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Healthedata1 · Nov 16, 2023 · d5ed017 · d5ed017
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diff --git a/ImplementationGuide-uscdi4-sandbox.json b/ImplementationGuide-uscdi4-sandbox.json
@@ -18,7 +18,7 @@
   "name" : "USCDI4_1Sandbox",
   "title" : "HealtheData1 USCDI4 Sandbox",
   "status" : "active",
-  "date" : "2023-11-16T20:29:44+00:00",
+  "date" : "2023-11-16T20:45:40+00:00",
   "publisher" : "Health eData Inc",
   "contact" : [{
     "telecom" : [{
@@ -791,6 +791,30 @@
       "description" : "To promote interoperability and adoption through common implementation, this profile sets minimum expectations for the Observation resource to record, search, and fetch average diastolic and systolic blood pressure observations with standard LOINC codes and UCUM units of measure. It is based on the US Core Vital Signs Profile and identifies which *additional* core elements, extensions, vocabularies, and value sets  **SHALL** be present and constrains the way the elements are used when using the profile.  It provides the floor for standards development for specific use cases.",
       "exampleBoolean" : false
     },
+    {
+      "extension" : [{
+        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
+        "valueString" : "ValueSet"
+      }],
+      "reference" : {
+        "reference" : "ValueSet/uscore-common-sdoh-assessments"
+      },
+      "name" : "US Core Common SDOH Assessments ValueSet",
+      "description" : "Common SDOH assessment concepts covering the following categories (Gravity Project SDOH Domains):\n - Food (Food Insecurity)\n - Housing (Housing Instability)\n - Health (Social Connection, Stress)\n - Employment (Employment Status)\n - Care (SDOH Category Unspecified)\n - Transit (Transportation Insecurity)\n - Money (Financial Insecurity)\n - Goods (Material Hardship)\n - Education (SDOH Category Unspecified)\n - Legal (SDOH Category Unspecified)",
+      "exampleBoolean" : false
+    },
+    {
+      "extension" : [{
+        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
+        "valueString" : "ValueSet"
+      }],
+      "reference" : {
+        "reference" : "ValueSet/uscore-pa-codes"
+      },
+      "name" : "US Core PA Codes ValueSet",
+      "description" : "A starter set of Physical Activity codes based off the [Physical activity IG](https://hl7.org/fhir/us/physical-activity/)",
+      "exampleBoolean" : false
+    },
     {
       "extension" : [{
         "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",

diff --git a/ImplementationGuide-uscdi4-sandbox.ttl b/ImplementationGuide-uscdi4-sandbox.ttl
@@ -24,7 +24,7 @@
   fhir:name [ fhir:v "USCDI4_1Sandbox"] ; # 
   fhir:title [ fhir:v "HealtheData1 USCDI4 Sandbox"] ; # 
   fhir:status [ fhir:v "active"] ; # 
-  fhir:date [ fhir:v "2023-11-16T20:29:44+00:00"^^xsd:dateTime] ; # 
+  fhir:date [ fhir:v "2023-11-16T20:45:40+00:00"^^xsd:dateTime] ; # 
   fhir:publisher [ fhir:v "Health eData Inc"] ; # 
   fhir:contact ( [
      fhir:telecom ( [
@@ -679,6 +679,30 @@
        fhir:name [ fhir:v "US Core Average Blood Pressure Profile" ] ;
        fhir:description [ fhir:v "To promote interoperability and adoption through common implementation, this profile sets minimum expectations for the Observation resource to record, search, and fetch average diastolic and systolic blood pressure observations with standard LOINC codes and UCUM units of measure. It is based on the US Core Vital Signs Profile and identifies which *additional* core elements, extensions, vocabularies, and value sets  **SHALL** be present and constrains the way the elements are used when using the profile.  It provides the floor for standards development for specific use cases." ] ;
        fhir:example [ fhir:v "false"^^xsd:boolean ]
+     ] [
+       fhir:extension ( [
+         fhir:url [ fhir:v "http://hl7.org/fhir/tools/StructureDefinition/resource-information"^^xsd:anyURI ] ;
+         fhir:value [ fhir:v "ValueSet" ]
+       ] ) ;
+       fhir:reference [
+         fhir:link <http://www.fhir.org/guides/uscdi4-sandbox/ValueSet/uscore-common-sdoh-assessments> ;
+         fhir:reference [ fhir:v "ValueSet/uscore-common-sdoh-assessments" ]
+       ] ;
+       fhir:name [ fhir:v "US Core Common SDOH Assessments ValueSet" ] ;
+       fhir:description [ fhir:v "Common SDOH assessment concepts covering the following categories (Gravity Project SDOH Domains):\n - Food (Food Insecurity)\n - Housing (Housing Instability)\n - Health (Social Connection, Stress)\n - Employment (Employment Status)\n - Care (SDOH Category Unspecified)\n - Transit (Transportation Insecurity)\n - Money (Financial Insecurity)\n - Goods (Material Hardship)\n - Education (SDOH Category Unspecified)\n - Legal (SDOH Category Unspecified)" ] ;
+       fhir:example [ fhir:v "false"^^xsd:boolean ]
+     ] [
+       fhir:extension ( [
+         fhir:url [ fhir:v "http://hl7.org/fhir/tools/StructureDefinition/resource-information"^^xsd:anyURI ] ;
+         fhir:value [ fhir:v "ValueSet" ]
+       ] ) ;
+       fhir:reference [
+         fhir:link <http://www.fhir.org/guides/uscdi4-sandbox/ValueSet/uscore-pa-codes> ;
+         fhir:reference [ fhir:v "ValueSet/uscore-pa-codes" ]
+       ] ;
+       fhir:name [ fhir:v "US Core PA Codes ValueSet" ] ;
+       fhir:description [ fhir:v "A starter set of Physical Activity codes based off the [Physical activity IG](https://hl7.org/fhir/us/physical-activity/)" ] ;
+       fhir:example [ fhir:v "false"^^xsd:boolean ]
      ] [
        fhir:extension ( [
          fhir:url [ fhir:v "http://hl7.org/fhir/tools/StructureDefinition/resource-information"^^xsd:anyURI ] ;

diff --git a/ImplementationGuide-uscdi4-sandbox.xml b/ImplementationGuide-uscdi4-sandbox.xml
@@ -17,7 +17,7 @@
   <name value="USCDI4_1Sandbox"/>
   <title value="HealtheData1 USCDI4 Sandbox"/>
   <status value="active"/>
-  <date value="2023-11-16T20:29:44+00:00"/>
+  <date value="2023-11-16T20:45:40+00:00"/>
   <publisher value="Health eData Inc"/>
   <contact>
     <telecom>
@@ -591,6 +591,28 @@
       <description value="To promote interoperability and adoption through common implementation, this profile sets minimum expectations for the Observation resource to record, search, and fetch average diastolic and systolic blood pressure observations with standard LOINC codes and UCUM units of measure. It is based on the US Core Vital Signs Profile and identifies which *additional* core elements, extensions, vocabularies, and value sets  **SHALL** be present and constrains the way the elements are used when using the profile.  It provides the floor for standards development for specific use cases."/>
       <exampleBoolean value="false"/>
     </resource>
+    <resource>
+      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
+        <valueString value="ValueSet"/>
+      </extension>
+      <reference>
+        <reference value="ValueSet/uscore-common-sdoh-assessments"/>
+      </reference>
+      <name value="US Core Common SDOH Assessments ValueSet"/>
+      <description value="Common SDOH assessment concepts covering the following categories (Gravity Project SDOH Domains):&#xA; - Food (Food Insecurity)&#xA; - Housing (Housing Instability)&#xA; - Health (Social Connection, Stress)&#xA; - Employment (Employment Status)&#xA; - Care (SDOH Category Unspecified)&#xA; - Transit (Transportation Insecurity)&#xA; - Money (Financial Insecurity)&#xA; - Goods (Material Hardship)&#xA; - Education (SDOH Category Unspecified)&#xA; - Legal (SDOH Category Unspecified)"/>
+      <exampleBoolean value="false"/>
+    </resource>
+    <resource>
+      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
+        <valueString value="ValueSet"/>
+      </extension>
+      <reference>
+        <reference value="ValueSet/uscore-pa-codes"/>
+      </reference>
+      <name value="US Core PA Codes ValueSet"/>
+      <description value="A starter set of Physical Activity codes based off the [Physical activity IG](https://hl7.org/fhir/us/physical-activity/)"/>
+      <exampleBoolean value="false"/>
+    </resource>
     <resource>
       <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
         <valueString value="StructureDefinition:resource"/>

diff --git a/ImplementationGuide.html b/ImplementationGuide.html
@@ -268,7 +268,7 @@ <h3 id="copyrights">Copyrights</h3>
 <ul>
 <li>ISO Maintains the copyright on the country codes, and controls it's use carefully. For futher details see the ISO 3166 web page: https://www.iso.org/iso-3166-country-codes.html<div id="ipp_1" onclick="if (document.getElementById('ipp2_1').innerHTML != '') {document.getElementById('ipp_1').innerHTML = document.getElementById('ipp2_1').innerHTML; document.getElementById('ipp2_1').innerHTML = ''}"> <span style="cursor: pointer; border: 1px grey solid; background-color: #fcdcb3; padding-left: 3px; padding-right: 3px; color: black">Show Usage</span></div><div id="ipp2_1" style="display: none">
 <ul>
-<li><a href="http://terminology.hl7.org/5.0.0/CodeSystem-ISO3166Part1.html">ISO 3166-1 Codes for the representation of names of countries and their subdivisions — Part 1: Country code</a>: USCDI4_1Sandbox, <a href="StructureDefinition-us-core-average-blood-pressure.html">USCoreAverageBloodPressureProfile</a> and <a href="StructureDefinition-us-core-patient.html">USCorePatientProfile</a></li>
+<li><a href="http://terminology.hl7.org/5.0.0/CodeSystem-ISO3166Part1.html">ISO 3166-1 Codes for the representation of names of countries and their subdivisions — Part 1: Country code</a>: USCDI4_1Sandbox, <a href="StructureDefinition-us-core-average-blood-pressure.html">USCoreAverageBloodPressureProfile</a>, <a href="ValueSet-uscore-common-sdoh-assessments.html">USCoreCommonSDOHAssessments</a>, <a href="ValueSet-uscore-pa-codes.html">USCorePaCodesValueSet</a> and <a href="StructureDefinition-us-core-patient.html">USCorePatientProfile</a></li>
 </ul>
 </div></li>
 <li>The UCUM codes, UCUM table (regardless of format), and UCUM Specification are copyright 1999-2009, Regenstrief Institute, Inc. and the Unified Codes for Units of Measures (UCUM) Organization. All rights reserved. https://ucum.org/trac/wiki/TermsOfUse<div id="ipp_2" onclick="if (document.getElementById('ipp2_2').innerHTML != '') {document.getElementById('ipp_2').innerHTML = document.getElementById('ipp2_2').innerHTML; document.getElementById('ipp2_2').innerHTML = ''}"> <span style="cursor: pointer; border: 1px grey solid; background-color: #fcdcb3; padding-left: 3px; padding-right: 3px; color: black">Show Usage</span></div><div id="ipp2_2" style="display: none">
@@ -278,7 +278,7 @@ <h3 id="copyrights">Copyrights</h3>
 </div></li>
 <li>This material contains content from <a href="http://loinc.org">LOINC</a>. LOINC is copyright © 1995-2020, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the <a href="http://loinc.org/license">license</a>. LOINC® is a registered United States trademark of Regenstrief Institute, Inc.<div id="ipp_3" onclick="if (document.getElementById('ipp2_3').innerHTML != '') {document.getElementById('ipp_3').innerHTML = document.getElementById('ipp2_3').innerHTML; document.getElementById('ipp2_3').innerHTML = ''}"> <span style="cursor: pointer; border: 1px grey solid; background-color: #fcdcb3; padding-left: 3px; padding-right: 3px; color: black">Show Usage</span></div><div id="ipp2_3" style="display: none">
 <ul>
-<li><a href="http://terminology.hl7.org/5.3.0/CodeSystem-v3-loinc.html">LOINC</a>: <a href="Observation-average-blood-pressure.html">Observation/average-blood-pressure</a> and <a href="StructureDefinition-us-core-average-blood-pressure.html">USCoreAverageBloodPressureProfile</a></li>
+<li><a href="http://terminology.hl7.org/5.3.0/CodeSystem-v3-loinc.html">LOINC</a>: <a href="Observation-average-blood-pressure.html">Observation/average-blood-pressure</a>, <a href="StructureDefinition-us-core-average-blood-pressure.html">USCoreAverageBloodPressureProfile</a>, <a href="ValueSet-uscore-common-sdoh-assessments.html">USCoreCommonSDOHAssessments</a> and <a href="ValueSet-uscore-pa-codes.html">USCorePaCodesValueSet</a></li>
 </ul>
 </div></li>
 </ul>
@@ -329,7 +329,7 @@ <h3 id="parameter-settings">Parameter Settings</h3>
 
       <div class="inner-wrapper">
         <p>
-          IG &#169; 2020+ <a style="color:var(--footer-hyperlink-text-color)" href="mailto:ehaas@healthedatainc.com">Health eData Inc</a>.  Package uscdi4-sandbox#0.0.0 based on <a style="color: var(--footer-hyperlink-text-color)" href="http://hl7.org/fhir/R4/">FHIR 4.0.1</a>. Generated <span title="Thu, Nov 16, 2023 20:29+0000">2023-11-16</span>
+          IG &#169; 2020+ <a style="color:var(--footer-hyperlink-text-color)" href="mailto:ehaas@healthedatainc.com">Health eData Inc</a>.  Package uscdi4-sandbox#0.0.0 based on <a style="color: var(--footer-hyperlink-text-color)" href="http://hl7.org/fhir/R4/">FHIR 4.0.1</a>. Generated <span title="Thu, Nov 16, 2023 20:45+0000">2023-11-16</span>
           <br/>
           <span style="color: var(--footer-highlight-text-color)">
                       Links: <a style="color: var(--footer-hyperlink-text-color)" href="toc.html">Table of Contents</a> |

diff --git a/Observation-average-blood-pressure.change.history.html b/Observation-average-blood-pressure.change.history.html
@@ -227,7 +227,7 @@ <h2 id="root">: Observation/average-blood-pressure - Change History</h2>
 
       <div class="inner-wrapper">
         <p>
-          IG &#169; 2020+ <a style="color:var(--footer-hyperlink-text-color)" href="mailto:ehaas@healthedatainc.com">Health eData Inc</a>.  Package uscdi4-sandbox#0.0.0 based on <a style="color: var(--footer-hyperlink-text-color)" href="http://hl7.org/fhir/R4/">FHIR 4.0.1</a>. Generated <span title="Thu, Nov 16, 2023 20:29+0000">2023-11-16</span>
+          IG &#169; 2020+ <a style="color:var(--footer-hyperlink-text-color)" href="mailto:ehaas@healthedatainc.com">Health eData Inc</a>.  Package uscdi4-sandbox#0.0.0 based on <a style="color: var(--footer-hyperlink-text-color)" href="http://hl7.org/fhir/R4/">FHIR 4.0.1</a>. Generated <span title="Thu, Nov 16, 2023 20:45+0000">2023-11-16</span>
           <br/>
           <span style="color: var(--footer-highlight-text-color)">
                       Links: <a style="color: var(--footer-hyperlink-text-color)" href="toc.html">Table of Contents</a> |

diff --git a/Observation-average-blood-pressure.html b/Observation-average-blood-pressure.html
@@ -39,8 +39,8 @@
 
 	  <script src="assets/js/prism.js"></script>
 
-    <style type="text/css">h2{--heading-prefix:"8.3"}
-    h3,h4,h5,h6{--heading-prefix:"8.3"}</style>
+    <style type="text/css">h2{--heading-prefix:"8.5"}
+    h3,h4,h5,h6{--heading-prefix:"8.5"}</style>
     <div id="segment-header" class="segment">    <!-- segment-header -->
       <div class="container">    <!-- container -->
           <!-- Placeholder for child template header declarations -->
@@ -228,7 +228,7 @@ <h2 id="root">Example Observation: Average Blood Pressure Example</h2>
 
       <div class="inner-wrapper">
         <p>
-          IG &copy; 2020+ <a style="color:var(--footer-hyperlink-text-color)" href="mailto:ehaas@healthedatainc.com">Health eData Inc</a>.  Package uscdi4-sandbox#0.0.0 based on <a style="color: var(--footer-hyperlink-text-color)" href="http://hl7.org/fhir/R4/">FHIR 4.0.1</a>. Generated <span title="Thu, Nov 16, 2023 20:29+0000">2023-11-16</span>
+          IG &copy; 2020+ <a style="color:var(--footer-hyperlink-text-color)" href="mailto:ehaas@healthedatainc.com">Health eData Inc</a>.  Package uscdi4-sandbox#0.0.0 based on <a style="color: var(--footer-hyperlink-text-color)" href="http://hl7.org/fhir/R4/">FHIR 4.0.1</a>. Generated <span title="Thu, Nov 16, 2023 20:45+0000">2023-11-16</span>
           <br/>
           <span style="color: var(--footer-highlight-text-color)">
                       Links: <a style="color: var(--footer-hyperlink-text-color)" href="toc.html">Table of Contents</a> |

diff --git a/Observation-average-blood-pressure.json.html b/Observation-average-blood-pressure.json.html
@@ -41,8 +41,8 @@
 
 	  <script src="assets/js/prism.js"></script>
 
-    <style type="text/css">h2{--heading-prefix:"8.3"}
-    h3,h4,h5,h6{--heading-prefix:"8.3"}</style>
+    <style type="text/css">h2{--heading-prefix:"8.5"}
+    h3,h4,h5,h6{--heading-prefix:"8.5"}</style>
     <div id="segment-header" class="segment">  <!-- segment-header -->
       <div class="container">  <!-- container -->
         <!-- Placeholder for child template header declarations -->
@@ -335,7 +335,7 @@ <h2 id="root">: Average Blood Pressure Example - JSON Representation</h2>
 
       <div class="inner-wrapper">
         <p>
-          IG &#169; 2020+ <a style="color:var(--footer-hyperlink-text-color)" href="mailto:ehaas@healthedatainc.com">Health eData Inc</a>.  Package uscdi4-sandbox#0.0.0 based on <a style="color: var(--footer-hyperlink-text-color)" href="http://hl7.org/fhir/R4/">FHIR 4.0.1</a>. Generated <span title="Thu, Nov 16, 2023 20:29+0000">2023-11-16</span>
+          IG &#169; 2020+ <a style="color:var(--footer-hyperlink-text-color)" href="mailto:ehaas@healthedatainc.com">Health eData Inc</a>.  Package uscdi4-sandbox#0.0.0 based on <a style="color: var(--footer-hyperlink-text-color)" href="http://hl7.org/fhir/R4/">FHIR 4.0.1</a>. Generated <span title="Thu, Nov 16, 2023 20:45+0000">2023-11-16</span>
           <br/>
           <span style="color: var(--footer-highlight-text-color)">
                       Links: <a style="color: var(--footer-hyperlink-text-color)" href="toc.html">Table of Contents</a> |

diff --git a/Observation-average-blood-pressure.ttl.html b/Observation-average-blood-pressure.ttl.html
@@ -41,8 +41,8 @@
 
 	  <script src="assets/js/prism.js"></script>
 
-    <style type="text/css">h2{--heading-prefix:"8.3"}
-    h3,h4,h5,h6{--heading-prefix:"8.3"}</style>
+    <style type="text/css">h2{--heading-prefix:"8.5"}
+    h3,h4,h5,h6{--heading-prefix:"8.5"}</style>
     <div id="segment-header" class="segment">  <!-- segment-header -->
       <div class="container">  <!-- container -->
         <!-- Placeholder for child template header declarations -->
@@ -323,7 +323,7 @@ <h2 id="root">: Average Blood Pressure Example - TTL Representation</h2>
 
       <div class="inner-wrapper">
         <p>
-          IG &#169; 2020+ <a style="color:var(--footer-hyperlink-text-color)" href="mailto:ehaas@healthedatainc.com">Health eData Inc</a>.  Package uscdi4-sandbox#0.0.0 based on <a style="color: var(--footer-hyperlink-text-color)" href="http://hl7.org/fhir/R4/">FHIR 4.0.1</a>. Generated <span title="Thu, Nov 16, 2023 20:29+0000">2023-11-16</span>
+          IG &#169; 2020+ <a style="color:var(--footer-hyperlink-text-color)" href="mailto:ehaas@healthedatainc.com">Health eData Inc</a>.  Package uscdi4-sandbox#0.0.0 based on <a style="color: var(--footer-hyperlink-text-color)" href="http://hl7.org/fhir/R4/">FHIR 4.0.1</a>. Generated <span title="Thu, Nov 16, 2023 20:45+0000">2023-11-16</span>
           <br/>
           <span style="color: var(--footer-highlight-text-color)">
                       Links: <a style="color: var(--footer-hyperlink-text-color)" href="toc.html">Table of Contents</a> |

diff --git a/Observation-average-blood-pressure.xml.html b/Observation-average-blood-pressure.xml.html
@@ -41,8 +41,8 @@
 
 	  <script src="assets/js/prism.js"></script>
 
-    <style type="text/css">h2{--heading-prefix:"8.3"}
-    h3,h4,h5,h6{--heading-prefix:"8.3"}</style>
+    <style type="text/css">h2{--heading-prefix:"8.5"}
+    h3,h4,h5,h6{--heading-prefix:"8.5"}</style>
     <div id="segment-header" class="segment">  <!-- segment-header -->
       <div class="container">  <!-- container -->
         <!-- Placeholder for child template header declarations -->
@@ -320,7 +320,7 @@ <h2 id="root">: Average Blood Pressure Example - XML Representation</h2>
 
       <div class="inner-wrapper">
         <p>
-          IG &#169; 2020+ <a style="color:var(--footer-hyperlink-text-color)" href="mailto:ehaas@healthedatainc.com">Health eData Inc</a>.  Package uscdi4-sandbox#0.0.0 based on <a style="color: var(--footer-hyperlink-text-color)" href="http://hl7.org/fhir/R4/">FHIR 4.0.1</a>. Generated <span title="Thu, Nov 16, 2023 20:29+0000">2023-11-16</span>
+          IG &#169; 2020+ <a style="color:var(--footer-hyperlink-text-color)" href="mailto:ehaas@healthedatainc.com">Health eData Inc</a>.  Package uscdi4-sandbox#0.0.0 based on <a style="color: var(--footer-hyperlink-text-color)" href="http://hl7.org/fhir/R4/">FHIR 4.0.1</a>. Generated <span title="Thu, Nov 16, 2023 20:45+0000">2023-11-16</span>
           <br/>
           <span style="color: var(--footer-highlight-text-color)">
                       Links: <a style="color: var(--footer-hyperlink-text-color)" href="toc.html">Table of Contents</a> |