• SHINNY HRSN: Needed for Screenings. Include in the Screening and Questionnaire bundles.
• Profiled off of the SDOHCC Consent: Profile for consent related to the release of Social Determinants of Health (SDOH) information to non-HIPAA covered organizations.

• SHINNY HRSN: Needed for all bundles.
• Profiled off of the base FHIR Encounter: An interaction between a patient and healthcare provider(s) for the purpose of providing healthcare service(s) or assessing the health status of a patient.

• SHINNY HRSN: Optional for Assessments. Can be included in Assessment bundles to provide more information.
• Profiled off of the SDOHCC Observation Assessment: Profile for Social Determinants of Health (SDOH) observations that involve assessment (e.g., by a provider, payer, etc.) as opposed to being derived only from screening surveys (as is the case for the SDOHCC Screening Response Observation).

• SHINNY HRSN: Needed for Screenings. Include in the Screening bundles and when needed as a referrence, include in Service Request, Task, and Assessment bundles.
• Profiled off of the SDOHCC Observation Screening Response: Profile for observations that represent question and answer pairs from Social Determinants of Health (SDOH) screening instruments.

• SHINNY HRSN: Needed for Assessments and Referrals. Include in the Assessment and Task bundles.
• Profiled off of the USCore Organization: This profile sets minimum expectations for the Organization resource to searching for and fetching a Organization associated with a patient or provider. It identifies which core elements, extensions, vocabularies and value sets SHALL be present in the resource when using this profile.

• SHINNY HRSN: Needed for all bundles.
• Profiled off of the USCore Patient: This profile sets minimum expectations for the Patient resource to record, search, and fetch basic demographics and other administrative information about an individual patient. It identifies which core elements, extensions, vocabularies and value sets SHALL be present in the resource when using this profile.

• SHINNY HRSN: Needed for Referrals and Assessments. Include in Service Request, Task, and Assessment bundles.
• Profiled off of the USCore Practitioner: This profile sets minimum expectations for the Practitioner resource to record, search, and fetch basic demographics and other administrative information about an individual practitioner. It identifies which core elements, extensions, vocabularies and value sets SHALL be present in the resource when using this profile.

• SHINNY HRSN: Needed for Referrals and Assessments. Include in Questionnaire and Referral bundles.
• Profiled off of the SDC Base Questionnaire: A structured set of questions intended to guide the collection of answers from end-users. Questionnaires provide detailed control over order, presentation, phraseology and grouping to allow coherent, consistent data collection.

• SHINNY HRSN: Needed for submission of all FHIR profiles.
• Profiled off of the base FHIR: A container for a collection of resources.

• SHINNY HRSN: When applicable, needed for Referrals. Include in Task bundles.
• Profiled off of the SDOHCC Procedure: Profile for interventions that address Social Determinants of Health.

• SHINNY HRSN: Needed for Referrals. Include in Service Request and Task bundles.
• Profiled off of the SDOHCC Service Request: Profile for service requests that address Social Determinants of Health.

• SHINNY HRSN: Needed for Referrals. Include in Task bundles.
• Profiled off of the SDOHCC Task For Referral Management:Profile for tasks requesting fulfillment of an SDOHCC ServiceRequest (i.e. referral for service) and subsequently tracking and managing the fulfillment of that referral.

• SHINNY HRSN: Needed for Assessments. Include in Assessment bundles.
• Profiled off of the SDOHCC Condition: Profile for Social Determinants of Health (SDOH) conditions.

• SHINNY HRSN: Needed for the Assessment. Included in all Assessment bundles.
• Profiled off of the SDOHCC Goal:Profile for goals that address Social Determinants of Health (SDOH).

• SHINNY HRSN: Needed for Patient profile.
• Profiled off of the USCore Organization: This profile sets minimum expectations for the Observation resource to record, search, and fetch sexual orientation observations associated with a patient.

• SHINNY HRSN: Needed for all bundles.

All SHINNY Languages

Name includes middle element

Observation Language

Personal Pronouns

This extension represents an individual's sense of being a man, woman, boy, girl, nonbinary, or something else, ascertained by asking them what that identity is.

SHINNYConsentProvisionTypeVS

SHINNYEncounterTypeVS

SHINNYGenderIdentityVS

SHINNYHTTPVerbsVS

SHINNYIdentiferTypeVS

SHINNYLanguageVS

SHINNYNYSLocalCode

SHINNYPersonalPronounsVS

SHINNYRelationshipVS

SHINNYSNOMEDSDOHCategory

SHINNYStatusReasonVS

NYS-HRSN-Questionnaire

Code for languages not found in the FHIR list(s).

Codes for terms found in SHIN-NY Questionnaires

Codes for status reasons.

The Assessment bundles includes information used to determine a patient's eligibility as well as supporting information.

The AHC HRSN Screening Response Example includes all questions from the The Accountable Health Communities Health-Related Social Needs Screening Tool.

Captures the results of an assessment completed after the initial screening.

Captures the results of an assessment completed after the initial screening, when a need was incorrectly documented.

Captures the results of an assessment completed after the initial screening, when assistance is not wanted.

Captures the results of an assessment completed after the initial screening, when a new need is found.

Captures information about a patient.

Captures information about a recorded unmet need.

Captures information about a recorded unmet need.

Captures a patient's consent for the screening.

Captures a negative patient consent for the screening.

Captures information about a patient encounter with an SCN.

Captures information about a patient encounter with an CBO.

Captures information about a patient encounter with an CBO.

Captures the location of a CBO involved in an encounter.

Captures the location of an SCN involved in an encounter.

The Screening bundle includes the standardized 12 AHC HRSN Screening Tool questions and supporting information.

The Screening bundle includes the standardized 12 AHC HRSN Screening Tool questions and supporting information with one of the interpersonal saftey questions unanswered.

The Screening bundle includes the standardized 12 AHC HRSN Screening Tool questions and supporting information with one of the interpersonal saftey questions unanswered.

Captures information about a patient

The Assessment bundles includes information used to determine a patient's eligibility as well as supporting information.

Captures a specific screening response about a patient's alcohol use.

Captures a specific screening response about a patient's disability status.

Captures a specific screening response about a patient's disability status.

Captures a specific screening response about a patient's drug use.

Captures a specific screening response about a patient's education.

Captures a specific screening response about a patient's employment status.

Captures a specific screening response about a patient's financial status.

Captures a specific screening response about a patient's access to food.

Captures a specific screening response about a patient's access to food.

Captures a specific screening response about a patient's housing.

Captures a specific screening response about a patient's housing.

Captures a specific screening response about a patient's housing.

Captures a specific screening response about a patient's interpersonal saftey.

Captures a specific screening response about a patient's interpersonal saftey.

Captures a specific screening response about a patient's interpersonal saftey.

Captures a specific screening response about a patient's interpersonal saftey.

Captures a specific screening response about a patient's interpersonal saftey.

Captures a specific screening response about a patient's interpersonal saftey.

Captures a specific screening response about a patient's interpersonal saftey.

Captures a specific screening response about a patient's spoken language.

Captures a collection of screening responses about a patient's health-related social needs.

Captures a specific screening response about a patient's metal health.

Captures a specific screening response about a patient's metal health.

Captures a collection of screening responses about a patient's metal health.

Captures a collection of screening responses about a patient's health-related social needs.

Captures a collection of screening responses about a patient's health-related social needs.

Captures a collection of screening responses about a patient's health-related social needs.

Captures a specific screening response about a patient's physical activity.

Captures a specific screening response about a patient's physical activity.

Captures a collection of screening responses about a patient's physical activity.

Captures a collection of screening responses about a patient's health-related social needs.

Captures a collection of screening responses about a patient's health-related social needs.

Captures a specific screening response about a patient's social connections.

Captures a specific screening response about a patient's social connections.

Captures a specific screening response about a patient's stress level.

Captures a specific screening response about a patient's substance use.

Captures a collection of screening responses about a patient's health-related social needs.

Captures a specific screening response about a patient's tobacco use.

Captures a specific screening response about a patient's access to transportation.

Captures a specific screening response about a patient's access to transportation.

Captures a specific screening response about a patient's access to transportation.

Captures a specific screening response about a patient's access to utility services.

Captures information about a community group.

Captures information about a social care network.

Captures information about a healthcare provider.

Captures information about a patient.

Captures information about a patient.

Represents a bundle when the patient denies consent.

Captures information about a community based organization practitioner.

Captures information about a social care network practitioner.

Captures a provision service to fulfill an unmet need.

Captures a provision service to fulfill an unmet need.

Administrative questions that capture information about the patient's population categorization, specific services needed and/or medical necessities.

Information regarding the patient outreach from the SCN for a patient assessment.

Patient approval to move forward with completing the assessment.

Captures indicator of patient approval to move forward with completing the assessment.

Patient approval to move forward with completing the assessment.

Captures indicator of patient approval to move forward with completing the assessment.

Captures the service provider outreach date.

Captures the service provider outreach date.

The NYS The Accountable Health Communities Health-Related Social Needs Screening Tool

Captures responses to the Accountable health communities (AHC) health-related social needs screening (HRSN) tool.

Information regarding the patient outreach from the SCN for a patient assessment.

Information regarding the patient outreach from the SCN for a patient assessment.

Patient approval to move forward with the referral.

Patient approval to move forward with the referral.

Captures the service provider outreach date.

Captures the service provider outreach date.

Indicator questions recording whether the patient receives assistance from a variety of programs, as well as other social and healthcare needs.

Indicator questions recording whether the patient receives assistance from a variety of programs, as well as other social and healthcare needs.

Captures an SDOH screening procedure and the time spent conducting the screening.

Captures an active service request documenting a referral for a service to fill an unmet need.

Captures a completed service request documenting a referral for a service to fill an unmet need.

The service request bundle documents the initial referral following the screening and assessment.

Captures a patient's sexual orientation.

The Task bundles document the response and the status of the response from the organization performing services to fulfill and unment need.

The Task bundles document the response and the status of the response from the organization performing services to fulfill and unment need.

The Task bundles document the response and the status of the response from the organization performing services to fulfill and unment need.

Captures a provision service to fulfill an unmet need, which is still in progress.

The Task bundles document the response and the status of the response from the organization performing services to fulfill and unment need.

Captures a provision service to fulfill an unmet need, which is still in progress.

Captures an information about an accepted task for referral management.

Captures an information about a completed task for referral management.

Captures an information about a completed task for referral management.