ArticleJournal of the American Medical Informatics Association : JAMIA2023
Systematic design and data-driven evaluation of social determinants of health ontology (SDoHO).
Article in Journal of the American Medical Informatics Association : JAMIA, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- A multi-site benchmarking framework for scalable extraction of geriatric care constructs from electronic health records.npj health systems · 2026Article
- BSO-AD: An Ontology for Representing and Harmonizing Behavioral Social Knowledge in ADRD.medRxiv : the preprint server for health sciences · 2026Article
- Modeling Diabetes Risk and Progression With Public Health Data: Ontology-Guided, Simulation-Capable Digital Twin Study.JMIR medical informatics · 2026Article
- Using Health Information Systems to Support Behavioral Interventions in Local Contexts: Scoping Review.JMIR medical informatics · 2026Review
- Hootation: A GUI and API library for ontology validation and verbalization.Proceedings. IEEE International Conference on Semantic Computing · 2026Article
- Comparing LLM and Fine-Tuned Model Performance on NVDRS Circumstance Extraction with Varying Prompt Complexity.Proceedings. IEEE International Conference on Healthcare Informatics · 2026Article
- A multi-stage large language model framework for extracting suicide-related social determinants of health.Communications medicine · 2025Article
- Directory of Public Datasets for Youth Mental Health to Enhance Research Through Data, Accessibility, and Artificial Intelligence: Scoping Review.JMIR mental health · 2025Article
- Ontology enrichment using a large language model: Applying lexical, semantic, and knowledge network-based similarity for concept placement.Journal of biomedical informatics · 2025Article
- Social determinants of health extraction from clinical notes across institutions using large language models.NPJ digital medicine · 2025Article
- Exploring the Routine Recording of Health-Related Social Needs in U.S. Acute Care Hospitals.Health services insights · 2025Article
- MultiWD: Multi-label wellness dimensions in social media posts.Journal of biomedical informatics · 2024Article
- Realizing the potential of social determinants data in EHR systems: A scoping review of approaches for screening, linkage, extraction, analysis, and interventions.Journal of clinical and translational science · 2024Article
- Policy instruments for the governance of the social drivers of health data in clinical and research settings: a policy mapping brief.Frontiers in public health · 2024Article
- Enriching Real-world Data with Social Determinants of Health for Health Outcomes and Health Equity: Successes, Challenges, and Opportunities.Yearbook of medical informatics · 2023Article
- An NLP approach to identify SDoH-related circumstance and suicide crisis from death investigation narratives.Journal of the American Medical Informatics Association : JAMIA · 2023Article
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Authors and funding
14 authors.
Funding
Abstract
objectiveSocial determinants of health (SDoH) play critical roles in health outcomes and well-being. Understanding the interplay of SDoH and health outcomes is critical to reducing healthcare inequalities and transforming a "sick care" system into a "health-promoting" system. To address the SDOH terminology gap and better embed relevant elements in advanced biomedical informatics, we propose an SDoH ontology (SDoHO), which represents fundamental SDoH factors and their relationships in a standardized and measurable way. MATERIAL AND
methodsDrawing on the content of existing ontologies relevant to certain aspects of SDoH, we used a top-down approach to formally model classes, relationships, and constraints based on multiple SDoH-related resources. Expert review and coverage evaluation, using a bottom-up approach employing clinical notes data and a national survey, were performed.
resultsWe constructed the SDoHO with 708 classes, 106 object properties, and 20 data properties, with 1,561 logical axioms and 976 declaration axioms in the current version. Three experts achieved 0.967 agreement in the semantic evaluation of the ontology. A comparison between the coverage of the ontology and SDOH concepts in 2 sets of clinical notes and a national survey instrument also showed satisfactory results. DISCUSSION: SDoHO could potentially play an essential role in providing a foundation for a comprehensive understanding of the associations between SDoH and health outcomes and paving the way for health equity across populations.
conclusionSDoHO has well-designed hierarchies, practical objective properties, and versatile functionalities, and the comprehensive semantic and coverage evaluation achieved promising performance compared to the existing ontologies relevant to SDoH.
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