SDOH Clinical Care
3.0.0 - STU 3

SDOH Clinical Care, published by HL7 International / Patient Care. This guide is not an authorized publication; it is the continuous build for version 3.0.0 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

## STU2 Ballot Changes

Page standards status: Informative

### Jira Tickets – all applied – see changes below

1. FHIR-34237 – Replace Task with a Task for Referrals and one for the Patient, and add documentation
   - Patient task should support surveys, documentation, and contact information
2. FHIR-34238 – Add Draft observations for race and ethnicity that support the identification of “source” and “method” of collection and add documentation – need US core exceptions from CPWG for observations – submitted variance request to CPG and was approved (see profiles)
3. FHIR-34242 – Change ServiceRequest and Procedure profiles to use US core value set for .code
4. FHIR-34243 – Change Condition profile to use US Core .code value set and provide guidance on the use of both SNOMED-CT and ICD-10 (as codings)
5. FHIR-34244 – Add profile for HealthcareService and Location to use in the Patient Task to indicate contact information
6. FHIR-34246 – Add Service order detail in the ServiceRequest to indicate that the service organization is not to call the patient/client
7. FHIR-34255 – Define workflow with patient involvement
8. FHIR-34256 – Define workflow with multiple services organization
9. FHIR-34257 – Add additional examples for each of the new / changed profiles /requirements
10. FHIR-34236 – Update profiles must support and element definitions based on feedback from implementers
11. FHIR-34233 – Add support for external terminologies as part of ServiceRequest and Procedure.
12. FHIR-34339 – Add Guidance on relationship between new Race and Ethnicity Observation with US Core

This ballot is focused on a number of additions and corrections based on feedback from addresses several additions, modifications, technical corrections, errata, clarifications listed below.

### CodeSystems

Added values and notes FHIR-34237, FHIR-34238, FHIR-34246

- SDOHCC CodeSystem Temporary Codes

### Value Sets

Adopted US Core Value Sets FHIR-34233

- FHIR-34243

- Condition: from Condition/Problem/Diagnosis Codes to US Core Condition Code
- ServiceRequest: from Procedure Codes (SNOMED CT) to US Core Procedure Codes
- Procedure: from SDOHCC ValueSet SNOMEDCT CPT LOINC HCPCSII to US Core Procedure Codes

Removed Values Sets (no longer required) FHIR-34233

- SDOHCC ValueSet HCPCSII
- SDOHCC ValueSet ICD10CM
- SDOHCC ValueSet SNOMEDCT CPT LOINC HCPCSII

Added Value Sets for Race/Ethnicity Observation Profile FHIR-34238

- SDOHCC ValueSet Observation DataAbsentReason
- FHIR-34238 SDOHCC ValueSet Observation Method

Added Value Sets for Patient Task FHIR-34237

- SDOHCC ValueSet SDOH Questionnaire Category
- SDOHCC ValueSet Task Code
- SDOHCC ValueSet Task Priority
- SDOHCC ValueSet Task Status

Added values and notes FHIR-34233

- SDOHCC ValueSet Observation Status
- SDOHCC ValueSet SDOH Category

### StructureDefinitions

US Core FHIR-34233

- Updated from 3.1.1 to 4.0.0

Updated Profiles FHIR-34233

- SDOHCC Condition FHIR-34243

- - Changed `Condition.code` value set to use US Core Condition Code value set.
- - Added guidance on use of SDOH value sets

- SDOHCC Goal FHIR 34233

- - Added guidance on use of SDOH value sets in VSAC
- - Make `Goal.value` due date MS

- SDOHCC Procedure FHIR-34233, FHIR-34242

- - `Procedure.code` – added reference to US Core Condition Code value set FHIR-34233
- - `Procedure.code.coding` – added slice for example of social services taxonomy (e.g. 211 LA) as Must Support

- SDOHCC ServiceRequest FHIR-34246, FHIR-34233, FHIR-34242

- - `ServiceRequest.status` –- updated guidance
- - `ServiceRequest.code` – removed slices and added reference to US Core Procedure value set
- - `ServiceRequest.code.coding` – added slice for example of social services taxonomy (e.g. 211 LA) as Must Support
- - `ServiceRequest.reasonReference` – added guidance
- - `ServiceRequest.orderDetail` – added order detail to indicate that the service organization is not to call the patient/client

Added new profiles

- SDOHCC Healthcare Service FHIR-34244, FHIR-34237
- - Extension: SDOHCC Extension HealthcareService Telecom Appointment FHIR-34244, FHIR-34237
- SDOHCC Location FHIR-34244, FHIR-34237
- SDOHCC Task For Patient FHIR-34244, FHIR-34237
- SDOHCC Task For Referral Management FHIR-34237

New Draft Observation Profiles for Race and Ethnicity

- SDOHCC Observation Ethnicity OMB FHIR-34238, FHIR-34339
- SDOHCC Observation Race OMB FHIR-34238, FHIR-34339

Removed

- SDOHCC Task FHIR-34237

### CapabilityStatements

Changed name and updated content

- From SDOH Clinical Care Coordination Platform to SDOHCC Coordination Platform Capability Statement
- From SDOH Clinical Care Referral Recipient - Light to SDOHCC Referral Recipient - Light
- From SDOH Clinical Care Referral Recipient to SDOHCC Referral Recipient
- From SDOH Clinical Care Referral Source to SDOHCC Referral Source

Added CapabilityStatement

- SDOHCC Patient Application FHIR-34255

### Documentation

- Home Page – added reference to new content
- STU2 Ballot Changes – this page
- Functional Use Cases – added Patient/Client use case FHIR-34255
- Support for Multiple Domains – added support for VSAC group value sets FHIR-34236
- Exchange Workflow – added new workflow for Patient/Client and CBO applications FHIR-34255, FHIR-34256
- Connecting Applications with API Data Sources – new FHIR-34255
- FHIR Artifacts Overview – updated to refer to new or changed artifacts
- Draft Specifications for Personal Characteristics– new FHIR-34339

### Examples

- Many of the examples have been renamed, updated, or added to appropriately provide examples of the changes noted above FHIR-34257