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Submissions and Responses

Project Connections



REMINDER: HL7 SDOH CC FHIR IG Public Meeting Wednesdays. Agenda and meeting materials available here.

Join the Gravity Project for Health Insurance Coverage Status and Medical Cost Burden Consensus Voting Thursday, May 26th

Join the Gravity Project as we conduct Health Insurance Coverage Status and Medical Cost Burden Consensus Voting during the community meeting on May 26th. Voting will take place via poll during the community meeting.  View Gravity’s consensus process here. View the Health Insurance Coverage Status Master File, updated May 11th, here. View the Medical Cost Burden Master File, updated May 11th, here.

Gravity ICD-10-CM Submission

The Gravity Project's multi-domain ICD-10-CM submission was presented by Sarah DeSilvey at the ICD-10-CM Coordination and Maintenance Committee Meeting on March 9th. View the Diagnosis Agenda containing Gravity's submission here (pg 81). A meeting recording is posted here. Thank you to all of you that have contributed to the development and review of this submission. A summary of the SDOH ICD-10-CM codes that were listed in the FY 2023 Inpatient Prospective Payment System Proposed Rule can be found here

White House Conference on Hunger, Nutrition, and Health, September 2022

For the first time in over 50 years, The White House has announced that they will host a Conference on Hunger, Nutrition and Health this September. The Conference, and the preparatory work leading up to it, will accelerate progress and drive significant change to end hunger, improve nutrition and physical activity, reduce diet-related disease, and close the disparities around them. Learn more here.

REGISTER: ONC's SDOH Information Exchange Learning Forum, March 2022 to July 2022

ONC is excited to announce the launch of the ONC Social Determinants of Health (SDOH) Information Exchange Learning Forum, which brings together health care providers, community-based organizations, government, payers, health information exchange networks, IT platform developers, innovators, and other partners to share lessons learned, promising practices, and challenges related to exchanging SDOH data. ONC will conduct monthly webinars and smaller group sessions between Mar and Jul 2022 to discuss priority topics, such as governance, technical infrastructure, interoperability, financing, and policy considerations. The first session will occur Mar 29th. Learn more and register here.

Domain Code Dashboard

The Gravity Project has created a dashboard which shows the status of domain specific codes across our four activities (Screeners, Diagnosis, Goals, and Interventions). Each domain has a spreadsheet that lists the codes available to date. The spreadsheets will be updated after major release dates. View the dashboard here.

Gravity Pilots Call for Participation

The Gravity Project is currently seeking entities to participate in testing the Gravity defined coded concepts and/or the HL7 SDOH FHIR IG STU1 and/or STU2. We will be standing up a Pilots Affinity Group to convene participating sites via a monthly webinar. If you are interested in serving one or more of the roles below for testing please contact us at

  • Referral Source (system sending referral request).
  • Care Coordination Platform (system managing referrals and ensuring they are executed by appropriate service delivery organizations). 
  • Referral Recipient (system receiving referral request and exposing FHIR restful services).
  • Referral Recipient Light (query for tasks on initiating Referral Source or Coordination Platform).

Join the Center for Disease Control and Prevention’s (CDC) Social Determinants of Health (SDOH) Public Health Use Case Workgroup

The CDC National Center for Chronic Disease Prevention and Health Promotion invites you to sign up as a member of the CDC Social Determinants of Health (SDOH) Public Health Use Case Workgroup to inform the development of a consensus-based SDOH public health business case and high-priority use cases for chronic disease prevention and health promotion. 

  • To learn more visit the Workgroup Confluence site here. 
  • To participate, please sign up as a member via our listserv.

SIREN Racial Health Equity Meeting Sept-Oct

The Social Interventions Research and Evaluation Network (SIREN), a national research acceleration and dissemination initiative focused on health care strategies to improve social risks and social conditions, is pleased to announce a Fall 2022 National Research Meeting, focused on applying a racial equity lens to social care research and practice, with the goal of improving the health equity impacts of social care. Meetings will be help on Sept 15, Sept 27, and  Oct 12, from 9am-12pm PT / 12-3pm ET, learn more here. Objectives include to:

  1. Critically examine how racism in all forms (e.g. interpersonal, institutional, systemic) impacts social care programs and social care research; and 
  2. Identify how social care research can become a stronger tool for advancing racial health equity.  

Gravity Response to CMS CY 2023 Medicare Advantage and Part D Proposed Rule (CMS-4192-P)

The Gravity Project submitted a public response to the CMS proposed rule that includes provisions for Social Determinants of Health and Special Needs Plan Health Risk Assessments. View submission here

Gravity's Response to the Request for Information (RFI) on Strengthening Community Health Through Technology

Please see Gravity response here to the White House Office of Science and Technology Policy (OSTP) request for information on how digital health technologies are used, or could be used in the future, to transform community health, individual wellness, and health equity. 

Social Media

The Gravity Project is now official on social media! We invite you to follow us on LinkedIn and Twitter. We will be using the social media platforms for relevant project and SDOH data integration related communications. Help us spread the word!

Project Overview

The Social Interventions Research and Evaluation Network (SIREN), with funding from the Robert Wood Johnson Foundation and in partnership with EMI Advisors, LLC, launched the Gravity Project in May 2019. The Gravity Project convenes stakeholders across the country through an open and transparent collaborative process where they develop and test consensus-based standards to facilitate SDOH data capture and exchange across a variety of systems and settings of care and social services. 

The Gravity Project seeks to identify data elements and associated value sets to represent SDOH information documented in electronic health records (EHRs) across four clinical activities: screening, diagnosis, goal setting, and intervention activities. The Project deliverables are:

  • Develop use cases that guide the development of standards to support SDOH data capture and exchange; 
  • Identify common data elements and their associated value sets to support the use cases;
  • Develop a consensus-based set of recommendations on how best to capture and group these data elements for interoperable electronic exchange and aggregation;
  • Collaborate with coding and terminology organizations to address coding gaps identified and apply for new codes;
  • Develop, test, and ballot HL7 FHIR Implementation Guide(s) based on the defined use cases and coded data sets; and 
  • Develop Reference Implementation(s) to support real-world pilots and implementations.

Project objectives will be accomplished through bi-weekly virtual meetings and collaborative project product development through the HL7 project confluence page.

Project Timeline 

Updated 29 Apr 2022

Upcoming Gravity Project Meeting

DateTimeTopicWebinar InformationHomework Documents and Links
12 May 20224:00-5:30pm ET / 1:00-2:30pm PT

Health Literacy Consensus Vote

Medical Cost Burden & Health Insurance Coverage Status:      End-to-End Review

Please log on before dialing in and enter the provided participant ID.


Dial-In:  (415)655-0003

Meeting ID:  738 112 808

Password (for app users):  gravity

Voting Materials: Health Literacy Master List 

*materials are updated on an ongoing basis

Review: Medical Cost Burden & Health Insurance Coverage Status Concepts

Click here for project documentation and deliverables.

Join the Gravity Project!

The success of the Gravity Project depends on the contribution of volunteers who are eager to make rapid progress on the standardization of social determinants of health data.  We need experts to contribute to and validate definitions for SDH related data elements and value sets. Participants are asked to join the project at any time either as a Committed Member or Other Interested Party as part of the HL7 Consensus Process.  To join the project, sign up here.  

  • To check your project membership status, click here.  If you wish to change your membership from Other Interested Party to Committed Member, please send an email request to .
  • NOTE:  Both member types can submit comments on project documentation.  However, only Committed Members may vote on final documentation.  If you would like to have voting rights, please change your membership status or join the project as a Committed Member.

Project Contacts

Evelyn GallegoSenior AdvisorEMI Advisors,
Jillian Annunziata Program ManagerEMI Advisors,
Sarah DeSilveyClinical Informatics
Gregory HarrisActing Technical
Mark SavageSDOH Policy AdvisorGravity
Bob DieterleSenior Technical AdvisorEnable Care
Lenel JamesPayer
Gabriela GonzalezPilots LeadEMI Advisors,
Asha ImmanuellePopulation Health Expert and Community LiaisonIndependent
Linda HydeSenior Clinical Informatics LeadEMI Advisors,
Himali SaitwalSenior Clinical Informatics LeadEMI Advisors,
Demri ToopTechnical / Pilots Project CoordinatorEMI Advisors,
Sara BehalTerminology Project CoordinatorEMI Advisors,


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