HealthIT Answers July 16, 2025
Brian D. Handspicker

This post builds upon a recent blog by Lisa Nelson, Fractional Chief Technical Officer, “FHIR Over Direct: Accelerating the Pace toward Trusted, Scalable Interoperability,” by exploring how the same approach of FHIR Over Direct can be applied to socialcare — a critical but often underrepresented component of health and well-being.

Socialcare, provided by human and social services organizations, is a natural complement to healthcare. Health Related Social Needs (HRSN), also known as Social Determinants of Health (SDOH), can account for 60 to 80 percent of an individual’s health and well-being.

Unfortunately, while healthcare has decades of experience defining, implementing and using standards for electronic health record interoperability and information exchange, socialcare has no formal standards and only a few de...

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