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Resource ValueSet/FHIR Server from package us.nlm.vsac#0.22.0 (156 ms)

Package us.nlm.vsac
Type ValueSet
Id Id
FHIR Version R4
Source http://fhir.org/packages/us.nlm.vsac/https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1247.253/expansion
Url http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.253
Version 20240524
Status active
Date 2024-05-24T01:02:37-04:00
Name SocialDeterminantsOfHealthGeneralInterventionsHCPCS
Title Social Determinants of Health General Interventions HCPCS
Experimental False
Realm us
Authority hl7
Purpose (Clinical Focus: This set of values represent "generic" interventions, as selected by the Gravity Project, that are common to procedures and service requests across all SDOH Domains.),(Data Element Scope: This value set is a member of procedure grouping value sets and service request grouping value sets whose values may be used in the FHIR Procedure or ServiceRequest resources respectively (e.g., for the SDOHCC Procedure profile or the SDOHCC ServiceRequest profile in the Gravity SDOH Clinical Care FHIR Implementation Guide).),(Inclusion Criteria: Includes "generic" HCPCS interventions, as selected by the Gravity Project, that are common to procedures and service requests across all SDOH Domains.),(Exclusion Criteria: Interventions specific to the domain can be found in each domain value set.)

Resources that use this resource

ValueSet
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1196.789 Social Determinants of Health Procedures
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1196.790 Social Determinants of Health Service Requests
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.11 Food Insecurity Service Requests
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.118 Health Literacy Procedures
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.119 Health Literacy Service Requests
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.122 Medical Cost Burden Procedures
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.123 Medical Cost Burden Service Requests
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.124 Health Insurance Coverage Status Service Requests
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.125 Health Insurance Coverage Status Procedures
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.20 Homelessness Procedures
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.21 Homelessness Service Requests
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.226 Digital Literacy Procedures
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.227 Digital Literacy Service Requests
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.235 Digital Access Procedures
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.236 Digital Access Service Requests
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.247 Utility Insecurity Procedures
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.252 Utility Insecurity Service Requests
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.260 Incarceration Status Procedures
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.261 Incarceration Status Service Requests
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.268 Language Access Procedures
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.269 Language Access Service Requests
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.27 Transportation Insecurity Procedures
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.28 Transportation Insecurity Service Requests
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.31 Financial Insecurity Service Requests
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.32 Financial Insecurity Procedures
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.38 Material Hardship Service Requests
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.39 Material Hardship Procedures
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.44 Housing Instability Procedures
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.45 Housing Instability Service Requests
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.52 Inadequate Housing Procedures
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.53 Inadequate Housing Service Requests
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.56 Less Than High School Education Procedures
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.57 Less Than High School Education Service Requests
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.59 Unemployment Procedures
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.60 Unemployment Service Requests
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.67 Elder Abuse Procedures
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.68 Elder Abuse Service Requests
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.7 Food Insecurity Procedures
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.87 Stress Procedures
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.90 Veteran Status Procedures
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.91 Veteran Status Service Requests
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.92 Stress Service Requests
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.94 Social Connection Procedures
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.95 Social Connection Service Requests
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.97 Intimate Partner Violence Procedures
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.98 Intimate Partner Violence Service Requests

Resources that this resource uses

CodeSystem
http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets Healthcare Common Procedure Coding System (HCPCS) level II alphanumeric codes
http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets Healthcare Common Procedure Coding System (HCPCS) level II alphanumeric codes


Source

{
  "resourceType" : "ValueSet",
  "id" : "2.16.840.1.113762.1.4.1247.253",
  "meta" : {
    "versionId" : "8",
    "lastUpdated" : "2024-05-24T01:02:37.000-04:00",
    "profile" : [
      "http://hl7.org/fhir/StructureDefinition/shareablevalueset",
      "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-valueset-cqfm",
      "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-valueset-cqfm"
    ]
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/valueset-author",
      "valueContactDetail" : {
        "name" : "The Gravity Project Author"
      }
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/resource-lastReviewDate",
      "valueDate" : "2024-05-24"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/valueset-effectiveDate",
      "valueDate" : "2024-05-24"
    }
  ],
  "url" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.253",
  "identifier" : [
    {
      "system" : "urn:ietf:rfc:3986",
      "value" : "urn:oid:2.16.840.1.113762.1.4.1247.253"
    }
  ],
  "version" : "20240524",
  "name" : "SocialDeterminantsOfHealthGeneralInterventionsHCPCS",
  "title" : "Social Determinants of Health General Interventions HCPCS",
  "status" : "active",
  "date" : "2024-05-24T01:02:37-04:00",
  "publisher" : "The Gravity Project Steward",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "US"
        }
      ]
    }
  ],
  "purpose" : "(Clinical Focus: This set of values represent \"generic\" interventions, as selected by the Gravity Project, that are common to procedures and service requests across all SDOH Domains.),(Data Element Scope: This value set is a member of procedure grouping value sets and service request grouping value sets whose values may be used in the FHIR Procedure or ServiceRequest resources respectively (e.g., for the SDOHCC Procedure profile or the SDOHCC ServiceRequest profile in the Gravity SDOH Clinical Care FHIR Implementation Guide).),(Inclusion Criteria: Includes \"generic\" HCPCS interventions, as selected by the Gravity Project, that are common to procedures and service requests across all SDOH Domains.),(Exclusion Criteria: Interventions specific to the domain can be found in each domain value set.)",
  "compose" : {
    "include" : [
      {
        "system" : "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets",
        "concept" : [
          {
            "code" : "G0019",
            "display" : "Community health integration services performed by certified or trained auxiliary personnel, including a community health worker, under the direction of a physician or other practitioner; 60 minutes per calendar month, in the following activities to address social determinants of health (sdoh) need(s) that are significantly limiting the ability to diagnose or treat problem(s) addressed in an initiating visit: person-centered assessment, performed to better understand the individualized context of the intersection between the sdoh need(s) and the problem(s) addressed in the initiating visit. ++ conducting a person-centered assessment to understand patient's life story, strengths, needs, goals, preferences and desired outcomes, including understanding cultural and linguistic factors and including unmet sdoh needs (that are not separately billed). ++ facilitating patient-driven goal-setting and establishing an action plan. ++ providing tailored support to the patient as needed to accomplish the practitioner's treatment plan. practitioner, home-, and community-based care coordination. ++ coordinating receipt of needed services from healthcare practitioners, providers, and facilities; and from home- and community-based service providers, social service providers, and caregiver (if applicable). ++ communication with practitioners, home- and community-based service providers, hospitals, and skilled nursing facilities (or other health care facilities) regarding the patient's psychosocial strengths and needs, functional deficits, goals, preferences, and desired outcomes, including cultural and linguistic factors. ++ coordination of care transitions between and among health care practitioners and settings, including transitions involving referral to other clinicians; follow-up after an emergency department visit; or follow-up after discharges from hospitals, skilled nursing facilities or other health care facilities. ++ facilitating access to community-based social services (e.g., housing, utilities, transportation, food assistance) to address the sdoh need(s). health education- helping the patient contextualize health education provided by the patient's treatment team with the patient's individual needs, goals, and preferences, in the context of the sdoh need(s), and educating the patient on how to best participate in medical decision-making. building patient self-advocacy skills, so that the patient can interact with members of the health care team and related community-based services addressing the sdoh need(s), in ways that are more likely to promote personalized and effective diagnosis or treatment. health care access / health system navigation. ++ helping the patient access healthcare, including identifying appropriate practitioners or providers for clinical care and helping secure appointments with them. facilitating behavioral change as necessary for meeting diagnosis and treatment goals, including promoting patient motivation to participate in care and reach person-centered diagnosis or treatment goals. facilitating and providing social and emotional support to help the patient cope with the problem(s) addressed in the initiating visit, the sdoh need(s), and adjust daily routines to better meet diagnosis and treatment goals. leveraging lived experience when applicable to provide support, mentorship, or inspiration to meet treatment goals"
          },
          {
            "code" : "G0022",
            "display" : "Community health integration services, each additional 30 minutes per calendar month (list separately in addition to g0019)"
          },
          {
            "code" : "G0023",
            "display" : "Principal illness navigation services by certified or trained auxiliary personnel under the direction of a physician or other practitioner, including a patient navigator; 60 minutes per calendar month, in the following activities: person-centered assessment, performed to better understand the individual context of the serious, high-risk condition. ++ conducting a person-centered assessment to understand the patient's life story, strengths, needs, goals, preferences, and desired outcomes, including understanding cultural and linguistic factors and including unmet sdoh needs (that are not separately billed). ++ facilitating patient-driven goal setting and establishing an action plan. ++ providing tailored support as needed to accomplish the practitioner's treatment plan. identifying or referring patient (and caregiver or family, if applicable) to appropriate supportive services. practitioner, home, and community-based care coordination. ++ coordinating receipt of needed services from healthcare practitioners, providers, and facilities; home- and community-based service providers; and caregiver (if applicable). ++ communication with practitioners, home-, and community-based service providers, hospitals, and skilled nursing facilities (or other health care facilities) regarding the patient's psychosocial strengths and needs, functional deficits, goals, preferences, and desired outcomes, including cultural and linguistic factors. ++ coordination of care transitions between and among health care practitioners and settings, including transitions involving referral to other clinicians; follow-up after an emergency department visit; or follow-up after discharges from hospitals, skilled nursing facilities or other health care facilities. ++ facilitating access to community-based social services (e.g., housing, utilities, transportation, food assistance) as needed to address sdoh need(s). health education- helping the patient contextualize health education provided by the patient's treatment team with the patient's individual needs, goals, preferences, and sdoh need(s), and educating the patient (and caregiver if applicable) on how to best participate in medical decision-making. building patient self-advocacy skills, so that the patient can interact with members of the health care team and related community-based services (as needed), in ways that are more likely to promote personalized and effective treatment of their condition. health care access / health system navigation. ++ helping the patient access healthcare, including identifying appropriate practitioners or providers for clinical care, and helping secure appointments with them. ++ providing the patient with information/resources to consider participation in clinical trials or clinical research as applicable. facilitating behavioral change as necessary for meeting diagnosis and treatment goals, including promoting patient motivation to participate in care and reach person-centered diagnosis or treatment goals. facilitating and providing social and emotional support to help the patient cope with the condition, sdoh need(s), and adjust daily routines to better meet diagnosis and treatment goals. leverage knowledge of the serious, high-risk condition and/or lived experience when applicable to provide support, mentorship, or inspiration to meet treatment goals"
          },
          {
            "code" : "G0024",
            "display" : "Principal illness navigation services, additional 30 minutes per calendar month (list separately in addition to g0023)"
          },
          {
            "code" : "G0136",
            "display" : "Administration of a standardized, evidence-based social determinants of health risk assessment tool, 5-15 minutes"
          },
          {
            "code" : "G0511",
            "display" : "Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month"
          }
        ]
      }
    ]
  },
  "expansion" : {
    "identifier" : "urn:uuid:ada76109-11af-4c53-984a-fd9386aa021c",
    "timestamp" : "2025-05-11T07:04:13-04:00",
    "total" : 6,
    "contains" : [
      {
        "system" : "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets",
        "version" : "2025",
        "code" : "G0019",
        "display" : "Community health integration services performed by certified or trained auxiliary personnel, including a community health worker, under the direction of a physician or other practitioner; 60 minutes per calendar month"
      },
      {
        "system" : "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets",
        "version" : "2025",
        "code" : "G0022",
        "display" : "Community health integration services, each additional 30 minutes per calendar month (list separately in addition to g0019)"
      },
      {
        "system" : "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets",
        "version" : "2025",
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        "display" : "Principal illness navigation services by certified or trained auxiliary personnel under the direction of a physician or other practitioner, including a patient navigator; 60 minutes per calendar month"
      },
      {
        "system" : "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets",
        "version" : "2025",
        "code" : "G0024",
        "display" : "Principal illness navigation services, additional 30 minutes per calendar month (list separately in addition to g0023)"
      },
      {
        "system" : "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets",
        "version" : "2025",
        "code" : "G0136",
        "display" : "Administration of a standardized, evidence-based social determinants of health risk assessment tool, 5-15 minutes"
      },
      {
        "system" : "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets",
        "version" : "2025",
        "code" : "G0511",
        "display" : "Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month"
      }
    ]
  },
  "text" : {
  }
}

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