The Gravity Project

Gravity Project Value Sets Educational Session 

Following the publication of our first value sets in the National Library of Medicine (NLM) Value Set Authority Center (VSAC), the Gravity Project Team hosted an educational session to delve deeper into the topic of value sets. View the meeting recording here.

•  Value sets can be searched by steward, The Gravity Project. View them 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.

State of Michigan Social Care and Cross-Sector Data Exchange Virtual Workshop Series Jan 11th, 18th & 25th

Michigan Health Information Network Shared Services (MiHIN) is hosting a series of Social Care and Cross-Sector Data Exchange Virtual Workshops. Each workshop will be tailored to different stakeholders and will be from 10:00am - 12:00pm EST. Learn more and RSVP here.

• Jan 11th: CBOs & Social Care Providers
• Jan 18th: Health Providers & Teams
• Jan 25th: Government Entities & CDOs 

Request for Information (RFI) on Strengthening Community Health Through Technology, Comments due Feb 28th

The White House Office of Science and Technology Policy (OSTP) requests input from community health stakeholders, technology developers, and other interested parties about how digital health technologies are used, or could be used in the future, to transform community health, individual wellness, and health equity. This request is part of an initiative led by OSTP dedicated to Community Connected Health—an effort that will explore and act upon how innovation in science and technology can lower the barriers for all Americans to accessing quality healthcare and lead healthier lives by meeting people where they are in their communities. Comments are due before 5:00 p.m. ET on February 28, 2022. Learn more here.

NEW CMS CY 2023 Medicare Advantage and Part D Proposed Rule (CMS-4192-P)

In January 2022, CMS issued a proposed rule that includes provisions for Social Determinants of Health and Special Needs Plan Health Risk Assessments. The rule is proposing that all HRAs include specific standardized questions on housing stability, food security, and access to transportation that align with SDOH data elements established as part of the USCDI v2.

Gravity Project ICD-10-CM Submission, Dec 2021

On December 3, 2021, the Gravity Project submitted its multi-domain ICD-10-CM submission representing the 2021 year of collective labor. Download the initial submission here.

Gravity HL7 FHIR IG Publication

The Gravity Project Team is pleased to announce the formal publication of the HL7 FHIR SDOH Clinical Care Implementation Guide (IG) which can be found here. The IG is supported by a Reference Implementation (RI) available here. 

SDOH Data Class Included in USCDI v2

On July 9th 2021, the Office of the National Coordinator (ONC) announced the addition of the SDOH data class to the U.S. Core for Data Interoperability. This is a significant accomplishment for the Gravity Community. Thank you to all our members that supported the Gravity Project submission and provided feedback to the ONC. Please see our press release here. 

COVID-19 and SDOH

Please visit and contribute to the Gravity Project SDOH COVID-19 Response page, where you'll find a blog and other resources.  Anyone can view the blog, but a Confluence login is required for those who wish to post blog content.  Click here for instructions on how to request a Confluence login.  Email webmaster@hl7.org for login and technical support. 

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.

CLICK HERE FOR A FULL MEETING SCHEDULE
Click here for project documentation and deliverables.

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 GravityProject@emiadvisors.net .
• 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.