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<!ENTITY name "MedSDoH">

<!ELEMENT Adverse_Childhood_Experience ( #PCDATA ) >
<!ATTLIST Adverse_Childhood_Experience certainty ( confirmed | hypothetical | possible | negated ) #IMPLIED "confirmed" >
<!ATTLIST Adverse_Childhood_Experience status ( history | present ) #IMPLIED "present" >
<!ATTLIST Adverse_Childhood_Experience experiencer ( patient | other ) #IMPLIED "patient" >
<!ATTLIST Adverse_Childhood_Experience exclusion ( yes | no ) #IMPLIED "no" >
<!ATTLIST Adverse_Childhood_Experience comment CDATA "" >

<!ELEMENT Alcohol_Abuse ( #PCDATA ) >
<!ATTLIST Alcohol_Abuse certainty ( confirmed | hypothetical | possible | negated ) #IMPLIED "confirmed" >
<!ATTLIST Alcohol_Abuse status ( history | present ) #IMPLIED "present" >
<!ATTLIST Alcohol_Abuse experiencer ( patient | other ) #IMPLIED "patient" >
<!ATTLIST Alcohol_Abuse exclusion ( yes | no ) #IMPLIED "no" >
<!ATTLIST Alcohol_Abuse comment CDATA "" >

<!ELEMENT Drug_Substance_Abuse ( #PCDATA ) >
<!ATTLIST Drug_Substance_Abuse certainty ( confirmed | hypothetical | possible | negated ) #IMPLIED "confirmed" >
<!ATTLIST Drug_Substance_Abuse status ( history | present ) #IMPLIED "present" >
<!ATTLIST Drug_Substance_Abuse experiencer ( patient | other ) #IMPLIED "patient" >
<!ATTLIST Drug_Substance_Abuse exclusion ( yes | no ) #IMPLIED "no" >
<!ATTLIST Drug_Substance_Abuse comment CDATA "" >

<!ELEMENT Education_Level ( #PCDATA ) >
<!ATTLIST Education_Level certainty ( confirmed | hypothetical | possible | negated ) #IMPLIED "confirmed" >
<!ATTLIST Education_Level status ( history | present ) #IMPLIED "present" >
<!ATTLIST Education_Level experiencer ( patient | other ) #IMPLIED "patient" >
<!ATTLIST Education_Level exclusion ( yes | no ) #IMPLIED "no" >
<!ATTLIST Education_Level comment CDATA "" >

<!ELEMENT Employment_Status ( #PCDATA ) >
<!ATTLIST Employment_Status certainty ( confirmed | hypothetical | possible | negated ) #IMPLIED "confirmed" >
<!ATTLIST Employment_Status status ( history | present ) #IMPLIED "present" >
<!ATTLIST Employment_Status experiencer ( patient | other ) #IMPLIED "patient" >
<!ATTLIST Employment_Status exclusion ( yes | no ) #IMPLIED "no" >
<!ATTLIST Employment_Status comment CDATA "" >

<!ELEMENT Environmental_Exposure ( #PCDATA ) >
<!ATTLIST Environmental_Exposure certainty ( confirmed | hypothetical | possible | negated ) #IMPLIED "confirmed" >
<!ATTLIST Environmental_Exposure status ( history | present ) #IMPLIED "present" >
<!ATTLIST Environmental_Exposure experiencer ( patient | other ) #IMPLIED "patient" >
<!ATTLIST Environmental_Exposure exclusion ( yes | no ) #IMPLIED "no" >
<!ATTLIST Environmental_Exposure comment CDATA "" >

<!ELEMENT Financial_Strain ( #PCDATA ) >
<!ATTLIST Financial_Strain certainty ( confirmed | hypothetical | possible | negated ) #IMPLIED "confirmed" >
<!ATTLIST Financial_Strain status ( history | present ) #IMPLIED "present" >
<!ATTLIST Financial_Strain experiencer ( patient | other ) #IMPLIED "patient" >
<!ATTLIST Financial_Strain exclusion ( yes | no ) #IMPLIED "no" >
<!ATTLIST Financial_Strain comment CDATA "" >

<!ELEMENT Food_Insecurity ( #PCDATA ) >
<!ATTLIST Food_Insecurity certainty ( confirmed | hypothetical | possible | negated ) #IMPLIED "confirmed" >
<!ATTLIST Food_Insecurity status ( history | present ) #IMPLIED "present" >
<!ATTLIST Food_Insecurity experiencer ( patient | other ) #IMPLIED "patient" >
<!ATTLIST Food_Insecurity exclusion ( yes | no ) #IMPLIED "no" >
<!ATTLIST Food_Insecurity comment CDATA "" >

<!ELEMENT Gender_Identity ( #PCDATA ) >
<!ATTLIST Gender_Identity certainty ( confirmed | hypothetical | possible | negated ) #IMPLIED "confirmed" >
<!ATTLIST Gender_Identity status ( history | present ) #IMPLIED "present" >
<!ATTLIST Gender_Identity experiencer ( patient | other ) #IMPLIED "patient" >
<!ATTLIST Gender_Identity exclusion ( yes | no ) #IMPLIED "no" >
<!ATTLIST Gender_Identity comment CDATA "" >

<!ELEMENT Geographic_Location ( #PCDATA ) >
<!ATTLIST Geographic_Location certainty ( confirmed | hypothetical | possible | negated ) #IMPLIED "confirmed" >
<!ATTLIST Geographic_Location status ( history | present ) #IMPLIED "present" >
<!ATTLIST Geographic_Location experiencer ( patient | other ) #IMPLIED "patient" >
<!ATTLIST Geographic_Location exclusion ( yes | no ) #IMPLIED "no" >
<!ATTLIST Geographic_Location comment CDATA "" >

<!ELEMENT Health_Literacy ( #PCDATA ) >
<!ATTLIST Health_Literacy certainty ( confirmed | hypothetical | possible | negated ) #IMPLIED "confirmed" >
<!ATTLIST Health_Literacy status ( history | present ) #IMPLIED "present" >
<!ATTLIST Health_Literacy experiencer ( patient | other ) #IMPLIED "patient" >
<!ATTLIST Health_Literacy exclusion ( yes | no ) #IMPLIED "no" >
<!ATTLIST Health_Literacy comment CDATA "" >

<!ELEMENT Home_and_Social_Environment ( #PCDATA ) >
<!ATTLIST Home_and_Social_Environment certainty ( confirmed | hypothetical | possible | negated ) #IMPLIED "confirmed" >
<!ATTLIST Home_and_Social_Environment status ( history | present ) #IMPLIED "present" >
<!ATTLIST Home_and_Social_Environment experiencer ( patient | other ) #IMPLIED "patient" >
<!ATTLIST Home_and_Social_Environment exclusion ( yes | no ) #IMPLIED "no" >
<!ATTLIST Home_and_Social_Environment comment CDATA "" >

<!ELEMENT Housing_Instability ( #PCDATA ) >
<!ATTLIST Housing_Instability certainty ( confirmed | hypothetical | possible | negated ) #IMPLIED "confirmed" >
<!ATTLIST Housing_Instability type ( instability | recovery | streetliving | homeless | temporary ) #IMPLIED "confirmed" >
<!ATTLIST Housing_Instability status ( history | present ) #IMPLIED "present" >
<!ATTLIST Housing_Instability experiencer ( patient | other ) #IMPLIED "patient" >
<!ATTLIST Housing_Instability exclusion ( yes | no ) #IMPLIED "no" >
<!ATTLIST Housing_Instability comment CDATA "" >

<!ELEMENT Insurance_Status ( #PCDATA ) >
<!ATTLIST Insurance_Status certainty ( confirmed | hypothetical | possible | negated ) #IMPLIED "confirmed" >
<!ATTLIST Insurance_Status status ( history | present ) #IMPLIED "present" >
<!ATTLIST Insurance_Status experiencer ( patient | other ) #IMPLIED "patient" >
<!ATTLIST Insurance_Status exclusion ( yes | no ) #IMPLIED "no" >
<!ATTLIST Insurance_Status comment CDATA "" >

<!ELEMENT Marital_Status ( #PCDATA ) >
<!ATTLIST Marital_Status certainty ( confirmed | hypothetical | possible | negated ) #IMPLIED "confirmed" >
<!ATTLIST Marital_Status status ( history | present ) #IMPLIED "present" >
<!ATTLIST Marital_Status experiencer ( patient | other ) #IMPLIED "patient" >
<!ATTLIST Marital_Status exclusion ( yes | no ) #IMPLIED "no" >
<!ATTLIST Marital_Status comment CDATA "" >

<!ELEMENT Occupational_Night_Shifts ( #PCDATA ) >
<!ATTLIST Occupational_Night_Shifts certainty ( confirmed | hypothetical | possible | negated ) #IMPLIED "confirmed" >
<!ATTLIST Occupational_Night_Shifts status ( history | present ) #IMPLIED "present" >
<!ATTLIST Occupational_Night_Shifts experiencer ( patient | other ) #IMPLIED "patient" >
<!ATTLIST Occupational_Night_Shifts exclusion ( yes | no ) #IMPLIED "no" >
<!ATTLIST Occupational_Night_Shifts comment CDATA "" >

<!ELEMENT Physical_Activity ( #PCDATA ) >
<!ATTLIST Physical_Activity certainty ( confirmed | hypothetical | possible | negated ) #IMPLIED "confirmed" >
<!ATTLIST Physical_Activity status ( history | present ) #IMPLIED "present" >
<!ATTLIST Physical_Activity experiencer ( patient | other ) #IMPLIED "patient" >
<!ATTLIST Physical_Activity exclusion ( yes | no ) #IMPLIED "no" >
<!ATTLIST Physical_Activity comment CDATA "" >

<!ELEMENT Physical_Sexual_Abuse ( #PCDATA ) >
<!ATTLIST Physical_Sexual_Abuse certainty ( confirmed | hypothetical | possible | negated ) #IMPLIED "confirmed" >
<!ATTLIST Physical_Sexual_Abuse status ( history | present ) #IMPLIED "present" >
<!ATTLIST Physical_Sexual_Abuse experiencer ( patient | other ) #IMPLIED "patient" >
<!ATTLIST Physical_Sexual_Abuse exclusion ( yes | no ) #IMPLIED "no" >
<!ATTLIST Physical_Sexual_Abuse comment CDATA "" >

<!ELEMENT Race_or_Ethnicity ( #PCDATA ) >
<!ATTLIST Race_or_Ethnicity certainty ( confirmed | hypothetical | possible | negated ) #IMPLIED "confirmed" >
<!ATTLIST Race_or_Ethnicity status ( history | present ) #IMPLIED "present" >
<!ATTLIST Race_or_Ethnicity experiencer ( patient | other ) #IMPLIED "patient" >
<!ATTLIST Race_or_Ethnicity exclusion ( yes | no ) #IMPLIED "no" >
<!ATTLIST Race_or_Ethnicity comment CDATA "" >

<!ELEMENT Sex_At_Birth ( #PCDATA ) >
<!ATTLIST Sex_At_Birth certainty ( confirmed | hypothetical | possible | negated ) #IMPLIED "confirmed" >
<!ATTLIST Sex_At_Birth status ( history | present ) #IMPLIED "present" >
<!ATTLIST Sex_At_Birth experiencer ( patient | other ) #IMPLIED "patient" >
<!ATTLIST Sex_At_Birth exclusion ( yes | no ) #IMPLIED "no" >
<!ATTLIST Sex_At_Birth comment CDATA "" >

<!ELEMENT Sexual_Orientation ( #PCDATA ) >
<!ATTLIST Sexual_Orientation certainty ( confirmed | hypothetical | possible | negated ) #IMPLIED "confirmed" >
<!ATTLIST Sexual_Orientation status ( history | present ) #IMPLIED "present" >
<!ATTLIST Sexual_Orientation experiencer ( patient | other ) #IMPLIED "patient" >
<!ATTLIST Sexual_Orientation exclusion ( yes | no ) #IMPLIED "no" >
<!ATTLIST Sexual_Orientation comment CDATA "" >

<!ELEMENT Smoking_Status ( #PCDATA ) >
<!ATTLIST Smoking_Status certainty ( confirmed | hypothetical | possible | negated ) #IMPLIED "confirmed" >
<!ATTLIST Smoking_Status status ( history | present ) #IMPLIED "present" >
<!ATTLIST Smoking_Status experiencer ( patient | other ) #IMPLIED "patient" >
<!ATTLIST Smoking_Status exclusion ( yes | no ) #IMPLIED "no" >
<!ATTLIST Smoking_Status comment CDATA "" >

<!ELEMENT Social_Family_Support ( #PCDATA ) >
<!ATTLIST Social_Family_Support certainty ( confirmed | hypothetical | possible | negated ) #IMPLIED "confirmed" >
<!ATTLIST Social_Family_Support status ( history | present ) #IMPLIED "present" >
<!ATTLIST Social_Family_Support experiencer ( patient | other ) #IMPLIED "patient" >
<!ATTLIST Social_Family_Support exclusion ( yes | no ) #IMPLIED "no" >
<!ATTLIST Social_Family_Support comment CDATA "" >

<!ELEMENT Supplies ( #PCDATA ) >
<!ATTLIST Supplies certainty ( confirmed | hypothetical | possible | negated ) #IMPLIED "confirmed" >
<!ATTLIST Supplies status ( history | present ) #IMPLIED "present" >
<!ATTLIST Supplies experiencer ( patient | other ) #IMPLIED "patient" >
<!ATTLIST Supplies exclusion ( yes | no ) #IMPLIED "no" >
<!ATTLIST Supplies comment CDATA "" >

<!ELEMENT Technical_Literacy ( #PCDATA ) >
<!ATTLIST Technical_Literacy certainty ( confirmed | hypothetical | possible | negated ) #IMPLIED "confirmed" >
<!ATTLIST Technical_Literacy status ( history | present ) #IMPLIED "present" >
<!ATTLIST Technical_Literacy experiencer ( patient | other ) #IMPLIED "patient" >
<!ATTLIST Technical_Literacy exclusion ( yes | no ) #IMPLIED "no" >
<!ATTLIST Technical_Literacy comment CDATA "" >

<!ELEMENT Transportation_Barrier ( #PCDATA ) >
<!ATTLIST Transportation_Barrier certainty ( confirmed | hypothetical | possible | negated ) #IMPLIED "confirmed" >
<!ATTLIST Transportation_Barrier status ( history | present ) #IMPLIED "present" >
<!ATTLIST Transportation_Barrier experiencer ( patient | other ) #IMPLIED "patient" >
<!ATTLIST Transportation_Barrier exclusion ( yes | no ) #IMPLIED "no" >
<!ATTLIST Transportation_Barrier comment CDATA "" >