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ecareplan.ahrq.gov/collaborate/download/temp/downloadM2Uu4142558.zip?contentType=application/zip
May 01, 2022 - SDOH Data Elements
Health Concerns
Goals
Interventions
Health Status Evaluations &
Outcomes
Header … Care Plan
Screenings
Completed Interventions
Planned Interventions
Clinical Assessment
Outcome … Concerns
Goals
Interventions
Health Status Evaluations &
Outcomes
Header
Care Plan
Screenings
Completed … Interventions
Planned Interventions
Clinical Assessment
Outcome Observations
Risks & Barriers
Diagnoses … concerns, social concerns, goals, interventions & health status evaluation: https://drive.google.com
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ecareplan.ahrq.gov/collaborate/download/temp/downloadJhlcp223213.zip?contentType=application/zip
May 01, 2022 - SDOH Data Elements
Health Concerns
Goals
Interventions
Health Status Evaluations &
Outcomes
Header … Care Plan
Screenings
Completed Interventions
Planned Interventions
Clinical Assessment
Outcome … Concerns
Goals
Interventions
Health Status Evaluations &
Outcomes
Header
Care Plan
Screenings
Completed … Interventions
Planned Interventions
Clinical Assessment
Outcome Observations
Risks & Barriers
Diagnoses … concerns, social concerns, goals, interventions & health status evaluation: https://drive.google.com
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ecareplan.ahrq.gov/collaborate/download/temp/downloadAZ2BG222954.zip?contentType=application/zip
May 01, 2022 - SDOH Data Elements
Health Concerns
Goals
Interventions
Health Status Evaluations &
Outcomes
Header … Care Plan
Screenings
Completed Interventions
Planned Interventions
Clinical Assessment
Outcome … Concerns
Goals
Interventions
Health Status Evaluations &
Outcomes
Header
Care Plan
Screenings
Completed … Interventions
Planned Interventions
Clinical Assessment
Outcome Observations
Risks & Barriers
Diagnoses … concerns, social concerns, goals, interventions & health status evaluation: https://drive.google.com
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ecareplan.ahrq.gov/collaborate/download/temp/downloadg4G4w171730.zip?contentType=application/zip
September 01, 2021 - SDOH Data Elements
Health Concerns
Goals
Interventions
Health Status Evaluations &
Outcomes
Header … Care Plan
Screenings
Completed Interventions
Planned Interventions
Clinical Assessment
Outcome … Concerns
Goals
Interventions
Health Status Evaluations &
Outcomes
Header
Care Plan
Screenings
Completed … Interventions
Planned Interventions
Clinical Assessment
Outcome Observations
Risks & Barriers
Diagnoses … concerns, social concerns, goals, interventions & health status evaluation: https://drive.google.com
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ecareplan.ahrq.gov/collaborate/download/temp/download4r56V151120.zip?contentType=application/zip
September 01, 2021 - SDOH Data Elements
Health Concerns
Goals
Interventions
Health Status Evaluations &
Outcomes
Header … Care Plan
Screenings
Completed Interventions
Planned Interventions
Clinical Assessment
Outcome … Concerns
Goals
Interventions
Health Status Evaluations &
Outcomes
Header
Care Plan
Screenings
Completed … Interventions
Planned Interventions
Clinical Assessment
Outcome Observations
Risks & Barriers
Diagnoses … concerns, social concerns, goals, interventions & health status evaluation: https://drive.google.com
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ecareplan.ahrq.gov/collaborate/download/temp/download65B83145621.zip?contentType=application/zip
January 01, 2021 - SDOH Data Elements
Health Concerns
Goals
Interventions
Health Status Evaluations &
Outcomes
Header … Care Plan
Screenings
Completed Interventions
Planned Interventions
Clinical Assessment
Outcome … Concerns
Goals
Interventions
Health Status Evaluations &
Outcomes
Header
Care Plan
Screenings
Completed … Interventions
Planned Interventions
Clinical Assessment
Outcome Observations
Risks & Barriers
Diagnoses … concerns, social concerns, goals, interventions & health status evaluation: https://drive.google.com
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ecareplan.ahrq.gov/collaborate/download/temp/downloadC0Y6i145521.zip?contentType=application/zip
January 01, 2021 - SDOH Data Elements
Health Concerns
Goals
Interventions
Health Status Evaluations &
Outcomes
Header … Care Plan
Screenings
Completed Interventions
Planned Interventions
Clinical Assessment
Outcome … Concerns
Goals
Interventions
Health Status Evaluations &
Outcomes
Header
Care Plan
Screenings
Completed … Interventions
Planned Interventions
Clinical Assessment
Outcome Observations
Risks & Barriers
Diagnoses … concerns, social concerns, goals, interventions & health status evaluation: https://drive.google.com
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ecareplan.ahrq.gov/collaborate/download/temp/downloadDl3JL145328.zip?contentType=application/zip
August 01, 2021 - SDOH Data Elements
Health Concerns
Goals
Interventions
Health Status Evaluations &
Outcomes
Header … Care Plan
Screenings
Completed Interventions
Planned Interventions
Clinical Assessment
Outcome … Concerns
Goals
Interventions
Health Status Evaluations &
Outcomes
Header
Care Plan
Screenings
Completed … Interventions
Planned Interventions
Clinical Assessment
Outcome Observations
Risks & Barriers
Diagnoses … concerns, social concerns, goals, interventions & health status evaluation: https://drive.google.com
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ecareplan.ahrq.gov/collaborate/download/temp/downloadJ80Qc145444.zip?contentType=application/zip
August 01, 2021 - SDOH Data Elements
Health Concerns
Goals
Interventions
Health Status Evaluations &
Outcomes
Header … Care Plan
Screenings
Completed Interventions
Planned Interventions
Clinical Assessment
Outcome … Concerns
Goals
Interventions
Health Status Evaluations &
Outcomes
Header
Care Plan
Screenings
Completed … Interventions
Planned Interventions
Clinical Assessment
Outcome Observations
Risks & Barriers
Diagnoses … concerns, social concerns, goals, interventions & health status evaluation: https://drive.google.com
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ecareplan.ahrq.gov/collaborate/download/temp/downloadf1HIp151228.zip?contentType=application/zip
August 11, 2021 - SDOH Data Elements
Health Concerns
Goals
Interventions
Health Status Evaluations &
Outcomes
Header … Care Plan
Screenings
Completed Interventions
Planned Interventions
Clinical Assessment
Outcome … Concerns
Goals
Interventions
Health Status Evaluations &
Outcomes
Header
Care Plan
Screenings
Completed … Interventions
Planned Interventions
Clinical Assessment
Outcome Observations
Risks & Barriers
Diagnoses … concerns, social concerns, goals, interventions & health status evaluation: https://drive.google.com
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ecareplan.ahrq.gov/collaborate/download/temp/download2xR71145610.zip?contentType=application/zip
August 11, 2021 - SDOH Data Elements
Health Concerns
Goals
Interventions
Health Status Evaluations &
Outcomes
Header … Care Plan
Screenings
Completed Interventions
Planned Interventions
Clinical Assessment
Outcome … Concerns
Goals
Interventions
Health Status Evaluations &
Outcomes
Header
Care Plan
Screenings
Completed … Interventions
Planned Interventions
Clinical Assessment
Outcome Observations
Risks & Barriers
Diagnoses … concerns, social concerns, goals, interventions & health status evaluation: https://drive.google.com
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ecareplan.ahrq.gov/collaborate/download/temp/download1dlID145432.zip?contentType=application/zip
August 11, 2021 - SDOH Data Elements
Health Concerns
Goals
Interventions
Health Status Evaluations &
Outcomes
Header … Care Plan
Screenings
Completed Interventions
Planned Interventions
Clinical Assessment
Outcome … Concerns
Goals
Interventions
Health Status Evaluations &
Outcomes
Header
Care Plan
Screenings
Completed … Interventions
Planned Interventions
Clinical Assessment
Outcome Observations
Risks & Barriers
Diagnoses … concerns, social concerns, goals, interventions & health status evaluation: https://drive.google.com
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ecareplan.ahrq.gov/collaborate/download/temp/download366P1145438.zip?contentType=application/zip
September 01, 2021 - SDOH Data Elements
Health Concerns
Goals
Interventions
Health Status Evaluations &
Outcomes
Header … Care Plan
Screenings
Completed Interventions
Planned Interventions
Clinical Assessment
Outcome … Concerns
Goals
Interventions
Health Status Evaluations &
Outcomes
Header
Care Plan
Screenings
Completed … Interventions
Planned Interventions
Clinical Assessment
Outcome Observations
Risks & Barriers
Diagnoses … concerns, social concerns, goals, interventions & health status evaluation: https://drive.google.com
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ecareplan.ahrq.gov/collaborate/download/temp/download2H31L152657.zip?contentType=application/zip
September 01, 2021 - SDOH Data Elements
Health Concerns
Goals
Interventions
Health Status Evaluations &
Outcomes
Header … Care Plan
Screenings
Completed Interventions
Planned Interventions
Clinical Assessment
Outcome … Concerns
Goals
Interventions
Health Status Evaluations &
Outcomes
Header
Care Plan
Screenings
Completed … Interventions
Planned Interventions
Clinical Assessment
Outcome Observations
Risks & Barriers
Diagnoses … concerns, social concerns, goals, interventions & health status evaluation: https://drive.google.com
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ecareplan.ahrq.gov/collaborate/download/temp/downloadL5sOk170851.zip?contentType=application/zip
September 01, 2021 - SDOH Data Elements
Health Concerns
Goals
Interventions
Health Status Evaluations &
Outcomes
Header … Care Plan
Screenings
Completed Interventions
Planned Interventions
Clinical Assessment
Outcome … Concerns
Goals
Interventions
Health Status Evaluations &
Outcomes
Header
Care Plan
Screenings
Completed … Interventions
Planned Interventions
Clinical Assessment
Outcome Observations
Risks & Barriers
Diagnoses … concerns, social concerns, goals, interventions & health status evaluation: https://drive.google.com
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ecareplan.ahrq.gov/collaborate/download/temp/downloadlEZ4P215834.zip?contentType=application/zip
September 01, 2021 - SDOH Data Elements
Health Concerns
Goals
Interventions
Health Status Evaluations &
Outcomes
Header … Care Plan
Screenings
Completed Interventions
Planned Interventions
Clinical Assessment
Outcome … Concerns
Goals
Interventions
Health Status Evaluations &
Outcomes
Header
Care Plan
Screenings
Completed … Interventions
Planned Interventions
Clinical Assessment
Outcome Observations
Risks & Barriers
Diagnoses … concerns, social concerns, goals, interventions & health status evaluation: https://drive.google.com
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ecareplan.ahrq.gov/collaborate/download/temp/downloadDm1At143957.zip?contentType=application/zip
September 01, 2021 - SDOH Data Elements
Health Concerns
Goals
Interventions
Health Status Evaluations &
Outcomes
Header … Care Plan
Screenings
Completed Interventions
Planned Interventions
Clinical Assessment
Outcome … Concerns
Goals
Interventions
Health Status Evaluations &
Outcomes
Header
Care Plan
Screenings
Completed … Interventions
Planned Interventions
Clinical Assessment
Outcome Observations
Risks & Barriers
Diagnoses … concerns, social concerns, goals, interventions & health status evaluation: https://drive.google.com
-
ecareplan.ahrq.gov/collaborate/download/temp/downloadg6CE5143330.zip?contentType=application/zip
May 01, 2022 - SDOH Data Elements
Health Concerns
Goals
Interventions
Health Status Evaluations &
Outcomes
Header … Care Plan
Screenings
Completed Interventions
Planned Interventions
Clinical Assessment
Outcome … Concerns
Goals
Interventions
Health Status Evaluations &
Outcomes
Header
Care Plan
Screenings
Completed … Interventions
Planned Interventions
Clinical Assessment
Outcome Observations
Risks & Barriers
Diagnoses … concerns, social concerns, goals, interventions & health status evaluation: https://drive.google.com
-
ecareplan.ahrq.gov/collaborate/download/temp/downloadVatm6143310.zip?contentType=application/zip
May 01, 2022 - SDOH Data Elements
Health Concerns
Goals
Interventions
Health Status Evaluations &
Outcomes
Header … Care Plan
Screenings
Completed Interventions
Planned Interventions
Clinical Assessment
Outcome … Concerns
Goals
Interventions
Health Status Evaluations &
Outcomes
Header
Care Plan
Screenings
Completed … Interventions
Planned Interventions
Clinical Assessment
Outcome Observations
Risks & Barriers
Diagnoses … concerns, social concerns, goals, interventions & health status evaluation: https://drive.google.com
-
ecareplan.ahrq.gov/collaborate/download/temp/downloadL32Ue145339.zip?contentType=application/zip
January 01, 2021 - SDOH Data Elements
Health Concerns
Goals
Interventions
Health Status Evaluations &
Outcomes
Header … Care Plan
Screenings
Completed Interventions
Planned Interventions
Clinical Assessment
Outcome … Concerns
Goals
Interventions
Health Status Evaluations &
Outcomes
Header
Care Plan
Screenings
Completed … Interventions
Planned Interventions
Clinical Assessment
Outcome Observations
Risks & Barriers
Diagnoses … Accumulates a large team of care providers to manage their conditions
Has complex mixes of medical, social, behavioral