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The Gravity Project: Consensus Methods to Develop SDOH Terminology and Standards

The importance of identifying social risk issues that can impact the health and well-being of patients is growing. While the idea that risks such as inadequate food, homelessness, or lack of available transportation can affect a patient’s health and treatment options is not new, there is significant work being done to determine how to identify and utilize social determinants of health (SDOH) data.

Presenters at this session will describe the role of the Gravity Project in this effort, review the different types of SDOH data that range from determining if the patient is at risk, establishing a diagnosis related to the risk, and determining the appropriate interventions and goals to reduce or eliminate the risk factor(s). How are these various data concepts being standardized and coded in one or more of the established healthcare terminologies such as ICD-10-CM, SNOMED-CT, LOINC? Related work is also being done to determine how this type of data should be structured for interoperability to support coordination of care as well as growing the body of evidence-based research in this area. The ethical framework and data justice principles that guide the work of the Gravity Project will also be explored.

Learner Outcomes

Participants in this session will learn about:

• The role of the Gravity Project in promoting the value of SDOH data in health care.
• How to identify types SDOH data, and how they are collected and standardized.
• What is needed to support interoperability of SDOH data.
• The ethical considerations in using SDOH data.


Linda A. Hyde, RHIA
Terminologist, The Gravity Project Auburn, MA

Sarah DeSilvey, DNP, FNP-C
The Gravity Project, Burlington, VT
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