Data Element

Financial Strain

Financial resource strain encompasses both the subjective sense of strain as the result of economic difficulties and specific sources of strain. (Institute of Medicine, Capturing Social and Behavioral Domains in Electronic Health Records, Phase 1, p. 58 (2014).)


Financial Strain as SDOH data element under USCDI or ISA

NACHC would like to resupport this data element for consideration / inclusion to USCDIv3.

  • All federally qualified health centers (FQHCs) gather SDOH data, which includes a focus on this data element through the PRAPARE screening tool. This data is relevant to and encompasses in 2019 29 million patients at 1400+ FQHCs with more than 13000 health care delivery sites. 
  • If this data element is not considered for addition to USCDI, we would like to comment on it's addition to ISA as a coded data element under SDOH, with applicable standards and representation accross ICD-10-CM, SNOMED-CT and LOINC.

Please see attached document supporting this. 

2022-09-30 NACHC USCDIv3 Letter of Support_3.pdf

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