Purpose

SDOHCC Condition is generally intended to represent a health concern, problem, or diagnosis related to a social risk or need. SDOHCC Condition may be the result of a screening response Observations (e.g., SDOHCC Observation Screening Response) or other Observations made as part of an encounter assessment (e.g., SDOHCC Observation Assessment). SDOHCC Condition may be addressed by a Goal (SDOHCC Goal) or be the reason for a ServiceRequest (SDOHCC Service Request) or Procedure (SDOHCC Procedure). See the Data Modeling Framework for more detail on the relationships between SDOHCC Condition and the other profiles in this IG.

Usage

Condition.code has a binding to US Core Condition Codes (required). Condition.code also has additional bindings to SDOH domain-specific value sets (e.g., for Food Insecurity) which are determined by the value selected for Condition.category. When Condition.category is a value from SDOHCC ValueSet SDOH Category (e.g., food-insecurity), Condition.code SHALL be selected from the corresponding domain-specific value set found in Additional Bindings (i.e. Food Insecurity Diagnoses). If more than one value is selected from SDOHCC ValueSet SDOH Category (e.g., food-insecurity and financial-insecurity) for Condition.category, then Condition.code SHALL be selected from at least one of the corresponding domain-specific value sets found in Additional Bindings (e.g. Food Insecurity Diagnoses).

Of note, Gravity Project is continuously developing terminology for new SDOH domains. For new SDOH domains where the Gravity terminology development cycle is in progress, domain-specific value sets may not yet be available in VSAC. If a domain-specific value set is not yet available in VSAC, the Additional Binding is the default binding for the profile element. If a domain-specific value set is available in VSAC but does not yet include all standardized codes identified during the domain’s terminology development cycle, the value set’s VSAC “Description” tab will state, “In progress”. Additional information related to Gravity value sets is provided on the Social Risk Terminology Value Sets page on the Gravity Project Confluence site.

Additionally, some SDOH domains may not yet be represented in SDOHCC ValueSet SDOH Category. In this case, Condition.category: sdoh-category-unspecified can be used so that the Condition instance can still be categorized as SDOH-related. If desired, category.text can also be used to further specify the domain. For example, at the time of publication of this IG, “disability-status” is not yet included in SDOHCC ValueSet SDOH Category. In this case, Condition.category: sdoh-category-unspecified can be used along with category.text: Disability Status. For Condition.category: sdoh-category-unspecified, there will not be domain-specific value sets and Additional Bindings for Condition.code will designate the default binding to US Core Condition Codes (required).

For more information on the correlation between Condition.category and the domain-specific value sets in Additional Bindings for Condition.code, see Gravity Project Value Sets.