Vital Records Common Library (VRCL) STU2-ballot
2.0.0 - trial-use United States of America flag

Vital Records Common Library (VRCL) STU2-ballot, published by HL7 International / Public Health. This guide is not an authorized publication; it is the continuous build for version 2.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/vr-common-library/ and changes regularly. See the Directory of published versions

Resource Profile: Observation - Usual Work

Official URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-usual-work-vr Version: 2.0.0
Active as of 2024-05-20 Computable Name: ObservationUsualWorkVitalRecords

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

Implementors are free to use the coded fields with the defined valuesets for inter-jurisdictional exchange,

but coded values are not expected for vital records submissions.

Note that the coded industry and occupation fields are bound to PHINVADs-hosted value sets.

For NCHS provided coded values the specific vocabulary used will depend on the death year.

IJE Mapping

Natality
Use Case # Description IJE Name Field Type Value Set/Comments
Natality 282 Occupation of Mother MOM_OC_T value.text,
extension[roleVitalRecords].value='MTH'
string(40)
Natality 284 Occupation of Father DAD_OC_T value.text,
extension[roleVitalRecords].value='FTH'
string(40)
Natality 286 Industry of Mother MOM_IN_T component [odh-UsualIndustry].value.text,
extension[roleVitalRecords].value='MTH'
string(40)
Natality 288 Industry of Father DAD_IN_T component [odh-UsualIndustry].value.text,
extension[roleVitalRecords].value='FTH'
string(40)

Fetal Death
Use Case # Description IJE Name Field Type Value Set/Comments
Fetal Death 269 Occupation of Mother MOM_OC_T value.text,
extension[roleVitalRecords].value='MTH'
string(40)
Fetal Death 271 Occupation of Father DAD_OC_T value.text,
extension[roleVitalRecords].value='FTH'
string(40)
Fetal Death 273 Industry of Mother MOM_IN_T component [odh-UsualIndustry].value.text,
extension[roleVitalRecords].value='MTH'
string(40)
Fetal Death 275 Industry of Father DAD_IN_T component [odh-UsualIndustry].value.text,
extension[roleVitalRecords].value='FTH'
string(40)

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 95 Industry -- 4 digit Code INDUSTC4 component[odh-UsualIndustry].valueCodeableConcept.coding[industryCDCCensus2018] codeable PHVS_Industry_CDC_Census2018VS

Usage:

Formal Views of Profile Content

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

This structure is derived from UsualWork

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..* UsualWork Usual Work
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... roleVitalRecords 0..1 (Complex) Vital Records Role (father,mother if present)
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-role-vr
..... value[x] 1..1 CodeableConcept Parent (MTH | FTH)
... subject 1..1 Reference(Patient - Vital Records) The subject of an observation
... focus 0..* Reference(Related Person - Parent Vital Records) What the observation is about, when it is not about the subject of record
.... 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
..... 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
...... text 0..1 string Industry - Literal

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* UsualWork Usual Work
obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
... 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
.... roleVitalRecords 0..1 (Complex) Vital Records Role (father,mother if present)
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-role-vr
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-role-vr"
..... value[x] 1..1 CodeableConcept Parent (MTH | FTH)
Binding: Role Vital Records (extensible): Vital Records Role

... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... 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(Patient - Vital Records) The subject of an observation
... focus Σ 0..* Reference(Related Person - Parent Vital Records) 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:$this
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effectiveTiming Timing
.... effectiveInstant instant
.... effective[x]:effectivePeriod Σ 0..1 Period The period.start asserts when the usual occupation began. NOTE: If the period.start element is missing, the start of the usual occupation is not known. The period.end asserts when the usual occupation ended. If usual occupation is current, period.end should be omitted.
... Slices for value[x] ΣC 0..1 Actual result
Slice: Unordered, Closed by type:$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 Code
Binding: Occupation CDC Census 2018 (required): Occupation CDC Census 2018


..... 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
...... 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
.... 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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Observation.extension:roleVitalRecords.value[x]extensibleValueSetRoleVitalRecords
http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-role-vr
from this IG
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.component.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.component:odh-UsualIndustry.codeexamplePattern: LOINC code 21844-6
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.component:odh-UsualOccupationDuration.codeexamplePattern: 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
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* UsualWork Usual Work
obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
... 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
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... roleVitalRecords 0..1 (Complex) Vital Records Role (father,mother if present)
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-role-vr
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-role-vr"
..... value[x] 1..1 CodeableConcept Parent (MTH | FTH)
Binding: Role Vital Records (extensible): Vital Records Role

... 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(Related Person - Parent Vital Records) 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:$this
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effectiveTiming Timing
.... effectiveInstant instant
.... effective[x]:effectivePeriod Σ 0..1 Period The period.start asserts when the usual occupation began. NOTE: If the period.start element is missing, the start of the usual occupation is not known. The period.end asserts when the usual occupation ended. If usual occupation is current, period.end should be omitted.
... issued Σ 0..1 instant Date/Time this version was made available
... performer Σ 0..* Reference(Practitioner | Organization | US Core Patient Profile | RelatedPerson) Who is responsible for the observation
... Slices for value[x] ΣC 0..1 Actual result
Slice: Unordered, Closed by type:$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.
..... 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


..... 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


...... 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
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Observation.extension:roleVitalRecords.value[x]extensibleValueSetRoleVitalRecords
http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-role-vr
from this IG
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.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: 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.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: 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

Differential View

This structure is derived from UsualWork

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..* UsualWork Usual Work
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... roleVitalRecords 0..1 (Complex) Vital Records Role (father,mother if present)
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-role-vr
..... value[x] 1..1 CodeableConcept Parent (MTH | FTH)
... subject 1..1 Reference(Patient - Vital Records) The subject of an observation
... focus 0..* Reference(Related Person - Parent Vital Records) What the observation is about, when it is not about the subject of record
.... 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
..... 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
...... text 0..1 string Industry - Literal

doco Documentation for this format

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* UsualWork Usual Work
obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
... 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
.... roleVitalRecords 0..1 (Complex) Vital Records Role (father,mother if present)
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-role-vr
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-role-vr"
..... value[x] 1..1 CodeableConcept Parent (MTH | FTH)
Binding: Role Vital Records (extensible): Vital Records Role

... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... 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(Patient - Vital Records) The subject of an observation
... focus Σ 0..* Reference(Related Person - Parent Vital Records) 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:$this
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effectiveTiming Timing
.... effectiveInstant instant
.... effective[x]:effectivePeriod Σ 0..1 Period The period.start asserts when the usual occupation began. NOTE: If the period.start element is missing, the start of the usual occupation is not known. The period.end asserts when the usual occupation ended. If usual occupation is current, period.end should be omitted.
... Slices for value[x] ΣC 0..1 Actual result
Slice: Unordered, Closed by type:$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 Code
Binding: Occupation CDC Census 2018 (required): Occupation CDC Census 2018


..... 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
...... 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
.... 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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Observation.extension:roleVitalRecords.value[x]extensibleValueSetRoleVitalRecords
http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-role-vr
from this IG
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.component.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.component:odh-UsualIndustry.codeexamplePattern: LOINC code 21844-6
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.component:odh-UsualOccupationDuration.codeexamplePattern: 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

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* UsualWork Usual Work
obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
... 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
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... roleVitalRecords 0..1 (Complex) Vital Records Role (father,mother if present)
URL: http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-role-vr
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Extension-role-vr"
..... value[x] 1..1 CodeableConcept Parent (MTH | FTH)
Binding: Role Vital Records (extensible): Vital Records Role

... 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(Related Person - Parent Vital Records) 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:$this
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effectiveTiming Timing
.... effectiveInstant instant
.... effective[x]:effectivePeriod Σ 0..1 Period The period.start asserts when the usual occupation began. NOTE: If the period.start element is missing, the start of the usual occupation is not known. The period.end asserts when the usual occupation ended. If usual occupation is current, period.end should be omitted.
... issued Σ 0..1 instant Date/Time this version was made available
... performer Σ 0..* Reference(Practitioner | Organization | US Core Patient Profile | RelatedPerson) Who is responsible for the observation
... Slices for value[x] ΣC 0..1 Actual result
Slice: Unordered, Closed by type:$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.
..... 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


..... 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


...... 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
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Observation.extension:roleVitalRecords.value[x]extensibleValueSetRoleVitalRecords
http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-role-vr
from this IG
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.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: 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.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: 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

 

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