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Announcements

HL7 SDOH CC FHIR IG Public Meetings are scheduled Wednesdays from 3 to 4:00 pm ET.

  1. To register for these meetings, please sign up via the HL7 meeting calendar http://www.hl7.org/concalls/CallDetails.aspx?concall=51839
  2. The HL7® FHIR Virtual Connectathon occurred from September 9th to 11th

    1. Thank you to all who have participated in the HL7 FHIR Virtual Connectathon from September 9th to 11th. On Thursday, September 17th 5:00 pm - 5:30 pm EST, the Gravity Project Technical Director will present a post-connectathon debrief. 
    2. View the connecathon track recordings and presentations here.

  3. Click here to view the SDOH-CC Master and Temporary Code List.


Project Introduction


The Gravity Project creates and maintains a consensus-building community to expand available Core Social Determinant of Health (SDOH) Data for Interoperability and accelerate standards-based information exchange by using HL7 FHIR. Gravity Project is part of the HL7 FHIR Accelerator Program.

Many of the recent innovations at scale in this area begin with the strategic collection of SDOH data. As examples, the Centers for Medicare & Medicaid Services Innovation Center (CMS Innovation Center) Comprehensive Primary Care Plus Model requires providers to assess patients’ social risks; and the CMS Innovation Center’s Accountable Health Communities Model developed a social risk assessment tool to help identify and address social risks across clinical and community-based settings. However, presently there is no consensus on the coding and standards-based modeling to facilitate the data uses envisioned for SDOH information. The Gravity Project is addressing the question of how to record and document SDOH information in the clinical care setting, across the four primary activities of care (screening, assessment/diagnosis, care planning, and treatment). Initially, the project focuses on three of the many different domains that form social determinants of health: Food Insecurity, Housing Instability and Quality, and Transportation Access.

The FHIR IG work for Gravity will include several iterative builds of the SDOH-CC IG, multiple rounds of Connectathon testing, and periodic updates to summarize this work for the Community. General education about FHIR IG development and HL7 ballot participation will be provided to build awareness and develop skills relevant for participation in standards development at the Community level.


Project Deliverables


The Gravity Project will incrementally develop one (1) FHIR IG covering the capture and exchange of multiple SDOH domains across the four clinical activities of screening, diagnosis (health concerns), goals, and interventions. 

  • Phase I Domains (2019-2020)
    • Food Insecurity
    • Housing Instability and Quality
    • Transportation Access
    • Financial Strain
    • Demographics (education, employment, veteran status)
  • Phase II Domains (2021)
    • Social Isolation
    • Stress
    • Violence


Gravity FHIR SDOH Clinical Care IG Scope


The Gravity Project will incrementally develop one (1) FHIR IG covering the capture and exchange of multiple SDOH domains across the four clinical activities of screening, diagnosis (health concerns), goals, and interventions. 


Social Risk Survey Approach


Timeline (updated 2020.10.06)



If you have any questions, please contact Gravity Technical Director, Robert Dieterle at rdieterle@enablecare.us

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