sdoh assessment

[Gulshan Dhiman]

  We have captured Social Determinants of Health (SDOH) assessment questions and patient responses in our system. We would like to confirm how this information should be represented in a CCDA XML file. Specifically, under which section (data element class) should SDOH questions and answers be included, and what is the recommended structure for transmitting this data in compliance with ONC/USCDI guidelines?

Please share an example CCDA XML file with example.

93043-8 Personal Characteristics
=====================================
56051-6 Are you Hispanic or Latino?
--------------------------
Yes LA33-6
No LA32-8
I choose not to answer this question LA30122-8

32624-9 Which race(s) are you?
--------------------------
Asian LA6156-9
Native Hawaiian LA14045-1
Pacific Islander LA30187-1
Black/African American LA14042-8
White LA4457-3
American Indian/Alaskan Native LA4-4
Other LA46-8
I choose not to answer this question LA30122-8

93035-4 At any point in the past 2 years, has season or migrant farm work been your or your family's main source of income?
--------------------------
Yes LA33-6
No LA32-8
I choose not to answer this question LA30122-8

93034-7 Have you been discharged from the armed forces of the United States?
--------------------------
Yes LA33-6
No LA32-8
I choose not to answer this question LA30122-8

54899-0 What language are you most comfortable speaking?
--------------------------
English LA43-5
Language other than English LA30188-9
I choose not to answer this question LA30122-8

93042-0 Family & Home
=====================================
63512-8 How many family members, including yourself, do you currently live with?
--------------------------
{Number}

71802-3 What is your housing situation today?
--------------------------
I have housing LA30189-7
I do not have housing (staying with others, in a hotel, in a shelter, living outside on the street, on a beach, in a car, or in a park) LA30190-5
I choose not to answer this question LA30122-8

93033-9 Are you worried about losing your housing?
--------------------------
Yes LA33-6
No LA32-8
I choose not to answer this question LA30122-8

56799-0 What address do you live at?
--------------------------
{address}
 
93041-2 Money & Resources
=====================================
82589-3 What is the highest level of school that you have finished?
--------------------------
Less than high school degree LA30191-3
High school diploma or GED LA30192-1
More than high school LA30193-9
I choose not to answer this question LA30122-8

67875-5 What is your current work situation?
--------------------------
Unemployed LA17956-6
Part-time or temporary work LA30138-4
Full-time work LA30136-8
Otherwise unemployed but not seeking work (ex: student, retired, disabled, unpaid primary care giver), Please write LA30137-6
I choose not to answer this question LA30122-8


76437-3 What is your main insurance?
--------------------------
None/uninsured LA30194-7
Medicaid LA17849-3
CHIP Medicaid LA30195-4
Medicare LA15652-3
Other public insurance (not CHIP) LA30196-2
Other public insurance (CHIP) LA30197-0
Private insurance LA6350-8

63586-2 During the past year, what was the total combined income for you and the family members you live with? This information will help us determine if you are eligible for any benefits.
--------------------------
{Number}

93031-3 In the past year, have you or any family members you live with been unable to get any of the following when it was really needed?
--------------------------
Food LA30125-1
Clothing LA30126-9
Utilities LA30124-4
Child care LA30127-7
Medicine or Any Health Care (Medical, Dental, Mental Health, Vision) LA30128-5
Phone LA30129-3
Other, Please write LA46-8
I choose not to answer this question LA30122-8

93030-5 Has lack of transportation kept you from medical appointments, meetings, work, or from getting things needed for daily living
--------------------------
Yes, it has kept me from medical appointments or from getting my medications LA30133-5
Yes, it has kept me from non-medical meetings, appointments, work, or from getting things that I need LA30134-3
No LA32-8
I choose not to answer this question LA30122-8
 
93040-4 Social & Emotional Health
=====================================
93029-7 How often do you see or talk to people that you care about and feel close to (For example: talking to friends on the phone, visiting friends or family, going to church or club meetings)?
--------------------------
Less than once a week LA27722-0
1 or 2 times a week LA30130-1
3 to 5 times a week LA30131-9
5 or more times a week LA30132-7
I choose not to answer this question LA30122-8

93038-8 Stress is when someone feels tense, nervous, anxious or can't sleep at night because their mind is troubled - how stressed are you?
--------------------------
Not at all LA6568-5
A little bit LA13863-8
Somewhat LA13909-9
Quite a bit LA13902-4
Very much LA13914-9
I choose not to answer this question LA30122-8
 
93039-6 Optional Additional Questions
=====================================
93028-9 In the past year, have you spent more than 2 nights in a row in a jail, prison, detention center, or juvenile correctional facility?
--------------------------
Yes LA33-6
No LA32-8
I choose not to answer this question LA30122-8

93027-1 Are you a refugee?
--------------------------
Yes LA33-6
No LA32-8
I choose not to answer this question LA30122-8

93026-3 Do you feel physically and emotionally safe where you currently live?
--------------------------
Yes LA33-6
No LA32-8
Unsure LA14072-5
I choose not to answer this question LA30122-8

76501-6 In the past year, have you been afraid of your partner or ex-partner?
--------------------------
Yes LA33-6
No LA32-8

[Nagesh Bashyam]

Please refer to HL7 C-CDA examples.

 

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[Mat Davis]

[Gulshan Dhiman]

In CCDA, under which data class or section (for example, Social History) should SDOH assessment questions and responses be represented?

[Nagesh Bashyam]

Please refer to the C-CDA Companion Guide, C-CDA IG or the HL7 C-CDA examples

 

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[Mat Davis]

Try here as a start.

C-CDA Companion Guide

https://www.hl7.org/ccdasearch/pdfs/Companion_Guide.pdf

Search for "sdoh assessment".

Thanks - Mat