Vital Records Death Reporting (VRDR) FHIR Implementation Guide
3.0.0 - STU3 United States of America flag

Vital Records Death Reporting (VRDR) FHIR Implementation Guide, published by HL7 International / Public Health. This guide is not an authorized publication; it is the continuous build for version 3.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/vrdr/ and changes regularly. See the Directory of published versions

Resource Profile: Decedent Usual Work

Official URL: http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-decedent-usual-work Version: 3.0.0
Standards status: Draft Computable Name: DecedentUsualWork
Other Identifiers: OID:2.16.840.1.113883.4.642.40.10.42.32

Used to send text-string industry and occupation information from Jurisdictions to NCHS, and coded versions from NCHS to Jurisdictions.

IJE Mapping

Mortality (Decedent)
Use Case # Description IJE Name Field Type Value Set/Comments
Mortality 84 Occupation -- Literal OCCUP value.text string(40) -
Mortality 86 Industry -- Literal INDUST component [odh-UsualIndustry ].value.text string(40) -
Mortality 94 Occupation -- 4 digit Code OCCUPC4 valueCodeableConcept.coding[occupationCDCCensus2018] codeable PHVS_Occupation_CDC_Census2018VS
Mortality 94 Occupation -- 2018 Standard Occupational Classification (SOC) *NO IJE MAPPING* valueCodeableConcept.coding[occupationCDCSOC2018] codeable PHVS_Occupation_CDC_SOC2018
Mortality 95 Industry -- 4 digit Code INDUSTC4 component[odh-UsualIndustry].valueCodeableConcept.coding[industryCDCCensus2018] codeable PHVS_Industry_CDC_Census2018VS
Mortality 95 Industry -- North American Industry Classification System (NAICS) *NO IJE MAPPING* component[odh-UsualIndustry].valueCodeableConcept.coding[industryCDCNAICS2017] codeable PHVS_Industry_CDC_NAICS2017

Usages:

You can also check for usages in the FHIR IG Statistics

Changes since version true:

  • New Content

    • Formal Views of Profile Content

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

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Observation C 0..* UsualWork Usual Work
    Constraints: obs-6, obs-7
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ... status ?!Σ 1..1 code registered | preliminary | final | amended +
    Binding: ObservationStatus (required): Codes providing the status of an observation.
    .... 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(Patient - Vital Records) The subject of an observation
    ... Slices for effective[x] Σ 0..1 Clinically relevant time/time-period for observation
    Slice: Unordered, Open by type:$this
    .... effectiveDateTime dateTime
    .... effectivePeriod Period
    .... effectiveTiming Timing
    .... effectiveInstant instant
    .... effective[x]:effectivePeriod Σ 0..1 Period The period.start asserts when the usual occupation began. NOTE: If the period.start element is missing, the start of the usual occupation is not known. The period.end asserts when the usual occupation ended. If usual occupation is current, period.end should be omitted.
    ... Slices for value[x] ΣC 0..1 CodeableConcept Actual result
    Slice: Unordered, Closed by type:$this
    .... 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 Code
    Binding: Occupation CDC Census 2018 (required): Occupation CDC Census 2018
    ...... coding:occupationCDCSOC2018 Σ 0..1 Coding 2018 Standard Occupational Classification (SOC)
    Binding: Occupation CDC SOC 2018 (required)
    ..... text Σ 0..1 string Occupation - Literal
    ... 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
    ...... id 0..1 string Unique id for inter-element referencing
    ...... extension 0..* Extension Additional content defined by implementations
    ...... coding 1..* Coding Code defined by a terminology system
    Fixed Value: (Complex)
    ....... id 0..1 string Unique id for inter-element referencing
    ....... extension 0..* Extension Additional content defined by implementations
    ....... system 1..1 uri Identity of the terminology system
    Fixed Value: http://loinc.org
    ....... version 0..1 string Version of the system - if relevant
    ....... code 1..1 code Symbol in syntax defined by the system
    Fixed Value: 21844-6
    ....... display 0..1 string Representation defined by the system
    ....... userSelected 0..1 boolean If this coding was chosen directly by the user
    ...... text 0..1 string Plain text representation of the concept
    .... 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
    ...... id 0..1 string Unique id for inter-element referencing
    ...... extension 0..* Extension Additional content defined by implementations
    ...... coding 1..* Coding Code defined by a terminology system
    Fixed Value: (Complex)
    ....... id 0..1 string Unique id for inter-element referencing
    ....... extension 0..* Extension Additional content defined by implementations
    ....... system 1..1 uri Identity of the terminology system
    Fixed Value: http://loinc.org
    ....... version 0..1 string Version of the system - if relevant
    ....... code 1..1 code Symbol in syntax defined by the system
    Fixed Value: 74163-7
    ....... display 0..1 string Representation defined by the system
    ....... userSelected 0..1 boolean If this coding was chosen directly by the user
    ...... text 0..1 string Plain text representation of the concept

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSet / CodeURI
    Observation.statusrequiredObservationStatus
    http://hl7.org/fhir/ValueSet/observation-status|4.0.1
    From the FHIR Standard
    Observation.categorypreferredObservationCategoryCodes
    http://hl7.org/fhir/ValueSet/observation-category
    From the FHIR Standard
    Observation.codeexampleLOINCCodes(a valid code from LOINC)
    http://hl7.org/fhir/ValueSet/observation-codes
    From the FHIR Standard
    Observation.value[x]:valueCodeableConcept.coding:occupationCDCCensus2010requiredPHVS_Occupation_CDC_Census2010
    http://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.114222.4.11.7186
    Observation.value[x]:valueCodeableConcept.coding:occupationONETSOCDetailODHrequiredPHVS_Occupation_ONETSOC_Detail_ODH
    http://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.114222.4.11.7901
    Observation.value[x]:valueCodeableConcept.coding:occupationCDCCensus2018requiredPHVS_Occupation_CDC_Census2018
    http://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.114222.4.11.8065
    Observation.value[x]:valueCodeableConcept.coding:occupationCDCSOC2018requiredPHVS_Occupation_CDC_SOC2018
    http://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.114222.4.11.8068
    Observation.component.codeexampleLOINCCodes(a valid code from LOINC)
    http://hl7.org/fhir/ValueSet/observation-codes
    From the FHIR Standard
    Observation.component:odh-UsualIndustry.codeexamplePattern Value: LOINC Code 21844-6
    http://hl7.org/fhir/ValueSet/observation-codes
    From the FHIR Standard
    Observation.component:odh-UsualOccupationDuration.codeexamplePattern Value: LOINC Code 74163-7
    http://hl7.org/fhir/ValueSet/observation-codes
    From the FHIR Standard
    Observation.component:odh-UsualOccupationDuration.referenceRange.appliesToextensibleObservationReferenceRangeAppliesToCodes
    http://hl7.org/fhir/ValueSet/referencerange-appliesto
    From the FHIR Standard

    Constraints

    IdGradePath(s)DetailsRequirements
    dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
    : contained.contained.empty()
    dom-3errorObservationIf 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-4errorObservationIf 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-5errorObservationIf a resource is contained in another resource, it SHALL NOT have a security label
    : contained.meta.security.empty()
    dom-6best practiceObservationA resource should have narrative for robust management
    : text.`div`.exists()
    ele-1error**ALL** elementsAll FHIR elements must have a @value or children
    : hasValue() or (children().count() > id.count())
    ext-1error**ALL** extensionsMust have either extensions or value[x], not both
    : extension.exists() != value.exists()
    obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
    : dataAbsentReason.empty() or value.empty()
    obs-7errorObservationIf 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()

    This structure is derived from UsualWork

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Observation UsualWork
    ... subject 1..1 Reference(Patient - Vital Records) The subject of an observation
    ... Slices for value[x] Content/Rules for all slices
    .... value[x]: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 Content/Rules for all slices
    ...... coding:occupationCDCCensus2018 0..1 Coding Occupation Code
    ...... coding:occupationCDCSOC2018 0..1 Coding 2018 Standard Occupational Classification (SOC)
    Binding: Occupation CDC SOC 2018 (required)
    ..... text 0..1 string Occupation - Literal
    ... Slices for component Content/Rules for all slices
    .... 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.
    ..... value[x]
    ...... Slices for coding Content/Rules for all slices
    ....... coding:industryCDCCensus2018 0..1 Coding Industry Code
    ....... coding:industryCDCNAICS2017 0..1 Coding North American Industry Classification System (NAICS)
    Binding: Industry CDC NAICS 2017 (required)
    ...... text 0..1 string Industry - Literal

    doco Documentation for this format

    Terminology Bindings (Differential)

    PathConformanceValueSetURI
    Observation.value[x]:valueCodeableConcept.coding:occupationCDCSOC2018requiredPHVS_Occupation_CDC_SOC2018
    http://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.114222.4.11.8068
    Observation.component:odh-UsualIndustry.value[x].coding:industryCDCNAICS2017requiredPHVS_Industry_CDC_NAICS2017
    http://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.114222.4.11.8067
    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Observation C 0..* UsualWork Usual Work
    Constraints: obs-6, obs-7
    ... 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
    ... text 0..1 Narrative Text summary of the resource, for human interpretation
    This profile does not constrain the narrative in regard to content, language, or traceability to data elements
    ... contained 0..* Resource Contained, inline Resources
    ... extension 0..* Extension Additional content defined by implementations
    ... 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_21843-8 Σ 1..1 Coding History of Usual 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: 21843-8
    ...... 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
    ... subject Σ 1..1 Reference(Patient - Vital Records) 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 0..1 Clinically relevant time/time-period for observation
    Slice: Unordered, Open by type:$this
    .... effectiveDateTime dateTime
    .... effectivePeriod Period
    .... effectiveTiming Timing
    .... effectiveInstant instant
    .... effective[x]:effectivePeriod Σ 0..1 Period The period.start asserts when the usual occupation began. NOTE: If the period.start element is missing, the start of the usual occupation is not known. The period.end asserts when the usual occupation ended. If usual occupation is current, period.end should be omitted.
    ... issued Σ 0..1 instant Date/Time this version was made available
    ... performer Σ 0..* Reference(Practitioner | Organization | US Core Patient Profile | RelatedPerson) Who is responsible for the observation
    ... Slices for value[x] ΣC 0..1 CodeableConcept Actual result
    Slice: Unordered, Closed by type:$this
    .... 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.
    ..... 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 Code
    Binding: Occupation CDC Census 2018 (required): Occupation CDC Census 2018
    ...... coding:occupationCDCSOC2018 Σ 0..1 Coding 2018 Standard Occupational Classification (SOC)
    Binding: Occupation CDC SOC 2018 (required)
    ..... text Σ 0..1 string Occupation - Literal
    ... 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 1..* BackboneElement Component results
    Slice: Unordered, Open by value: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
    ...... valueBoolean boolean
    ...... valueInteger integer
    ...... 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.
    ..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
    .... 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.
    ..... 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 History of Usual industry
    Binding: LOINCCodes (example): Codes identifying names of simple observations.
    Required Pattern: At least the following
    ...... id 0..1 string Unique id for inter-element referencing
    ...... extension 0..* Extension Additional content defined by implementations
    ...... coding 1..* Coding Code defined by a terminology system
    Fixed Value: (Complex)
    ....... id 0..1 string Unique id for inter-element referencing
    ....... extension 0..* Extension Additional content defined by implementations
    ....... system 1..1 uri Identity of the terminology system
    Fixed Value: http://loinc.org
    ....... version 0..1 string Version of the system - if relevant
    ....... code 1..1 code Symbol in syntax defined by the system
    Fixed Value: 21844-6
    ....... display 0..1 string Representation defined by the system
    ....... userSelected 0..1 boolean If this coding was chosen directly by the user
    ...... text 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 Code
    Binding: Industry CDC Census 2018 (required): Industry CDC Census 2018
    ....... coding:industryCDCNAICS2017 Σ 0..1 Coding North American Industry Classification System (NAICS)
    Binding: Industry CDC NAICS 2017 (required)
    ...... text Σ 0..1 string Industry - Literal
    ..... 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).
    ..... 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 Usual occupation duration
    Binding: LOINCCodes (example): Codes identifying names of simple observations.
    Required Pattern: At least the following
    ...... id 0..1 string Unique id for inter-element referencing
    ...... extension 0..* Extension Additional content defined by implementations
    ...... coding 1..* Coding Code defined by a terminology system
    Fixed Value: (Complex)
    ....... id 0..1 string Unique id for inter-element referencing
    ....... extension 0..* Extension Additional content defined by implementations
    ....... system 1..1 uri Identity of the terminology system
    Fixed Value: http://loinc.org
    ....... version 0..1 string Version of the system - if relevant
    ....... code 1..1 code Symbol in syntax defined by the system
    Fixed Value: 74163-7
    ....... display 0..1 string Representation defined by the system
    ....... userSelected 0..1 boolean If this coding was chosen directly by the user
    ...... text 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: a
    ..... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
    Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSet / CodeURI
    Observation.languagepreferredCommonLanguages
    http://hl7.org/fhir/ValueSet/languages
    From the FHIR Standard
    Additional Bindings Purpose
    AllLanguages Max Binding
    Observation.statusrequiredObservationStatus
    http://hl7.org/fhir/ValueSet/observation-status|4.0.1
    From the FHIR Standard
    Observation.categorypreferredObservationCategoryCodes
    http://hl7.org/fhir/ValueSet/observation-category
    From the FHIR Standard
    Observation.codeexampleLOINCCodes(a valid code from LOINC)
    http://hl7.org/fhir/ValueSet/observation-codes
    From the FHIR Standard
    Observation.value[x]:valueCodeableConcept.coding:occupationCDCCensus2010requiredPHVS_Occupation_CDC_Census2010
    http://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.114222.4.11.7186
    Observation.value[x]:valueCodeableConcept.coding:occupationONETSOCDetailODHrequiredPHVS_Occupation_ONETSOC_Detail_ODH
    http://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.114222.4.11.7901
    Observation.value[x]:valueCodeableConcept.coding:occupationCDCCensus2018requiredPHVS_Occupation_CDC_Census2018
    http://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.114222.4.11.8065
    Observation.value[x]:valueCodeableConcept.coding:occupationCDCSOC2018requiredPHVS_Occupation_CDC_SOC2018
    http://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.114222.4.11.8068
    Observation.dataAbsentReasonextensibleDataAbsentReason
    http://hl7.org/fhir/ValueSet/data-absent-reason
    From the FHIR Standard
    Observation.referenceRange.typeextensibleObservationReferenceRangeMeaningCodes
    http://hl7.org/fhir/ValueSet/referencerange-meaning
    From the FHIR Standard
    Observation.referenceRange.appliesToextensibleObservationReferenceRangeAppliesToCodes
    http://hl7.org/fhir/ValueSet/referencerange-appliesto
    From the FHIR Standard
    Observation.component.codeexampleLOINCCodes(a valid code from LOINC)
    http://hl7.org/fhir/ValueSet/observation-codes
    From the FHIR Standard
    Observation.component.dataAbsentReasonextensibleDataAbsentReason
    http://hl7.org/fhir/ValueSet/data-absent-reason
    From the FHIR Standard
    Observation.component.interpretationextensibleObservationInterpretationCodes
    http://hl7.org/fhir/ValueSet/observation-interpretation
    From the FHIR Standard
    Observation.component:odh-UsualIndustry.codeexamplePattern Value: LOINC Code 21844-6
    http://hl7.org/fhir/ValueSet/observation-codes
    From the FHIR Standard
    Observation.component:odh-UsualIndustry.value[x].coding:industryCDCCensus2010requiredPHVS_Industry_CDC_Census2010
    http://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.114222.4.11.7187
    Observation.component:odh-UsualIndustry.value[x].coding:industryONETSOCDetailODHrequiredPHVS_Industry_NAICS_Detail _ODH
    http://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.114222.4.11.7900
    Observation.component:odh-UsualIndustry.value[x].coding:industryCDCCensus2018requiredPHVS_Industry_CDC_Census2018
    http://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.114222.4.11.8066
    Observation.component:odh-UsualIndustry.value[x].coding:industryCDCNAICS2017requiredPHVS_Industry_CDC_NAICS2017
    http://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.114222.4.11.8067
    Observation.component:odh-UsualIndustry.dataAbsentReasonextensibleDataAbsentReason
    http://hl7.org/fhir/ValueSet/data-absent-reason
    From the FHIR Standard
    Observation.component:odh-UsualIndustry.referenceRange.typeextensibleObservationReferenceRangeMeaningCodes
    http://hl7.org/fhir/ValueSet/referencerange-meaning
    From the FHIR Standard
    Observation.component:odh-UsualIndustry.referenceRange.appliesToextensibleObservationReferenceRangeAppliesToCodes
    http://hl7.org/fhir/ValueSet/referencerange-appliesto
    From the FHIR Standard
    Observation.component:odh-UsualOccupationDuration.codeexamplePattern Value: LOINC Code 74163-7
    http://hl7.org/fhir/ValueSet/observation-codes
    From the FHIR Standard
    Observation.component:odh-UsualOccupationDuration.value[x].comparatorrequiredQuantityComparator
    http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
    From the FHIR Standard
    Observation.component:odh-UsualOccupationDuration.dataAbsentReasonextensibleDataAbsentReason
    http://hl7.org/fhir/ValueSet/data-absent-reason
    From the FHIR Standard
    Observation.component:odh-UsualOccupationDuration.referenceRange.typeextensibleObservationReferenceRangeMeaningCodes
    http://hl7.org/fhir/ValueSet/referencerange-meaning
    From the FHIR Standard
    Observation.component:odh-UsualOccupationDuration.referenceRange.appliesToextensibleObservationReferenceRangeAppliesToCodes
    http://hl7.org/fhir/ValueSet/referencerange-appliesto
    From the FHIR Standard

    Constraints

    IdGradePath(s)DetailsRequirements
    dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
    : contained.contained.empty()
    dom-3errorObservationIf 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-4errorObservationIf 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-5errorObservationIf a resource is contained in another resource, it SHALL NOT have a security label
    : contained.meta.security.empty()
    dom-6best practiceObservationA resource should have narrative for robust management
    : text.`div`.exists()
    ele-1error**ALL** elementsAll FHIR elements must have a @value or children
    : hasValue() or (children().count() > id.count())
    ext-1error**ALL** extensionsMust have either extensions or value[x], not both
    : extension.exists() != value.exists()
    obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
    : dataAbsentReason.empty() or value.empty()
    obs-7errorObservationIf 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()

    This structure is derived from UsualWork

    Summary

    Structures

    This structure refers to these other structures:

    Key Elements View

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Observation C 0..* UsualWork Usual Work
    Constraints: obs-6, obs-7
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ... status ?!Σ 1..1 code registered | preliminary | final | amended +
    Binding: ObservationStatus (required): Codes providing the status of an observation.
    .... 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(Patient - Vital Records) The subject of an observation
    ... Slices for effective[x] Σ 0..1 Clinically relevant time/time-period for observation
    Slice: Unordered, Open by type:$this
    .... effectiveDateTime dateTime
    .... effectivePeriod Period
    .... effectiveTiming Timing
    .... effectiveInstant instant
    .... effective[x]:effectivePeriod Σ 0..1 Period The period.start asserts when the usual occupation began. NOTE: If the period.start element is missing, the start of the usual occupation is not known. The period.end asserts when the usual occupation ended. If usual occupation is current, period.end should be omitted.
    ... Slices for value[x] ΣC 0..1 CodeableConcept Actual result
    Slice: Unordered, Closed by type:$this
    .... 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 Code
    Binding: Occupation CDC Census 2018 (required): Occupation CDC Census 2018
    ...... coding:occupationCDCSOC2018 Σ 0..1 Coding 2018 Standard Occupational Classification (SOC)
    Binding: Occupation CDC SOC 2018 (required)
    ..... text Σ 0..1 string Occupation - Literal
    ... 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
    ...... id 0..1 string Unique id for inter-element referencing
    ...... extension 0..* Extension Additional content defined by implementations
    ...... coding 1..* Coding Code defined by a terminology system
    Fixed Value: (Complex)
    ....... id 0..1 string Unique id for inter-element referencing
    ....... extension 0..* Extension Additional content defined by implementations
    ....... system 1..1 uri Identity of the terminology system
    Fixed Value: http://loinc.org
    ....... version 0..1 string Version of the system - if relevant
    ....... code 1..1 code Symbol in syntax defined by the system
    Fixed Value: 21844-6
    ....... display 0..1 string Representation defined by the system
    ....... userSelected 0..1 boolean If this coding was chosen directly by the user
    ...... text 0..1 string Plain text representation of the concept
    .... 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
    ...... id 0..1 string Unique id for inter-element referencing
    ...... extension 0..* Extension Additional content defined by implementations
    ...... coding 1..* Coding Code defined by a terminology system
    Fixed Value: (Complex)
    ....... id 0..1 string Unique id for inter-element referencing
    ....... extension 0..* Extension Additional content defined by implementations
    ....... system 1..1 uri Identity of the terminology system
    Fixed Value: http://loinc.org
    ....... version 0..1 string Version of the system - if relevant
    ....... code 1..1 code Symbol in syntax defined by the system
    Fixed Value: 74163-7
    ....... display 0..1 string Representation defined by the system
    ....... userSelected 0..1 boolean If this coding was chosen directly by the user
    ...... text 0..1 string Plain text representation of the concept

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSet / CodeURI
    Observation.statusrequiredObservationStatus
    http://hl7.org/fhir/ValueSet/observation-status|4.0.1
    From the FHIR Standard
    Observation.categorypreferredObservationCategoryCodes
    http://hl7.org/fhir/ValueSet/observation-category
    From the FHIR Standard
    Observation.codeexampleLOINCCodes(a valid code from LOINC)
    http://hl7.org/fhir/ValueSet/observation-codes
    From the FHIR Standard
    Observation.value[x]:valueCodeableConcept.coding:occupationCDCCensus2010requiredPHVS_Occupation_CDC_Census2010
    http://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.114222.4.11.7186
    Observation.value[x]:valueCodeableConcept.coding:occupationONETSOCDetailODHrequiredPHVS_Occupation_ONETSOC_Detail_ODH
    http://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.114222.4.11.7901
    Observation.value[x]:valueCodeableConcept.coding:occupationCDCCensus2018requiredPHVS_Occupation_CDC_Census2018
    http://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.114222.4.11.8065
    Observation.value[x]:valueCodeableConcept.coding:occupationCDCSOC2018requiredPHVS_Occupation_CDC_SOC2018
    http://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.114222.4.11.8068
    Observation.component.codeexampleLOINCCodes(a valid code from LOINC)
    http://hl7.org/fhir/ValueSet/observation-codes
    From the FHIR Standard
    Observation.component:odh-UsualIndustry.codeexamplePattern Value: LOINC Code 21844-6
    http://hl7.org/fhir/ValueSet/observation-codes
    From the FHIR Standard
    Observation.component:odh-UsualOccupationDuration.codeexamplePattern Value: LOINC Code 74163-7
    http://hl7.org/fhir/ValueSet/observation-codes
    From the FHIR Standard
    Observation.component:odh-UsualOccupationDuration.referenceRange.appliesToextensibleObservationReferenceRangeAppliesToCodes
    http://hl7.org/fhir/ValueSet/referencerange-appliesto
    From the FHIR Standard

    Constraints

    IdGradePath(s)DetailsRequirements
    dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
    : contained.contained.empty()
    dom-3errorObservationIf 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-4errorObservationIf 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-5errorObservationIf a resource is contained in another resource, it SHALL NOT have a security label
    : contained.meta.security.empty()
    dom-6best practiceObservationA resource should have narrative for robust management
    : text.`div`.exists()
    ele-1error**ALL** elementsAll FHIR elements must have a @value or children
    : hasValue() or (children().count() > id.count())
    ext-1error**ALL** extensionsMust have either extensions or value[x], not both
    : extension.exists() != value.exists()
    obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
    : dataAbsentReason.empty() or value.empty()
    obs-7errorObservationIf 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()

    Differential View

    This structure is derived from UsualWork

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Observation UsualWork
    ... subject 1..1 Reference(Patient - Vital Records) The subject of an observation
    ... Slices for value[x] Content/Rules for all slices
    .... value[x]: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 Content/Rules for all slices
    ...... coding:occupationCDCCensus2018 0..1 Coding Occupation Code
    ...... coding:occupationCDCSOC2018 0..1 Coding 2018 Standard Occupational Classification (SOC)
    Binding: Occupation CDC SOC 2018 (required)
    ..... text 0..1 string Occupation - Literal
    ... Slices for component Content/Rules for all slices
    .... 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.
    ..... value[x]
    ...... Slices for coding Content/Rules for all slices
    ....... coding:industryCDCCensus2018 0..1 Coding Industry Code
    ....... coding:industryCDCNAICS2017 0..1 Coding North American Industry Classification System (NAICS)
    Binding: Industry CDC NAICS 2017 (required)
    ...... text 0..1 string Industry - Literal

    doco Documentation for this format

    Terminology Bindings (Differential)

    PathConformanceValueSetURI
    Observation.value[x]:valueCodeableConcept.coding:occupationCDCSOC2018requiredPHVS_Occupation_CDC_SOC2018
    http://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.114222.4.11.8068
    Observation.component:odh-UsualIndustry.value[x].coding:industryCDCNAICS2017requiredPHVS_Industry_CDC_NAICS2017
    http://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.114222.4.11.8067

    Snapshot View

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Observation C 0..* UsualWork Usual Work
    Constraints: obs-6, obs-7
    ... 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
    ... text 0..1 Narrative Text summary of the resource, for human interpretation
    This profile does not constrain the narrative in regard to content, language, or traceability to data elements
    ... contained 0..* Resource Contained, inline Resources
    ... extension 0..* Extension Additional content defined by implementations
    ... 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_21843-8 Σ 1..1 Coding History of Usual 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: 21843-8
    ...... 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
    ... subject Σ 1..1 Reference(Patient - Vital Records) 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 0..1 Clinically relevant time/time-period for observation
    Slice: Unordered, Open by type:$this
    .... effectiveDateTime dateTime
    .... effectivePeriod Period
    .... effectiveTiming Timing
    .... effectiveInstant instant
    .... effective[x]:effectivePeriod Σ 0..1 Period The period.start asserts when the usual occupation began. NOTE: If the period.start element is missing, the start of the usual occupation is not known. The period.end asserts when the usual occupation ended. If usual occupation is current, period.end should be omitted.
    ... issued Σ 0..1 instant Date/Time this version was made available
    ... performer Σ 0..* Reference(Practitioner | Organization | US Core Patient Profile | RelatedPerson) Who is responsible for the observation
    ... Slices for value[x] ΣC 0..1 CodeableConcept Actual result
    Slice: Unordered, Closed by type:$this
    .... 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.
    ..... 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 Code
    Binding: Occupation CDC Census 2018 (required): Occupation CDC Census 2018
    ...... coding:occupationCDCSOC2018 Σ 0..1 Coding 2018 Standard Occupational Classification (SOC)
    Binding: Occupation CDC SOC 2018 (required)
    ..... text Σ 0..1 string Occupation - Literal
    ... 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 1..* BackboneElement Component results
    Slice: Unordered, Open by value: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
    ...... valueBoolean boolean
    ...... valueInteger integer
    ...... 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.
    ..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
    .... 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.
    ..... 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 History of Usual industry
    Binding: LOINCCodes (example): Codes identifying names of simple observations.
    Required Pattern: At least the following
    ...... id 0..1 string Unique id for inter-element referencing
    ...... extension 0..* Extension Additional content defined by implementations
    ...... coding 1..* Coding Code defined by a terminology system
    Fixed Value: (Complex)
    ....... id 0..1 string Unique id for inter-element referencing
    ....... extension 0..* Extension Additional content defined by implementations
    ....... system 1..1 uri Identity of the terminology system
    Fixed Value: http://loinc.org
    ....... version 0..1 string Version of the system - if relevant
    ....... code 1..1 code Symbol in syntax defined by the system
    Fixed Value: 21844-6
    ....... display 0..1 string Representation defined by the system
    ....... userSelected 0..1 boolean If this coding was chosen directly by the user
    ...... text 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 Code
    Binding: Industry CDC Census 2018 (required): Industry CDC Census 2018
    ....... coding:industryCDCNAICS2017 Σ 0..1 Coding North American Industry Classification System (NAICS)
    Binding: Industry CDC NAICS 2017 (required)
    ...... text Σ 0..1 string Industry - Literal
    ..... 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).
    ..... 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 Usual occupation duration
    Binding: LOINCCodes (example): Codes identifying names of simple observations.
    Required Pattern: At least the following
    ...... id 0..1 string Unique id for inter-element referencing
    ...... extension 0..* Extension Additional content defined by implementations
    ...... coding 1..* Coding Code defined by a terminology system
    Fixed Value: (Complex)
    ....... id 0..1 string Unique id for inter-element referencing
    ....... extension 0..* Extension Additional content defined by implementations
    ....... system 1..1 uri Identity of the terminology system
    Fixed Value: http://loinc.org
    ....... version 0..1 string Version of the system - if relevant
    ....... code 1..1 code Symbol in syntax defined by the system
    Fixed Value: 74163-7
    ....... display 0..1 string Representation defined by the system
    ....... userSelected 0..1 boolean If this coding was chosen directly by the user
    ...... text 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: a
    ..... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
    Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSet / CodeURI
    Observation.languagepreferredCommonLanguages
    http://hl7.org/fhir/ValueSet/languages
    From the FHIR Standard
    Additional Bindings Purpose
    AllLanguages Max Binding
    Observation.statusrequiredObservationStatus
    http://hl7.org/fhir/ValueSet/observation-status|4.0.1
    From the FHIR Standard
    Observation.categorypreferredObservationCategoryCodes
    http://hl7.org/fhir/ValueSet/observation-category
    From the FHIR Standard
    Observation.codeexampleLOINCCodes(a valid code from LOINC)
    http://hl7.org/fhir/ValueSet/observation-codes
    From the FHIR Standard
    Observation.value[x]:valueCodeableConcept.coding:occupationCDCCensus2010requiredPHVS_Occupation_CDC_Census2010
    http://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.114222.4.11.7186
    Observation.value[x]:valueCodeableConcept.coding:occupationONETSOCDetailODHrequiredPHVS_Occupation_ONETSOC_Detail_ODH
    http://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.114222.4.11.7901
    Observation.value[x]:valueCodeableConcept.coding:occupationCDCCensus2018requiredPHVS_Occupation_CDC_Census2018
    http://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.114222.4.11.8065
    Observation.value[x]:valueCodeableConcept.coding:occupationCDCSOC2018requiredPHVS_Occupation_CDC_SOC2018
    http://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.114222.4.11.8068
    Observation.dataAbsentReasonextensibleDataAbsentReason
    http://hl7.org/fhir/ValueSet/data-absent-reason
    From the FHIR Standard
    Observation.referenceRange.typeextensibleObservationReferenceRangeMeaningCodes
    http://hl7.org/fhir/ValueSet/referencerange-meaning
    From the FHIR Standard
    Observation.referenceRange.appliesToextensibleObservationReferenceRangeAppliesToCodes
    http://hl7.org/fhir/ValueSet/referencerange-appliesto
    From the FHIR Standard
    Observation.component.codeexampleLOINCCodes(a valid code from LOINC)
    http://hl7.org/fhir/ValueSet/observation-codes
    From the FHIR Standard
    Observation.component.dataAbsentReasonextensibleDataAbsentReason
    http://hl7.org/fhir/ValueSet/data-absent-reason
    From the FHIR Standard
    Observation.component.interpretationextensibleObservationInterpretationCodes
    http://hl7.org/fhir/ValueSet/observation-interpretation
    From the FHIR Standard
    Observation.component:odh-UsualIndustry.codeexamplePattern Value: LOINC Code 21844-6
    http://hl7.org/fhir/ValueSet/observation-codes
    From the FHIR Standard
    Observation.component:odh-UsualIndustry.value[x].coding:industryCDCCensus2010requiredPHVS_Industry_CDC_Census2010
    http://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.114222.4.11.7187
    Observation.component:odh-UsualIndustry.value[x].coding:industryONETSOCDetailODHrequiredPHVS_Industry_NAICS_Detail _ODH
    http://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.114222.4.11.7900
    Observation.component:odh-UsualIndustry.value[x].coding:industryCDCCensus2018requiredPHVS_Industry_CDC_Census2018
    http://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.114222.4.11.8066
    Observation.component:odh-UsualIndustry.value[x].coding:industryCDCNAICS2017requiredPHVS_Industry_CDC_NAICS2017
    http://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.114222.4.11.8067
    Observation.component:odh-UsualIndustry.dataAbsentReasonextensibleDataAbsentReason
    http://hl7.org/fhir/ValueSet/data-absent-reason
    From the FHIR Standard
    Observation.component:odh-UsualIndustry.referenceRange.typeextensibleObservationReferenceRangeMeaningCodes
    http://hl7.org/fhir/ValueSet/referencerange-meaning
    From the FHIR Standard
    Observation.component:odh-UsualIndustry.referenceRange.appliesToextensibleObservationReferenceRangeAppliesToCodes
    http://hl7.org/fhir/ValueSet/referencerange-appliesto
    From the FHIR Standard
    Observation.component:odh-UsualOccupationDuration.codeexamplePattern Value: LOINC Code 74163-7
    http://hl7.org/fhir/ValueSet/observation-codes
    From the FHIR Standard
    Observation.component:odh-UsualOccupationDuration.value[x].comparatorrequiredQuantityComparator
    http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
    From the FHIR Standard
    Observation.component:odh-UsualOccupationDuration.dataAbsentReasonextensibleDataAbsentReason
    http://hl7.org/fhir/ValueSet/data-absent-reason
    From the FHIR Standard
    Observation.component:odh-UsualOccupationDuration.referenceRange.typeextensibleObservationReferenceRangeMeaningCodes
    http://hl7.org/fhir/ValueSet/referencerange-meaning
    From the FHIR Standard
    Observation.component:odh-UsualOccupationDuration.referenceRange.appliesToextensibleObservationReferenceRangeAppliesToCodes
    http://hl7.org/fhir/ValueSet/referencerange-appliesto
    From the FHIR Standard

    Constraints

    IdGradePath(s)DetailsRequirements
    dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
    : contained.contained.empty()
    dom-3errorObservationIf 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-4errorObservationIf 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-5errorObservationIf a resource is contained in another resource, it SHALL NOT have a security label
    : contained.meta.security.empty()
    dom-6best practiceObservationA resource should have narrative for robust management
    : text.`div`.exists()
    ele-1error**ALL** elementsAll FHIR elements must have a @value or children
    : hasValue() or (children().count() > id.count())
    ext-1error**ALL** extensionsMust have either extensions or value[x], not both
    : extension.exists() != value.exists()
    obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
    : dataAbsentReason.empty() or value.empty()
    obs-7errorObservationIf 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()

    This structure is derived from UsualWork

    Summary

    Structures

    This structure refers to these other structures:

     

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