Table 1.
World Health Organization (WHO)–Social Determinants of Health (SDoH) data components. EHR = electronic health record.
SDoH concept | WHO–SDoH domains | Common EHR representations |
---|---|---|
Economic Stability | Income, employment, financial resources, and basic needs | Employment status field; Insurance type; ZIP code (proxy for area-level socioeconomic status); Financial resource strain screening questions; Housing instability screening |
Neighborhood and Built Environment | Neighborhood (zip code), transportation, food access, environmental conditions | Patient address/ZIP code; Transportation needs screening; Food insecurity screening; Environmental exposure history |
Health and Health Care | Insurance status (type, coverage, payer, provider), behavioral and mental health | Insurance information fields; Primary care provider; Mental health screening results; Substance use screening; Medication adherence data |
Education | Attainment, level, language | Education level field; Primary language field; Need for interpreter services; Health literacy screening |
Social and Community Context | Race/ethnicity, connections, marital status | Race/ethnicity fields; Marital status; Social support screening questions; Domestic violence screening; Sexual orientation and gender identity fields |