ReviewJournal of the American Medical Informatics Association : JAMIA2021
Documentation and review of social determinants of health data in the EHR: measures and associated insights.
Review in Journal of the American Medical Informatics Association : JAMIA, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 73 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
73 citing papers in PubMed, 1 synthesis or guideline pooled it, 99 citations in OpenAlex.
- Operational Ontology for Oncology (O3): A Professional Society-Based, Multistakeholder, Consensus-Driven Informatics Standard Supporting Clinical and Research Use of Real-World Data From Patients Treated for Cancer.International journal of radiation oncology, biology, physics · 2023Guideline
- Characterizing emergency clinician engagement with social drivers of health data among patients with opioid use disorder.Journal of the American Medical Informatics Association : JAMIA · 2026Article
- From exchange to action: how hospitals receive and use health-related social needs data from external sources.Journal of the American Medical Informatics Association : JAMIA · 2026Article
- Scalable extraction of social determinants of health from clinical notes in a sepsis cohort using instruction-tuned language models.JAMIA open · 2026Article
- What do clinicians edit in ambient AI-drafted clinical documentation? A qualitative content analysis.Journal of the American Medical Informatics Association : JAMIA · 2026Article
- Current state of electronic problems lists in primary care: a rapid scoping review.Family practice · 2026Article
- Article
- Improvements in substance use and social determinants of health associated with hepatitis C treatment initiation and sustained virologic response in opioid treatment programs.Addictive behaviors reports · 2026Article
- Embracing Co-Design and Interprofessional Teamwork to Build an Innovative Dashboard for a National Social Needs Screening and Referral Clinical Intervention in the Veterans Health Administration: Design and Development Study.Journal of medical Internet research · 2026Article
- The LIFT UP study: feasibility of systematically identifying and addressing resource needs in those with metastatic breast cancer.Breast cancer research and treatment · 2026Article
- Evaluating Redundancy and Biases in EHR Social Determinants of Health Data Screening.medRxiv : the preprint server for health sciences · 2026Article
- Individuals' Desire for Social Needs Sharing Among Healthcare Providers: Findings from the 2022 Health Information National Trends Survey.Journal of general internal medicine · 2026Article
- SDoH-GPT: using large language models to extract social determinants of health.Journal of the American Medical Informatics Association : JAMIA · 2026Article
- Deconstructing the Interoperability Stack: A Comparative Technical Analysis of HL7 v2, CDA, and the FHIR Resource Framework.Computational and structural biotechnology journal · 2026Review
- Characterizing emergency clinician engagement with social drivers of health data among patients with opioid use disorder.medRxiv : the preprint server for health sciences · 2025Article
- Neighborhood Deprivation and Days Spent at Home After Fall-Related Hip Fracture.JAMA network open · 2025Article
- Improving social determinants of health documentation in French electronic health records using large language models.Scientific reports · 2025Article
- A large language model-based approach to quantifying the effects of social determinants in liver transplant decisions.NPJ digital medicine · 2025Article
- Digital Health Technologies for Screening and Identifying Unmet Social Needs: Scoping Review.Journal of medical Internet research · 2025Article
- Integration of Screening and Referral Tools for Social Determinants of Health and Modifiable Lifestyle Factors in the Epic Electronic Health Record System: Scoping Review.Journal of medical Internet research · 2025Article
13 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 1 country.
Funding
Abstract
objectiveElectronic Health Records (EHRs) increasingly include designated fields to capture social determinants of health (SDOH). We developed measures to characterize their use, and use of other SDOH data types, to optimize SDOH data integration. MATERIALS AND
methodsWe developed 3 measures that accommodate different EHR data types on an encounter or patient-year basis. We implemented these measures-documented during encounter (DDE) captures documentation occurring during the encounter; documented by discharge (DBD) includes DDE plus documentation occurring any time prior to admission; and reviewed during encounter (RDE) captures whether anyone reviewed documented data-for the newly available structured SDOH fields and 4 other comparator SDOH data types (problem list, inpatient nursing question, social history free text, and social work notes) on a hospital encounter basis (with patient-year metrics in the Supplementary Appendix). Our sample included all patients (n = 27 127) with at least one hospitalization at UCSF Health (a large, urban, tertiary medical center) over a 1-year period.
resultsWe observed substantial variation in the use of different SDOH EHR data types. Notably, social history question fields (newly added at study period start) were rarely used (DDE: 0.03% of encounters, DBD: 0.26%, RDE: 0.03%). Free-text patient social history fields had higher use (DDE: 12.1%, DBD: 49.0%, RDE: 14.4%). DISCUSSION: Our measures of real-world SDOH data use can guide current efforts to capture and leverage these data. For our institution, measures revealed substantial variation across data types, suggesting the need to engage in efforts such as EHR-user education and targeted workflow integration.
conclusionMeasures revealed opportunities to optimize SDOH data documentation and review.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.