SDOH Scores (No Longer Supported)
Overview
Social determinants of health (SDOH) are conditions in the places where people live, learn, work, and play that affect a wide range of health and quality-of-life risks and outcomes.
SDOH scores API will return 4 scores:
- Total cost risk
- Readmission risk
- Medication adherence risk
- Motivation risk
The SDOH scores API is part of Health Gorilla's RESTful API suite and is based on HL7 FHIR R4.
The SDOH Scores tenant license is required to retrieve SDOH scores.
Select patient
To retrieve SDOH scores, the patient record must first exist in Health Gorilla. Retrieve the Patient resource ID using the Patient FHIR API.
| Field | Required/Recommended | Notes |
|---|---|---|
| given | Required | Patient given name |
| family | Required | Patient family name |
| birthdate | Required | Patient birth date |
| gender | Required | Patient gender |
| address | Required | Full address required: - Address line1 - City - State - Postal code / zip |
Note:
A patient must have a valid admission encounter with admission date and ICD-10 diagnosis code to receive the readmission risk score. If no valid admission encounter is available for the patient, all scores except for the readmission risk score will be returned in the response.
Get scores
There are two different endpoints to retrieve the SDOH scores. One will retrieve the most recent calculated score. The other endpoint will retrieve scores that are cached in the database.
Retrieve new scores
The endpoint will retrieve the most recent calculated scores on the patient.
While there is no restriction as to when to use this endpoint, we recommend using this endpoint under the following conditions:
- First time to retrieve SDOH scores
- Patient primary address has changed
- Patient has received a new readmission encounter (e.g. after a new Patient360 query)
- New admission encounter from an ADT message (see ADT Message subscription)
- A new admission encounter is created from the UI or FHIR API
https://api.healthgorilla.com/fhir/R4/RiskAssessment?patient=PATIENT_RESOURCE_ID
Parameters
| Name | Value | Description |
|---|---|---|
| patient | PATIENT_RESOURCE_ID | Patient resource ID. Mandatory |
| code | - TotalCostRiskScore - ReadmissionProbability - MedicationAdherenceRate - MotivationLevel | Use this parameter to selectively retrieve a single score. By default, all scores will be retrieved. See Note regarding readmission score and admission encounter. |
Retrieve scores from cache
This endpoint will retrieve scores cached in the database.
https://api.healthgorilla.com/fhir/R4/RiskAssessment/_history?patient=PATIENT_RESOURCE_ID
Parameters
| Name | Value | Description |
|---|---|---|
| patient | PATIENT_RESOURCE_ID | Patient resource ID. Mandatory |
| code | - TotalCostRiskScore - ReadmissionProbability - MedicationAdherenceRate - MotivationLevel | Use this parameter to selectively retrieve a single score. By default, all available scores will be retrieved. |
Example response
The response from either endpoint will return similar information. See below for an example response run from Sandbox.
{
"resourceType": "Bundle",
"id": "runtime",
"meta": {
"lastUpdated": "2022-08-23T15:34:41.500+00:00",
"profile": [
"https://healthgorilla.com/fhir/StructureDefinition/hg-stateless-bundle"
]
},
"type": "searchset",
"total": 4,
"link": [
{
"relation": "self",
"url": "https://sandbox.healthgorilla.com/fhir/R4/RiskAssessment?patient=0c58c862b1054150e048b453"
}
],
"entry": [
{
"resource": {
"resourceType": "RiskAssessment",
"meta": {
"profile": [
"https://www.healthgorilla.com/fhir/StructureDefinition/riskassessment-sdoh-score"
]
},
"contained": [
{
"resourceType": "Condition",
"id": "1",
"meta": {
"profile": [
"https://www.healthgorilla.com/fhir/StructureDefinition/condition-sdoh-care-driver"
]
},
"extension": [
{
"url": "https://www.healthgorilla.com/fhir/R4/StructureDefinition/condition-sdoh-care-driver-rank",
"extension": [
{
"url": "level",
"valueString": "high"
},
{
"url": "index",
"valueInteger": 1
}
]
}
],
"category": [
{
"coding": [
{
"system": "http://hl7.org/fhir/us/core/CodeSystem/condition-category",
"code": "health-concern",
"display": "Health Concern"
}
]
},
{
"coding": [
{
"system": "http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes",
"code": "social-connection",
"display": "Social Connection"
},
{
"system": "https://www.healthgorilla.com/lexis-nexis-sdoh-condition-care-driver-category",
"code": "SOCIAL_AND_COMMUNITY_CONTEXT",
"display": "Social and community context"
}
]
}
],
"code": {
"coding": [
{
"system": "https://www.healthgorilla.com/lexis-nexis-sdoh-condition-care-driver-code",
"code": "HPA",
"display": "Housing Purchase Activity"
}
],
"text": "Housing Purchase Activity"
},
"note": [
{
"text": "The Housing Purchase Activity Care Driver is based on information pertaining to ownership of real property. Frequent changes may indicate inconsistent access to housing."
}
]
},
{
"resourceType": "Condition",
"id": "2",
"meta": {
"profile": [
"https://www.healthgorilla.com/fhir/StructureDefinition/condition-sdoh-care-driver"
]
},
"extension": [
{
"url": "https://www.healthgorilla.com/fhir/R4/StructureDefinition/condition-sdoh-care-driver-rank",
"extension": [
{
"url": "level",
"valueString": "high"
},
{
"url": "index",
"valueInteger": 2
}
]
}
],
"category": [
{
"coding": [
{
"system": "http://hl7.org/fhir/us/core/CodeSystem/condition-category",
"code": "health-concern",
"display": "Health Concern"
}
]
},
{
"coding": [
{
"system": "http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes",
"code": "social-connection",
"display": "Social Connection"
},
{
"system": "https://www.healthgorilla.com/lexis-nexis-sdoh-condition-care-driver-category",
"code": "SOCIAL_AND_COMMUNITY_CONTEXT",
"display": "Social and community context"
}
]
}
],
"code": {
"coding": [
{
"system": "https://www.healthgorilla.com/lexis-nexis-sdoh-condition-care-driver-code",
"code": "CERA",
"display": "Community Engagement - Relatives and Associates"
}
],
"text": "Community Engagement - Relatives and Associates"
},
"note": [
{
"text": "The Community Engagement Relatives and Associates Care Driver is based on information pertaining to derogatory records of relatives and associates that may indicate lack of quality social support for the member/patient."
}
]
},
{
"resourceType": "Condition",
"id": "3",
"meta": {
"profile": [
"https://www.healthgorilla.com/fhir/StructureDefinition/condition-sdoh-care-driver"
]
},
"extension": [
{
"url": "https://www.healthgorilla.com/fhir/R4/StructureDefinition/condition-sdoh-care-driver-rank",
"extension": [
{
"url": "level",
"valueString": "high"
},
{
"url": "index",
"valueInteger": 3
}
]
}
],
"category": [
{
"coding": [
{
"system": "http://hl7.org/fhir/us/core/CodeSystem/condition-category",
"code": "health-concern",
"display": "Health Concern"
}
]
},
{
"coding": [
{
"system": "http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes",
"code": "financial-insecurity",
"display": "Financial Insecurity"
},
{
"system": "https://www.healthgorilla.com/lexis-nexis-sdoh-condition-care-driver-category",
"code": "ECONOMIC_STABILITY",
"display": "Economic stability"
}
]
}
],
"code": {
"coding": [
{
"system": "https://www.healthgorilla.com/lexis-nexis-sdoh-condition-care-driver-code",
"code": "FHTH",
"display": "Financial Health"
}
],
"text": "Financial Health"
},
"note": [
{
"text": "The Financial Health Care Driver is based on information pertaining to real property and personal assets, bankruptcy and lien history, subprime credit service offers, and debtor locater searches that could indicate financial instability."
}
]
},
{
"resourceType": "Condition",
"id": "4",
"meta": {
"profile": [
"https://www.healthgorilla.com/fhir/StructureDefinition/condition-sdoh-care-driver"
]
},
"extension": [
{
"url": "https://www.healthgorilla.com/fhir/R4/StructureDefinition/condition-sdoh-care-driver-rank",
"extension": [
{
"url": "level",
"valueString": "low"
},
{
"url": "index",
"valueInteger": 1
}
]
}
],
"category": [
{
"coding": [
{
"system": "http://hl7.org/fhir/us/core/CodeSystem/condition-category",
"code": "health-concern",
"display": "Health Concern"
}
]
},
{
"coding": [
{
"system": "http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes",
"code": "financial-insecurity",
"display": "Financial Insecurity"
},
{
"system": "https://www.healthgorilla.com/lexis-nexis-sdoh-condition-care-driver-category",
"code": "ECONOMIC_STABILITY",
"display": "Economic stability"
}
]
}
],
"code": {
"coding": [
{
"system": "https://www.healthgorilla.com/lexis-nexis-sdoh-condition-care-driver-code",
"code": "EINC",
"display": "Estimated Income"
}
],
"text": "Estimated Income"
},
"note": [
{
"text": "The Estimated Income Care Driver is based on the member/patient's estimated income and wealth index."
}
]
},
{
"resourceType": "Condition",
"id": "5",
"meta": {
"profile": [
"https://www.healthgorilla.com/fhir/StructureDefinition/condition-sdoh-care-driver"
]
},
"extension": [
{
"url": "https://www.healthgorilla.com/fhir/R4/StructureDefinition/condition-sdoh-care-driver-rank",
"extension": [
{
"url": "level",
"valueString": "low"
},
{
"url": "index",
"valueInteger": 2
}
]
}
],
"category": [
{
"coding": [
{
"system": "http://hl7.org/fhir/us/core/CodeSystem/condition-category",
"code": "health-concern",
"display": "Health Concern"
}
]
},
{
"coding": [
{
"system": "http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes",
"code": "social-connection",
"display": "Social Connection"
},
{
"system": "https://www.healthgorilla.com/lexis-nexis-sdoh-condition-care-driver-category",
"code": "SOCIAL_AND_COMMUNITY_CONTEXT",
"display": "Social and community context"
}
]
}
],
"code": {
"coding": [
{
"system": "https://www.healthgorilla.com/lexis-nexis-sdoh-condition-care-driver-code",
"code": "CENG",
"display": "Community Engagement"
}
],
"text": "Community Engagement"
},
"note": [
{
"text": "The Community Engagement Care Driver is based on information pertaining to voter registration and non-derogatory court records (e.g., phone records, professional licenses, and property records) that indicate involvement in the community."
}
]
},
{
"resourceType": "Condition",
"id": "6",
"meta": {
"profile": [
"https://www.healthgorilla.com/fhir/StructureDefinition/condition-sdoh-care-driver"
]
},
"extension": [
{
"url": "https://www.healthgorilla.com/fhir/R4/StructureDefinition/condition-sdoh-care-driver-rank",
"extension": [
{
"url": "level",
"valueString": "low"
},
{
"url": "index",
"valueInteger": 3
}
]
}
],
"category": [
{
"coding": [
{
"system": "http://hl7.org/fhir/us/core/CodeSystem/condition-category",
"code": "health-concern",
"display": "Health Concern"
}
]
},
{
"coding": [
{
"system": "http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes",
"code": "educational-attainment",
"display": "Educational Attainment"
},
{
"system": "https://www.healthgorilla.com/lexis-nexis-sdoh-condition-care-driver-category",
"code": "EDUCATION",
"display": "Education"
}
]
}
],
"code": {
"coding": [
{
"system": "https://www.healthgorilla.com/lexis-nexis-sdoh-condition-care-driver-code",
"code": "EDRA",
"display": "Education - Relatives and Associates"
}
],
"text": "Education - Relatives and Associates"
},
"note": [
{
"text": "The Education Relatives and Associates Care Driver is based on information pertaining to the type and length of post high school education and/or professional licenses held by relatives and associates, which may provide insights into the support the individual will receive with following healthcare instructions."
}
]
}
],
"status": "final",
"code": {
"coding": [
{
"system": "https://www.healthgorilla.com/lexis-nexis-sdoh-riskassessment-type",
"code": "ReadmissionProbability",
"display": "Readmission Risk"
}
],
"text": "Readmission Risk"
},
"occurrenceDateTime": "2022-08-23T15:34:41",
"basis": [
{
"reference": "#1"
},
{
"reference": "#2"
},
{
"reference": "#3"
},
{
"reference": "#4"
},
{
"reference": "#5"
},
{
"reference": "#6"
}
],
"prediction": [
{
"qualitativeRisk": {
"coding": [
{
"code": "2",
"display": "Low Readmission Risk"
}
]
}
}
]
},
"search": {
"mode": "match"
}
},
{
"resource": {
"resourceType": "RiskAssessment",
"meta": {
"profile": [
"https://www.healthgorilla.com/fhir/StructureDefinition/riskassessment-sdoh-score"
]
},
"contained": [
{
"resourceType": "Condition",
"id": "1",
"meta": {
"profile": [
"https://www.healthgorilla.com/fhir/StructureDefinition/condition-sdoh-care-driver"
]
},
"extension": [
{
"url": "https://www.healthgorilla.com/fhir/R4/StructureDefinition/condition-sdoh-care-driver-rank",
"extension": [
{
"url": "level",
"valueString": "high"
},
{
"url": "index",
"valueInteger": 1
}
]
}
],
"category": [
{
"coding": [
{
"system": "http://hl7.org/fhir/us/core/CodeSystem/condition-category",
"code": "health-concern",
"display": "Health Concern"
}
]
},
{
"coding": [
{
"system": "http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes",
"code": "financial-insecurity",
"display": "Financial Insecurity"
},
{
"system": "https://www.healthgorilla.com/lexis-nexis-sdoh-condition-care-driver-category",
"code": "ECONOMIC_STABILITY",
"display": "Economic stability"
}
]
}
],
"code": {
"coding": [
{
"system": "https://www.healthgorilla.com/lexis-nexis-sdoh-condition-care-driver-code",
"code": "FSRA",
"display": "Financial Stability - Relatives and Associates"
}
],
"text": "Financial Stability - Relatives and Associates"
},
"note": [
{
"text": "The Financial Stability Relatives and Associates Care Driver is based on information pertaining to real property and personal assets, business associations, estimated income, bankruptcy and lien history, subprime credit service offers, and debtor locater searches of relatives and associates. This may indicate if there is additional financial burden on the individual or if the individual has other potential sources of financial support."
}
]
},
{
"resourceType": "Condition",
"id": "2",
"meta": {
"profile": [
"https://www.healthgorilla.com/fhir/StructureDefinition/condition-sdoh-care-driver"
]
},
"extension": [
{
"url": "https://www.healthgorilla.com/fhir/R4/StructureDefinition/condition-sdoh-care-driver-rank",
"extension": [
{
"url": "level",
"valueString": "high"
},
{
"url": "index",
"valueInteger": 2
}
]
}
],
"category": [
{
"coding": [
{
"system": "http://hl7.org/fhir/us/core/CodeSystem/condition-category",
"code": "health-concern",
"display": "Health Concern"
}
]
},
{
"coding": [
{
"system": "http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes",
"code": "housing-instability",
"display": "Housing Instability"
},
{
"system": "https://www.healthgorilla.com/lexis-nexis-sdoh-condition-care-driver-category",
"code": "NEIGHBORHOOD_AND_BUILT_ENVIRONMENT",
"display": "Neighborhood and built environment"
}
]
}
],
"code": {
"coding": [
{
"system": "https://www.healthgorilla.com/lexis-nexis-sdoh-condition-care-driver-code",
"code": "NFNV",
"display": "Neighborhood Financial Value"
}
],
"text": "Neighborhood Financial Value"
},
"note": [
{
"text": "The Neighborhood Financial Value Care Driver is based on income indices that include that address, vacancy counts for the neighborhood and multi/single family unit counts for the neighborhood. This may indicate if the individual lives in a poorer neighborhood, which may correlate to food insecurity."
}
]
},
{
"resourceType": "Condition",
"id": "3",
"meta": {
"profile": [
"https://www.healthgorilla.com/fhir/StructureDefinition/condition-sdoh-care-driver"
]
},
"extension": [
{
"url": "https://www.healthgorilla.com/fhir/R4/StructureDefinition/condition-sdoh-care-driver-rank",
"extension": [
{
"url": "level",
"valueString": "high"
},
{
"url": "index",
"valueInteger": 3
}
]
}
],
"category": [
{
"coding": [
{
"system": "http://hl7.org/fhir/us/core/CodeSystem/condition-category",
"code": "health-concern",
"display": "Health Concern"
}
]
},
{
"coding": [
{
"system": "http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes",
"code": "financial-insecurity",
"display": "Financial Insecurity"
},
{
"system": "https://www.healthgorilla.com/lexis-nexis-sdoh-condition-care-driver-category",
"code": "ECONOMIC_STABILITY",
"display": "Economic stability"
}
]
}
],
"code": {
"coding": [
{
"system": "https://www.healthgorilla.com/lexis-nexis-sdoh-condition-care-driver-code",
"code": "EINC",
"display": "Estimated Income"
}
],
"text": "Estimated Income"
},
"note": [
{
"text": "The Estimated Income Care Driver is based on the member/patient's estimated income and wealth index."
}
]
},
{
"resourceType": "Condition",
"id": "4",
"meta": {
"profile": [
"https://www.healthgorilla.com/fhir/StructureDefinition/condition-sdoh-care-driver"
]
},
"extension": [
{
"url": "https://www.healthgorilla.com/fhir/R4/StructureDefinition/condition-sdoh-care-driver-rank",
"extension": [
{
"url": "level",
"valueString": "low"
},
{
"url": "index",
"valueInteger": 1
}
]
}
],
"category": [
{
"coding": [
{
"system": "http://hl7.org/fhir/us/core/CodeSystem/condition-category",
"code": "health-concern",
"display": "Health Concern"
}
]
},
{
"coding": [
{
"system": "http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes",
"code": "social-connection",
"display": "Social Connection"
},
{
"system": "https://www.healthgorilla.com/lexis-nexis-sdoh-condition-care-driver-category",
"code": "SOCIAL_AND_COMMUNITY_CONTEXT",
"display": "Social and community context"
}
]
}
],
"code": {
"coding": [
{
"system": "https://www.healthgorilla.com/lexis-nexis-sdoh-condition-care-driver-code",
"code": "CENG",
"display": "Community Engagement"
}
],
"text": "Community Engagement"
},
"note": [
{
"text": "The Community Engagement Care Driver is based on information pertaining to voter registration and non-derogatory court records (e.g., phone records, professional licenses, and property records) that indicate involvement in the community."
}
]
},
{
"resourceType": "Condition",
"id": "5",
"meta": {
"profile": [
"https://www.healthgorilla.com/fhir/StructureDefinition/condition-sdoh-care-driver"
]
},
"extension": [
{
"url": "https://www.healthgorilla.com/fhir/R4/StructureDefinition/condition-sdoh-care-driver-rank",
"extension": [
{
"url": "level",
"valueString": "low"
},
{
"url": "index",
"valueInteger": 2
}
]
}
],
"category": [
{
"coding": [
{
"system": "http://hl7.org/fhir/us/core/CodeSystem/condition-category",
"code": "health-concern",
"display": "Health Concern"
}
]
},
{
"coding": [
{
"system": "http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes",
"code": "housing-instability",
"display": "Housing Instability"
},
{
"system": "https://www.healthgorilla.com/lexis-nexis-sdoh-condition-care-driver-category",
"code": "NEIGHBORHOOD_AND_BUILT_ENVIRONMENT",
"display": "Neighborhood and built environment"
}
]
}
],
"code": {
"coding": [
{
"system": "https://www.healthgorilla.com/lexis-nexis-sdoh-condition-care-driver-code",
"code": "NHDSA",
"display": "Neighborhood Safety"
}
],
"text": "Neighborhood Safety"
},
"note": [
{
"text": "The Neighborhood Safety Care Driver is based on information pertaining to crime, burglary, and murder indices of an identit current and previous addresses. The Care Driver is also based on an indicator that identifies if an address is a correctional institute, and on information pertaining to criminal records of household members."
}
]
},
{
"resourceType": "Condition",
"id": "6",
"meta": {
"profile": [
"https://www.healthgorilla.com/fhir/StructureDefinition/condition-sdoh-care-driver"
]
},
"extension": [
{
"url": "https://www.healthgorilla.com/fhir/R4/StructureDefinition/condition-sdoh-care-driver-rank",
"extension": [
{
"url": "level",
"valueString": "low"
},
{
"url": "index",
"valueInteger": 3
}
]
}
],
"category": [
{
"coding": [
{
"system": "http://hl7.org/fhir/us/core/CodeSystem/condition-category",
"code": "health-concern",
"display": "Health Concern"
}
]
},
{
"coding": [
{
"system": "http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes",
"code": "social-connection",
"display": "Social Connection"
},
{
"system": "https://www.healthgorilla.com/lexis-nexis-sdoh-condition-care-driver-category",
"code": "SOCIAL_AND_COMMUNITY_CONTEXT",
"display": "Social and community context"
}
]
}
],
"code": {
"coding": [
{
"system": "https://www.healthgorilla.com/lexis-nexis-sdoh-condition-care-driver-code",
"code": "NMCH",
"display": "Name Change"
}
],
"text": "Name Change"
},
"note": [
{
"text": "The Name Change Care Driver is based on indicators pertaining to the number of times an individua last name has changed and the period in which the changes occurred. This may indicate possible marriages or divorces or it may indicate the need to validate last name information."
}
]
}
],
"status": "final",
"code": {
"coding": [
{
"system": "https://www.healthgorilla.com/lexis-nexis-sdoh-riskassessment-type",
"code": "MedicationAdherenceRate",
"display": "Medication Adherence Risk"
}
],
"text": "Medication Adherence Risk"
},
"occurrenceDateTime": "2022-08-23T15:34:41",
"basis": [
{
"reference": "#1"
},
{
"reference": "#2"
},
{
"reference": "#3"
},
{
"reference": "#4"
},
{
"reference": "#5"
},
{
"reference": "#6"
}
],
"prediction": [
{
"qualitativeRisk": {
"coding": [
{
"code": "3",
"display": "Moderate Adherence Rate"
}
]
}
}
]
},
"search": {
"mode": "match"
}
},
{
"resource": {
"resourceType": "RiskAssessment",
"meta": {
"profile": [
"https://www.healthgorilla.com/fhir/StructureDefinition/riskassessment-sdoh-score"
]
},
"contained": [
{
"resourceType": "Condition",
"id": "1",
"meta": {
"profile": [
"https://www.healthgorilla.com/fhir/StructureDefinition/condition-sdoh-care-driver"
]
},
"extension": [
{
"url": "https://www.healthgorilla.com/fhir/R4/StructureDefinition/condition-sdoh-care-driver-rank",
"extension": [
{
"url": "level",
"valueString": "high"
},
{
"url": "index",
"valueInteger": 1
}
]
}
],
"category": [
{
"coding": [
{
"system": "http://hl7.org/fhir/us/core/CodeSystem/condition-category",
"code": "health-concern",
"display": "Health Concern"
}
]
},
{
"coding": [
{
"system": "http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes",
"code": "financial-insecurity",
"display": "Financial Insecurity"
},
{
"system": "https://www.healthgorilla.com/lexis-nexis-sdoh-condition-care-driver-category",
"code": "ECONOMIC_STABILITY",
"display": "Economic stability"
}
]
}
],
"code": {
"coding": [
{
"system": "https://www.healthgorilla.com/lexis-nexis-sdoh-condition-care-driver-code",
"code": "EINC",
"display": "Estimated Income"
}
],
"text": "Estimated Income"
},
"note": [
{
"text": "The Estimated Income Care Driver is based on the member/patient's estimated income and wealth index."
}
]
},
{
"resourceType": "Condition",
"id": "2",
"meta": {
"profile": [
"https://www.healthgorilla.com/fhir/StructureDefinition/condition-sdoh-care-driver"
]
},
"extension": [
{
"url": "https://www.healthgorilla.com/fhir/R4/StructureDefinition/condition-sdoh-care-driver-rank",
"extension": [
{
"url": "level",
"valueString": "high"
},
{
"url": "index",
"valueInteger": 2
}
]
}
],
"category": [
{
"coding": [
{
"system": "http://hl7.org/fhir/us/core/CodeSystem/condition-category",
"code": "health-concern",
"display": "Health Concern"
}
]
},
{
"coding": [
{
"system": "http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes",
"code": "financial-insecurity",
"display": "Financial Insecurity"
},
{
"system": "https://www.healthgorilla.com/lexis-nexis-sdoh-condition-care-driver-category",
"code": "ECONOMIC_STABILITY",
"display": "Economic stability"
}
]
}
],
"code": {
"coding": [
{
"system": "https://www.healthgorilla.com/lexis-nexis-sdoh-condition-care-driver-code",
"code": "PHNA",
"display": "Phone Access"
}
],
"text": "Phone Access"
},
"note": [
{
"text": "The Phone Access Care Driver is based on information pertaining to the number of phones at an address, length of time the phone has been active, type of phone and more. It may indicate if the individual has temporary or limited access to phones."
}
]
},
{
"resourceType": "Condition",
"id": "3",
"meta": {
"profile": [
"https://www.healthgorilla.com/fhir/StructureDefinition/condition-sdoh-care-driver"
]
},
"extension": [
{
"url": "https://www.healthgorilla.com/fhir/R4/StructureDefinition/condition-sdoh-care-driver-rank",
"extension": [
{
"url": "level",
"valueString": "high"
},
{
"url": "index",
"valueInteger": 3
}
]
}
],
"category": [
{
"coding": [
{
"system": "http://hl7.org/fhir/us/core/CodeSystem/condition-category",
"code": "health-concern",
"display": "Health Concern"
}
]
},
{
"coding": [
{
"system": "http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes",
"code": "social-connection",
"display": "Social Connection"
},
{
"system": "https://www.healthgorilla.com/lexis-nexis-sdoh-condition-care-driver-category",
"code": "SOCIAL_AND_COMMUNITY_CONTEXT",
"display": "Social and community context"
}
]
}
],
"code": {
"coding": [
{
"system": "https://www.healthgorilla.com/lexis-nexis-sdoh-condition-care-driver-code",
"code": "HPA",
"display": "Housing Purchase Activity"
}
],
"text": "Housing Purchase Activity"
},
"note": [
{
"text": "The Housing Purchase Activity Care Driver is based on information pertaining to ownership of real property. Frequent changes may indicate inconsistent access to housing."
}
]
},
{
"resourceType": "Condition",
"id": "4",
"meta": {
"profile": [
"https://www.healthgorilla.com/fhir/StructureDefinition/condition-sdoh-care-driver"
]
},
"extension": [
{
"url": "https://www.healthgorilla.com/fhir/R4/StructureDefinition/condition-sdoh-care-driver-rank",
"extension": [
{
"url": "level",
"valueString": "low"
},
{
"url": "index",
"valueInteger": 1
}
]
}
],
"category": [
{
"coding": [
{
"system": "http://hl7.org/fhir/us/core/CodeSystem/condition-category",
"code": "health-concern",
"display": "Health Concern"
}
]
},
{
"coding": [
{
"system": "http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes",
"code": "housing-instability",
"display": "Housing Instability"
},
{
"system": "https://www.healthgorilla.com/lexis-nexis-sdoh-condition-care-driver-category",
"code": "NEIGHBORHOOD_AND_BUILT_ENVIRONMENT",
"display": "Neighborhood and built environment"
}
]
}
],
"code": {
"coding": [
{
"system": "https://www.healthgorilla.com/lexis-nexis-sdoh-condition-care-driver-code",
"code": "NFNV",
"display": "Neighborhood Financial Value"
}
],
"text": "Neighborhood Financial Value"
},
"note": [
{
"text": "The Neighborhood Financial Value Care Driver is based on income indices that include that address, vacancy counts for the neighborhood and multi/single family unit counts for the neighborhood. This may indicate if the individual lives in a poorer neighborhood, which may correlate to food insecurity."
}
]
},
{
"resourceType": "Condition",
"id": "5",
"meta": {
"profile": [
"https://www.healthgorilla.com/fhir/StructureDefinition/condition-sdoh-care-driver"
]
},
"extension": [
{
"url": "https://www.healthgorilla.com/fhir/R4/StructureDefinition/condition-sdoh-care-driver-rank",
"extension": [
{
"url": "level",
"valueString": "low"
},
{
"url": "index",
"valueInteger": 2
}
]
}
],
"category": [
{
"coding": [
{
"system": "http://hl7.org/fhir/us/core/CodeSystem/condition-category",
"code": "health-concern",
"display": "Health Concern"
}
]
},
{
"coding": [
{
"system": "http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes",
"code": "social-connection",
"display": "Social Connection"
},
{
"system": "https://www.healthgorilla.com/lexis-nexis-sdoh-condition-care-driver-category",
"code": "SOCIAL_AND_COMMUNITY_CONTEXT",
"display": "Social and community context"
}
]
}
],
"code": {
"coding": [
{
"system": "https://www.healthgorilla.com/lexis-nexis-sdoh-condition-care-driver-code",
"code": "CENG",
"display": "Community Engagement"
}
],
"text": "Community Engagement"
},
"note": [
{
"text": "The Community Engagement Care Driver is based on information pertaining to voter registration and non-derogatory court records (e.g., phone records, professional licenses, and property records) that indicate involvement in the community."
}
]
},
{
"resourceType": "Condition",
"id": "6",
"meta": {
"profile": [
"https://www.healthgorilla.com/fhir/StructureDefinition/condition-sdoh-care-driver"
]
},
"extension": [
{
"url": "https://www.healthgorilla.com/fhir/R4/StructureDefinition/condition-sdoh-care-driver-rank",
"extension": [
{
"url": "level",
"valueString": "low"
},
{
"url": "index",
"valueInteger": 3
}
]
}
],
"category": [
{
"coding": [
{
"system": "http://hl7.org/fhir/us/core/CodeSystem/condition-category",
"code": "health-concern",
"display": "Health Concern"
}
]
},
{
"coding": [
{
"system": "http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes",
"code": "social-connection",
"display": "Social Connection"
},
{
"system": "https://www.healthgorilla.com/lexis-nexis-sdoh-condition-care-driver-category",
"code": "SOCIAL_AND_COMMUNITY_CONTEXT",
"display": "Social and community context"
}
]
}
],
"code": {
"coding": [
{
"system": "https://www.healthgorilla.com/lexis-nexis-sdoh-condition-care-driver-code",
"code": "SCSPT",
"display": "Social Support"
}
],
"text": "Social Support"
},
"note": [
{
"text": "The Social Support Care Driver is based on indicators that report one or more relatives, associates or household members on record are ages 20-64. The Care Driver is also based on information on the nearest relative or associate by distance, the number of individuals living in the household, and if the individual is married. This may indicate if the individual has adequate social support."
}
]
}
],
"status": "final",
"code": {
"coding": [
{
"system": "https://www.healthgorilla.com/lexis-nexis-sdoh-riskassessment-type",
"code": "MotivationLevel",
"display": "Motivation Risk"
}
],
"text": "Motivation Risk"
},
"occurrenceDateTime": "2022-08-23T15:34:41",
"basis": [
{
"reference": "#1"
},
{
"reference": "#2"
},
{
"reference": "#3"
},
{
"reference": "#4"
},
{
"reference": "#5"
},
{
"reference": "#6"
}
],
"prediction": [
{
"qualitativeRisk": {
"coding": [
{
"code": "5",
"display": "Extremely Low Motivation Level"
}
]
}
}
]
},
"search": {
"mode": "match"
}
},
{
"resource": {
"resourceType": "RiskAssessment",
"meta": {
"profile": [
"https://www.healthgorilla.com/fhir/StructureDefinition/riskassessment-sdoh-score"
]
},
"contained": [
{
"resourceType": "Condition",
"id": "1",
"meta": {
"profile": [
"https://www.healthgorilla.com/fhir/StructureDefinition/condition-sdoh-care-driver"
]
},
"extension": [
{
"url": "https://www.healthgorilla.com/fhir/R4/StructureDefinition/condition-sdoh-care-driver-rank",
"extension": [
{
"url": "level",
"valueString": "high"
},
{
"url": "index",
"valueInteger": 1
}
]
}
],
"category": [
{
"coding": [
{
"system": "http://hl7.org/fhir/us/core/CodeSystem/condition-category",
"code": "health-concern",
"display": "Health Concern"
}
]
},
{
"coding": [
{
"system": "http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes",
"code": "financial-insecurity",
"display": "Financial Insecurity"
},
{
"system": "https://www.healthgorilla.com/lexis-nexis-sdoh-condition-care-driver-category",
"code": "ECONOMIC_STABILITY",
"display": "Economic stability"
}
]
}
],
"code": {
"coding": [
{
"system": "https://www.healthgorilla.com/lexis-nexis-sdoh-condition-care-driver-code",
"code": "ADMO",
"display": "Address Mobility"
}
],
"text": "Address Mobility"
},
"note": [
{
"text": "The Address Mobility Care Driver is based on information pertaining to address changes, length of stay, mobility index, number of moves, and dwelling type (e.g., association with transient locations)."
}
]
},
{
"resourceType": "Condition",
"id": "2",
"meta": {
"profile": [
"https://www.healthgorilla.com/fhir/StructureDefinition/condition-sdoh-care-driver"
]
},
"extension": [
{
"url": "https://www.healthgorilla.com/fhir/R4/StructureDefinition/condition-sdoh-care-driver-rank",
"extension": [
{
"url": "level",
"valueString": "high"
},
{
"url": "index",
"valueInteger": 2
}
]
}
],
"category": [
{
"coding": [
{
"system": "http://hl7.org/fhir/us/core/CodeSystem/condition-category",
"code": "health-concern",
"display": "Health Concern"
}
]
},
{
"coding": [
{
"system": "http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes",
"code": "housing-instability",
"display": "Housing Instability"
},
{
"system": "https://www.healthgorilla.com/lexis-nexis-sdoh-condition-care-driver-category",
"code": "NEIGHBORHOOD_AND_BUILT_ENVIRONMENT",
"display": "Neighborhood and built environment"
}
]
}
],
"code": {
"coding": [
{
"system": "https://www.healthgorilla.com/lexis-nexis-sdoh-condition-care-driver-code",
"code": "NFNV",
"display": "Neighborhood Financial Value"
}
],
"text": "Neighborhood Financial Value"
},
"note": [
{
"text": "The Neighborhood Financial Value Care Driver is based on income indices that include that address, vacancy counts for the neighborhood and multi/single family unit counts for the neighborhood. This may indicate if the individual lives in a poorer neighborhood, which may correlate to food insecurity."
}
]
},
{
"resourceType": "Condition",
"id": "3",
"meta": {
"profile": [
"https://www.healthgorilla.com/fhir/StructureDefinition/condition-sdoh-care-driver"
]
},
"extension": [
{
"url": "https://www.healthgorilla.com/fhir/R4/StructureDefinition/condition-sdoh-care-driver-rank",
"extension": [
{
"url": "level",
"valueString": "high"
},
{
"url": "index",
"valueInteger": 3
}
]
}
],
"category": [
{
"coding": [
{
"system": "http://hl7.org/fhir/us/core/CodeSystem/condition-category",
"code": "health-concern",
"display": "Health Concern"
}
]
},
{
"coding": [
{
"system": "http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes",
"code": "social-connection",
"display": "Social Connection"
},
{
"system": "https://www.healthgorilla.com/lexis-nexis-sdoh-condition-care-driver-category",
"code": "SOCIAL_AND_COMMUNITY_CONTEXT",
"display": "Social and community context"
}
]
}
],
"code": {
"coding": [
{
"system": "https://www.healthgorilla.com/lexis-nexis-sdoh-condition-care-driver-code",
"code": "CENG",
"display": "Community Engagement"
}
],
"text": "Community Engagement"
},
"note": [
{
"text": "The Community Engagement Care Driver is based on information pertaining to voter registration and non-derogatory court records (e.g., phone records, professional licenses, and property records) that indicate involvement in the community."
}
]
},
{
"resourceType": "Condition",
"id": "4",
"meta": {
"profile": [
"https://www.healthgorilla.com/fhir/StructureDefinition/condition-sdoh-care-driver"
]
},
"extension": [
{
"url": "https://www.healthgorilla.com/fhir/R4/StructureDefinition/condition-sdoh-care-driver-rank",
"extension": [
{
"url": "level",
"valueString": "low"
},
{
"url": "index",
"valueInteger": 1
}
]
}
],
"category": [
{
"coding": [
{
"system": "http://hl7.org/fhir/us/core/CodeSystem/condition-category",
"code": "health-concern",
"display": "Health Concern"
}
]
},
{
"coding": [
{
"system": "http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes",
"code": "financial-insecurity",
"display": "Financial Insecurity"
},
{
"system": "https://www.healthgorilla.com/lexis-nexis-sdoh-condition-care-driver-category",
"code": "ECONOMIC_STABILITY",
"display": "Economic stability"
}
]
}
],
"code": {
"coding": [
{
"system": "https://www.healthgorilla.com/lexis-nexis-sdoh-condition-care-driver-code",
"code": "EINC",
"display": "Estimated Income"
}
],
"text": "Estimated Income"
},
"note": [
{
"text": "The Estimated Income Care Driver is based on the member/patient's estimated income and wealth index."
}
]
},
{
"resourceType": "Condition",
"id": "5",
"meta": {
"profile": [
"https://www.healthgorilla.com/fhir/StructureDefinition/condition-sdoh-care-driver"
]
},
"extension": [
{
"url": "https://www.healthgorilla.com/fhir/R4/StructureDefinition/condition-sdoh-care-driver-rank",
"extension": [
{
"url": "level",
"valueString": "low"
},
{
"url": "index",
"valueInteger": 2
}
]
}
],
"category": [
{
"coding": [
{
"system": "http://hl7.org/fhir/us/core/CodeSystem/condition-category",
"code": "health-concern",
"display": "Health Concern"
}
]
},
{
"coding": [
{
"system": "http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes",
"code": "financial-insecurity",
"display": "Financial Insecurity"
},
{
"system": "https://www.healthgorilla.com/lexis-nexis-sdoh-condition-care-driver-category",
"code": "ECONOMIC_STABILITY",
"display": "Economic stability"
}
]
}
],
"code": {
"coding": [
{
"system": "https://www.healthgorilla.com/lexis-nexis-sdoh-condition-care-driver-code",
"code": "FSRA",
"display": "Financial Stability - Relatives and Associates"
}
],
"text": "Financial Stability - Relatives and Associates"
},
"note": [
{
"text": "The Financial Stability Relatives and Associates Care Driver is based on information pertaining to real property and personal assets, business associations, estimated income, bankruptcy and lien history, subprime credit service offers, and debtor locater searches of relatives and associates. This may indicate if there is additional financial burden on the individual or if the individual has other potential sources of financial support."
}
]
},
{
"resourceType": "Condition",
"id": "6",
"meta": {
"profile": [
"https://www.healthgorilla.com/fhir/StructureDefinition/condition-sdoh-care-driver"
]
},
"extension": [
{
"url": "https://www.healthgorilla.com/fhir/R4/StructureDefinition/condition-sdoh-care-driver-rank",
"extension": [
{
"url": "level",
"valueString": "low"
},
{
"url": "index",
"valueInteger": 3
}
]
}
],
"category": [
{
"coding": [
{
"system": "http://hl7.org/fhir/us/core/CodeSystem/condition-category",
"code": "health-concern",
"display": "Health Concern"
}
]
},
{
"coding": [
{
"system": "http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes",
"code": "social-connection",
"display": "Social Connection"
},
{
"system": "https://www.healthgorilla.com/lexis-nexis-sdoh-condition-care-driver-category",
"code": "SOCIAL_AND_COMMUNITY_CONTEXT",
"display": "Social and community context"
}
]
}
],
"code": {
"coding": [
{
"system": "https://www.healthgorilla.com/lexis-nexis-sdoh-condition-care-driver-code",
"code": "HPA",
"display": "Housing Purchase Activity"
}
],
"text": "Housing Purchase Activity"
},
"note": [
{
"text": "The Housing Purchase Activity Care Driver is based on information pertaining to ownership of real property. Frequent changes may indicate inconsistent access to housing."
}
]
}
],
"status": "final",
"code": {
"coding": [
{
"system": "https://www.healthgorilla.com/lexis-nexis-sdoh-riskassessment-type",
"code": "TotalCostRiskScore",
"display": "Total Cost Risk"
}
],
"text": "Total Cost Risk"
},
"occurrenceDateTime": "2022-08-23T15:34:41",
"basis": [
{
"reference": "#1"
},
{
"reference": "#2"
},
{
"reference": "#3"
},
{
"reference": "#4"
},
{
"reference": "#5"
},
{
"reference": "#6"
}
],
"prediction": [
{
"qualitativeRisk": {
"coding": [
{
"code": "1",
"display": "Very Low Risk"
}
]
},
"relativeRisk": 0.4293
}
]
},
"search": {
"mode": "match"
}
}
]
}
Embed SDOH as an iFrame
You can embed the patient chart can configure it to launch directly to the SDOH page.
Refer to the iframe for patient chart for how to embed the patient chart.
Below is the URI to launch directly to the SDOH page
https://sandbox.healthgorilla.com/prauth/login?patient_chart=true&redirect_uri=https://sandbox.healthgorilla.com/hgs/sdoh/PATIENT_ID&assertion=your_assertion_here
Updated 3 months ago