{ "resourceType" : "Bundle", "id" : "ex-Bundle-ODH-MayaGordon", "identifier" : { "system" : "urn:ietf:rfc:3986", "value" : "urn:uuid:5d0b7a2e-3f4c-4a8e-9a51-0b6f2c7d9e14" }, "type" : "document", "timestamp" : "2026-10-20T15:00:00-04:00", "entry" : [{ "fullUrl" : "http://example.org/fhir/Composition/ex-Composition-ODH-MayaGordon", "resource" : { "resourceType" : "Composition", "id" : "ex-Composition-ODH-MayaGordon", "meta" : { "profile" : ["https://profiles.ihe.net/PCC/ODH/StructureDefinition/IHE.ODH.OccupationalDataForHealth"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Composition ex-Composition-ODH-MayaGordon

Profile: Occupational Data for Health

status: Final

type: Occupational summary note

date: 2026-10-20 15:00:00-0400

author: Simone Heps, MD, South Hospital

title: Occupational Data for Maya Gordon

custodian: South Hospital

" }, "status" : "final", "type" : { "coding" : [{ "system" : "http://loinc.org", "code" : "74166-0", "display" : "Occupational summary note" }] }, "subject" : { "reference" : "http://example.org/fhir/Patient/ex-Patient-ODH-MayaGordon", "display" : "Maya Gordon" }, "date" : "2026-10-20T15:00:00-04:00", "author" : [{ "reference" : "http://example.org/fhir/PractitionerRole/ex-PractitionerRole-ODH-SimoneHeps", "display" : "Simone Heps, MD, South Hospital" }], "title" : "Occupational Data for Maya Gordon", "custodian" : { "reference" : "http://example.org/fhir/Organization/ex-Organization-ODH-SouthHospital", "display" : "South Hospital" }, "section" : [{ "title" : "Occupational Data", "text" : { "status" : "generated", "div" : "

Occupational Data for Maya Gordon

ObservationValueDetailsDate
Employment statusEmployed2018-06-01 to present
Retirement date2018-05-31Retired from the US ArmyRecorded 2026-10-20
Combat zone period2005-04-01 to 2006-03-31Deployed as an Army combat medic, non-commissioned officerRecorded 2026-10-20
Usual workCombat medicUsual industry: US Army (Defence activities); duration: 20 yearsSince 1998-06-15
Past or present jobHome care aideEmployer: Peachtree Home Care Services. Industry: Home care services for older adults (Social work activities without accommodation for the elderly and disabled). Work classification: Paid non-governmental work, not self-employed. Supervisory level: Worker. Job duties: Assist clients with bathing, dressing and moving between bed and chair; Remind clients to take their medications. Occupational hazards: Lifting and transferring clients (back and shoulder strain); Contact with infectious diseases. Work schedule: daytime shift. 5 days per week, 8 hours per day. Current job: yes2018-06-01 to present
Past or present jobCombat medic, non-commissioned officerEmployer: United States Army, Fort Stewart. Industry: US Army (Defence activities). Work classification: Paid work, Armed Forces. Supervisory level: Supervisor (E-7). Job duties: Provide emergency trauma care in the field; Supervise and train junior medics. Occupational hazards: Blast and weapons noise; Smoke from open-air burn pits. Work schedule: variable shift. Current job: no2004-06-01 to 2018-05-31
Past or present jobCombat medicEmployer: United States Army, Fort Stewart. Industry: US Army (Defence activities). Work classification: Paid work, Armed Forces. Supervisory level: Worker (E-4). Job duties: Provide emergency medical care to injured soldiers. Occupational hazards: Weapons noise. Work schedule: rotating shift with nights. Current job: no1998-06-15 to 2004-05-31
Past or present job (household member: spouse, David Gordon)Construction laborerEmployer: Southern Building Contractors. Industry: Residential renovation (Construction of buildings). Work classification: Paid non-governmental work, not self-employed. Supervisory level: Worker. Job duties: Demolition and site cleanup. Occupational hazards: Respirable crystalline silica dust; Lead dust from old paint, which can be carried home on work clothes. Work schedule: daytime shift. 5 days per week, 9 hours per day. Current job: yes2009-03-02 to present
" }, "entry" : [{ "reference" : "Observation/ex-Observation-ODH-MayaGordon-EmploymentStatus", "display" : "Employment status: Employed" }, { "reference" : "Observation/ex-Observation-ODH-MayaGordon-RetirementDate", "display" : "Retirement date: 2018-05-31" }, { "reference" : "Observation/ex-Observation-ODH-MayaGordon-CombatZonePeriod", "display" : "Combat zone period: 2005-04-01 to 2006-03-31" }, { "reference" : "Observation/ex-Observation-ODH-MayaGordon-UsualWork", "display" : "Usual work: Combat medic" }, { "reference" : "Observation/ex-Observation-ODH-MayaGordon-Job-HomeCareWorker", "display" : "Home care aide (current job)" }, { "reference" : "Observation/ex-Observation-ODH-MayaGordon-Job-ArmyMedicNCO", "display" : "Army combat medic, non-commissioned officer" }, { "reference" : "Observation/ex-Observation-ODH-MayaGordon-Job-ArmyMedic", "display" : "Army combat medic" }, { "reference" : "Observation/ex-Observation-ODH-MayaGordon-Job-Spouse-ConstructionLaborer", "display" : "Household member job: spouse, construction laborer" }] }] } }, { "fullUrl" : "http://example.org/fhir/Patient/ex-Patient-ODH-MayaGordon", "resource" : { "resourceType" : "Patient", "id" : "ex-Patient-ODH-MayaGordon", "text" : { "status" : "generated", "div" : "

Generated Narrative: Patient ex-Patient-ODH-MayaGordon

Maya L Gordon(official) Female, DoB: 1980-04-20 ( Medical record number: 1032702\u00a0(use:\u00a0usual))

Active:true
Contact Detail
Links:
" }, "identifier" : [{ "use" : "usual", "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "MR", "display" : "Medical record number" }] }, "system" : "http://example.org/fhir/sid/south-hospital-mrn", "value" : "1032702" }], "active" : true, "name" : [{ "use" : "official", "text" : "Maya L Gordon", "family" : "Gordon", "given" : ["Maya", "L"] }], "telecom" : [{ "system" : "phone", "value" : "+1 404-555-1212", "use" : "home" }, { "system" : "email", "value" : "maya.gordon@example.com" }], "gender" : "female", "birthDate" : "1980-04-20", "address" : [{ "use" : "home", "type" : "physical", "line" : ["5102 Peachtree St NE"], "city" : "Atlanta", "state" : "GA", "postalCode" : "30302", "country" : "US" }], "generalPractitioner" : [{ "reference" : "http://example.org/fhir/Practitioner/ex-Practitioner-ODH-SimoneHeps", "display" : "Simone Heps, MD" }], "managingOrganization" : { "reference" : "http://example.org/fhir/Organization/ex-Organization-ODH-SouthHospital", "display" : "South Hospital" } } }, { "fullUrl" : "http://example.org/fhir/Practitioner/ex-Practitioner-ODH-SimoneHeps", "resource" : { "resourceType" : "Practitioner", "id" : "ex-Practitioner-ODH-SimoneHeps", "text" : { "status" : "generated", "div" : "

Generated Narrative: Practitioner ex-Practitioner-ODH-SimoneHeps

Simone Heps, MD(official) (http://example.org/fhir/sid/south-hospital-practitioner#874635264\u00a0(use:\u00a0official))

Active:trueGender:Female
Date of Birth:1971-11-07
Contact Detail
Qualification:Doctor of Medicine
  • Identifier: http://example.org/fhir/sid/medical-license/19983332213
  • Valid Period: 1998-05-19 --> (ongoing)
  • Issued By: Emory University School of Medicine
" }, "identifier" : [{ "use" : "official", "system" : "http://example.org/fhir/sid/south-hospital-practitioner", "value" : "874635264" }], "active" : true, "name" : [{ "use" : "official", "text" : "Simone Heps, MD", "family" : "Heps", "given" : ["Simone"], "suffix" : ["MD"] }], "telecom" : [{ "system" : "email", "value" : "simone.heps@example.org", "use" : "work" }], "address" : [{ "use" : "work", "line" : ["2100 North Ave"], "city" : "Atlanta", "state" : "GA", "postalCode" : "30318", "country" : "US" }], "gender" : "female", "birthDate" : "1971-11-07", "qualification" : [{ "identifier" : [{ "system" : "http://example.org/fhir/sid/medical-license", "value" : "19983332213" }], "code" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0360", "code" : "MD", "display" : "Doctor of Medicine" }] }, "period" : { "start" : "1998-05-19" }, "issuer" : { "display" : "Emory University School of Medicine" } }] } }, { "fullUrl" : "http://example.org/fhir/PractitionerRole/ex-PractitionerRole-ODH-SimoneHeps", "resource" : { "resourceType" : "PractitionerRole", "id" : "ex-PractitionerRole-ODH-SimoneHeps", "text" : { "status" : "generated", "div" : "

Generated Narrative: PractitionerRole ex-PractitionerRole-ODH-SimoneHeps

Simone Heps, MD: Generalist Medical Practitioners at South Hospital

Active:trueValid Period:2005-06-15 --> (ongoing)
Practitioner:Simone Heps, MD
Organization:South Hospital
Role:Generalist Medical Practitioners
Specialty:General practice
Contact Detailsimone.heps@example.org
" }, "active" : true, "period" : { "start" : "2005-06-15" }, "practitioner" : { "reference" : "http://example.org/fhir/Practitioner/ex-Practitioner-ODH-SimoneHeps", "display" : "Simone Heps, MD" }, "organization" : { "reference" : "http://example.org/fhir/Organization/ex-Organization-ODH-SouthHospital", "display" : "South Hospital" }, "code" : [{ "coding" : [{ "system" : "https://profiles.ihe.net/PCC/ODH/CodeSystem/ISCO08", "code" : "2211", "display" : "Generalist Medical Practitioners" }] }], "specialty" : [{ "coding" : [{ "system" : "http://snomed.info/sct", "code" : "394814009", "display" : "General practice" }] }], "telecom" : [{ "system" : "email", "value" : "simone.heps@example.org", "use" : "work" }] } }, { "fullUrl" : "http://example.org/fhir/Organization/ex-Organization-ODH-SouthHospital", "resource" : { "resourceType" : "Organization", "id" : "ex-Organization-ODH-SouthHospital", "text" : { "status" : "generated", "div" : "

Generated Narrative: Organization ex-Organization-ODH-SouthHospital

South Hospital (Healthcare Provider)

Active:true
Type:Healthcare Provider
Contact Detail
" }, "active" : true, "type" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/organization-type", "code" : "prov", "display" : "Healthcare Provider" }] }], "name" : "South Hospital", "telecom" : [{ "system" : "phone", "value" : "+1 404-555-1111", "use" : "work" }], "address" : [{ "use" : "work", "type" : "physical", "line" : ["2100 North Ave"], "city" : "Atlanta", "state" : "GA", "postalCode" : "30318", "country" : "US" }] } }, { "fullUrl" : "http://example.org/fhir/Organization/ex-Organization-ODH-PeachtreeHomeCare", "resource" : { "resourceType" : "Organization", "id" : "ex-Organization-ODH-PeachtreeHomeCare", "text" : { "status" : "generated", "div" : "

Generated Narrative: Organization ex-Organization-ODH-PeachtreeHomeCare

Peachtree Home Care Services (Healthcare Provider)

Active:true
Type:Healthcare Provider
Contact Detail
" }, "active" : true, "type" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/organization-type", "code" : "prov", "display" : "Healthcare Provider" }] }], "name" : "Peachtree Home Care Services", "telecom" : [{ "system" : "phone", "value" : "+1 404-555-0142", "use" : "work" }], "address" : [{ "use" : "work", "type" : "physical", "line" : ["1450 Piedmont Ave NE"], "city" : "Atlanta", "state" : "GA", "postalCode" : "30309", "country" : "US" }] } }, { "fullUrl" : "http://example.org/fhir/Organization/ex-Organization-ODH-USArmy", "resource" : { "resourceType" : "Organization", "id" : "ex-Organization-ODH-USArmy", "text" : { "status" : "generated", "div" : "

Generated Narrative: Organization ex-Organization-ODH-USArmy

United States Army, Fort Stewart (Government)

Active:true
Type:Government
Contact Detail
" }, "active" : true, "type" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/organization-type", "code" : "govt", "display" : "Government" }] }], "name" : "United States Army, Fort Stewart", "telecom" : [{ "system" : "phone", "value" : "+1 912-555-0100", "use" : "work" }], "address" : [{ "use" : "work", "type" : "physical", "line" : ["1 Army Pkwy"], "city" : "Fort Stewart", "state" : "GA", "postalCode" : "31314", "country" : "US" }] } }, { "fullUrl" : "http://example.org/fhir/Organization/ex-Organization-ODH-SouthernBuilders", "resource" : { "resourceType" : "Organization", "id" : "ex-Organization-ODH-SouthernBuilders", "text" : { "status" : "generated", "div" : "

Generated Narrative: Organization ex-Organization-ODH-SouthernBuilders

Southern Building Contractors (Non-Healthcare Business or Corporation)

Active:true
Type:Non-Healthcare Business or Corporation
Contact Detail
" }, "active" : true, "type" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/organization-type", "code" : "bus", "display" : "Non-Healthcare Business or Corporation" }] }], "name" : "Southern Building Contractors", "telecom" : [{ "system" : "phone", "value" : "+1 770-555-0177", "use" : "work" }], "address" : [{ "use" : "work", "type" : "physical", "line" : ["300 Industrial Blvd"], "city" : "Marietta", "state" : "GA", "postalCode" : "30062", "country" : "US" }] } }, { "fullUrl" : "http://example.org/fhir/RelatedPerson/ex-RelatedPerson-ODH-MayaGordon-Spouse", "resource" : { "resourceType" : "RelatedPerson", "id" : "ex-RelatedPerson-ODH-MayaGordon-Spouse", "text" : { "status" : "generated", "div" : "

Generated Narrative: RelatedPerson ex-RelatedPerson-ODH-MayaGordon-Spouse

David Gordon - husband

Active:trueGender:Male
Date of Birth:1978-09-02
Patient:Maya Gordon
Relationship:husband
Contact Detail5102 Peachtree St NE Atlanta GA 30302 US (home)
" }, "active" : true, "patient" : { "reference" : "http://example.org/fhir/Patient/ex-Patient-ODH-MayaGordon", "display" : "Maya Gordon" }, "relationship" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode", "code" : "HUSB", "display" : "husband" }] }], "name" : [{ "text" : "David Gordon", "family" : "Gordon", "given" : ["David"] }], "gender" : "male", "birthDate" : "1978-09-02", "address" : [{ "use" : "home", "line" : ["5102 Peachtree St NE"], "city" : "Atlanta", "state" : "GA", "postalCode" : "30302", "country" : "US" }] } }, { "fullUrl" : "http://example.org/fhir/Observation/ex-Observation-ODH-MayaGordon-EmploymentStatus", "resource" : { "resourceType" : "Observation", "id" : "ex-Observation-ODH-MayaGordon-EmploymentStatus", "meta" : { "profile" : ["https://profiles.ihe.net/PCC/ODH/StructureDefinition/IHE.ODH.EmploymentStatus"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation ex-Observation-ODH-MayaGordon-EmploymentStatus

Profile: Employment Status

status: Final

category: Social History

code: History of employment status NIOSH

subject: Maya Gordon

effective: 2018-06-01 --> (ongoing)

performer: Simone Heps, MD

value: Employed

" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "social-history", "display" : "Social History" }] }], "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "74165-2", "display" : "History of employment status NIOSH" }] }, "subject" : { "reference" : "http://example.org/fhir/Patient/ex-Patient-ODH-MayaGordon", "display" : "Maya Gordon" }, "effectivePeriod" : { "start" : "2018-06-01" }, "performer" : [{ "reference" : "http://example.org/fhir/Practitioner/ex-Practitioner-ODH-SimoneHeps", "display" : "Simone Heps, MD" }], "valueCodeableConcept" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationValue", "code" : "Employed", "display" : "Employed" }] } } }, { "fullUrl" : "http://example.org/fhir/Observation/ex-Observation-ODH-MayaGordon-RetirementDate", "resource" : { "resourceType" : "Observation", "id" : "ex-Observation-ODH-MayaGordon-RetirementDate", "meta" : { "profile" : ["https://profiles.ihe.net/PCC/ODH/StructureDefinition/IHE.ODH.RetirementDate"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation ex-Observation-ODH-MayaGordon-RetirementDate

Profile: Retirement Date

status: Final

category: Social History

code: Date of Retirement

subject: Maya Gordon

effective: 2026-10-20

performer: Simone Heps, MD

value: 2018-05-31

note:

Retired from the US Army.

\n
" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "social-history", "display" : "Social History" }] }], "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "87510-4", "display" : "Date of Retirement" }] }, "subject" : { "reference" : "http://example.org/fhir/Patient/ex-Patient-ODH-MayaGordon", "display" : "Maya Gordon" }, "effectiveDateTime" : "2026-10-20", "performer" : [{ "reference" : "http://example.org/fhir/Practitioner/ex-Practitioner-ODH-SimoneHeps", "display" : "Simone Heps, MD" }], "valueDateTime" : "2018-05-31", "note" : [{ "text" : "Retired from the US Army." }] } }, { "fullUrl" : "http://example.org/fhir/Observation/ex-Observation-ODH-MayaGordon-CombatZonePeriod", "resource" : { "resourceType" : "Observation", "id" : "ex-Observation-ODH-MayaGordon-CombatZonePeriod", "meta" : { "profile" : ["https://profiles.ihe.net/PCC/ODH/StructureDefinition/IHE.ODH.CombatZonePeriod"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation ex-Observation-ODH-MayaGordon-CombatZonePeriod

Profile: Combat Zone Period

status: Final

category: Social History

code: Combat zone AndOr hazardous duty work dates

subject: Maya Gordon

effective: 2026-10-20

performer: Simone Heps, MD

value: 2005-04-01 --> 2006-03-31

" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "social-history", "display" : "Social History" }] }], "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "87511-2", "display" : "Combat zone AndOr hazardous duty work dates" }] }, "subject" : { "reference" : "http://example.org/fhir/Patient/ex-Patient-ODH-MayaGordon", "display" : "Maya Gordon" }, "effectiveDateTime" : "2026-10-20", "performer" : [{ "reference" : "http://example.org/fhir/Practitioner/ex-Practitioner-ODH-SimoneHeps", "display" : "Simone Heps, MD" }], "valuePeriod" : { "start" : "2005-04-01", "end" : "2006-03-31" } } }, { "fullUrl" : "http://example.org/fhir/Observation/ex-Observation-ODH-MayaGordon-UsualWork", "resource" : { "resourceType" : "Observation", "id" : "ex-Observation-ODH-MayaGordon-UsualWork", "meta" : { "profile" : ["https://profiles.ihe.net/PCC/ODH/StructureDefinition/IHE.ODH.UsualWork"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation ex-Observation-ODH-MayaGordon-UsualWork

Profile: Usual Work

status: Final

category: Social History

code: History of Usual Occupation

subject: Maya Gordon

effective: 1998-06-15 --> (ongoing)

performer: Simone Heps, MD

value: Combat medic

component

code: History of Usual industry

value: US Army

component

code: Usual occupation duration

value: 20 years (Details: UCUM codea = 'a')

" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "social-history", "display" : "Social History" }] }], "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "21843-8", "display" : "History of Usual Occupation" }] }, "subject" : { "reference" : "http://example.org/fhir/Patient/ex-Patient-ODH-MayaGordon", "display" : "Maya Gordon" }, "effectivePeriod" : { "start" : "1998-06-15" }, "performer" : [{ "reference" : "http://example.org/fhir/Practitioner/ex-Practitioner-ODH-SimoneHeps", "display" : "Simone Heps, MD" }], "valueCodeableConcept" : { "coding" : [{ "system" : "https://profiles.ihe.net/PCC/ODH/CodeSystem/ISCO08", "code" : "0210", "display" : "Non-commissioned Armed Forces Officers" }], "text" : "Combat medic" }, "component" : [{ "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "21844-6", "display" : "History of Usual industry" }] }, "valueCodeableConcept" : { "coding" : [{ "system" : "https://profiles.ihe.net/PCC/ODH/CodeSystem/ISICRev4", "code" : "8422", "display" : "Defence activities" }], "text" : "US Army" } }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "74163-7", "display" : "Usual occupation duration" }] }, "valueQuantity" : { "value" : 20, "unit" : "years", "system" : "http://unitsofmeasure.org", "code" : "a" } }] } }, { "fullUrl" : "http://example.org/fhir/Observation/ex-Observation-ODH-MayaGordon-Job-HomeCareWorker", "resource" : { "resourceType" : "Observation", "id" : "ex-Observation-ODH-MayaGordon-Job-HomeCareWorker", "meta" : { "profile" : ["https://profiles.ihe.net/PCC/ODH/StructureDefinition/IHE.ODH.PastOrPresentJob"] }, "text" : { "status" : "extensions", "div" : "

Generated Narrative: Observation ex-Observation-ODH-MayaGordon-Job-HomeCareWorker

Profile: Past or Present Job

Employer: Peachtree Home Care Services

Is Current Job: true

status: Final

category: Social History

code: History of Occupation

subject: Maya Gordon

effective: 2018-06-01 --> (ongoing)

performer: Simone Heps, MD

value: Home care aide

component

code: History of Occupation industry

value: Home care services for older adults

component

code: Compensation and sector employment type

value: Paid non-governmental work, not self-employed

component

code: Job supervisory level or pay grade

value: Worker

component

code: What were your main activities or duties for this job [NHANES]

value: Assist clients with bathing, dressing and moving between bed and chair

component

code: What were your main activities or duties for this job [NHANES]

value: Remind clients to take their medications

component

code: History of Occupational hazard

value: Lifting and transferring clients (back and shoulder strain)

component

code: History of Occupational hazard

value: Contact with infectious diseases

component

code: Work schedule NIOSH

value: daytime shift

component

code: Work days per week

value: 5 days per week (Details: UCUM coded = 'd')

component

code: Work hours per day

value: 8 hours per day (Details: UCUM codeh = 'h')

" }, "extension" : [{ "url" : "https://profiles.ihe.net/PCC/ODH/StructureDefinition/IHE.ODH.Employer.Extension", "valueReference" : { "reference" : "http://example.org/fhir/Organization/ex-Organization-ODH-PeachtreeHomeCare", "display" : "Peachtree Home Care Services" } }, { "url" : "https://profiles.ihe.net/PCC/ODH/StructureDefinition/IHE.ODH.isCurrentJob.Extension", "valueBoolean" : true }], "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "social-history", "display" : "Social History" }] }], "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "11341-5", "display" : "History of Occupation" }] }, "subject" : { "reference" : "http://example.org/fhir/Patient/ex-Patient-ODH-MayaGordon", "display" : "Maya Gordon" }, "effectivePeriod" : { "start" : "2018-06-01" }, "performer" : [{ "reference" : "http://example.org/fhir/Practitioner/ex-Practitioner-ODH-SimoneHeps", "display" : "Simone Heps, MD" }], "valueCodeableConcept" : { "coding" : [{ "system" : "https://profiles.ihe.net/PCC/ODH/CodeSystem/ISCO08", "code" : "5322", "display" : "Home-based Personal Care Workers" }], "text" : "Home care aide" }, "component" : [{ "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "86188-0", "display" : "History of Occupation industry" }] }, "valueCodeableConcept" : { "coding" : [{ "system" : "https://profiles.ihe.net/PCC/ODH/CodeSystem/ISICRev4", "code" : "8810", "display" : "Social work activities without accommodation for the elderly and disabled" }], "text" : "Home care services for older adults" } }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "85104-8", "display" : "Compensation and sector employment type" }] }, "valueCodeableConcept" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-WorkClassificationODH", "code" : "PWNSE", "display" : "Paid non-governmental work, not self-employed" }] } }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "87707-6", "display" : "Job supervisory level or pay grade" }] }, "valueCodeableConcept" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "106541005", "display" : "Worker" }] } }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "63761-1", "display" : "What were your main activities or duties for this job [NHANES]" }] }, "valueString" : "Assist clients with bathing, dressing and moving between bed and chair" }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "63761-1", "display" : "What were your main activities or duties for this job [NHANES]" }] }, "valueString" : "Remind clients to take their medications" }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "87729-0", "display" : "History of Occupational hazard" }] }, "valueString" : "Lifting and transferring clients (back and shoulder strain)" }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "87729-0", "display" : "History of Occupational hazard" }] }, "valueString" : "Contact with infectious diseases" }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "74159-5", "display" : "Work schedule NIOSH" }] }, "valueCodeableConcept" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationValue", "code" : "DS", "display" : "daytime shift" }] } }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "74160-3", "display" : "Work days per week" }] }, "valueQuantity" : { "value" : 5, "unit" : "days per week", "system" : "http://unitsofmeasure.org", "code" : "d" } }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "87512-0", "display" : "Work hours per day" }] }, "valueQuantity" : { "value" : 8, "unit" : "hours per day", "system" : "http://unitsofmeasure.org", "code" : "h" } }] } }, { "fullUrl" : "http://example.org/fhir/Observation/ex-Observation-ODH-MayaGordon-Job-ArmyMedicNCO", "resource" : { "resourceType" : "Observation", "id" : "ex-Observation-ODH-MayaGordon-Job-ArmyMedicNCO", "meta" : { "profile" : ["https://profiles.ihe.net/PCC/ODH/StructureDefinition/IHE.ODH.PastOrPresentJob"] }, "text" : { "status" : "extensions", "div" : "

Generated Narrative: Observation ex-Observation-ODH-MayaGordon-Job-ArmyMedicNCO

Profile: Past or Present Job

Employer: United States Army, Fort Stewart

Is Current Job: false

status: Final

category: Social History

code: History of Occupation

subject: Maya Gordon

effective: 2004-06-01 --> 2018-05-31

performer: Simone Heps, MD

value: Combat medic, non-commissioned officer

component

code: History of Occupation industry

value: US Army

component

code: Compensation and sector employment type

value: Paid work, Armed Forces

component

code: Job supervisory level or pay grade

value: E-7

component

code: What were your main activities or duties for this job [NHANES]

value: Provide emergency trauma care in the field

component

code: What were your main activities or duties for this job [NHANES]

value: Supervise and train junior medics

component

code: History of Occupational hazard

value: Blast and weapons noise

component

code: History of Occupational hazard

value: Smoke from open-air burn pits

component

code: Work schedule NIOSH

value: variable shift

" }, "extension" : [{ "url" : "https://profiles.ihe.net/PCC/ODH/StructureDefinition/IHE.ODH.Employer.Extension", "valueReference" : { "reference" : "http://example.org/fhir/Organization/ex-Organization-ODH-USArmy", "display" : "United States Army, Fort Stewart" } }, { "url" : "https://profiles.ihe.net/PCC/ODH/StructureDefinition/IHE.ODH.isCurrentJob.Extension", "valueBoolean" : false }], "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "social-history", "display" : "Social History" }] }], "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "11341-5", "display" : "History of Occupation" }] }, "subject" : { "reference" : "http://example.org/fhir/Patient/ex-Patient-ODH-MayaGordon", "display" : "Maya Gordon" }, "effectivePeriod" : { "start" : "2004-06-01", "end" : "2018-05-31" }, "performer" : [{ "reference" : "http://example.org/fhir/Practitioner/ex-Practitioner-ODH-SimoneHeps", "display" : "Simone Heps, MD" }], "valueCodeableConcept" : { "coding" : [{ "system" : "https://profiles.ihe.net/PCC/ODH/CodeSystem/ISCO08", "code" : "0210", "display" : "Non-commissioned Armed Forces Officers" }], "text" : "Combat medic, non-commissioned officer" }, "component" : [{ "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "86188-0", "display" : "History of Occupation industry" }] }, "valueCodeableConcept" : { "coding" : [{ "system" : "https://profiles.ihe.net/PCC/ODH/CodeSystem/ISICRev4", "code" : "8422", "display" : "Defence activities" }], "text" : "US Army" } }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "85104-8", "display" : "Compensation and sector employment type" }] }, "valueCodeableConcept" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-WorkClassificationODH", "code" : "PWAF", "display" : "Paid work, Armed Forces" }] } }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "87707-6", "display" : "Job supervisory level or pay grade" }] }, "valueCodeableConcept" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "236321002", "display" : "Supervisor" }], "text" : "E-7" } }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "63761-1", "display" : "What were your main activities or duties for this job [NHANES]" }] }, "valueString" : "Provide emergency trauma care in the field" }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "63761-1", "display" : "What were your main activities or duties for this job [NHANES]" }] }, "valueString" : "Supervise and train junior medics" }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "87729-0", "display" : "History of Occupational hazard" }] }, "valueString" : "Blast and weapons noise" }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "87729-0", "display" : "History of Occupational hazard" }] }, "valueString" : "Smoke from open-air burn pits" }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "74159-5", "display" : "Work schedule NIOSH" }] }, "valueCodeableConcept" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationValue", "code" : "VS", "display" : "variable shift" }] } }] } }, { "fullUrl" : "http://example.org/fhir/Observation/ex-Observation-ODH-MayaGordon-Job-ArmyMedic", "resource" : { "resourceType" : "Observation", "id" : "ex-Observation-ODH-MayaGordon-Job-ArmyMedic", "meta" : { "profile" : ["https://profiles.ihe.net/PCC/ODH/StructureDefinition/IHE.ODH.PastOrPresentJob"] }, "text" : { "status" : "extensions", "div" : "

Generated Narrative: Observation ex-Observation-ODH-MayaGordon-Job-ArmyMedic

Profile: Past or Present Job

Employer: United States Army, Fort Stewart

Is Current Job: false

status: Final

category: Social History

code: History of Occupation

subject: Maya Gordon

effective: 1998-06-15 --> 2004-05-31

performer: Simone Heps, MD

value: Combat medic

component

code: History of Occupation industry

value: US Army

component

code: Compensation and sector employment type

value: Paid work, Armed Forces

component

code: Job supervisory level or pay grade

value: E-4

component

code: What were your main activities or duties for this job [NHANES]

value: Provide emergency medical care to injured soldiers

component

code: History of Occupational hazard

value: Weapons noise

component

code: Work schedule NIOSH

value: rotating shift with nights

" }, "extension" : [{ "url" : "https://profiles.ihe.net/PCC/ODH/StructureDefinition/IHE.ODH.Employer.Extension", "valueReference" : { "reference" : "http://example.org/fhir/Organization/ex-Organization-ODH-USArmy", "display" : "United States Army, Fort Stewart" } }, { "url" : "https://profiles.ihe.net/PCC/ODH/StructureDefinition/IHE.ODH.isCurrentJob.Extension", "valueBoolean" : false }], "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "social-history", "display" : "Social History" }] }], "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "11341-5", "display" : "History of Occupation" }] }, "subject" : { "reference" : "http://example.org/fhir/Patient/ex-Patient-ODH-MayaGordon", "display" : "Maya Gordon" }, "effectivePeriod" : { "start" : "1998-06-15", "end" : "2004-05-31" }, "performer" : [{ "reference" : "http://example.org/fhir/Practitioner/ex-Practitioner-ODH-SimoneHeps", "display" : "Simone Heps, MD" }], "valueCodeableConcept" : { "coding" : [{ "system" : "https://profiles.ihe.net/PCC/ODH/CodeSystem/ISCO08", "code" : "0310", "display" : "Armed Forces Occupations, Other Ranks" }], "text" : "Combat medic" }, "component" : [{ "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "86188-0", "display" : "History of Occupation industry" }] }, "valueCodeableConcept" : { "coding" : [{ "system" : "https://profiles.ihe.net/PCC/ODH/CodeSystem/ISICRev4", "code" : "8422", "display" : "Defence activities" }], "text" : "US Army" } }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "85104-8", "display" : "Compensation and sector employment type" }] }, "valueCodeableConcept" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-WorkClassificationODH", "code" : "PWAF", "display" : "Paid work, Armed Forces" }] } }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "87707-6", "display" : "Job supervisory level or pay grade" }] }, "valueCodeableConcept" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "106541005", "display" : "Worker" }], "text" : "E-4" } }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "63761-1", "display" : "What were your main activities or duties for this job [NHANES]" }] }, "valueString" : "Provide emergency medical care to injured soldiers" }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "87729-0", "display" : "History of Occupational hazard" }] }, "valueString" : "Weapons noise" }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "74159-5", "display" : "Work schedule NIOSH" }] }, "valueCodeableConcept" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationValue", "code" : "RSWN", "display" : "rotating shift with nights" }] } }] } }, { "fullUrl" : "http://example.org/fhir/Observation/ex-Observation-ODH-MayaGordon-Job-Spouse-ConstructionLaborer", "resource" : { "resourceType" : "Observation", "id" : "ex-Observation-ODH-MayaGordon-Job-Spouse-ConstructionLaborer", "meta" : { "profile" : ["https://profiles.ihe.net/PCC/ODH/StructureDefinition/IHE.ODH.PastOrPresentJob"] }, "text" : { "status" : "extensions", "div" : "

Generated Narrative: Observation ex-Observation-ODH-MayaGordon-Job-Spouse-ConstructionLaborer

Profile: Past or Present Job

Employer: Southern Building Contractors

Is Current Job: true

status: Final

category: Social History

code: History of Occupation

subject: Maya Gordon

focus: David Gordon (spouse)

effective: 2009-03-02 --> (ongoing)

performer: Simone Heps, MD

value: Construction laborer

component

code: History of Occupation industry

value: Residential renovation

component

code: Compensation and sector employment type

value: Paid non-governmental work, not self-employed

component

code: Job supervisory level or pay grade

value: Worker

component

code: What were your main activities or duties for this job [NHANES]

value: Demolition and site cleanup

component

code: History of Occupational hazard

value: Respirable crystalline silica dust

component

code: History of Occupational hazard

value: Lead dust from old paint, which can be carried home on work clothes

component

code: Work schedule NIOSH

value: daytime shift

component

code: Work days per week

value: 5 days per week (Details: UCUM coded = 'd')

component

code: Work hours per day

value: 9 hours per day (Details: UCUM codeh = 'h')

" }, "extension" : [{ "url" : "https://profiles.ihe.net/PCC/ODH/StructureDefinition/IHE.ODH.Employer.Extension", "valueReference" : { "reference" : "http://example.org/fhir/Organization/ex-Organization-ODH-SouthernBuilders", "display" : "Southern Building Contractors" } }, { "url" : "https://profiles.ihe.net/PCC/ODH/StructureDefinition/IHE.ODH.isCurrentJob.Extension", "valueBoolean" : true }], "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "social-history", "display" : "Social History" }] }], "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "11341-5", "display" : "History of Occupation" }] }, "subject" : { "reference" : "http://example.org/fhir/Patient/ex-Patient-ODH-MayaGordon", "display" : "Maya Gordon" }, "focus" : [{ "reference" : "http://example.org/fhir/RelatedPerson/ex-RelatedPerson-ODH-MayaGordon-Spouse", "display" : "David Gordon (spouse)" }], "effectivePeriod" : { "start" : "2009-03-02" }, "performer" : [{ "reference" : "http://example.org/fhir/Practitioner/ex-Practitioner-ODH-SimoneHeps", "display" : "Simone Heps, MD" }], "valueCodeableConcept" : { "coding" : [{ "system" : "https://profiles.ihe.net/PCC/ODH/CodeSystem/ISCO08", "code" : "9313", "display" : "Building Construction Labourers" }], "text" : "Construction laborer" }, "component" : [{ "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "86188-0", "display" : "History of Occupation industry" }] }, "valueCodeableConcept" : { "coding" : [{ "system" : "https://profiles.ihe.net/PCC/ODH/CodeSystem/ISICRev4", "code" : "4100", "display" : "Construction of buildings" }], "text" : "Residential renovation" } }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "85104-8", "display" : "Compensation and sector employment type" }] }, "valueCodeableConcept" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-WorkClassificationODH", "code" : "PWNSE", "display" : "Paid non-governmental work, not self-employed" }] } }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "87707-6", "display" : "Job supervisory level or pay grade" }] }, "valueCodeableConcept" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "106541005", "display" : "Worker" }] } }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "63761-1", "display" : "What were your main activities or duties for this job [NHANES]" }] }, "valueString" : "Demolition and site cleanup" }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "87729-0", "display" : "History of Occupational hazard" }] }, "valueString" : "Respirable crystalline silica dust" }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "87729-0", "display" : "History of Occupational hazard" }] }, "valueString" : "Lead dust from old paint, which can be carried home on work clothes" }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "74159-5", "display" : "Work schedule NIOSH" }] }, "valueCodeableConcept" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationValue", "code" : "DS", "display" : "daytime shift" }] } }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "74160-3", "display" : "Work days per week" }] }, "valueQuantity" : { "value" : 5, "unit" : "days per week", "system" : "http://unitsofmeasure.org", "code" : "d" } }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "87512-0", "display" : "Work hours per day" }] }, "valueQuantity" : { "value" : 9, "unit" : "hours per day", "system" : "http://unitsofmeasure.org", "code" : "h" } }] } }] }