SDOH Goal

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Approval Status

  • Approval Status: Approved
  • Example Task Force:
  • SDWG Approval: 4/4/2024

C-CDA 2.1 Example:

  • 2.16.840.1.113883.10.20.22.2.60
  • 2.16.840.1.113883.10.20.22.4.121
  • 2.16.840.1.113883.10.20.22.4.121: 2022-06-01

Reference to full CDA sample:

  • Empty CCD

Validation location

Comments

  • This is an example of how to send a goals section with a coded Goal using ICD10.

Custodian

  • Brett Marquard, brett@waveoneassociates.com (GitHub: brettmarquard)

Certification

  • ONC

Keywords

  • SDOH Goal

 

Example: download example view on GitHub 

<section>
    <!-- Goals Section -->
    <templateId root="2.16.840.1.113883.10.20.22.2.60"/>
    <code code="61146-7" displayName="Goals" codeSystem="2.16.840.1.113883.6.1"
        codeSystemName="LOINC"/>
    <title>Goals Section</title>
    <text>
        <paragraph ID="goal1">Goal set to establish stable housing.</paragraph>
    </text>
    <entry>
        <observation classCode="OBS" moodCode="GOL">
        <!--    <templateId root="2.16.840.1.113883.10.20.22.4.121"/> Validator complains when I include both-->
            <templateId root="2.16.840.1.113883.10.20.22.4.121" extension="2022-06-01"/>
            <id extension="3241" root="1.2.840.114350.1.13.6289.1.7.2.737179"/>
            <code code="8689-2" displayName="History of Social function"
                codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"> </code>
            <text>
                <reference value="#goal1"/>
            </text>
            <statusCode code="active"/>
            <effectiveTime>
                <!-- The effectiveTime/low indicates starting line for the goal -->                
                <low value="20220813"/>
                <!-- The effectiveTime/high indicates "Achieve by" date or "expiration date" -->
                <high nullFlavor="NI"/>
            </effectiveTime>
         
            <value xsi:type="CD" code="161036002" displayName="Housing adequate"
                codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT">
            </value>
            <!-- To link to an ICD concept, it's recommended to include an entryRelationship RSON to the Problem or Health concern-->
            <!-- Alternatively the Reason template can be used -->
            <!-- If the author is the recordTarget (patient), this is a patient goal. If the author is a provider, 
                this is a provider goal. If both patient and provider are authors, this is a negotiated goal. 
                If no author is present, it is assumed the document or section author(s) is the author of this goal. -->
            <author>
                <templateId root="2.16.840.1.113883.10.20.22.4.119"/>
                <time value="20220813124536-500"/>
                <assignedAuthor>
                    <id extension="66666" root="2.16.840.1.113883.4.6"/>
                    <code code="207RC0000X" codeSystem="2.16.840.1.113883.6.101"
                        codeSystemName="NUCC"
                        displayName="Allopathic &amp; Osteopathic Physicians; Internal Medicine, Cardiovascular Disease"/>
                    <addr>
                        <streetAddressLine>6666 StreetName St.</streetAddressLine>
                        <city>Silver Spring</city>
                        <state>MD</state>
                        <postalCode>20901</postalCode>
                        <country>US</country>
                    </addr>
                    <telecom value="tel:+1(301)666-6666" use="WP"/>
                    <assignedPerson>
                        <name>
                            <given>Heartly</given>
                            <family>Sixer</family>
                            <suffix>MD</suffix>
                        </name>
                    </assignedPerson>
                </assignedAuthor>
            </author>
            <!-- Embedded Reason template with ICD -->
            <entryRelationship typeCode="RSON">
                <observation classCode="OBS" moodCode="EVN">
                    <!-- Reason (V2) -->
                    <templateId root="2.16.840.1.113883.10.20.24.3.88" extension="2023-05-01" />
                    <id root="3fbadea2-c481-4784-b972-3a571aae31c7" />
                    <code code="77301-0" codeSystem="2.16.840.1.113883.6.1" displayName="Reason care action performed or not" codeSystemName="LOINC" />
                    <statusCode code="completed" />
                    <effectiveTime>
                        <low value="20220813"/>
                    </effectiveTime>
                    <value xsi:type="CD" code="Z59.1" codeSystem="2.16.840.1.113883.6.90" codeSystemName="ICD-10-CM" displayName="Inadequate Housing"/> 
                </observation>
            </entryRelationship>
        </observation>
    </entry>
</section>

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