- Created by Sandy Vance, last modified by Sara Behal on Oct 05, 2022
Short Description | Testing Gravity’s Social Determinants of Health Data Exchange IG, to include the following use-cases:
A stretch goal will be to demonstrate the use of the Draft specification related to using a structured Questionnaire to enable the patient/client/member/consumer to self-report their REL+SOGI attributes. For this connectathon, we will be focused on these interactions which is a subset of the functionality supported by the IG. |
Long Description | The goal of the Gravity Project is to develop consensus-based standards for the exchange of social determinants of health (SDOH) data within the health care sector and between the health care sector and other sectors for patient/person-centered care, care coordination between the health and human services sectors, population health management, value-based payment, quality reporting, and clinical research. To advance this interoperability goal, the Gravity Project joined the HL7 FHIR Accelerator Program in August 2019 and is developing specifications to support the use of SDOH data using FHIR. The specification includes the creation and administration of SDOH focused assessments, creation of goals and interventions/referrals and tracking them to completion. It provides for workflow specifications between the various participants in documenting and managing social risks. The complete IG includes features that build on these basic interactions that are not in the scope of this connectathon track - to include:
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Registration | |
Type | Test an implementation guide -demonstrate the core flow supported by the IG with scope constrained to the closed-loop Direct Provider to CBO scenario where the inputs to the assessment phase are performed using the PRAPARE. |
Track Lead(s) | Gregory Harris, Aaron Seib |
Track Lead Email(s) | |
Specification Information | Latest CI Build of Gravity IG: http://build.fhir.org/ig/HL7/fhir-sdoh-clinicalcare/ |
Note/Disclaimer regarding Personal Characteristic Value Sets | Process for selecting Value Sets for Draft Personal Characteristics Profiles 1. The value sets were selected to minimize LOE in selecting/creating value sets for these POC, draft profiles. Where possible, an off-the-shelf, existing value set was be used (whether US Core, Nationally, USCDI, etc.). 2. In the future, the value sets can be aligned with vetted value sets (e.g., from the Gender Harmony Project). 3. Specific disclaimers may also be added for specific draft value sets of specific draft profiles (e.g., for the Sexual Orientation Value Set to acknowledge that “asexual” will be represented in a future value set.) 4. The need to conform to a consistent structure with respect to how “null” values (e.g., unknown) are handled may impact the use of existing values sets as follows: o Race and Ethnicity - Allow multiple answers. Therefore, null values are best handled in the Observation.dataAbsentReason value set and are excluded from the Observation.value value sets. o Sexual Orientation, Gender Identity, Recorded Sex and Gender, Pronouns - Do not allow multiple answers. Therefore, null values are allowed in the value set for Observation.value. |
Participants | Session 1 Presenters:
Session 2 Presenters:
We look forward to working with other participants during the working sessions of the connectathon |
Zulip stream | https://chat.fhir.org/#narrow/stream/233957-Gravity-sdoh-cc/topic/Connectathon. |
Track Implementers Connection Call | Gravity Technical Workstream Meetings (FHIR IG, RI, Connectathon) (repurposed for Connectathon) |
Weekly Gravity Track Connectathon Schedule | Gravity Technical Workstream Meetings (FHIR IG, RI, Connectathon) (repurposed for Connectathon) |
Testing Scenarios: | Use Case 1: Patient Assessment using a Standards based QuestionnaireScenarioProvider assigns a PRAPARE survey to be completed by a Patient Step 1 - Assign Survey (Provider Role) Actions: On "Referring App" (Provider Facing or CBO Facing for CBO → CBO referrals)
Precondition:
Success Criteria: Validate via the Reference Application that PatientTask. Step 2 - Patient Submission (Consumer Role) Actions: On Patient facing App (mobile, RI or EHR based app)
Success Criteria: Validate that
---------------------------------------------------------------------------------------- Use Case 2: Provider actions related to the referral process.ScenarioPractitioner works with Patient to establish Goals based on HealthConcerns derived from the completed assessment; make referral to CBO. Using a Provider Controlled App: Step 1: Evaluate HealthConcerns (Condition Resource) derived from the submitted QuestionnaireResponse. Step 2: With the Consumer, determine which of these HealthConcerns to escalate to the Problem list and establish Goal(s) with the Patient. Step 3: For a given Goal make a referral to a CBO. Precondition:
Success Criteria: Validate that
Bonus point: Use a Provider facing app provide visualization of the status of Referrals. Bonus point: Demonstrate using a Consumer Controlled App the display of goals and the referrals related to those goals. ---------------------------------------------------------------------------------------- Use Case 3: CBO actions related to the referral process.Scenario Step 1 - CBO Acceptance Use a CBO app (RI or other) to accept the referral Actions: On CBO App (mobile, RI or EHR based app)
Success Criteria: Validate via the Reference Application that
Scenario Step 2 - Task Completion Use a CBO app to complete the task Actions: On CBO App (mobile, RI or EHR based app)
Success Criteria: Validate via the Reference Application that
---------------------------------------------------------------------------------------- Use Case 4: Provider reviews CBO provided informationScenario Step 1 - Provider reviews CBO activity Actions: On Provider App (mobile, RI or EHR based app)
Success Criteria: Validate via the Provider Application that
Scenario Step 2 - Task Completion Use a Provider app to review CBO feedback Actions: On CBO App (mobile, RI or EHR based app)
Success Criteria: Provider reviews CBO feedback and ascertains that the Patient has received services. Determines next steps with Patient |
Connectathon Meeting Materials | HL7 CMS Connectathon Track: Gravity Track Highlights Presentation: HL7 CMS Gravity Track Highlights.pptx.pdf Gravity Overview Presentation: Gravity Overview_20220720_ HL7 CMS Connectathon.pptx.pdf Gravity Demo Session Presentation: 20220720 - HL7 CMS Gravity Demo Session Final.pptx.pdf Gravity Track Sessions Recording HL7 CMS Connectathon Track Planning: 07-13-22 CMS July Connectathon Planning.pptx.pdf 07-06-22 CMS July Connectathon Planning.pptx.pdf 06-29-22 CMS July Connectathon Planning.pptx.pdf |