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Track overview

Short Description

Reviewing and testing the Social Determinants of Health (SDOH) Clinical Care IG Gravity SDOH Clinical Care IG.  The SDOH Clinical Care IG provides a framework for multiple SDOH domains.  The focus of this Connectathon track is on the creation, coding and use of SDOH surveys/assessments. 

Long Description

For details on the approved scope for the Gravity Project SDOH Data Element FHIR IG, read the HL7 PSS.

Type

• Test an Implementation Guide

Submitting WG/Project/Implementer Group

Proposed Track Leads

Track Recordings and Presentations

CAT 25 Connnectathon Gravity SDOH-CC Track 20200908 v2.pptx

Day 1 EXERCISE Creating SDC Questionnaire and QuestionnaireResponse ppt

Day 1 Output Questionnaire json

Day 1 Output QuestionnaireResponse json

Day 2 EXERCISE Creating SDC Questionnaire and QuestionnaireResponse ppt

Day 2 Output Questionnaire PRAPARE json

Day 2 Output Bundle PRAPARE Example json

Track Recording 1, September 10, 2020

Track Recording 2, September 10, 2020

Track Recording 3, September 11, 2020

EXERCISE MATERIALS - Converting Questionnaire Responses to Observations and Conditions

Related tracks

2020-09 Care Coordination Track

FHIR Version

• FHIR R4

Specification(s) this track uses (include Gravity IG)

http://build.fhir.org/ig/HL7/fhir-sdoh-clinicalcare/

TBD

Artifacts of focus

Gravity SDOH Clinical Care IG

Clinical input requested (if any)

N/A

Patient input requested (if any)

TBD

Expected Participants

Note:  Other expected participants may be added.

Zulip Stream

Participants can follow the Zulip Chat for SDOH CC: https://chat.fhir.org/#narrow/stream/233957-Gravity-sdoh-cc

Sign up for Zulip: https://chat.fhir.org/register/

Track details

Agenda

All times are Eastern Time.

Track Report Out:

Summary/Track Objectives

• Provide an overview of Gravity Project, use cases, and "multi-domain" approach to SDOH
• Demonstrate use of LOINC panels and NLM's LHC tools to auto-generate, SDC Questionnaire and QuestionnaireResponses
• Demonstrate use of FHIR Mapping Language, StructureMap, and FHIR validator to auto-generate a bundle containing screening response observations as well as calculated health concerns (conditions)

Participants

See table above.

Implementing Systems

The IG was published just prior to the Connectathon and we look forward to future implementations.  A reference implementation is planned for Q4 2020.

Notable Achievements

• Introduced the approach of a limited set of "multi-domain" SDOH profiles supported by externally maintained, dynamic value sets
• Received initial positive feedback on FHIR Mapping/StructureMap approach to auto-generating screening response observations as well as calculated health concerns (conditions)
• NLM LHC and LOINC representatives participated and were in discussions about potential enhancements to LHC form tooling to better support SDOH-CC IG multi-domain approach
• Successful demonstration of re-use of SDC IG for SDOH screening

Discovered Issues/Lessons Learned

• To promote widespread adoption and use, the SDOH-CC IG must align, to a significant degree, with existing implementer capabilities
• A reference implementation will be important to further test the SDOH-CC IG.
• For every Questionnaire there needs to be a StructureMap to capture the logic to convert QuestionnaireResponses to bundles of Observations and Conditions.  Likely need a repository.  How do we scale this?
• FHIR tools, skilled resources, and FHIR are still maturing and work is needed to make the multi-domain approach vision a reality.
• We cannot get rid of complexity, we can only move it around.

What's Next?

• Engage with NLM, Regenstrief and other stakeholders to advance tooling to better support multi-domain/dynamic value set approach
• Continue to engage the community to establish the clinical content required for multiple SDOH domains
• Start reference implementation development
• Working toward submission for ballot
• Please join us - https://www.hl7.org/gravity/