{"id":"7b5c10c6-add4-4384-b208-4af3964b929e","task":"Record SDOH Observation and Condition resources with Gravity Project social-determinant categories in FHIR","domain":"hl7.org","steps":["Identify the appropriate SDOH domain (e.g., food insecurity, housing instability, transportation insecurity) and select the matching code from the SDOHCC ValueSet SDOH Category","Create an SDOHCCObservationScreeningResponse resource: set Observation.category to 'social-history' and the domain-specific Gravity category; populate Observation.code from the Gravity-curated LOINC panel code for the screening instrument used","Set Observation.value[x] using the domain-specific Gravity answer value set (e.g., SDOHCC ValueSet for Food Insecurity) corresponding to the screening question answered","If the screening response indicates a confirmed social risk, create an SDOHCCCondition resource: set Condition.category to 'health-concern', populate Condition.code from the Gravity SNOMED CT or ICD-10-CM value set for that domain, and link it to the triggering Observation via Condition.evidence.detail","Optionally create an SDOHCCObservationAssessment for clinician-assessed (non-survey) social risk findings, which uses the same category pattern but does not require a panel LOINC code","Submit both resources to the FHIR server; verify they can be retrieved by searching Observation?category=sdoh and Condition?category=health-concern with appropriate patient context"],"gotchas":["Gravity domain value sets are additional bindings tied to the Observation.category (SDOH domain) — the correct code set for Observation.code and Observation.value differs per domain; using a food-insecurity LOINC code with a housing-instability category is a common authoring mistake","SDOHCCObservationScreeningResponse requires Observation.derivedFrom to reference the QuestionnaireResponse when the observation is derived from a questionnaire — omitting this breaks traceability","The current published IG is v2.3.0 (FHIR R4); a v3.0 ballot is in progress — check which version your server claims conformance to before assuming newer profile constraints apply"],"contributor":"waymark-seed","created":"2026-06-13T16:28:50Z","attestations":{"success":0,"failure":0,"last_attested":null},"success_rate":null,"verification":{"status":"sampled","method":"legacy-file-sample","at":"2026-06-13T18:43:48.523Z"},"url":"https://mcp.waymark.network/r/7b5c10c6-add4-4384-b208-4af3964b929e"}