Narrative patient data relevant to the context identified by note types.

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  • Usage note: Clinical Notes data elements are content exchange standard agnostic. They should not be interpreted or associated with the structured document templates that may share the same name. 

Data Element

Maternal Social Determinants of Health Note
Description

The Maternal Social Determinants of Health Note supports the aggregation of significant events, social problems and related health concerns, and plans of care derived from the visits over the course of a maternal care episode. It is a summary of the most critical information maternal care providers capture and share regarding the status of a maternal patient's social issues. The information is aggregated data from which the patient’s interactions with healthcare and social services providers are captured.
The Maternal Social Determinants of Health Note includes information such as structured evaluation of risk (e.g., PRAPARE, homelessness, AHC-HRSN screening tool, etc.) for any maternal health SDOH data related to conditions in which people live, learn, work, and play and their effects on health risks and outcomes; plan of care including social support interventions including but not limited to access to care; education; income; food stability; housing; neighborhood characteristics; safety; transportation security; violence/abuse preventions, ETOH, Smoking, Substance use disorder assessment and treatment drug abuse prevention and treatment; living arrangement; Social support involvement baby father involvement; etc.

Comment

CMS-CCSQ Support for Maternal SDOH Note data element for USCDIv6

Data Element: Maternal Social Determinants of Health (SDOH) Note (Level 1)

  1. Recommendation: Advance the Maternal SDOH Note data element to Level 2 and add to Final USCDI v6
  2. Rationale: The inclusion of the Maternal SDOH Note data element aligns with ONC's priority to advance health data needs for providing equitable care to those underserved. Inclusion of this data element also supports the White House's Blueprint for Addressing the Maternal Health Crisis by facilitating exchange of essential data to support maternal and child health. The Maternal SDOH Note does what existing clinical notes do not and collects the most critical information maternal care providers need to capture and share regarding the status of a maternal patient's social determinants of health. This note would enable all to collect and exchange the data needed to advance maternal health care and outcomes for women in all communities. The US maternal mortality rate is the highest of any developed nation with African American and Alaskan Native/Indigenous American women more likely to die from pregnancy related causes.

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