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Section 1c: FHIR®
Section 3: Implementation Guides

HL7 FHIR® Implementation Guide: Social Determinants of Health (SDOH) Clinical Care, Edition 3 - US Realm

DESCRIPTION

This HL7 Implementation Guide (IG) defines how to exchange coded content the across healthcare, social service, and public health sectors using the HL7 FHIR Standard for the following SDOH-focused care activities: use of standardized assessment instruments, assessment of social conditions, goal setting, planning and performing interventions, and reporting on outcomes. This IG addresses the need to gather reliable, evidence-based SDOH information in multiple settings, share it among stakeholders and sectors, and exchange referrals and outcomes between organizations to address specific social risks and protective factors, all with appropriate patient consent.  

See the IG at  http://hl7.org/fhir/us/sdoh-clinicalcare/3.0.0

ALTERNATIVE NAMES

HL7 FHIR® Implementation Guide: Social Determinants of Health (SDOH) Clinical Care, Edition 3 - US Realm may also go by the following names or acronyms:

"HL7 FHIR® IG: SDOH Clinical Care, R1",SDOH, Social Determinants of Health,SDOH Clinical Care FHIR IG

BENEFITS

  • Enables the standard exchange of social risk information between and among providers, payers, HIEs, community referral platforms, and community based organizations to facilitate the consideration of a patients social determinants of health and their impact on individuals health and well being.

IMPLEMENTATIONS/CASE STUDIES

  • AAFP
  • BlueCross BlueShield Association
  • Juxly
  • Robert Wood Johnson Foundation
  • Blue California
  • Lyft
  • Siren UCSF
  • Highmark
  • UnitedHealthcare
  • AMA
  • Kaiser Permanente
  • Academy of Nutrition and Dietetics
  • Humana
  • AHRQ
  • Children’s HealthWatch
  • CyncHealth
  • ATA
  • Community Transportation Association of America (CTAA)
  • Onyx
  • BlueCross BlueShield of North Carolina
  • The University of Vermont: Larner College of Medicine
  • ONC
  • California Health Care Foundation
  • Yale School of Nursing
  • Arkansas BlueCross
  • BlueShield
  • Guidewell
  • AmeriHealth

DEVELOPMENT BACKGROUND

As care for social needs has advanced in healthcare, there is an increasing demand to expand and standardize the terminology and information models for social needs in order to:
  • Better care for patients with social needs and the populations they live within
  • Collaborate with clinical and community partners
  • Study social needs, their effect on health outcomes, and the effects of our interventions
  • Allocate resources toward social risk within value-based care

RELATED DOCUMENTS

HL7 FHIR® Implementation Guide: Social Determinants of Health (SDOH) Clinical Care, Edition 3 - US Realm

STU DOCUMENTS

HL7 FHIR® Implementation Guide: SDOH Clinical Care, Edition3 - US Realm See the standard at http://hl7.org/fhir/us/sdoh-clinicalcare/3.0.0. (Submit Feedback on STU)
HL7 FHIR® Implementation Guide: SDOH Clinical Care, Release 2.2 - US Realm The spec is online here.
 		(Submit Feedback on STU)
HL7 FHIR® Implementation Guide: SDOH Clinical Care, Release 2.3 - US Realm See the standard at http://hl7.org/fhir/us/sdoh-clinicalcare/STU2.3. (Submit Feedback on STU)
HL7 FHIR® Implementation Guide: SDOH Clinical Care, Release 1 - US Realm See the standard at http://hl7.org/fhir/us/sdoh-clinicalcare/STU1. Expiration Aug 2022

TOPIC

  • Patient Care

BALLOT TYPE

  • STU

STATUS DATE

2025-05-15

RESPONSIBLE WORK GROUP

Patient Care

PRODUCT TYPE

  • Implementation Guide

STAKEHOLDERS

  • Clinical and Public Health Laboratories
  • Clinical Decision Support Systems Vendors
  • EHR, PHR Vendors
  • Emergency Services Providers
  • Health Care IT Vendors
  • Healthcare Institutions
  • Local and State Departments of Health
  • Payors
  • Quality Reporting Agencies
  • Regulatory Agency
  • Standards Development Organizations (SDOs)

FAMILY

  • FHIR

CURRENT STATE

  • Active

REALM

  • US Realm