Occupational Data for Health - IHE FHIR Profile: Occupational Data for Health (ODH) v1.0.1-current

IHE FHIR Profile: Occupational Data for Health (ODH), published by IHE Patient Care Coordination Committee. This guide is not an authorized publication; it is the continuous build for version 1.0.1-current built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IHE/PCC.ODH/ and changes regularly. See the Directory of published versions

Resource Profile: Occupational Data for Health

Official URL: https://profiles.ihe.net/PCC/ODH/StructureDefinition/IHE.ODH.OccupationalDataForHealth				Version: 1.0.1-current
Active as of 2026-10-27				Computable Name: OccupationalDataForHealth
Other Identifiers: OID:1.3.6.1.4.1.19376.1.5.3.1.3.43.42.12

This Composition covers information about a patient's work, including some voluntary work, or a patient's household members' work. ODH is designed for the social history section of a medical record, to facilitate clinical care in multiple disciplines and delivery environments. ODH can be used for clinical decision support, population health activities and value-based care, and public health reporting.

Usages:

Examples for this Profile: Composition/ex-Composition-ODH-MayaGordon and Composition/ex-Composition-ODH-US-MayaGordon

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

Key Elements Table
Differential Table
Snapshot Table
Statistics/References
All

Name	Flags	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
Composition		0..*	Composition	Occupational Data for Health
Composition.implicitRules	This element is a modifier element. This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Composition.modifierExtension	This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Composition.status	This element is a modifier element. This element is included in summaries.	1..1	code	preliminary \| final \| amended \| entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
Composition.type	This element is included in summaries.	1..1	CodeableConcept	Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. Required Pattern: `{ "coding" : [ { "system" : "http://loinc.org", "code" : "74166-0", "display" : "Occupational summary note" } ] }`
Composition.date	This element is included in summaries.	1..1	dateTime	Composition editing time
Composition.author	This element is included in summaries.	1..*	Reference(Practitioner \| PractitionerRole \| Device \| Patient \| RelatedPerson \| Organization)	Who and/or what authored the composition
Composition.title	This element is included in summaries.	1..1	string	Human Readable name/title
Composition.section	C	1..1	BackboneElement	Section in the OccupationalDataForHealth composition, containing the person's occupational data, past and present Constraints: cmp-1, cmp-2
Composition.section.modifierExtension	This element is a modifier element. This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Composition.section.Slices for entry	C	1..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Composition.section.Slices for entry.entry:odh-EmploymentStatus	C	0..*	Reference(Employment Status)	EmploymentStatus: The self-reported current and/or historical status about a person's economic relationship to work (e.g. having one or more jobs), including start and end dates
Composition.section.Slices for entry.entry:odh-RetirementDate	C	0..*	Reference(Retirement Date)	RetirementDate: A self-reported date that a person considers themselves to have 'retired'
Composition.section.Slices for entry.entry:odh-CombatZonePeriod	C	0..*	Reference(Combat Zone Period)	CombatZonePeriod: Self-reported date range(s) when a person worked in what is considered a combat zone; sometimes called hazardous duty work
Composition.section.Slices for entry.entry:odh-UsualWork	C	0..1	Reference(Usual Work)	UsualWork: Related data elements about the work a person reports having performed for the longest amount of time during their life, regardless of the person's current job and regardless of whether or not the person performed this work for a continuous time
Composition.section.Slices for entry.entry:odh-PastOrPresentJob	C	0..*	Reference(Past or Present Job)	PastOrPresentJob: Related data elements for a current or previous job, as reported by the person, i.e., a work situation or position held for a specified time period
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Composition.status	Base	required	CompositionStatus	📍4.0.1	FHIR Std.
Composition.type	Base	preferred	FHIR Document Type Codes	📍4.0.1	FHIR Std.

Constraints

Grade

Path(s)

Description

Expression

This structure is derived from Composition

Name	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
Composition	0..*	Composition	Occupational Data for Health
Composition.type	1..1	CodeableConcept	Kind of composition (LOINC if possible) Required Pattern: `{ "coding" : [ { "system" : "http://loinc.org", "code" : "74166-0", "display" : "Occupational summary note" } ] }`
Composition.section	1..1	BackboneElement	Section in the OccupationalDataForHealth composition, containing the person's occupational data, past and present
Composition.section.Slices for entry	1..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Composition.section.Slices for entry.entry:odh-EmploymentStatus	0..*	Reference(Employment Status)	EmploymentStatus: The self-reported current and/or historical status about a person's economic relationship to work (e.g. having one or more jobs), including start and end dates
Composition.section.Slices for entry.entry:odh-RetirementDate	0..*	Reference(Retirement Date)	RetirementDate: A self-reported date that a person considers themselves to have 'retired'
Composition.section.Slices for entry.entry:odh-CombatZonePeriod	0..*	Reference(Combat Zone Period)	CombatZonePeriod: Self-reported date range(s) when a person worked in what is considered a combat zone; sometimes called hazardous duty work
Composition.section.Slices for entry.entry:odh-UsualWork	0..1	Reference(Usual Work)	UsualWork: Related data elements about the work a person reports having performed for the longest amount of time during their life, regardless of the person's current job and regardless of whether or not the person performed this work for a continuous time
Composition.section.Slices for entry.entry:odh-PastOrPresentJob	0..*	Reference(Past or Present Job)	PastOrPresentJob: Related data elements for a current or previous job, as reported by the person, i.e., a work situation or position held for a specified time period
Documentation for this format

Description & Constraints Filter:

Composition 0..* Composition Occupational Data for Health

Composition.id This element is included in summaries. 0..1 id Logical id of this artifact

Composition.meta This element is included in summaries. 0..1 Meta Metadata about the resource

Composition.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created

language

0..1

code

Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional Bindings

Purpose

AllLanguages

Max Binding

Composition.text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements

Composition.contained 0..* Resource Contained, inline Resources

Composition.extension 0..* Extension Additional content defined by implementations

Composition.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored

Composition.identifier This element is included in summaries. 0..1 Identifier Version-independent identifier for the Composition

Composition.status This element is a modifier element. This element is included in summaries. 1..1 code preliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.

type

1..1

CodeableConcept

Kind of composition (LOINC if possible)
Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
Required Pattern:

{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "74166-0",
      "display" : "Occupational summary note"
    }
  ]
}

Composition.category This element is included in summaries. 0..* CodeableConcept Categorization of Composition
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.

Composition.subject This element is included in summaries. 0..1 Reference(Resource) Who and/or what the composition is about

Composition.encounter This element is included in summaries. 0..1 Reference(Encounter) Context of the Composition

Composition.date This element is included in summaries. 1..1 dateTime Composition editing time

Composition.title This element is included in summaries. 1..1 string Human Readable name/title

Composition.confidentiality This element is included in summaries. 0..1 code As defined by affinity domain
Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.

Composition.attester 0..* BackboneElement Attests to accuracy of composition

Composition.attester.id 0..1 string Unique id for inter-element referencing

Composition.attester.extension 0..* Extension Additional content defined by implementations

Composition.attester.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized

Composition.attester.mode 1..1 code personal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.

Composition.attester.time 0..1 dateTime When the composition was attested

Composition.attester.party 0..1 Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) Who attested the composition

Composition.custodian This element is included in summaries. 0..1 Reference(Organization) Organization which maintains the composition

Composition.relatesTo 0..* BackboneElement Relationships to other compositions/documents

Composition.relatesTo.id 0..1 string Unique id for inter-element referencing

Composition.relatesTo.extension 0..* Extension Additional content defined by implementations

Composition.relatesTo.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized

Composition.relatesTo.code 1..1 code replaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.

Composition.relatesTo.target[x] 1..1 Target of the relationship

Composition.relatesTo.target[x].targetIdentifier Identifier

Composition.relatesTo.target[x].targetReference Reference(Composition)

Composition.event This element is included in summaries. 0..* BackboneElement The clinical service(s) being documented

Composition.event.id 0..1 string Unique id for inter-element referencing

Composition.event.extension 0..* Extension Additional content defined by implementations

Composition.event.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized

Composition.event.code This element is included in summaries. 0..* CodeableConcept Code(s) that apply to the event being documented
Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.

Composition.event.period This element is included in summaries. 0..1 Period The period covered by the documentation

Composition.event.detail This element is included in summaries. 0..* Reference(Resource) The event(s) being documented

Composition.section C 1..1 BackboneElement Section in the OccupationalDataForHealth composition, containing the person's occupational data, past and present
Constraints: cmp-1, cmp-2

Composition.section.id 0..1 string Unique id for inter-element referencing

Composition.section.extension 0..* Extension Additional content defined by implementations

Composition.section.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized

Composition.section.title 0..1 string Label for section (e.g. for ToC)

Composition.section.code 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

Composition.section.focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition

Composition.section.text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements

Composition.section.mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

Composition.section.orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

Composition.section.Slices for entry C 1..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

Composition.section.Slices for entry.entry:odh-EmploymentStatus C 0..* Reference(Employment Status) EmploymentStatus: The self-reported current and/or historical status about a person's economic relationship to work (e.g. having one or more jobs), including start and end dates

Composition.section.Slices for entry.entry:odh-RetirementDate C 0..* Reference(Retirement Date) RetirementDate: A self-reported date that a person considers themselves to have 'retired'

Composition.section.Slices for entry.entry:odh-CombatZonePeriod C 0..* Reference(Combat Zone Period) CombatZonePeriod: Self-reported date range(s) when a person worked in what is considered a combat zone; sometimes called hazardous duty work

Composition.section.Slices for entry.entry:odh-UsualWork C 0..1 Reference(Usual Work) UsualWork: Related data elements about the work a person reports having performed for the longest amount of time during their life, regardless of the person's current job and regardless of whether or not the person performed this work for a continuous time

Composition.section.Slices for entry.entry:odh-PastOrPresentJob C 0..* Reference(Past or Present Job) PastOrPresentJob: Related data elements for a current or previous job, as reported by the person, i.e., a work situation or position held for a specified time period

Composition.section.emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

Composition.section.section C 0..* See section (Composition) Nested Section

Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Composition.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Composition.status	Base	required	CompositionStatus	📍4.0.1	FHIR Std.
Composition.type	Base	preferred	FHIR Document Type Codes	📍4.0.1	FHIR Std.
Composition.category	Base	example	Document Class Value Set	📍4.0.1	FHIR Std.
Composition.confidentiality	Base	required	V3 Value SetConfidentialityClassification	📍2014-03-26	FHIR Std.
Composition.attester.mode	Base	required	CompositionAttestationMode	📍4.0.1	FHIR Std.
Composition.relatesTo.code	Base	required	DocumentRelationshipType	📍4.0.1	FHIR Std.
Composition.event.code	Base	example	v3 Code System ActCode	📦3.0.0	THO v7.5
Composition.section.code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section.mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section.orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section.emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.

Constraints

Grade

Path(s)

Description

Expression

This structure is derived from Composition

Summary

Mandatory: 2 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

The element 1 is sliced based on the value of Composition.section.entry

Key Elements View

Name	Flags	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
Composition		0..*	Composition	Occupational Data for Health
Composition.implicitRules	This element is a modifier element. This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Composition.modifierExtension	This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Composition.status	This element is a modifier element. This element is included in summaries.	1..1	code	preliminary \| final \| amended \| entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
Composition.type	This element is included in summaries.	1..1	CodeableConcept	Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. Required Pattern: `{ "coding" : [ { "system" : "http://loinc.org", "code" : "74166-0", "display" : "Occupational summary note" } ] }`
Composition.date	This element is included in summaries.	1..1	dateTime	Composition editing time
Composition.author	This element is included in summaries.	1..*	Reference(Practitioner \| PractitionerRole \| Device \| Patient \| RelatedPerson \| Organization)	Who and/or what authored the composition
Composition.title	This element is included in summaries.	1..1	string	Human Readable name/title
Composition.section	C	1..1	BackboneElement	Section in the OccupationalDataForHealth composition, containing the person's occupational data, past and present Constraints: cmp-1, cmp-2
Composition.section.modifierExtension	This element is a modifier element. This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Composition.section.Slices for entry	C	1..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Composition.section.Slices for entry.entry:odh-EmploymentStatus	C	0..*	Reference(Employment Status)	EmploymentStatus: The self-reported current and/or historical status about a person's economic relationship to work (e.g. having one or more jobs), including start and end dates
Composition.section.Slices for entry.entry:odh-RetirementDate	C	0..*	Reference(Retirement Date)	RetirementDate: A self-reported date that a person considers themselves to have 'retired'
Composition.section.Slices for entry.entry:odh-CombatZonePeriod	C	0..*	Reference(Combat Zone Period)	CombatZonePeriod: Self-reported date range(s) when a person worked in what is considered a combat zone; sometimes called hazardous duty work
Composition.section.Slices for entry.entry:odh-UsualWork	C	0..1	Reference(Usual Work)	UsualWork: Related data elements about the work a person reports having performed for the longest amount of time during their life, regardless of the person's current job and regardless of whether or not the person performed this work for a continuous time
Composition.section.Slices for entry.entry:odh-PastOrPresentJob	C	0..*	Reference(Past or Present Job)	PastOrPresentJob: Related data elements for a current or previous job, as reported by the person, i.e., a work situation or position held for a specified time period
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Composition.status	Base	required	CompositionStatus	📍4.0.1	FHIR Std.
Composition.type	Base	preferred	FHIR Document Type Codes	📍4.0.1	FHIR Std.

Constraints

Grade

Path(s)

Description

Expression

Differential View

This structure is derived from Composition

Name	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
Composition	0..*	Composition	Occupational Data for Health
Composition.type	1..1	CodeableConcept	Kind of composition (LOINC if possible) Required Pattern: `{ "coding" : [ { "system" : "http://loinc.org", "code" : "74166-0", "display" : "Occupational summary note" } ] }`
Composition.section	1..1	BackboneElement	Section in the OccupationalDataForHealth composition, containing the person's occupational data, past and present
Composition.section.Slices for entry	1..*	Reference(Resource)	A reference to data that supports this section Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Composition.section.Slices for entry.entry:odh-EmploymentStatus	0..*	Reference(Employment Status)	EmploymentStatus: The self-reported current and/or historical status about a person's economic relationship to work (e.g. having one or more jobs), including start and end dates
Composition.section.Slices for entry.entry:odh-RetirementDate	0..*	Reference(Retirement Date)	RetirementDate: A self-reported date that a person considers themselves to have 'retired'
Composition.section.Slices for entry.entry:odh-CombatZonePeriod	0..*	Reference(Combat Zone Period)	CombatZonePeriod: Self-reported date range(s) when a person worked in what is considered a combat zone; sometimes called hazardous duty work
Composition.section.Slices for entry.entry:odh-UsualWork	0..1	Reference(Usual Work)	UsualWork: Related data elements about the work a person reports having performed for the longest amount of time during their life, regardless of the person's current job and regardless of whether or not the person performed this work for a continuous time
Composition.section.Slices for entry.entry:odh-PastOrPresentJob	0..*	Reference(Past or Present Job)	PastOrPresentJob: Related data elements for a current or previous job, as reported by the person, i.e., a work situation or position held for a specified time period
Documentation for this format

Snapshot View

Description & Constraints Filter:

Composition 0..* Composition Occupational Data for Health

Composition.id This element is included in summaries. 0..1 id Logical id of this artifact

Composition.meta This element is included in summaries. 0..1 Meta Metadata about the resource

Composition.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created

language

0..1

code

Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional Bindings

Purpose

AllLanguages

Max Binding

Composition.text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements

Composition.contained 0..* Resource Contained, inline Resources

Composition.extension 0..* Extension Additional content defined by implementations

Composition.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored

Composition.identifier This element is included in summaries. 0..1 Identifier Version-independent identifier for the Composition

type

1..1

CodeableConcept

Kind of composition (LOINC if possible)
Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
Required Pattern:

{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "74166-0",
      "display" : "Occupational summary note"
    }
  ]
}