Data Element
SDOH Protective Factors
Description

Social determinants of health-related characteristics or strengths of individuals, families that act to mitigate risks and promote positive well-being and healthy development
Submitted By: Sarah Candace DeSilvey / Gravity Project
Data Element Information
Data Element Description Social determinants of health-related characteristics or strengths of individuals, families that act to mitigate risks and promote positive well-being and healthy development
Use Case Description(s)
Use Case Description Protective factors and strengths-based assessments are a core focus of patient-centered care and care planning. They are embedded within evidence-based practices toward optimal child development, trauma-informed care, adverse childhood experience prevention, and mental behavioral health. Assessing and fostering protective factors toward overall well-being is woven into the policies of US HHS Agencies (Centers for Disease Control and Prevention, Administration for Children and Families, Substance Abuse and Mental Health Services Administration) and the best practices of US health professional organizations (American Academy of Pediatrics, National Association of Social Workers (NASW)). Assessment and monitoring of protective factors is standardized clinically within the American Academy of Pediatrics well child methods, Bright Futures Guidelines, and the clinical practice guidelines of NASW.
Estimate the breadth of applicability of the use case(s) for this data element (Level 1) – Use cases apply to several care settings or specialties.
Link to use case project page https://confluence.hl7.org/spaces/GRAV/pages/308972581/Protective+Factors
ONC Priority
  • Address behavioral health integration with primary care and other physical care
  • Mitigate health and health care inequities and disparities
  • Address the needs of underserved communities
Maturity of Use and Technical Specifications for Data Element
Applicable Standard(s) SNOMED CT
https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1247.309/expansion/Latest
Additional Specifications Protective Factors are an identified consensus finding of reference within the HL7 Accelerator Gravity Project SDOH CC IG.
Current Use (Level 0) Captured, stored, or accessed in limited settings such as a pilot or proof of concept demonstration
Extent of exchange N/A
Potential Challenges
Restrictions on Standardization (e.g. proprietary code) none
Restrictions on Use (e.g. licensing, user fees) none
Privacy and Security Concerns Normative privacy concerns apply
Estimate of Overall Burden Moderate. Concepts are already extensively documented, but in free-text fields.
ASTP Evaluation Details
Each submitted Data Element has been evaluated based on the following criteria. The overall Level classification is a composite of the maturity based on these individual criteria. This information can be used to identify areas that require additional work to raise the overall classification level and consideration for inclusion in future versions of USCDI
Criterion #1
Maturity - Current Standards		 Level 2 - Data element is represented by a terminology standard or SDO-balloted technical specification or implementation guide.
Criterion #2
Maturity - Current Use 		Level 1 - Data element is captured, stored, or accessed in at least one production EHR or HIT module.
Criterion #3
Maturity - Current Exchange		 Level 0 - Data element is electronically exchanged in limited environments, such as connectathons or pilots.
Criterion #4
Use Case(s) - Breadth of Applicability		 Level 1 - Use cases apply to several care settings or specialties.

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