ArticleJAMIA open2019
Documenting social determinants of health-related clinical activities using standardized medical vocabularies.
Article in JAMIA open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 2 of them syntheses that pooled it.
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Who cites it
43 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- The quality of social determinants data in the electronic health record: a systematic review.Journal of the American Medical Informatics Association : JAMIA · 2021Pooled it
- Addressing social determinants of noncommunicable diseases in primary care: a systematic review.Bulletin of the World Health Organization · 2020Pooled it
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- Adopting common data elements (CDEs) for the National Trauma Research Repository (NTRR): the results of a social determinants of health Delphi survey.Trauma surgery & acute care open · 2026Article
- Documentation of individual-level social determinants of health among adults diagnosed with cancer in the United States.Scientific reports · 2025Article
- The Rise of the Hospital Chief Equity Officer-A National Survey of Early Experiences and Attributes.Journal of general internal medicine · 2025Article
- The development of information infrastructure and technological capabilities used to manage social care and address quality in primary care settings.BMC health services research · 2025Observational
- Extracting Housing and Food Insecurity Information From Clinical Notes Using cTAKES.Health services research · 2025Article
- Assessing the impact of social determinants of health on diabetes severity and management.JAMIA open · 2024Article
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- Clinician and Patient Perspectives on the Exchange of Sensitive Social Determinants of Health Information.JAMA network open · 2024Article
- Patient-centered clinical decision support challenges and opportunities identified from workflow execution models.Journal of the American Medical Informatics Association : JAMIA · 2024Article
- Stressful life events in electronic health records: a scoping review.Journal of the American Medical Informatics Association : JAMIA · 2024Article
- Development of a Social Risk Score in the Electronic Health Record to Identify Social Needs Among Underserved Populations: Retrospective Study.JMIR formative research · 2024Article
- Development and content validation of a questionnaire to assess the social determinants of mental health in clinical practice.Frontiers in psychiatry · 2024Article
- ACORN SDOH survey: Terminological representation for use with NLP and CDS.Journal of clinical and translational science · 2024Article
- Stressful life events in electronic health records: a scoping review.Research square · 2023Article
- Social Risk Factors are Associated with Risk for Hospitalization in Home Health Care: A Natural Language Processing Study.Journal of the American Medical Directors Association · 2023Article
- Does clinical research account for diversity in deploying digital health technologies?NPJ digital medicine · 2023Review
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesGrowing recognition that health is shaped by social and economic circumstances has resulted in a rapidly expanding set of clinical activities related to identifying, diagnosing, and intervening around patients' social risks in the context of health care delivery. The objective of this exploratory analysis was to identify existing documentation tools in common US medical coding systems reflecting these emerging clinical practices to improve patients' social health. MATERIALS AND
methodsWe identified 20 social determinants of health (SDH)-related domains used in 6 published social health assessment tools. We then used medical vocabulary search engines to conduct three independent searches for codes related to these 20 domains included in common medical coding systems (LOINC, SNOMED CT, ICD-10-CM, and CPT). Each of the 3 searches focused on one of three clinical activities: Screening, Assessment/Diagnosis, and Treatment/Intervention.
resultsWe found at least 1 social Screening code for 18 of the 20 SDH domains, 686 social risk Assessment/Diagnosis codes, and 243 Treatment/Intervention codes. Fourteen SDH domains (70%) had codes across all 3 clinical activity areas. DISCUSSION: Our exploratory analysis revealed 1095 existing codes in common medical coding vocabularies that can facilitate documentation of social health-related clinical activities. Despite a large absolute number of codes, there are addressable gaps in the capacity of current medical vocabularies to document specific social risk factor screening, diagnosis, and interventions activities.
conclusionsFindings from this analysis should help inform efforts both to develop a comprehensive set of SDH codes and ultimately to improve documentation of SDH-related activities in clinical settings.
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