Representing Social Determinants of Health - Conditions and Diagnoses

Type	Standard / Implementation Specification	Standards Process Maturity	Implementation Maturity	Adoption Level	Federally required	Cost	Test Tool Availability
Standard	SNOMED CT® U.S. Edition	Final	Production		Yes	Free
Standard	ICD-10-CM	Final	Production		Yes	Free

Limitations, Dependencies, and Preconditions for Consideration	Applicable Value Set(s) and Starter Set(s)
Social Determinants of Health (SDOH) conditions and diagnoses are SDOH-related problems, concerns, conditions, or diagnoses, often determined by screening assessments of an SDOH-related risk. The HL7 Gravity Project defined value sets to represent SDOH Problems and Health Concerns. SNOMED CT U.S. Edition is used for SDOH conditions. ICD-10-CM is used for SDOH diagnoses. Implementation information for SDOH conditions and diagnoses exchange can be found in Structure and Exchange of Social Determinants of Health Information. A white paper developed by National Council for Prescription Drug Programs (NCPDP), Collecting and Exchanging Social Determinants of Health Data in the Pharmacy, provides guidance on the use of ICD-10-CM and SNOMED CT US Edition codes within the NCPDP SCRIPT and Telecommunication Standards, as well as the Pharmacist eCare Plan.	Social Determinants of Health Conditions (SNOMED CT and ICD-10-CM)

Limitations, Dependencies, and Preconditions for Consideration

Applicable Value Set(s) and Starter Set(s)

Social Determinants of Health (SDOH) conditions and diagnoses are SDOH-related problems, concerns, conditions, or diagnoses, often determined by screening assessments of an SDOH-related risk.
The HL7 Gravity Project defined value sets to represent SDOH Problems and Health Concerns.
- SNOMED CT U.S. Edition is used for SDOH conditions.
- ICD-10-CM is used for SDOH diagnoses.
Implementation information for SDOH conditions and diagnoses exchange can be found in Structure and Exchange of Social Determinants of Health Information.
A white paper developed by National Council for Prescription Drug Programs (NCPDP), Collecting and Exchanging Social Determinants of Health Data in the Pharmacy, provides guidance on the use of ICD-10-CM and SNOMED CT US Edition codes within the NCPDP SCRIPT and Telecommunication Standards, as well as the Pharmacist eCare Plan.

Social Determinants of Health Conditions (SNOMED CT and ICD-10-CM)

Comment

Submitted by pwilson@ncpdp.org on 2023-10-06

NCPDP Comment

NCPDP recommends that ONC add to the Limitations, Dependencies, and Preconditions for Consideration section: NCPDP supports the use of ICD-10-CM and SNOMED CT US Edition codes to represent SDOH Conditions and Diagnoses. NCPDP produced a white paper, Collecting and Exchanging Social Determinants of Health Data in the Pharmacy, to assist in the usage of these codes within the NCPDP SCRIPT and Telecommunication Standards, as well as the Pharmacist eCare Plan.

Submitted by shellyspiro on 2023-10-02

Pharmacy HIT Collaborative (PHIT) comment

PHIT supports ONC’s recommendation for using SNOMED CT U.S. Edition and ICD-10-CM to represent SDOH conditions and diagnoses. PHIT also recommends reviewing NCPDP’s white paper, “Collecting and Exchanging Social Determinants of Health Data in Pharmacy,” which was produced to assist in the usage of these codes within NCPDP SCRIPT and Telecommunications Standards and the Pharmacist eCare Plan.