SDOH Clinical Care
0.1.1 - CI Build

SDOH Clinical Care, published by HL7 International - Patient Care WG. This is not an authorized publication; it is the continuous build for version 0.1.1). This version is based on the current content of and changes regularly. See the Directory of published versions

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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 Ineroperability 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 the context of clinical encounters and describes how to share SDOH information and other relevant information with outside organizations for the purpose of coordinating services and support to address SDOH related needs. 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:

  • Document SDOH data in conjunction with the patient encounters
  • Document and track SDOH related interventions to completion
  • Gather and aggregate SDOH data for uses beyond the point of care (e.g. public health, population health, quality measurement, risk adjustment, quality improvement, and research)

This implementation guide was developed under the auspices of the Gravity FHIR accelerator 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.

Content and organization

The implementation guide is organized into the following sections:

Update Tracking

  • Version 0.1.1 b (second update pushed to continuous build on 5/7/2021)
  • Verison 0.1.1 c (update to support PRAPARE pushed to continuous build on 5/10/2021)
  • Verison 0.1.1 d (update to fix deletions and support specific PRAPARE items pushed to continuous build on 5/12/2021)
  • Version 0.1.1 e (fixing deletions – 5/12/2021)
  • Version 0.1.1 f (fixed deletions and updated support of and examples for PRAPARE – pushed to continuous build on 5/13/2021


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HL7 International - Patient Care

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