| Type | Standard / Implementation Specification | Standards Process Maturity | Implementation Maturity | Adoption Level | Federally required | Cost | Test Tool Availability |
|---|---|---|---|---|---|---|---|
|
Standard
|
Final
|
Production
|
 |
Yes
|
Free
|
N/A
|
|
|
Standard
|
Final
|
Production
|
|
No
|
Free
|
No
|
|
|
Standard
|
Final
|
Production
|
|
No
|
Free
|
No
|
|
|
Standard
|
Final
|
Production
|
|
No
|
$
|
N/A
|
|
|
Implementation Specification
|
Final
|
Production
|
|
No
|
Free
|
Yes
|
| Limitations, Dependencies, and Preconditions for Consideration |
Applicable Value Set(s) and Starter Set(s)
|
|---|---|
|
Intimate Partner Violence Definition: Category for Social Determinant of Health artifacts that pertain to Intimate Partner Violence (IPV) (which is defined as: Physical violence, sexual violence, or psychological harm by a current or former partner or spouse. Often including a pattern of methods and tactics to gain and maintain power and control over the other person.) This SDOH category covers records relevant to circumstances that range from being a victim of IPV to not being a victim of IPV.
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Gravity Project® Social Determinants of Health (SDOH) data elements and value sets are created and curated through a consensus HL7 FHIR Accelerator™ Project, with the charter to develop the data standards to address SDOH. For a list of Gravity Project SDOH Value Sets and social risk domain face-valid instruments see the Gravity Project Confluence site. One can also search value sets in VSAC for “The Gravity Project” as steward. Each Gravity Project value set in VSAC has a description/purpose statement to assist with implementation. also search value sets in VSAC for “The Gravity Project” as steward. Each Gravity Project value set in VSAC has a description/purpose statement to assist with implementation.
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Comment
Submitted by cmcdonald on
Since this LOINC code and…
Since this LOINC code and answer set has been developed (30 behavior and functional status variables suggested by the IOM report and adopted for requirement in the last MU NPRM), the adoption level could now be very high.
Submitted by gdixon on
Additional questions needed
Additional questions needed
Exposure to firearms, I do not see a viable code set for this. It should be a single question and answer
Has the patient or significant other been incarcerated?
We applaud adding Social Determinates being added to ISA.
Submitted by cmcdonald on
Re: patient/significant…
Re: patient/significant other been incarcerated: may be a privacy concern about this one, though, would likely have predictive value.
Submitted by mattreid on
The AMA requests that the…
The AMA requests that the Current Procedural Terminology (CPT) code set be added to the standards listed in Section I: Representing Exposure to Violence (Intimate Partner Violence). The CPT Evaluation and Maintenance services include assessing a patient’s risk and exposure to violence.
CPT is a comprehensive and regularly curated uniform language that accurately describes medical, surgical, and diagnostic services and provides for reliable communication among users. It has an extremely robust and mature development process with open and transparent meetings and clinical input from national medical specialties and relevant stakeholders. It is the most widely adopted outpatient procedure code set. Use of the CPT code set is federally required under HIPAA.