HL7.FHIR.US.ODH\Usual Work

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

Resource Profile: Usual Work

Official URL: http://hl7.org/fhir/us/odh/StructureDefinition/odh-UsualWork				Version: 1.3.0
Active as of 2020-01-04				Computable Name: UsualWork
Copyright/Legal: ©2020+ HL7 International Public Health Work Group. Package hl7.fhir.us.odh#1.0.0 based on FHIR 4.0.1. Generated 2020-01-08. Links: Home \| QA Report \| Search \| Version History external \| CC0 external \| Propose a change external

A Usual Occupation Observation is a clinical statement about the type of work (paid or unpaid) done by a person for the longest amount of time during his or her life, not including voluntary work. It includes a set of self-reported, related components about the work a person performed for the longest amount of time during his or her life, regardless of the person’s current job and regardless of whether or not the person performed this work for a continuous time. It also can be used in a minor’s record for the Usual Work of people who share a home with the person (see optional related subject). Usual Work supports recognition of new and known chronic conditions which evolve over many years and may become evident after the person is no longer performing that type of work, e.g., some respiratory conditions and cancers. These data also are used by public health entities and medical researchers to investigate the relationship between conditions and exposures at work and illnesses, causes of death, or cancer.

Observations are a key aspect of healthcare. This resource is used to capture those that do not require more sophisticated mechanisms.

Usage:

Refer to this Resource Profile: Occupational Data For Health
Examples for this Resource Profile: Observation/observation-odh-usual-work-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	Usual Work
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_21843-8	Σ	1..1	Coding	History of Usual 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: 21843-8
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		0..1	Period	The period.start asserts when the usual occupation began. NOTE: If the period.start element is missing, the start of the usual occupation is not known. The period.end asserts when the usual occupation ended. If usual occupation is current, period.end should be omitted.
performer		0..*	Reference(Practitioner \| Organization \| US Core Patient Profile \| RelatedPerson)	Who is responsible for the observation
valueCodeableConcept		0..1	CodeableConcept	Express the usual occupation using a coded value. If no coded value is available, use text. If the usual 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 usual 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		1..*	BackboneElement	Component results Slice: Unordered, Open by value:code
component:odh-UsualIndustry		1..1	BackboneElement	UsualIndustry: The industry (type of business) in which the subject has worked for the longest duration while in the usual occupation. Express the usual industry using a coded value. If no coded value is available, use text. If the usual industry is not available, explain using dataAbsentReason.
code		1..1	CodeableConcept	History of Usual industry Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
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: 21844-6
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 usual industry.
dataAbsentReason		0..1	CodeableConcept	The reason that there is no value available for the Industry.
interpretation		0..0
referenceRange		0..0
component:odh-UsualOccupationDuration		0..1	BackboneElement	UsualOccupationDuration: The total of all periods of time (in years) the subject has spent in their Usual Occupation, not including intermittent period(s) when they were not working in that occupation (type of work).
code		1..1	CodeableConcept	Usual occupation duration Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
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: 74163-7
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: a
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-UsualIndustry.valueCodeableConcept.coding:industryCDCCensus2010	required	PHVS_Industry_CDC_Census2010
Observation.component:odh-UsualIndustry.valueCodeableConcept.coding:industryONETSOCDetailODH	required	PHVS_Industry_NAICS_Detail _ODH
Observation.component:odh-UsualIndustry.valueCodeableConcept.coding:industryCDCCensus2018	required	PHVS_Industry_CDC_Census2018
Observation.component:odh-UsualIndustry.referenceRange.type	extensible	ObservationReferenceRangeMeaningCodes
Observation.component:odh-UsualIndustry.referenceRange.appliesTo	extensible	ObservationReferenceRangeAppliesToCodes
Observation.component:odh-UsualOccupationDuration.referenceRange.type	extensible	ObservationReferenceRangeMeaningCodes
Observation.component:odh-UsualOccupationDuration.referenceRange.appliesTo	extensible	ObservationReferenceRangeAppliesToCodes

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	Observation	Usual Work
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
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_21843-8	Σ	1..1	Coding	History of Usual 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: 21843-8
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	0..1		Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this
effectiveDateTime			dateTime
effectivePeriod			Period
effectiveTiming			Timing
effectiveInstant			instant
effective[x]:effectivePeriod	Σ	0..1	Period	The period.start asserts when the usual occupation began. NOTE: If the period.start element is missing, the start of the usual occupation is not known. The period.end asserts when the usual occupation ended. If usual occupation is current, period.end should be omitted.
performer	Σ	0..*	Reference(Practitioner \| Organization \| US Core Patient Profile \| RelatedPerson)	Who is responsible for the observation
Slices for value[x]	ΣC	0..1		Actual result Slice: Unordered, Open by type:$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 usual occupation using a coded value. If no coded value is available, use text. If the usual 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	1..*	BackboneElement	Component results Slice: Unordered, Open by value: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.
component:odh-UsualIndustry	Σ	1..1	BackboneElement	UsualIndustry: The industry (type of business) in which the subject has worked for the longest duration while in the usual occupation. Express the usual industry using a coded value. If no coded value is available, use text. If the usual industry is not available, explain using dataAbsentReason.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	History of Usual industry Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
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: 21844-6
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-UsualOccupationDuration	Σ	0..1	BackboneElement	UsualOccupationDuration: The total of all periods of time (in years) the subject has spent in their Usual Occupation, not including intermittent period(s) when they were not working in that occupation (type of work).
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Usual occupation duration Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
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: 74163-7
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
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-UsualIndustry.code	example	Pattern: LOINC code 21844-6
Observation.component:odh-UsualIndustry.dataAbsentReason	extensible	DataAbsentReason
Observation.component:odh-UsualIndustry.referenceRange.type	extensible	ObservationReferenceRangeMeaningCodes
Observation.component:odh-UsualIndustry.referenceRange.appliesTo	extensible	ObservationReferenceRangeAppliesToCodes
Observation.component:odh-UsualOccupationDuration.code	example	Pattern: LOINC code 74163-7
Observation.component:odh-UsualOccupationDuration.referenceRange.type	extensible	ObservationReferenceRangeMeaningCodes
Observation.component:odh-UsualOccupationDuration.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()