Type | Standard / Implementation Specification | Standards Process Maturity | Implementation Maturity | Adoption Level | Federally required | Cost | Test Tool Availability |
---|---|---|---|---|---|---|---|
Standard
|
Final
|
Production
|
No
|
Free
|
No
|
||
Standard
|
Final
|
Production
|
No
|
Free
|
No
|
||
Standard
|
Final
|
Production
|
No
|
Free
|
No
|
||
Implementation Specification
|
Final
|
Production
|
No
|
Free
|
Yes
|
Limitations, Dependencies, and Preconditions for Consideration |
Applicable Value Set(s) and Starter Set(s)
|
---|---|
Transportation Insecurity Definition: Category for Social Determinant of Health artifacts that pertain to Transportation Insecurity (which is defined as: Uncertain, limited, or no access to safe, reliable, accessible, affordable, and socially acceptable transportation infrastructure and modalities necessary for maintaining one’s health, well-being, or livelihood.) This SDOH category covers records relevant to circumstances that range from Transportation Insecurity to Transportation Security.
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Gravity Project® Social Determinants of Health (SDOH) data elements and value sets are created and curated through a consensus HL7 FHIR Accelerator™ Project, with the charter to develop the data standards to address SDOH. For a list of Gravity Project SDOH Value Sets and social risk domain face-valid instruments see the Gravity Project Confluence site. One can also search value sets in VSAC for “The Gravity Project” as steward. Each Gravity Project value set in VSAC has a description/purpose statement to assist with implementation. also search value sets in VSAC for “The Gravity Project” as steward. Each Gravity Project value set in VSAC has a description/purpose statement to assist with implementation.
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Comment
Submitted by ragnhildurb on
Comments from the Alliance for Nursing Informatics
Thank you for the opportunity to provide comments on the Interoperability Standards Advisory (ISA) and the Standards Version Advancement Process (SVAP).
ANI strongly endorses social determinants of health (SDOH) as a key interoperability need for better care and health nationwide, amplified as a need during the COVID-19 public health emergency. While SDOH data elements are present within the ISA, but adoption is low, and standards are not federally required. Therefore, ANI strongly supports further development to include SDOH standards in regulations and as federal program requirements.
Please see attachment for our full comments.
Submitted by mattreid on
The AMA requests that the…
The AMA requests that the Current Procedural Terminology (CPT) code set be added to the standards listed in Section I: Representing Transportation Insecurity. The CPT Evaluation and Maintenance services include assessing a patient’s level of transportation insecurity. Care plan services also address transportation needs.
CPT is a comprehensive and regularly curated uniform language that accurately describes medical, surgical, and diagnostic services and provides for reliable communication among users. It has an extremely robust and mature development process with open and transparent meetings and clinical input from national medical specialties and relevant stakeholders. It is the most widely adopted outpatient procedure code set. Use of the CPT code set is federally required under HIPAA.
Submitted by Ashley_Ashworth_OHA on
Oregon Health Authority ISA Comments
Oregon is pursuing multiple approaches to address unmet needs related to SDOH. We support the inclusion of standards for representing housing insecurity, representing food insecurity, and representing transportation insecurity. Although PRAPARE is one commonly used screening tool, other validated tools also are in widespread use. We encourage the inclusion of coding for additional screening tools as available, building on the work of the Gravity Project.
OHA ISA Comments on letterhead__0.pdf