HL7 FHIR Profile: Occupational Data for Health (ODH), Release 1, STU 1.3 (Standard for Trial Use), published by HL7 International Public Health Work Group. This is not an authorized publication; it is the continuous build for version 1.3.0). This version is based on the current content of https://github.com/HL7/us-odh/ and changes regularly. See the Directory of published versions

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Resource Profile: Past Or Present Job

A Past or Present Occupation Observation is a clinical statement about the type of work done by a person in a job, as reported by that person. It includes a set of self-reported, related observations that remain associated with one-another to characterize the job and provide clinically-relevant information. It also can be used in a minor’s record for the job(s) of people who share a home with the person (see optional related subject). A job is defined as a work situation, training position, or (potentially clinically-relevant) volunteer position held for a specified time period; for a given job, updates to Job Occupation, Past or Present Industry (Job Industry), Supervisory Level, or Employer would constitute a new job or volunteer position. A person can have more than one job at the same time and multiple jobs over time.

Knowledge about a person’s job(s) informs diagnosis and management of illness and injury; it also informs management of health in the work environment, regardless of whether a condition is work-related. While knowing about a person’s current job(s) is likely to be most important, some work-related health conditions can manifest after a long latency so a history of jobs can also provide valuable information. This set of related Job observations also can provide information for public health to locate infectious disease outbreaks and intervene to prevent further illness. Public health can also use these data to analyze work-related conditions such as silicosis, pesticide poisoning, and some types of cancer to identify Occupations, Industry sectors and Employers for whom interventions are needed to mitigate risk.

Usage:

• Refer to this Resource Profile: Occupational Data For Health
• Examples for this Resource Profile: Observation/observation-odh-past-or-present-job-sample

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from Observation

Name	Flags	Card.	Type	Description & Constraints
Observation		0..*	Observation	Past Or Present Job
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
employer		0..1	Reference(RelatedPerson | Organization)	A person or organization that hires the services of another. URL: http://hl7.org/fhir/us/odh/StructureDefinition/odh-Employer-extension
ODHIsCurrentJobExtension		0..1	boolean	Indication of whether or not this job with the current job at the time the information was documented. URL: http://hl7.org/fhir/us/odh/StructureDefinition/odh-isCurrentJob-extension
basedOn		0..*	Reference(ServiceRequest)	The plan, proposal or order that is fulfilled in whole or in part by this observation
partOf		0..*	Reference(Procedure)	The larger procedure that this particular observation is a component or step
category		0..1	CodeableConcept	Classification of type of observation
Slices for coding		1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:Fixed_social-history	Σ	1..1	Coding	Social History
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
code		1..1	code	Symbol in syntax defined by the system Fixed Value: social-history
code		1..1	CodeableConcept	Type of observation (code / type)
Slices for coding		1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:Fixed_11341-5	Σ	1..1	Coding	History of Occupation
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11341-5
subject		1..1	Reference(US Core Patient Profile)	The subject of an observation
focus		0..*	Reference(RelatedPerson)	What the observation is about, when it is not about the subject of record
effectivePeriod		1..1	Period	Clinically relevant time/time-period for observation
performer		0..*	Reference(Practitioner | Organization | US Core Patient Profile | RelatedPerson)	Who is responsible for the observation
valueCodeableConcept		0..1	CodeableConcept	Express the Occupation using a coded value. If no coded value is available, use text. If the Occupation is not available, explain using dataAbsentReason.
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:occupationCDCCensus2010		0..1	Coding	Occupation CDC Census 2010 Binding: Occupation CDC Census 2010 (required): Occupation CDC Census 2010
coding:occupationONETSOCDetailODH		0..1	Coding	Occupation ONETSOC Detail (ODH) Binding: Occupation ONETSOC Detail (ODH) (required): Occupation ONETSOC Detail (ODH)
coding:occupationCDCCensus2018		0..1	Coding	Occupation CDC Census 2018 Binding: Occupation CDC Census 2018 (required): Occupation CDC Census 2018
text		0..1	string	Use the narrative description if there is no coded value available for the Occupation.
dataAbsentReason		0..1	CodeableConcept	The reason that there is no value available for the Occupation.
interpretation		0..0
bodySite		0..0
method		0..0
specimen		0..0
device		0..0
referenceRange		0..0
hasMember		0..0
derivedFrom		0..*	Reference(DocumentReference | Media | QuestionnaireResponse | Observation)	Related measurements the observation is made from
Slices for component		0..*	BackboneElement	Component results Slice: Unordered, Open by value:code.coding.code
component:All Slices				Content/Rules for all slices
value[x]		0..1		Actual component result
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
referenceRange		0..0
component:odh-PastOrPresentIndustry		0..1	BackboneElement	The type(s) of business (industry) associated with the patient's past and present occupation(s). Express the Industry using a coded value. If no coded value is available, use text. If the Industry is not available, explain using dataAbsentReason.
code		1..1	CodeableConcept	Type of component observation (code / type)
Slices for coding		1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:Fixed_86188-0	Σ	1..1	Coding	History of Occupation industry
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 86188-0
valueCodeableConcept		0..1	CodeableConcept	Express the Industry using a coded value. If no coded value is available, use text. If the Industry is not available, explain using dataAbsentReason.
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:industryCDCCensus2010		0..1	Coding	Industry CDC Census 2010 Binding: Industry CDC Census 2010 (required): Industry CDC Census 2010
coding:industryONETSOCDetailODH		0..1	Coding	Industry NAICS Detail (ODH) Binding: Industry NAICS Detail (ODH) (required): Industry NAICS Detail (ODH)
coding:industryCDCCensus2018		0..1	Coding	Industry CDC Census 2018 Binding: Industry CDC Census 2018 (required): Industry CDC Census 2018
text		0..1	string	Use the narrative description if there is no coded value available for the Industry.
dataAbsentReason		0..1	CodeableConcept	The reason that there is no value available for the Industry.
interpretation		0..0
referenceRange		0..0
component:odh-WorkClassification		0..1	BackboneElement	WorkClassification: Type of compensation and sector for a person's job, such as 'paid work, self-employed' or 'voluntary work', as reported by the person
code		1..1	CodeableConcept	Type of component observation (code / type)
Slices for coding		1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:Fixed_85104-8	Σ	1..1	Coding	Compensation and sector employment type
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 85104-8
valueCodeableConcept		0..1	CodeableConcept	Actual component result Binding: WorkClassificationODH (required)
interpretation		0..0
referenceRange		0..0
component:odh-SupervisoryLevel		0..1	BackboneElement	SupervisoryLevel: A coded indicator of responsibilities for directing work and personnel management responsibilities for a person's job, as reported by the person
code		1..1	CodeableConcept	Type of component observation (code / type)
Slices for coding		1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:Fixed_87707-6	Σ	1..1	Coding	Job supervisory level or pay grade
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 87707-6
valueCodeableConcept		0..1	CodeableConcept	Actual component result Binding: Job Supervisory Level or Pay Grade (ODH) (required)
interpretation		0..0
referenceRange		0..0
component:odh-JobDuty		0..*	BackboneElement	JobDuty: A regular action performed by a person at a job, as reported by the person
code		1..1	CodeableConcept	Type of component observation (code / type)
Slices for coding		1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:Fixed_63761-1	Σ	1..1	Coding	What were your main activities or duties for this job [NHANES]
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 63761-1
valueString		0..1	string	Actual component result
interpretation		0..0
referenceRange		0..0
component:odh-OccupationalHazard		0..*	BackboneElement	OccupationalHazard: A hazard that is specific to a person's work or work environment at one job and with which the person might come in contact, as reported by the person
code		1..1	CodeableConcept	Type of component observation (code / type)
Slices for coding		1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:Fixed_87729-0	Σ	1..1	Coding	History of Occupational hazard
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 87729-0
valueString		0..1	string	Actual component result
interpretation		0..0
referenceRange		0..0
component:odh-WorkSchedule		0..1	BackboneElement	WorkSchedule: Typical arrangement of working hours for a person's job, as reported by the person
code		1..1	CodeableConcept	Type of component observation (code / type)
Slices for coding		1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:Fixed_74159-5	Σ	1..1	Coding	Work schedule NIOSH
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 74159-5
valueCodeableConcept		0..1	CodeableConcept	Actual component result Binding: WorkScheduleODH (required)
interpretation		0..0
referenceRange		0..0
component:odh-WeeklyWorkDays		0..1	BackboneElement	WeeklyWorkDays: The average number of days per week that a person spends performing their duties for work
code		1..1	CodeableConcept	Type of component observation (code / type)
Slices for coding		1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:Fixed_74160-3	Σ	1..1	Coding	Work days per week
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 74160-3
valueQuantity		0..1	Quantity	Actual component result
system		0..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code		0..1	code	Coded form of the unit Fixed Value: d
interpretation		0..0
referenceRange		0..0
component:odh-DailyWorkHours		0..1	BackboneElement	DailyWorkHours: The average number of hours in a day that a person spends performing their duties for work
code		1..1	CodeableConcept	Type of component observation (code / type)
Slices for coding		1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:Fixed_87512-0	Σ	1..1	Coding	Work hours per day
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 87512-0
valueQuantity		0..1	Quantity	Actual component result
system		0..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code		0..1	code	Coded form of the unit Fixed Value: h
interpretation		0..0
referenceRange		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
Observation.valueCodeableConcept.coding:occupationCDCCensus2010	required	PHVS_Occupation_CDC_Census2010
Observation.valueCodeableConcept.coding:occupationONETSOCDetailODH	required	PHVS_Occupation_ONETSOC_Detail_ODH
Observation.valueCodeableConcept.coding:occupationCDCCensus2018	required	PHVS_Occupation_CDC_Census2018
Observation.referenceRange.type	extensible	ObservationReferenceRangeMeaningCodes
Observation.referenceRange.appliesTo	extensible	ObservationReferenceRangeAppliesToCodes
Observation.component:odh-PastOrPresentIndustry.valueCodeableConcept.coding:industryCDCCensus2010	required	PHVS_Industry_CDC_Census2010
Observation.component:odh-PastOrPresentIndustry.valueCodeableConcept.coding:industryONETSOCDetailODH	required	PHVS_Industry_NAICS_Detail _ODH
Observation.component:odh-PastOrPresentIndustry.valueCodeableConcept.coding:industryCDCCensus2018	required	PHVS_Industry_CDC_Census2018
Observation.component:odh-PastOrPresentIndustry.referenceRange.type	extensible	ObservationReferenceRangeMeaningCodes
Observation.component:odh-PastOrPresentIndustry.referenceRange.appliesTo	extensible	ObservationReferenceRangeAppliesToCodes
Observation.component:odh-WorkClassification.valueCodeableConcept	required	WorkClassificationODH
Observation.component:odh-WorkClassification.referenceRange.type	extensible	ObservationReferenceRangeMeaningCodes
Observation.component:odh-WorkClassification.referenceRange.appliesTo	extensible	ObservationReferenceRangeAppliesToCodes
Observation.component:odh-SupervisoryLevel.valueCodeableConcept	required	PHVS_JobSupervisoryLevelorPayGrade_ODH
Observation.component:odh-SupervisoryLevel.referenceRange.type	extensible	ObservationReferenceRangeMeaningCodes
Observation.component:odh-SupervisoryLevel.referenceRange.appliesTo	extensible	ObservationReferenceRangeAppliesToCodes
Observation.component:odh-JobDuty.referenceRange.type	extensible	ObservationReferenceRangeMeaningCodes
Observation.component:odh-JobDuty.referenceRange.appliesTo	extensible	ObservationReferenceRangeAppliesToCodes
Observation.component:odh-OccupationalHazard.referenceRange.type	extensible	ObservationReferenceRangeMeaningCodes
Observation.component:odh-OccupationalHazard.referenceRange.appliesTo	extensible	ObservationReferenceRangeAppliesToCodes
Observation.component:odh-WorkSchedule.valueCodeableConcept	required	WorkScheduleODH
Observation.component:odh-WorkSchedule.referenceRange.type	extensible	ObservationReferenceRangeMeaningCodes
Observation.component:odh-WorkSchedule.referenceRange.appliesTo	extensible	ObservationReferenceRangeAppliesToCodes
Observation.component:odh-WeeklyWorkDays.referenceRange.type	extensible	ObservationReferenceRangeMeaningCodes
Observation.component:odh-WeeklyWorkDays.referenceRange.appliesTo	extensible	ObservationReferenceRangeAppliesToCodes
Observation.component:odh-DailyWorkHours.referenceRange.type	extensible	ObservationReferenceRangeMeaningCodes
Observation.component:odh-DailyWorkHours.referenceRange.appliesTo	extensible	ObservationReferenceRangeAppliesToCodes

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	Observation	Past Or Present Job
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
employer		0..1	Reference(RelatedPerson | Organization)	A person or organization that hires the services of another. URL: http://hl7.org/fhir/us/odh/StructureDefinition/odh-Employer-extension
ODHIsCurrentJobExtension		0..1	boolean	Indication of whether or not this job with the current job at the time the information was documented. URL: http://hl7.org/fhir/us/odh/StructureDefinition/odh-isCurrentJob-extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
basedOn	Σ	0..*	Reference(ServiceRequest)	The plan, proposal or order that is fulfilled in whole or in part by this observation
partOf	Σ	0..*	Reference(Procedure)	The larger procedure that this particular observation is a component or step
status	?!Σ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
category		0..1	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:Fixed_social-history	Σ	1..1	Coding	Social History
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: social-history
code	Σ	1..1	CodeableConcept	Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:Fixed_11341-5	Σ	1..1	Coding	History of Occupation
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 11341-5
subject	Σ	1..1	Reference(US Core Patient Profile)	The subject of an observation
focus	Σ	0..*	Reference(RelatedPerson)	What the observation is about, when it is not about the subject of record
Slices for effective[x]	Σ	1..1	Period	Clinically relevant time/time-period for observation Slice: Unordered, Closed by type:$this
effective[x]:effectivePeriod	Σ	1..1	Period	Clinically relevant time/time-period for observation
performer	Σ	0..*	Reference(Practitioner | Organization | US Core Patient Profile | RelatedPerson)	Who is responsible for the observation
Slices for value[x]	ΣC	0..1		Actual result Slice: Unordered, Open by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
value[x]:valueCodeableConcept	ΣC	0..1	CodeableConcept	Express the Occupation using a coded value. If no coded value is available, use text. If the Occupation is not available, explain using dataAbsentReason.
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:occupationCDCCensus2010	Σ	0..1	Coding	Occupation CDC Census 2010 Binding: Occupation CDC Census 2010 (required): Occupation CDC Census 2010
coding:occupationONETSOCDetailODH	Σ	0..1	Coding	Occupation ONETSOC Detail (ODH) Binding: Occupation ONETSOC Detail (ODH) (required): Occupation ONETSOC Detail (ODH)
coding:occupationCDCCensus2018	Σ	0..1	Coding	Occupation CDC Census 2018 Binding: Occupation CDC Census 2018 (required): Occupation CDC Census 2018
dataAbsentReason	C	0..1	CodeableConcept	The reason that there is no value available for the Occupation. Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
derivedFrom	Σ	0..*	Reference(DocumentReference | Media | QuestionnaireResponse | Observation)	Related measurements the observation is made from
Slices for component	Σ	0..*	BackboneElement	Component results Slice: Unordered, Open by value:code.coding.code
component:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
value[x]	Σ	0..1		Actual component result
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
component:odh-PastOrPresentIndustry	Σ	0..1	BackboneElement	The type(s) of business (industry) associated with the patient's past and present occupation(s). Express the Industry using a coded value. If no coded value is available, use text. If the Industry is not available, explain using dataAbsentReason.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:Fixed_86188-0	Σ	1..1	Coding	History of Occupation industry
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 86188-0
dataAbsentReason	C	0..1	CodeableConcept	The reason that there is no value available for the Industry. Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
component:odh-WorkClassification	Σ	0..1	BackboneElement	WorkClassification: Type of compensation and sector for a person's job, such as 'paid work, self-employed' or 'voluntary work', as reported by the person
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:Fixed_85104-8	Σ	1..1	Coding	Compensation and sector employment type
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 85104-8
component:odh-SupervisoryLevel	Σ	0..1	BackboneElement	SupervisoryLevel: A coded indicator of responsibilities for directing work and personnel management responsibilities for a person's job, as reported by the person
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:Fixed_87707-6	Σ	1..1	Coding	Job supervisory level or pay grade
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 87707-6
component:odh-JobDuty	Σ	0..*	BackboneElement	JobDuty: A regular action performed by a person at a job, as reported by the person
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:Fixed_63761-1	Σ	1..1	Coding	What were your main activities or duties for this job [NHANES]
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 63761-1
component:odh-OccupationalHazard	Σ	0..*	BackboneElement	OccupationalHazard: A hazard that is specific to a person's work or work environment at one job and with which the person might come in contact, as reported by the person
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:Fixed_87729-0	Σ	1..1	Coding	History of Occupational hazard
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 87729-0
component:odh-WorkSchedule	Σ	0..1	BackboneElement	WorkSchedule: Typical arrangement of working hours for a person's job, as reported by the person
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:Fixed_74159-5	Σ	1..1	Coding	Work schedule NIOSH
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 74159-5
component:odh-WeeklyWorkDays	Σ	0..1	BackboneElement	WeeklyWorkDays: The average number of days per week that a person spends performing their duties for work
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:Fixed_74160-3	Σ	1..1	Coding	Work days per week
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 74160-3
component:odh-DailyWorkHours	Σ	0..1	BackboneElement	DailyWorkHours: The average number of hours in a day that a person spends performing their duties for work
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:Fixed_87512-0	Σ	1..1	Coding	Work hours per day
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 87512-0
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Observation.status	required	ObservationStatus
Observation.category	preferred	ObservationCategoryCodes
Observation.code	example	LOINCCodes (a valid code from LOINC)
Observation.value[x]:valueCodeableConcept.coding:occupationCDCCensus2010	required	PHVS_Occupation_CDC_Census2010
Observation.value[x]:valueCodeableConcept.coding:occupationONETSOCDetailODH	required	PHVS_Occupation_ONETSOC_Detail_ODH
Observation.value[x]:valueCodeableConcept.coding:occupationCDCCensus2018	required	PHVS_Occupation_CDC_Census2018
Observation.dataAbsentReason	extensible	DataAbsentReason
Observation.referenceRange.type	extensible	ObservationReferenceRangeMeaningCodes
Observation.referenceRange.appliesTo	extensible	ObservationReferenceRangeAppliesToCodes
Observation.component.code	example	LOINCCodes (a valid code from LOINC)
Observation.component:odh-PastOrPresentIndustry.code	example	LOINCCodes (a valid code from LOINC)
Observation.component:odh-PastOrPresentIndustry.dataAbsentReason	extensible	DataAbsentReason
Observation.component:odh-PastOrPresentIndustry.referenceRange.type	extensible	ObservationReferenceRangeMeaningCodes
Observation.component:odh-PastOrPresentIndustry.referenceRange.appliesTo	extensible	ObservationReferenceRangeAppliesToCodes
Observation.component:odh-WorkClassification.code	example	LOINCCodes (a valid code from LOINC)
Observation.component:odh-WorkClassification.referenceRange.type	extensible	ObservationReferenceRangeMeaningCodes
Observation.component:odh-WorkClassification.referenceRange.appliesTo	extensible	ObservationReferenceRangeAppliesToCodes
Observation.component:odh-SupervisoryLevel.code	example	LOINCCodes (a valid code from LOINC)
Observation.component:odh-SupervisoryLevel.referenceRange.type	extensible	ObservationReferenceRangeMeaningCodes
Observation.component:odh-SupervisoryLevel.referenceRange.appliesTo	extensible	ObservationReferenceRangeAppliesToCodes
Observation.component:odh-JobDuty.code	example	LOINCCodes (a valid code from LOINC)
Observation.component:odh-JobDuty.referenceRange.type	extensible	ObservationReferenceRangeMeaningCodes
Observation.component:odh-JobDuty.referenceRange.appliesTo	extensible	ObservationReferenceRangeAppliesToCodes
Observation.component:odh-OccupationalHazard.code	example	LOINCCodes (a valid code from LOINC)
Observation.component:odh-OccupationalHazard.referenceRange.type	extensible	ObservationReferenceRangeMeaningCodes
Observation.component:odh-OccupationalHazard.referenceRange.appliesTo	extensible	ObservationReferenceRangeAppliesToCodes
Observation.component:odh-WorkSchedule.code	example	LOINCCodes (a valid code from LOINC)
Observation.component:odh-WorkSchedule.referenceRange.type	extensible	ObservationReferenceRangeMeaningCodes
Observation.component:odh-WorkSchedule.referenceRange.appliesTo	extensible	ObservationReferenceRangeAppliesToCodes
Observation.component:odh-WeeklyWorkDays.code	example	LOINCCodes (a valid code from LOINC)
Observation.component:odh-WeeklyWorkDays.referenceRange.type	extensible	ObservationReferenceRangeMeaningCodes
Observation.component:odh-WeeklyWorkDays.referenceRange.appliesTo	extensible	ObservationReferenceRangeAppliesToCodes
Observation.component:odh-DailyWorkHours.code	example	LOINCCodes (a valid code from LOINC)
Observation.component:odh-DailyWorkHours.referenceRange.type	extensible	ObservationReferenceRangeMeaningCodes
Observation.component:odh-DailyWorkHours.referenceRange.appliesTo	extensible	ObservationReferenceRangeAppliesToCodes

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	Observation	Past Or Present Job
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
employer		0..1	Reference(RelatedPerson | Organization)	A person or organization that hires the services of another. URL: http://hl7.org/fhir/us/odh/StructureDefinition/odh-Employer-extension
ODHIsCurrentJobExtension		0..1	boolean	Indication of whether or not this job with the current job at the time the information was documented. URL: http://hl7.org/fhir/us/odh/StructureDefinition/odh-isCurrentJob-extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business Identifier for observation
basedOn	Σ	0..*	Reference(ServiceRequest)	The plan, proposal or order that is fulfilled in whole or in part by this observation
partOf	Σ	0..*	Reference(Procedure)	The larger procedure that this particular observation is a component or step
status	?!Σ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
category		0..1	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:Fixed_social-history	Σ	1..1	Coding	Social History
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: social-history
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
code	Σ	1..1	CodeableConcept	Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:Fixed_11341-5	Σ	1..1	Coding	History of Occupation
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 11341-5
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
subject	Σ	1..1	Reference(US Core Patient Profile)	The subject of an observation
focus	Σ	0..*	Reference(RelatedPerson)	What the observation is about, when it is not about the subject of record
encounter	Σ	0..1	Reference(Encounter)	Healthcare event during which this observation is made
Slices for effective[x]	Σ	1..1	Period	Clinically relevant time/time-period for observation Slice: Unordered, Closed by type:$this
effective[x]:effectivePeriod	Σ	1..1	Period	Clinically relevant time/time-period for observation
issued	Σ	0..1	instant	Date/Time this version was made available
performer	Σ	0..*	Reference(Practitioner | Organization | US Core Patient Profile | RelatedPerson)	Who is responsible for the observation
Slices for value[x]	ΣC	0..1		Actual result Slice: Unordered, Open by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
value[x]:valueCodeableConcept	ΣC	0..1	CodeableConcept	Express the Occupation using a coded value. If no coded value is available, use text. If the Occupation is not available, explain using dataAbsentReason.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:occupationCDCCensus2010	Σ	0..1	Coding	Occupation CDC Census 2010 Binding: Occupation CDC Census 2010 (required): Occupation CDC Census 2010
coding:occupationONETSOCDetailODH	Σ	0..1	Coding	Occupation ONETSOC Detail (ODH) Binding: Occupation ONETSOC Detail (ODH) (required): Occupation ONETSOC Detail (ODH)
coding:occupationCDCCensus2018	Σ	0..1	Coding	Occupation CDC Census 2018 Binding: Occupation CDC Census 2018 (required): Occupation CDC Census 2018
text	Σ	0..1	string	Use the narrative description if there is no coded value available for the Occupation.
dataAbsentReason	C	0..1	CodeableConcept	The reason that there is no value available for the Occupation. Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
note		0..*	Annotation	Comments about the observation
derivedFrom	Σ	0..*	Reference(DocumentReference | Media | QuestionnaireResponse | Observation)	Related measurements the observation is made from
Slices for component	Σ	0..*	BackboneElement	Component results Slice: Unordered, Open by value:code.coding.code
component:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
value[x]	Σ	0..1		Actual component result
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
component:odh-PastOrPresentIndustry	Σ	0..1	BackboneElement	The type(s) of business (industry) associated with the patient's past and present occupation(s). Express the Industry using a coded value. If no coded value is available, use text. If the Industry is not available, explain using dataAbsentReason.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:Fixed_86188-0	Σ	1..1	Coding	History of Occupation industry
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 86188-0
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
value[x]	Σ	0..1	CodeableConcept	Express the Industry using a coded value. If no coded value is available, use text. If the Industry is not available, explain using dataAbsentReason.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:industryCDCCensus2010	Σ	0..1	Coding	Industry CDC Census 2010 Binding: Industry CDC Census 2010 (required): Industry CDC Census 2010
coding:industryONETSOCDetailODH	Σ	0..1	Coding	Industry NAICS Detail (ODH) Binding: Industry NAICS Detail (ODH) (required): Industry NAICS Detail (ODH)
coding:industryCDCCensus2018	Σ	0..1	Coding	Industry CDC Census 2018 Binding: Industry CDC Census 2018 (required): Industry CDC Census 2018
text	Σ	0..1	string	Use the narrative description if there is no coded value available for the Industry.
dataAbsentReason	C	0..1	CodeableConcept	The reason that there is no value available for the Industry. Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
component:odh-WorkClassification	Σ	0..1	BackboneElement	WorkClassification: Type of compensation and sector for a person's job, such as 'paid work, self-employed' or 'voluntary work', as reported by the person
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:Fixed_85104-8	Σ	1..1	Coding	Compensation and sector employment type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 85104-8
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
value[x]	Σ	0..1	CodeableConcept	Actual component result Binding: WorkClassificationODH (required)
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
component:odh-SupervisoryLevel	Σ	0..1	BackboneElement	SupervisoryLevel: A coded indicator of responsibilities for directing work and personnel management responsibilities for a person's job, as reported by the person
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:Fixed_87707-6	Σ	1..1	Coding	Job supervisory level or pay grade
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 87707-6
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
value[x]	Σ	0..1	CodeableConcept	Actual component result Binding: Job Supervisory Level or Pay Grade (ODH) (required)
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
component:odh-JobDuty	Σ	0..*	BackboneElement	JobDuty: A regular action performed by a person at a job, as reported by the person
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:Fixed_63761-1	Σ	1..1	Coding	What were your main activities or duties for this job [NHANES]
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 63761-1
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
value[x]	Σ	0..1	string	Actual component result
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
component:odh-OccupationalHazard	Σ	0..*	BackboneElement	OccupationalHazard: A hazard that is specific to a person's work or work environment at one job and with which the person might come in contact, as reported by the person
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:Fixed_87729-0	Σ	1..1	Coding	History of Occupational hazard
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 87729-0
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
value[x]	Σ	0..1	string	Actual component result
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
component:odh-WorkSchedule	Σ	0..1	BackboneElement	WorkSchedule: Typical arrangement of working hours for a person's job, as reported by the person
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:Fixed_74159-5	Σ	1..1	Coding	Work schedule NIOSH
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 74159-5
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
value[x]	Σ	0..1	CodeableConcept	Actual component result Binding: WorkScheduleODH (required)
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
component:odh-WeeklyWorkDays	Σ	0..1	BackboneElement	WeeklyWorkDays: The average number of days per week that a person spends performing their duties for work
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:Fixed_74160-3	Σ	1..1	Coding	Work days per week
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 74160-3
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
value[x]	Σ	0..1	Quantity	Actual component result
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	Σ	0..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unit representation
system	ΣC	0..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	Σ	0..1	code	Coded form of the unit Fixed Value: d
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
component:odh-DailyWorkHours	Σ	0..1	BackboneElement	DailyWorkHours: The average number of hours in a day that a person spends performing their duties for work
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:Fixed_87512-0	Σ	1..1	Coding	Work hours per day
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 87512-0
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
value[x]	Σ	0..1	Quantity	Actual component result
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	Σ	0..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unit representation
system	ΣC	0..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	Σ	0..1	code	Coded form of the unit Fixed Value: h
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Observation.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Observation.status	required	ObservationStatus
Observation.category	preferred	ObservationCategoryCodes
Observation.code	example	LOINCCodes (a valid code from LOINC)
Observation.value[x]:valueCodeableConcept.coding:occupationCDCCensus2010	required	PHVS_Occupation_CDC_Census2010
Observation.value[x]:valueCodeableConcept.coding:occupationONETSOCDetailODH	required	PHVS_Occupation_ONETSOC_Detail_ODH
Observation.value[x]:valueCodeableConcept.coding:occupationCDCCensus2018	required	PHVS_Occupation_CDC_Census2018
Observation.dataAbsentReason	extensible	DataAbsentReason
Observation.referenceRange.type	extensible	ObservationReferenceRangeMeaningCodes
Observation.referenceRange.appliesTo	extensible	ObservationReferenceRangeAppliesToCodes
Observation.component.code	example	LOINCCodes (a valid code from LOINC)
Observation.component.dataAbsentReason	extensible	DataAbsentReason
Observation.component.interpretation	extensible	ObservationInterpretationCodes
Observation.component:odh-PastOrPresentIndustry.code	example	LOINCCodes (a valid code from LOINC)
Observation.component:odh-PastOrPresentIndustry.value[x].coding:industryCDCCensus2010	required	PHVS_Industry_CDC_Census2010
Observation.component:odh-PastOrPresentIndustry.value[x].coding:industryONETSOCDetailODH	required	PHVS_Industry_NAICS_Detail _ODH
Observation.component:odh-PastOrPresentIndustry.value[x].coding:industryCDCCensus2018	required	PHVS_Industry_CDC_Census2018
Observation.component:odh-PastOrPresentIndustry.dataAbsentReason	extensible	DataAbsentReason
Observation.component:odh-PastOrPresentIndustry.referenceRange.type	extensible	ObservationReferenceRangeMeaningCodes
Observation.component:odh-PastOrPresentIndustry.referenceRange.appliesTo	extensible	ObservationReferenceRangeAppliesToCodes
Observation.component:odh-WorkClassification.code	example	LOINCCodes (a valid code from LOINC)
Observation.component:odh-WorkClassification.value[x]	required	WorkClassificationODH
Observation.component:odh-WorkClassification.dataAbsentReason	extensible	DataAbsentReason
Observation.component:odh-WorkClassification.referenceRange.type	extensible	ObservationReferenceRangeMeaningCodes
Observation.component:odh-WorkClassification.referenceRange.appliesTo	extensible	ObservationReferenceRangeAppliesToCodes
Observation.component:odh-SupervisoryLevel.code	example	LOINCCodes (a valid code from LOINC)
Observation.component:odh-SupervisoryLevel.value[x]	required	PHVS_JobSupervisoryLevelorPayGrade_ODH
Observation.component:odh-SupervisoryLevel.dataAbsentReason	extensible	DataAbsentReason
Observation.component:odh-SupervisoryLevel.referenceRange.type	extensible	ObservationReferenceRangeMeaningCodes
Observation.component:odh-SupervisoryLevel.referenceRange.appliesTo	extensible	ObservationReferenceRangeAppliesToCodes
Observation.component:odh-JobDuty.code	example	LOINCCodes (a valid code from LOINC)
Observation.component:odh-JobDuty.dataAbsentReason	extensible	DataAbsentReason
Observation.component:odh-JobDuty.referenceRange.type	extensible	ObservationReferenceRangeMeaningCodes
Observation.component:odh-JobDuty.referenceRange.appliesTo	extensible	ObservationReferenceRangeAppliesToCodes
Observation.component:odh-OccupationalHazard.code	example	LOINCCodes (a valid code from LOINC)
Observation.component:odh-OccupationalHazard.dataAbsentReason	extensible	DataAbsentReason
Observation.component:odh-OccupationalHazard.referenceRange.type	extensible	ObservationReferenceRangeMeaningCodes
Observation.component:odh-OccupationalHazard.referenceRange.appliesTo	extensible	ObservationReferenceRangeAppliesToCodes
Observation.component:odh-WorkSchedule.code	example	LOINCCodes (a valid code from LOINC)
Observation.component:odh-WorkSchedule.value[x]	required	WorkScheduleODH
Observation.component:odh-WorkSchedule.dataAbsentReason	extensible	DataAbsentReason
Observation.component:odh-WorkSchedule.referenceRange.type	extensible	ObservationReferenceRangeMeaningCodes
Observation.component:odh-WorkSchedule.referenceRange.appliesTo	extensible	ObservationReferenceRangeAppliesToCodes
Observation.component:odh-WeeklyWorkDays.code	example	LOINCCodes (a valid code from LOINC)
Observation.component:odh-WeeklyWorkDays.value[x].comparator	required	QuantityComparator
Observation.component:odh-WeeklyWorkDays.dataAbsentReason	extensible	DataAbsentReason
Observation.component:odh-WeeklyWorkDays.referenceRange.type	extensible	ObservationReferenceRangeMeaningCodes
Observation.component:odh-WeeklyWorkDays.referenceRange.appliesTo	extensible	ObservationReferenceRangeAppliesToCodes
Observation.component:odh-DailyWorkHours.code	example	LOINCCodes (a valid code from LOINC)
Observation.component:odh-DailyWorkHours.value[x].comparator	required	QuantityComparator
Observation.component:odh-DailyWorkHours.dataAbsentReason	extensible	DataAbsentReason
Observation.component:odh-DailyWorkHours.referenceRange.type	extensible	ObservationReferenceRangeMeaningCodes
Observation.component:odh-DailyWorkHours.referenceRange.appliesTo	extensible	ObservationReferenceRangeAppliesToCodes

Constraints

Id	Grade	Path(s)	Details	Requirements
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from Observation

Summary

Mandatory: 6 elements (36 nested mandatory elements)
Fixed Value: 24 elements
Prohibited: 24 elements

Structures

This structure refers to these other structures:

• US Core Patient Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/us/odh/StructureDefinition/odh-Employer-extension
• http://hl7.org/fhir/us/odh/StructureDefinition/odh-isCurrentJob-extension

Slices

This structure defines the following Slices:

• The element Observation.category.coding is sliced based on the value of value:code
• The element Observation.code.coding is sliced based on the value of value:code
• The element Observation.valueCodeableConcept.coding is sliced based on the value of pattern:$this
• The element Observation.component is sliced based on the value of value:code.coding.code
• The element Observation.component.code.coding is sliced based on the value of value:code
• The element Observation.component.valueCodeableConcept.coding is sliced based on the value of pattern:$this

Differential View

This structure is derived from Observation

Name	Flags	Card.	Type	Description & Constraints
Observation		0..*	Observation	Past Or Present Job
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
employer		0..1	Reference(RelatedPerson | Organization)	A person or organization that hires the services of another. URL: http://hl7.org/fhir/us/odh/StructureDefinition/odh-Employer-extension
ODHIsCurrentJobExtension		0..1	boolean	Indication of whether or not this job with the current job at the time the information was documented. URL: http://hl7.org/fhir/us/odh/StructureDefinition/odh-isCurrentJob-extension
basedOn		0..*	Reference(ServiceRequest)	The plan, proposal or order that is fulfilled in whole or in part by this observation
partOf		0..*	Reference(Procedure)	The larger procedure that this particular observation is a component or step
category		0..1	CodeableConcept	Classification of type of observation
Slices for coding		1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:Fixed_social-history	Σ	1..1	Coding	Social History
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
code		1..1	code	Symbol in syntax defined by the system Fixed Value: social-history
code		1..1	CodeableConcept	Type of observation (code / type)
Slices for coding		1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:Fixed_11341-5	Σ	1..1	Coding	History of Occupation
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11341-5
subject		1..1	Reference(US Core Patient Profile)	The subject of an observation
focus		0..*	Reference(RelatedPerson)	What the observation is about, when it is not about the subject of record
effectivePeriod		1..1	Period	Clinically relevant time/time-period for observation
performer		0..*	Reference(Practitioner | Organization | US Core Patient Profile | RelatedPerson)	Who is responsible for the observation
valueCodeableConcept		0..1	CodeableConcept	Express the Occupation using a coded value. If no coded value is available, use text. If the Occupation is not available, explain using dataAbsentReason.
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:occupationCDCCensus2010		0..1	Coding	Occupation CDC Census 2010 Binding: Occupation CDC Census 2010 (required): Occupation CDC Census 2010
coding:occupationONETSOCDetailODH		0..1	Coding	Occupation ONETSOC Detail (ODH) Binding: Occupation ONETSOC Detail (ODH) (required): Occupation ONETSOC Detail (ODH)
coding:occupationCDCCensus2018		0..1	Coding	Occupation CDC Census 2018 Binding: Occupation CDC Census 2018 (required): Occupation CDC Census 2018
text		0..1	string	Use the narrative description if there is no coded value available for the Occupation.
dataAbsentReason		0..1	CodeableConcept	The reason that there is no value available for the Occupation.
interpretation		0..0
bodySite		0..0
method		0..0
specimen		0..0
device		0..0
referenceRange		0..0
hasMember		0..0
derivedFrom		0..*	Reference(DocumentReference | Media | QuestionnaireResponse | Observation)	Related measurements the observation is made from
Slices for component		0..*	BackboneElement	Component results Slice: Unordered, Open by value:code.coding.code
component:All Slices				Content/Rules for all slices
value[x]		0..1		Actual component result
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
referenceRange		0..0
component:odh-PastOrPresentIndustry		0..1	BackboneElement	The type(s) of business (industry) associated with the patient's past and present occupation(s). Express the Industry using a coded value. If no coded value is available, use text. If the Industry is not available, explain using dataAbsentReason.
code		1..1	CodeableConcept	Type of component observation (code / type)
Slices for coding		1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:Fixed_86188-0	Σ	1..1	Coding	History of Occupation industry
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 86188-0
valueCodeableConcept		0..1	CodeableConcept	Express the Industry using a coded value. If no coded value is available, use text. If the Industry is not available, explain using dataAbsentReason.
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:industryCDCCensus2010		0..1	Coding	Industry CDC Census 2010 Binding: Industry CDC Census 2010 (required): Industry CDC Census 2010
coding:industryONETSOCDetailODH		0..1	Coding	Industry NAICS Detail (ODH) Binding: Industry NAICS Detail (ODH) (required): Industry NAICS Detail (ODH)
coding:industryCDCCensus2018		0..1	Coding	Industry CDC Census 2018 Binding: Industry CDC Census 2018 (required): Industry CDC Census 2018
text		0..1	string	Use the narrative description if there is no coded value available for the Industry.
dataAbsentReason		0..1	CodeableConcept	The reason that there is no value available for the Industry.
interpretation		0..0
referenceRange		0..0
component:odh-WorkClassification		0..1	BackboneElement	WorkClassification: Type of compensation and sector for a person's job, such as 'paid work, self-employed' or 'voluntary work', as reported by the person
code		1..1	CodeableConcept	Type of component observation (code / type)
Slices for coding		1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:Fixed_85104-8	Σ	1..1	Coding	Compensation and sector employment type
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 85104-8
valueCodeableConcept		0..1	CodeableConcept	Actual component result Binding: WorkClassificationODH (required)
interpretation		0..0
referenceRange		0..0
component:odh-SupervisoryLevel		0..1	BackboneElement	SupervisoryLevel: A coded indicator of responsibilities for directing work and personnel management responsibilities for a person's job, as reported by the person
code		1..1	CodeableConcept	Type of component observation (code / type)
Slices for coding		1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:Fixed_87707-6	Σ	1..1	Coding	Job supervisory level or pay grade
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 87707-6
valueCodeableConcept		0..1	CodeableConcept	Actual component result Binding: Job Supervisory Level or Pay Grade (ODH) (required)
interpretation		0..0
referenceRange		0..0
component:odh-JobDuty		0..*	BackboneElement	JobDuty: A regular action performed by a person at a job, as reported by the person
code		1..1	CodeableConcept	Type of component observation (code / type)
Slices for coding		1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:Fixed_63761-1	Σ	1..1	Coding	What were your main activities or duties for this job [NHANES]
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 63761-1
valueString		0..1	string	Actual component result
interpretation		0..0
referenceRange		0..0
component:odh-OccupationalHazard		0..*	BackboneElement	OccupationalHazard: A hazard that is specific to a person's work or work environment at one job and with which the person might come in contact, as reported by the person
code		1..1	CodeableConcept	Type of component observation (code / type)
Slices for coding		1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:Fixed_87729-0	Σ	1..1	Coding	History of Occupational hazard
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 87729-0
valueString		0..1	string	Actual component result
interpretation		0..0
referenceRange		0..0
component:odh-WorkSchedule		0..1	BackboneElement	WorkSchedule: Typical arrangement of working hours for a person's job, as reported by the person
code		1..1	CodeableConcept	Type of component observation (code / type)
Slices for coding		1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:Fixed_74159-5	Σ	1..1	Coding	Work schedule NIOSH
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 74159-5
valueCodeableConcept		0..1	CodeableConcept	Actual component result Binding: WorkScheduleODH (required)
interpretation		0..0
referenceRange		0..0
component:odh-WeeklyWorkDays		0..1	BackboneElement	WeeklyWorkDays: The average number of days per week that a person spends performing their duties for work
code		1..1	CodeableConcept	Type of component observation (code / type)
Slices for coding		1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:Fixed_74160-3	Σ	1..1	Coding	Work days per week
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 74160-3
valueQuantity		0..1	Quantity	Actual component result
system		0..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code		0..1	code	Coded form of the unit Fixed Value: d
interpretation		0..0
referenceRange		0..0
component:odh-DailyWorkHours		0..1	BackboneElement	DailyWorkHours: The average number of hours in a day that a person spends performing their duties for work
code		1..1	CodeableConcept	Type of component observation (code / type)
Slices for coding		1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:Fixed_87512-0	Σ	1..1	Coding	Work hours per day
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 87512-0
valueQuantity		0..1	Quantity	Actual component result
system		0..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code		0..1	code	Coded form of the unit Fixed Value: h
interpretation		0..0
referenceRange		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
Observation.valueCodeableConcept.coding:occupationCDCCensus2010	required	PHVS_Occupation_CDC_Census2010
Observation.valueCodeableConcept.coding:occupationONETSOCDetailODH	required	PHVS_Occupation_ONETSOC_Detail_ODH
Observation.valueCodeableConcept.coding:occupationCDCCensus2018	required	PHVS_Occupation_CDC_Census2018
Observation.referenceRange.type	extensible	ObservationReferenceRangeMeaningCodes
Observation.referenceRange.appliesTo	extensible	ObservationReferenceRangeAppliesToCodes
Observation.component:odh-PastOrPresentIndustry.valueCodeableConcept.coding:industryCDCCensus2010	required	PHVS_Industry_CDC_Census2010
Observation.component:odh-PastOrPresentIndustry.valueCodeableConcept.coding:industryONETSOCDetailODH	required	PHVS_Industry_NAICS_Detail _ODH
Observation.component:odh-PastOrPresentIndustry.valueCodeableConcept.coding:industryCDCCensus2018	required	PHVS_Industry_CDC_Census2018
Observation.component:odh-PastOrPresentIndustry.referenceRange.type	extensible	ObservationReferenceRangeMeaningCodes
Observation.component:odh-PastOrPresentIndustry.referenceRange.appliesTo	extensible	ObservationReferenceRangeAppliesToCodes
Observation.component:odh-WorkClassification.valueCodeableConcept	required	WorkClassificationODH
Observation.component:odh-WorkClassification.referenceRange.type	extensible	ObservationReferenceRangeMeaningCodes
Observation.component:odh-WorkClassification.referenceRange.appliesTo	extensible	ObservationReferenceRangeAppliesToCodes
Observation.component:odh-SupervisoryLevel.valueCodeableConcept	required	PHVS_JobSupervisoryLevelorPayGrade_ODH
Observation.component:odh-SupervisoryLevel.referenceRange.type	extensible	ObservationReferenceRangeMeaningCodes
Observation.component:odh-SupervisoryLevel.referenceRange.appliesTo	extensible	ObservationReferenceRangeAppliesToCodes
Observation.component:odh-JobDuty.referenceRange.type	extensible	ObservationReferenceRangeMeaningCodes
Observation.component:odh-JobDuty.referenceRange.appliesTo	extensible	ObservationReferenceRangeAppliesToCodes
Observation.component:odh-OccupationalHazard.referenceRange.type	extensible	ObservationReferenceRangeMeaningCodes
Observation.component:odh-OccupationalHazard.referenceRange.appliesTo	extensible	ObservationReferenceRangeAppliesToCodes
Observation.component:odh-WorkSchedule.valueCodeableConcept	required	WorkScheduleODH
Observation.component:odh-WorkSchedule.referenceRange.type	extensible	ObservationReferenceRangeMeaningCodes
Observation.component:odh-WorkSchedule.referenceRange.appliesTo	extensible	ObservationReferenceRangeAppliesToCodes
Observation.component:odh-WeeklyWorkDays.referenceRange.type	extensible	ObservationReferenceRangeMeaningCodes
Observation.component:odh-WeeklyWorkDays.referenceRange.appliesTo	extensible	ObservationReferenceRangeAppliesToCodes
Observation.component:odh-DailyWorkHours.referenceRange.type	extensible	ObservationReferenceRangeMeaningCodes
Observation.component:odh-DailyWorkHours.referenceRange.appliesTo	extensible	ObservationReferenceRangeAppliesToCodes

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	Observation	Past Or Present Job
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
employer		0..1	Reference(RelatedPerson | Organization)	A person or organization that hires the services of another. URL: http://hl7.org/fhir/us/odh/StructureDefinition/odh-Employer-extension
ODHIsCurrentJobExtension		0..1	boolean	Indication of whether or not this job with the current job at the time the information was documented. URL: http://hl7.org/fhir/us/odh/StructureDefinition/odh-isCurrentJob-extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
basedOn	Σ	0..*	Reference(ServiceRequest)	The plan, proposal or order that is fulfilled in whole or in part by this observation
partOf	Σ	0..*	Reference(Procedure)	The larger procedure that this particular observation is a component or step
status	?!Σ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
category		0..1	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:Fixed_social-history	Σ	1..1	Coding	Social History
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: social-history
code	Σ	1..1	CodeableConcept	Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:Fixed_11341-5	Σ	1..1	Coding	History of Occupation
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 11341-5
subject	Σ	1..1	Reference(US Core Patient Profile)	The subject of an observation
focus	Σ	0..*	Reference(RelatedPerson)	What the observation is about, when it is not about the subject of record
Slices for effective[x]	Σ	1..1	Period	Clinically relevant time/time-period for observation Slice: Unordered, Closed by type:$this
effective[x]:effectivePeriod	Σ	1..1	Period	Clinically relevant time/time-period for observation
performer	Σ	0..*	Reference(Practitioner | Organization | US Core Patient Profile | RelatedPerson)	Who is responsible for the observation
Slices for value[x]	ΣC	0..1		Actual result Slice: Unordered, Open by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
value[x]:valueCodeableConcept	ΣC	0..1	CodeableConcept	Express the Occupation using a coded value. If no coded value is available, use text. If the Occupation is not available, explain using dataAbsentReason.
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:occupationCDCCensus2010	Σ	0..1	Coding	Occupation CDC Census 2010 Binding: Occupation CDC Census 2010 (required): Occupation CDC Census 2010
coding:occupationONETSOCDetailODH	Σ	0..1	Coding	Occupation ONETSOC Detail (ODH) Binding: Occupation ONETSOC Detail (ODH) (required): Occupation ONETSOC Detail (ODH)
coding:occupationCDCCensus2018	Σ	0..1	Coding	Occupation CDC Census 2018 Binding: Occupation CDC Census 2018 (required): Occupation CDC Census 2018
dataAbsentReason	C	0..1	CodeableConcept	The reason that there is no value available for the Occupation. Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
derivedFrom	Σ	0..*	Reference(DocumentReference | Media | QuestionnaireResponse | Observation)	Related measurements the observation is made from
Slices for component	Σ	0..*	BackboneElement	Component results Slice: Unordered, Open by value:code.coding.code
component:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
value[x]	Σ	0..1		Actual component result
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
component:odh-PastOrPresentIndustry	Σ	0..1	BackboneElement	The type(s) of business (industry) associated with the patient's past and present occupation(s). Express the Industry using a coded value. If no coded value is available, use text. If the Industry is not available, explain using dataAbsentReason.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:Fixed_86188-0	Σ	1..1	Coding	History of Occupation industry
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 86188-0
dataAbsentReason	C	0..1	CodeableConcept	The reason that there is no value available for the Industry. Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
component:odh-WorkClassification	Σ	0..1	BackboneElement	WorkClassification: Type of compensation and sector for a person's job, such as 'paid work, self-employed' or 'voluntary work', as reported by the person
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:Fixed_85104-8	Σ	1..1	Coding	Compensation and sector employment type
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 85104-8
component:odh-SupervisoryLevel	Σ	0..1	BackboneElement	SupervisoryLevel: A coded indicator of responsibilities for directing work and personnel management responsibilities for a person's job, as reported by the person
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:Fixed_87707-6	Σ	1..1	Coding	Job supervisory level or pay grade
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 87707-6
component:odh-JobDuty	Σ	0..*	BackboneElement	JobDuty: A regular action performed by a person at a job, as reported by the person
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:Fixed_63761-1	Σ	1..1	Coding	What were your main activities or duties for this job [NHANES]
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 63761-1
component:odh-OccupationalHazard	Σ	0..*	BackboneElement	OccupationalHazard: A hazard that is specific to a person's work or work environment at one job and with which the person might come in contact, as reported by the person
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:Fixed_87729-0	Σ	1..1	Coding	History of Occupational hazard
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 87729-0
component:odh-WorkSchedule	Σ	0..1	BackboneElement	WorkSchedule: Typical arrangement of working hours for a person's job, as reported by the person
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:Fixed_74159-5	Σ	1..1	Coding	Work schedule NIOSH
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 74159-5
component:odh-WeeklyWorkDays	Σ	0..1	BackboneElement	WeeklyWorkDays: The average number of days per week that a person spends performing their duties for work
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:Fixed_74160-3	Σ	1..1	Coding	Work days per week
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 74160-3
component:odh-DailyWorkHours	Σ	0..1	BackboneElement	DailyWorkHours: The average number of hours in a day that a person spends performing their duties for work
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:Fixed_87512-0	Σ	1..1	Coding	Work hours per day
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 87512-0
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Observation.status	required	ObservationStatus
Observation.category	preferred	ObservationCategoryCodes
Observation.code	example	LOINCCodes (a valid code from LOINC)
Observation.value[x]:valueCodeableConcept.coding:occupationCDCCensus2010	required	PHVS_Occupation_CDC_Census2010
Observation.value[x]:valueCodeableConcept.coding:occupationONETSOCDetailODH	required	PHVS_Occupation_ONETSOC_Detail_ODH
Observation.value[x]:valueCodeableConcept.coding:occupationCDCCensus2018	required	PHVS_Occupation_CDC_Census2018
Observation.dataAbsentReason	extensible	DataAbsentReason
Observation.referenceRange.type	extensible	ObservationReferenceRangeMeaningCodes
Observation.referenceRange.appliesTo	extensible	ObservationReferenceRangeAppliesToCodes
Observation.component.code	example	LOINCCodes (a valid code from LOINC)
Observation.component:odh-PastOrPresentIndustry.code	example	LOINCCodes (a valid code from LOINC)
Observation.component:odh-PastOrPresentIndustry.dataAbsentReason	extensible	DataAbsentReason
Observation.component:odh-PastOrPresentIndustry.referenceRange.type	extensible	ObservationReferenceRangeMeaningCodes
Observation.component:odh-PastOrPresentIndustry.referenceRange.appliesTo	extensible	ObservationReferenceRangeAppliesToCodes
Observation.component:odh-WorkClassification.code	example	LOINCCodes (a valid code from LOINC)
Observation.component:odh-WorkClassification.referenceRange.type	extensible	ObservationReferenceRangeMeaningCodes
Observation.component:odh-WorkClassification.referenceRange.appliesTo	extensible	ObservationReferenceRangeAppliesToCodes
Observation.component:odh-SupervisoryLevel.code	example	LOINCCodes (a valid code from LOINC)
Observation.component:odh-SupervisoryLevel.referenceRange.type	extensible	ObservationReferenceRangeMeaningCodes
Observation.component:odh-SupervisoryLevel.referenceRange.appliesTo	extensible	ObservationReferenceRangeAppliesToCodes
Observation.component:odh-JobDuty.code	example	LOINCCodes (a valid code from LOINC)
Observation.component:odh-JobDuty.referenceRange.type	extensible	ObservationReferenceRangeMeaningCodes
Observation.component:odh-JobDuty.referenceRange.appliesTo	extensible	ObservationReferenceRangeAppliesToCodes
Observation.component:odh-OccupationalHazard.code	example	LOINCCodes (a valid code from LOINC)
Observation.component:odh-OccupationalHazard.referenceRange.type	extensible	ObservationReferenceRangeMeaningCodes
Observation.component:odh-OccupationalHazard.referenceRange.appliesTo	extensible	ObservationReferenceRangeAppliesToCodes
Observation.component:odh-WorkSchedule.code	example	LOINCCodes (a valid code from LOINC)
Observation.component:odh-WorkSchedule.referenceRange.type	extensible	ObservationReferenceRangeMeaningCodes
Observation.component:odh-WorkSchedule.referenceRange.appliesTo	extensible	ObservationReferenceRangeAppliesToCodes
Observation.component:odh-WeeklyWorkDays.code	example	LOINCCodes (a valid code from LOINC)
Observation.component:odh-WeeklyWorkDays.referenceRange.type	extensible	ObservationReferenceRangeMeaningCodes
Observation.component:odh-WeeklyWorkDays.referenceRange.appliesTo	extensible	ObservationReferenceRangeAppliesToCodes
Observation.component:odh-DailyWorkHours.code	example	LOINCCodes (a valid code from LOINC)
Observation.component:odh-DailyWorkHours.referenceRange.type	extensible	ObservationReferenceRangeMeaningCodes
Observation.component:odh-DailyWorkHours.referenceRange.appliesTo	extensible	ObservationReferenceRangeAppliesToCodes

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	Observation	Past Or Present Job
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
employer		0..1	Reference(RelatedPerson | Organization)	A person or organization that hires the services of another. URL: http://hl7.org/fhir/us/odh/StructureDefinition/odh-Employer-extension
ODHIsCurrentJobExtension		0..1	boolean	Indication of whether or not this job with the current job at the time the information was documented. URL: http://hl7.org/fhir/us/odh/StructureDefinition/odh-isCurrentJob-extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business Identifier for observation
basedOn	Σ	0..*	Reference(ServiceRequest)	The plan, proposal or order that is fulfilled in whole or in part by this observation
partOf	Σ	0..*	Reference(Procedure)	The larger procedure that this particular observation is a component or step
status	?!Σ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
category		0..1	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:Fixed_social-history	Σ	1..1	Coding	Social History
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: social-history
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
code	Σ	1..1	CodeableConcept	Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:Fixed_11341-5	Σ	1..1	Coding	History of Occupation
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 11341-5
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
subject	Σ	1..1	Reference(US Core Patient Profile)	The subject of an observation
focus	Σ	0..*	Reference(RelatedPerson)	What the observation is about, when it is not about the subject of record
encounter	Σ	0..1	Reference(Encounter)	Healthcare event during which this observation is made
Slices for effective[x]	Σ	1..1	Period	Clinically relevant time/time-period for observation Slice: Unordered, Closed by type:$this
effective[x]:effectivePeriod	Σ	1..1	Period	Clinically relevant time/time-period for observation
issued	Σ	0..1	instant	Date/Time this version was made available
performer	Σ	0..*	Reference(Practitioner | Organization | US Core Patient Profile | RelatedPerson)	Who is responsible for the observation
Slices for value[x]	ΣC	0..1		Actual result Slice: Unordered, Open by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
value[x]:valueCodeableConcept	ΣC	0..1	CodeableConcept	Express the Occupation using a coded value. If no coded value is available, use text. If the Occupation is not available, explain using dataAbsentReason.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:occupationCDCCensus2010	Σ	0..1	Coding	Occupation CDC Census 2010 Binding: Occupation CDC Census 2010 (required): Occupation CDC Census 2010
coding:occupationONETSOCDetailODH	Σ	0..1	Coding	Occupation ONETSOC Detail (ODH) Binding: Occupation ONETSOC Detail (ODH) (required): Occupation ONETSOC Detail (ODH)
coding:occupationCDCCensus2018	Σ	0..1	Coding	Occupation CDC Census 2018 Binding: Occupation CDC Census 2018 (required): Occupation CDC Census 2018
text	Σ	0..1	string	Use the narrative description if there is no coded value available for the Occupation.
dataAbsentReason	C	0..1	CodeableConcept	The reason that there is no value available for the Occupation. Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
note		0..*	Annotation	Comments about the observation
derivedFrom	Σ	0..*	Reference(DocumentReference | Media | QuestionnaireResponse | Observation)	Related measurements the observation is made from
Slices for component	Σ	0..*	BackboneElement	Component results Slice: Unordered, Open by value:code.coding.code
component:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
value[x]	Σ	0..1		Actual component result
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
component:odh-PastOrPresentIndustry	Σ	0..1	BackboneElement	The type(s) of business (industry) associated with the patient's past and present occupation(s). Express the Industry using a coded value. If no coded value is available, use text. If the Industry is not available, explain using dataAbsentReason.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:Fixed_86188-0	Σ	1..1	Coding	History of Occupation industry
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 86188-0
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
value[x]	Σ	0..1	CodeableConcept	Express the Industry using a coded value. If no coded value is available, use text. If the Industry is not available, explain using dataAbsentReason.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:industryCDCCensus2010	Σ	0..1	Coding	Industry CDC Census 2010 Binding: Industry CDC Census 2010 (required): Industry CDC Census 2010
coding:industryONETSOCDetailODH	Σ	0..1	Coding	Industry NAICS Detail (ODH) Binding: Industry NAICS Detail (ODH) (required): Industry NAICS Detail (ODH)
coding:industryCDCCensus2018	Σ	0..1	Coding	Industry CDC Census 2018 Binding: Industry CDC Census 2018 (required): Industry CDC Census 2018
text	Σ	0..1	string	Use the narrative description if there is no coded value available for the Industry.
dataAbsentReason	C	0..1	CodeableConcept	The reason that there is no value available for the Industry. Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
component:odh-WorkClassification	Σ	0..1	BackboneElement	WorkClassification: Type of compensation and sector for a person's job, such as 'paid work, self-employed' or 'voluntary work', as reported by the person
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:Fixed_85104-8	Σ	1..1	Coding	Compensation and sector employment type
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 85104-8
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
value[x]	Σ	0..1	CodeableConcept	Actual component result Binding: WorkClassificationODH (required)
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
component:odh-SupervisoryLevel	Σ	0..1	BackboneElement	SupervisoryLevel: A coded indicator of responsibilities for directing work and personnel management responsibilities for a person's job, as reported by the person
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:Fixed_87707-6	Σ	1..1	Coding	Job supervisory level or pay grade
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 87707-6
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
value[x]	Σ	0..1	CodeableConcept	Actual component result Binding: Job Supervisory Level or Pay Grade (ODH) (required)
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
component:odh-JobDuty	Σ	0..*	BackboneElement	JobDuty: A regular action performed by a person at a job, as reported by the person
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:Fixed_63761-1	Σ	1..1	Coding	What were your main activities or duties for this job [NHANES]
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 63761-1
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
value[x]	Σ	0..1	string	Actual component result
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
component:odh-OccupationalHazard	Σ	0..*	BackboneElement	OccupationalHazard: A hazard that is specific to a person's work or work environment at one job and with which the person might come in contact, as reported by the person
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:Fixed_87729-0	Σ	1..1	Coding	History of Occupational hazard
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 87729-0
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
value[x]	Σ	0..1	string	Actual component result
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
component:odh-WorkSchedule	Σ	0..1	BackboneElement	WorkSchedule: Typical arrangement of working hours for a person's job, as reported by the person
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:Fixed_74159-5	Σ	1..1	Coding	Work schedule NIOSH
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 74159-5
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
value[x]	Σ	0..1	CodeableConcept	Actual component result Binding: WorkScheduleODH (required)
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
component:odh-WeeklyWorkDays	Σ	0..1	BackboneElement	WeeklyWorkDays: The average number of days per week that a person spends performing their duties for work
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:Fixed_74160-3	Σ	1..1	Coding	Work days per week
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 74160-3
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
value[x]	Σ	0..1	Quantity	Actual component result
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	Σ	0..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unit representation
system	ΣC	0..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	Σ	0..1	code	Coded form of the unit Fixed Value: d
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
component:odh-DailyWorkHours	Σ	0..1	BackboneElement	DailyWorkHours: The average number of hours in a day that a person spends performing their duties for work
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:Fixed_87512-0	Σ	1..1	Coding	Work hours per day
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 87512-0
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
value[x]	Σ	0..1	Quantity	Actual component result
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	Σ	0..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unit representation
system	ΣC	0..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	Σ	0..1	code	Coded form of the unit Fixed Value: h
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Observation.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Observation.status	required	ObservationStatus
Observation.category	preferred	ObservationCategoryCodes
Observation.code	example	LOINCCodes (a valid code from LOINC)
Observation.value[x]:valueCodeableConcept.coding:occupationCDCCensus2010	required	PHVS_Occupation_CDC_Census2010
Observation.value[x]:valueCodeableConcept.coding:occupationONETSOCDetailODH	required	PHVS_Occupation_ONETSOC_Detail_ODH
Observation.value[x]:valueCodeableConcept.coding:occupationCDCCensus2018	required	PHVS_Occupation_CDC_Census2018
Observation.dataAbsentReason	extensible	DataAbsentReason
Observation.referenceRange.type	extensible	ObservationReferenceRangeMeaningCodes
Observation.referenceRange.appliesTo	extensible	ObservationReferenceRangeAppliesToCodes
Observation.component.code	example	LOINCCodes (a valid code from LOINC)
Observation.component.dataAbsentReason	extensible	DataAbsentReason
Observation.component.interpretation	extensible	ObservationInterpretationCodes
Observation.component:odh-PastOrPresentIndustry.code	example	LOINCCodes (a valid code from LOINC)
Observation.component:odh-PastOrPresentIndustry.value[x].coding:industryCDCCensus2010	required	PHVS_Industry_CDC_Census2010
Observation.component:odh-PastOrPresentIndustry.value[x].coding:industryONETSOCDetailODH	required	PHVS_Industry_NAICS_Detail _ODH
Observation.component:odh-PastOrPresentIndustry.value[x].coding:industryCDCCensus2018	required	PHVS_Industry_CDC_Census2018
Observation.component:odh-PastOrPresentIndustry.dataAbsentReason	extensible	DataAbsentReason
Observation.component:odh-PastOrPresentIndustry.referenceRange.type	extensible	ObservationReferenceRangeMeaningCodes
Observation.component:odh-PastOrPresentIndustry.referenceRange.appliesTo	extensible	ObservationReferenceRangeAppliesToCodes
Observation.component:odh-WorkClassification.code	example	LOINCCodes (a valid code from LOINC)
Observation.component:odh-WorkClassification.value[x]	required	WorkClassificationODH
Observation.component:odh-WorkClassification.dataAbsentReason	extensible	DataAbsentReason
Observation.component:odh-WorkClassification.referenceRange.type	extensible	ObservationReferenceRangeMeaningCodes
Observation.component:odh-WorkClassification.referenceRange.appliesTo	extensible	ObservationReferenceRangeAppliesToCodes
Observation.component:odh-SupervisoryLevel.code	example	LOINCCodes (a valid code from LOINC)
Observation.component:odh-SupervisoryLevel.value[x]	required	PHVS_JobSupervisoryLevelorPayGrade_ODH
Observation.component:odh-SupervisoryLevel.dataAbsentReason	extensible	DataAbsentReason
Observation.component:odh-SupervisoryLevel.referenceRange.type	extensible	ObservationReferenceRangeMeaningCodes
Observation.component:odh-SupervisoryLevel.referenceRange.appliesTo	extensible	ObservationReferenceRangeAppliesToCodes
Observation.component:odh-JobDuty.code	example	LOINCCodes (a valid code from LOINC)
Observation.component:odh-JobDuty.dataAbsentReason	extensible	DataAbsentReason
Observation.component:odh-JobDuty.referenceRange.type	extensible	ObservationReferenceRangeMeaningCodes
Observation.component:odh-JobDuty.referenceRange.appliesTo	extensible	ObservationReferenceRangeAppliesToCodes
Observation.component:odh-OccupationalHazard.code	example	LOINCCodes (a valid code from LOINC)
Observation.component:odh-OccupationalHazard.dataAbsentReason	extensible	DataAbsentReason
Observation.component:odh-OccupationalHazard.referenceRange.type	extensible	ObservationReferenceRangeMeaningCodes
Observation.component:odh-OccupationalHazard.referenceRange.appliesTo	extensible	ObservationReferenceRangeAppliesToCodes
Observation.component:odh-WorkSchedule.code	example	LOINCCodes (a valid code from LOINC)
Observation.component:odh-WorkSchedule.value[x]	required	WorkScheduleODH
Observation.component:odh-WorkSchedule.dataAbsentReason	extensible	DataAbsentReason
Observation.component:odh-WorkSchedule.referenceRange.type	extensible	ObservationReferenceRangeMeaningCodes
Observation.component:odh-WorkSchedule.referenceRange.appliesTo	extensible	ObservationReferenceRangeAppliesToCodes
Observation.component:odh-WeeklyWorkDays.code	example	LOINCCodes (a valid code from LOINC)
Observation.component:odh-WeeklyWorkDays.value[x].comparator	required	QuantityComparator
Observation.component:odh-WeeklyWorkDays.dataAbsentReason	extensible	DataAbsentReason
Observation.component:odh-WeeklyWorkDays.referenceRange.type	extensible	ObservationReferenceRangeMeaningCodes
Observation.component:odh-WeeklyWorkDays.referenceRange.appliesTo	extensible	ObservationReferenceRangeAppliesToCodes
Observation.component:odh-DailyWorkHours.code	example	LOINCCodes (a valid code from LOINC)
Observation.component:odh-DailyWorkHours.value[x].comparator	required	QuantityComparator
Observation.component:odh-DailyWorkHours.dataAbsentReason	extensible	DataAbsentReason
Observation.component:odh-DailyWorkHours.referenceRange.type	extensible	ObservationReferenceRangeMeaningCodes
Observation.component:odh-DailyWorkHours.referenceRange.appliesTo	extensible	ObservationReferenceRangeAppliesToCodes

Constraints

Id	Grade	Path(s)	Details	Requirements
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from Observation

Summary

Mandatory: 6 elements (36 nested mandatory elements)
Fixed Value: 24 elements
Prohibited: 24 elements

Structures

This structure refers to these other structures:

• US Core Patient Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/us/odh/StructureDefinition/odh-Employer-extension
• http://hl7.org/fhir/us/odh/StructureDefinition/odh-isCurrentJob-extension

Slices

This structure defines the following Slices:

• The element Observation.category.coding is sliced based on the value of value:code
• The element Observation.code.coding is sliced based on the value of value:code
• The element Observation.valueCodeableConcept.coding is sliced based on the value of pattern:$this
• The element Observation.component is sliced based on the value of value:code.coding.code
• The element Observation.component.code.coding is sliced based on the value of value:code
• The element Observation.component.valueCodeableConcept.coding is sliced based on the value of pattern:$this