'Unable to obtain physical necessity X' to 'Able to obtain physical necessity X'.
educational-attainment Educational AttainmentCategory for Social Determinant of Health artifacts that pertain to the level of education attained (which, in this context, is defined by whether one has or has not met academic criteria for high school diploma or equivalent.) This SDOH category covers records relevant to circumstances that range from 'Lacks a high school diploma/certificate' to 'Has a high school diploma/certificate'.
employment-status Employment StatusCategory for Social Determinant of Health artifacts that pertain to the status of one's employment (which, in this context, is defined by whether one has or does not have a job and is looking for and available for work). This SDOH category covers records relevant to circumstances that range from 'In labor force' (Unemployed to Employed), or 'Not in labor force'.
veteran-status Veteran StatusCategory for Social Determinant of Health artifacts that pertain to veteran status (which, in this context, is defined by whether one has or has not served as active military with honorable release or discharge.) This SDOH category covers records relevant to circumstances that range from 'History of military service' to 'No history of military service'.
stress StressCategory for Social Determinant of Health artifacts that pertain to Stress (which is defined as: When a person perceives the demands of environmental stimuli to be greater than their ability to meet, mitigate, or alter those demands.) This SDOH category covers records relevant to circumstances that range from Stress to 'No stress'.
social-connection Social ConnectionCategory for Social Determinant of Health artifacts that pertain to Social Connection (which is defined as: An umbrella term that encompasses the structural, functional, and quality aspects of how individuals connect to each other.) This SDOH category covers records relevant to circumstances that range from inadequate social connections to adequate/satisfying social connections.
intimate-partner-violence Intimate Partner ViolenceCategory for Social Determinant of Health artifacts that pertain to Intimate Partner Violence (IPV) (which is defined as: Physical violence, sexual violence, or psychological harm by a current or former partner or spouse. Often including a pattern of methods and tactics to gain and maintain power and control over the other person.) This SDOH category covers records relevant to circumstances that range from being a victim of IPV to not being a victim of IPV.
elder-abuse Elder AbuseCategory for Social Determinant of Health artifacts that pertain to Elder Abuse (which is defined as: An intentional act or failure to act by a caregiver or another person in a relationship involving an expectation of trust that causes or creates a risk of harm to an older adult and can be in the form of physical abuse, psychological abuse, sexual abuse, financial abuse, and/or neglect by someone in a caregiving role.) This SDOH category covers records relevant to circumstances that range from being a victim of elder abuse to not being a victim of elder abuse.
personal-health-literacy Personal Health LiteracyCategory for Social Determinant of Health artifacts that pertain to Personal Health Literacy (which is defined by Healthy People 2030 as: The degree to which individuals have the ability to find, understand, and use information and services to inform health-related decisions and actions for themselves and others.) This SDOH category covers records relevant to circumstances that range from personal health literacy problems/diagnoses to positive findings/goals related to personal health literacy.
health-insurance-coverage-status Health Insurance Coverage StatusCategory for Social Determinant of Health artifacts that pertain to health insurance coverage (which is defined by whether one has, or does not have, healthcare coverage or insurance.) This SDOH category covers records relevant to circumstances that range from 'no health insurance coverage' to 'health insurance coverage'.
medical-cost-burden Medical Cost BurdenCategory for Social Determinant of Health artifacts that pertain to medical cost burden (which is defined as: A measure of financial pressure resulting from health spending stemming from inadequate resources to meet medical cost needs.) This SDOH category covers records relevant to circumstances that range from 'financial insecurity due to medical cost burden' to 'no burdensome medical costs/debt'.
resulting-activity Resulting ActivityCode used for Task.output.type to represent the activity/action that is the result of a fulfilled task.
sdoh-condition-category Current Condition Category From SDOH CategoryCode used for Group.characteristic to identify Group members with a current SDOH Condition (identified by a Condition with Condition.category from SDOH domain value set referenced by Group.characteristic.value).
payer-coverage Coverage By Payer OrganizationCode used for Group.characteristic to identify Group members currently covered by a specific payer organization.
general-information General InformationDesignates that information with respect to an action to be performed 1) will be captured in Task.description in text form AND 2) has no computable expectation AND 3) any resulting response will be captured in Task.Output.GeneralInformationResponse.value as markdown.
make-contact Make ContactDesignates that the action performed is to make contact (e.g., schedule an appointment, call for results, etc.) with a designated entity (e.g., a healthcare provider, social program, etc.). Details about the reason for the contact may captured elsewhere
review-material Review MaterialDesignates that the action performed is to review material (e.g., attached instructions). Details about the type of material to be reviewed, the reason for reviewing the material, etc. may be captured elsewhere.
risk-questionnaire Risk QuestionnaireA type of questionnaire that evaluates SDOH-related risk(s).
feedback-questionnaire Feedback QuestionnaireA type of questionnaire that obtains feedback on a service that was offered or received.
application-questionnaire Application QuestionnaireA type of questionnaire that obtains information required on an application (e.g., for a social service program, insurance, benefits, etc.).
personal-characteristics-questionnaire Personal Characteristics QuestionnaireA type of questionnaire that obtains information about an individual's personal characteristics (e.g., sexual orientation, gender identity, etc.).
contact-entity Contact EntityIdentifies an entity (e.g., a practitioner, organization, or service) that needs to be contacted.
general-information-response General Information ResponseWhen Task.code is 'general-information', 'general-information-response' for Task.output.type indicates that a free text response can be provided.
questionnaire-category Questionnaire CategoryIdentifies the category of questionnaire that should be completed.
questionnaire-pdf Questionnaire PDFIdentifies the questionnaire PDF to be completed.
questionnaire-url Questionnaire URLIdentifies the URL where a questionnaire to be completed can be accessed.
questionnaire-pdf-completed Questionnaire PDF CompletedIdentifies the completed questionnaire PDF.
contacting-subject-prohibited Contacting Subject ProhibitedIdentifies that the subject does not want to be contacted for any reason related to this request. There will be alternate arrangements made with respect to contact by the subject or someone acting on their behalf.
self-reported Self ReportedThe subject reported the information about the subject.
reported-by-related-person Reported By Related PersonSomeone related to the subject reported the information about the subject.
observed ObservedDirect observation of the subject was used to obtain information about the subject.
administrative AdministrativeThe information about the subject was collected by an organization for administrative reasons not necessarily directly related to obtaining healthcare or health insurance.
derived-specify Derived SpecifyThe information about the subject was derived from information or methods other than directly reported by an individual. Text or derivedFrom should be used to further specify the method.
other-specify Other SpecifyThe actual value is not a member of the set of permitted data values in the constrained value domain of a variable. Text should be used to further specify the value.
personal-characteristic Personal CharacteristicCategory for artifacts that pertain to a personal characteristic (characteristics that are usually self-attested but may be attested to on behalf of the subject and are generally only verifiable by the source of attestation (e.g., sexual orientation, gender identity and personal pronouns), but may sometimes be verifiable by someone other than the source of attestation (e.g., recorded sex)).
chosen-contact Chosen ContactIdentifies the entity (e.g., a practitioner, organization, or service) that was contacted.