IHE FHIR Profile: Occupational Data for Health (ODH)
1.0.1-current - ci-build International flag

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: Usual Work

Official URL: https://profiles.ihe.net/PCC/ODH/StructureDefinition/IHE.ODH.UsualWork Version: 1.0.1-current
Active as of 2026-10-27 Computable Name: UsualWork
Other Identifiers: OID:1.3.6.1.4.1.19376.1.5.3.1.3.43.42.15

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

Usages:

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.

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation C 0..* Observation Usual Work
Constraints: obs-6, obs-7
Observation.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
Observation.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Observation.basedOn This element is included in summaries. 0..* Reference(ServiceRequest) The plan, proposal or order that is fulfilled in whole or in part by this observation
Observation.partOf This element is included in summaries. 0..* Reference(Procedure) The larger procedure that this particular observation is a component or step
Observation.status This element is a modifier element. This element is included in summaries. 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
Observation.Slices for category 1..* CodeableConcept Classification of type of observation
Slice: Unordered, Open by value:$this
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for category.category:social-history 1..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.

Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
      "code" : "social-history"
    }
  ]
}
Observation.code This element is included in summaries. 1..1 CodeableConcept Type of observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "21843-8",
      "display" : "History of Usual Occupation"
    }
  ]
}
Observation.value[x] This element is included in summaries. C 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.
Binding: ODH Occupations (preferred): Occupation: ISCO-08 (International Labour Organization)
Observation.value[x].text This element is included in summaries. 0..1 string Use the narrative description if there is no coded value available for the usual occupation.
Observation.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.
Observation.interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
Observation.method 0..1 CodeableConcept How it was done
Binding: ObservationMethods (example): Methods for simple observations.
Observation.specimen 0..1 Reference(Specimen) Specimen used for this observation
Observation.device 0..1 Reference(Device | DeviceMetric) (Measurement) Device
Observation.referenceRange C 0..* BackboneElement Provides guide for interpretation
Constraints: obs-3
Observation.referenceRange.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.Slices for component This element is included in summaries. 1..* BackboneElement Component results
Slice: Unordered, Open by value:code

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for component.component:All Slices Content/Rules for all slices
Observation.Slices for component.component:All Slices.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:All Slices.code This element is included in summaries. 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Observation.Slices for component.component:odh-UsualIndustry This element is included in summaries. 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.
Observation.Slices for component.component:odh-UsualIndustry.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:odh-UsualIndustry.code This element is included in summaries. 1..1 CodeableConcept History of Usual industry
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "21844-6",
      "display" : "History of Usual industry"
    }
  ]
}
Observation.Slices for component.component:odh-UsualIndustry.value[x] This element is included in summaries. 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.
Binding: ODH Industries (preferred): Industry: ISIC Rev.4 (UN Statistics Division)
Observation.Slices for component.component:odh-UsualIndustry.value[x].text This element is included in summaries. 0..1 string Use the narrative description if there is no coded value available for the usual industry.
Observation.Slices for component.component:odh-UsualIndustry.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.
Observation.Slices for component.component:odh-UsualIndustry.interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:odh-UsualIndustry.referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
Observation.Slices for component.component:odh-UsualOccupationDuration This element is included in summaries. 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).
Observation.Slices for component.component:odh-UsualOccupationDuration.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:odh-UsualOccupationDuration.code This element is included in summaries. 1..1 CodeableConcept Usual occupation duration
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "74163-7",
      "display" : "Usual occupation duration"
    }
  ]
}
Observation.Slices for component.component:odh-UsualOccupationDuration.value[x] This element is included in summaries. 0..1 Quantity Actual component result
Observation.Slices for component.component:odh-UsualOccupationDuration.value[x].comparator This element is a modifier element. This element is included in summaries. 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Observation.Slices for component.component:odh-UsualOccupationDuration.value[x].system This element is included in summaries. C 0..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org (extensions allowed)
Observation.Slices for component.component:odh-UsualOccupationDuration.value[x].code This element is included in summaries. 0..1 code Coded form of the unit
Required Pattern: a (extensions allowed)
Observation.Slices for component.component:odh-UsualOccupationDuration.interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:odh-UsualOccupationDuration.referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.category Base preferred Observation Category Codes 📍4.0.1 FHIR Std.
Observation.category:social-history Base preferred Observation Category Codes 📍4.0.1 FHIR Std.
Observation.code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.value[x] Base preferred ODH Occupations 📦1.0.1-current This IG
Observation.dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.
Observation.method Base example Observation Methods 📍4.0.1 FHIR Std.
Observation.component.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:odh-UsualIndustry.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:odh-UsualIndustry.​value[x] Base preferred ODH Industries 📦1.0.1-current This IG
Observation.component:odh-UsualIndustry.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:odh-UsualIndustry.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:odh-UsualOccupationDuration.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:odh-UsualOccupationDuration.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:odh-UsualOccupationDuration.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression

This structure is derived from Observation

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation 0..* Observation Usual Work
Observation.basedOn 0..* Reference(ServiceRequest) The plan, proposal or order that is fulfilled in whole or in part by this observation
Observation.partOf 0..* Reference(Procedure) The larger procedure that this particular observation is a component or step
Observation.Slices for category 1..* CodeableConcept Classification of type of observation
Slice: Unordered, Open by value:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for category.category:social-history 1..1 CodeableConcept Classification of type of observation
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
      "code" : "social-history"
    }
  ]
}
Observation.code 1..1 CodeableConcept Type of observation (code / type)
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "21843-8",
      "display" : "History of Usual Occupation"
    }
  ]
}
Observation.value[x] 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.
Binding: ODH Occupations (preferred): Occupation: ISCO-08 (International Labour Organization)
Observation.value[x].text 0..1 string Use the narrative description if there is no coded value available for the usual occupation.
Observation.dataAbsentReason 0..1 CodeableConcept The reason that there is no value available for the Occupation.
Observation.interpretation 0..* CodeableConcept High, low, normal, etc.
Observation.bodySite 0..1 CodeableConcept Observed body part
Observation.method 0..1 CodeableConcept How it was done
Observation.specimen 0..1 Reference(Specimen) Specimen used for this observation
Observation.device 0..1 Reference(Device | DeviceMetric) (Measurement) Device
Observation.referenceRange 0..* BackboneElement Provides guide for interpretation
Observation.Slices for component 1..* BackboneElement Component results
Slice: Unordered, Open by value:code
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for component.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.
Observation.Slices for component.component:odh-UsualIndustry.code 1..1 CodeableConcept History of Usual industry
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "21844-6",
      "display" : "History of Usual industry"
    }
  ]
}
Observation.Slices for component.component:odh-UsualIndustry.value[x] 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.
Binding: ODH Industries (preferred): Industry: ISIC Rev.4 (UN Statistics Division)
Observation.Slices for component.component:odh-UsualIndustry.value[x].text 0..1 string Use the narrative description if there is no coded value available for the usual industry.
Observation.Slices for component.component:odh-UsualIndustry.dataAbsentReason 0..1 CodeableConcept The reason that there is no value available for the Industry.
Observation.Slices for component.component:odh-UsualIndustry.interpretation 0..* CodeableConcept High, low, normal, etc.
Observation.Slices for component.component:odh-UsualIndustry.referenceRange 0..* Provides guide for interpretation of component result
Observation.Slices for component.component:odh-UsualOccupationDuration 0..1 BackboneElement UsualOccupationDuration: The total of all periods of time (in years) the subject has spent in their Usual Occupation, not including intermittent period(s) when they were not working in that occupation (type of work).
Observation.Slices for component.component:odh-UsualOccupationDuration.code 1..1 CodeableConcept Usual occupation duration
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "74163-7",
      "display" : "Usual occupation duration"
    }
  ]
}
Observation.Slices for component.component:odh-UsualOccupationDuration.value[x] 0..1 Quantity Actual component result
Observation.Slices for component.component:odh-UsualOccupationDuration.value[x].system 0..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org (extensions allowed)
Observation.Slices for component.component:odh-UsualOccupationDuration.value[x].code 0..1 code Coded form of the unit
Required Pattern: a (extensions allowed)
Observation.Slices for component.component:odh-UsualOccupationDuration.interpretation 0..* CodeableConcept High, low, normal, etc.
Observation.Slices for component.component:odh-UsualOccupationDuration.referenceRange 0..* Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.value[x] Base preferred ODH Occupations 📦1.0.1-current This IG
Observation.component:odh-UsualIndustry.​value[x] Base preferred ODH Industries 📦1.0.1-current This IG
NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation C 0..* Observation Usual Work
Constraints: obs-6, obs-7
Observation.id This element is included in summaries. 0..1 id Logical id of this artifact
Observation.meta This element is included in summaries. 0..1 Meta Metadata about the resource
Observation.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
Observation.language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
Observation.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
Observation.contained 0..* Resource Contained, inline Resources
Observation.extension 0..* Extension Additional content defined by implementations
Observation.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Observation.identifier This element is included in summaries. 0..* Identifier Business Identifier for observation
Observation.basedOn This element is included in summaries. 0..* Reference(ServiceRequest) The plan, proposal or order that is fulfilled in whole or in part by this observation
Observation.partOf This element is included in summaries. 0..* Reference(Procedure) The larger procedure that this particular observation is a component or step
Observation.status This element is a modifier element. This element is included in summaries. 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
Observation.Slices for category 1..* CodeableConcept Classification of type of observation
Slice: Unordered, Open by value:$this
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for category.category:social-history 1..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.

Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
      "code" : "social-history"
    }
  ]
}
Observation.code This element is included in summaries. 1..1 CodeableConcept Type of observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "21843-8",
      "display" : "History of Usual Occupation"
    }
  ]
}
Observation.subject This element is included in summaries. 0..1 Reference(Patient | Group | Device | Location) Who and/or what the observation is about
Observation.focus This element is included in summaries. 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
Observation.encounter This element is included in summaries. 0..1 Reference(Encounter) Healthcare event during which this observation is made
Observation.effective[x] This element is included in summaries. 0..1 Clinically relevant time/time-period for observation
Observation.effective[x].effectiveDateTime dateTime
Observation.effective[x].effectivePeriod Period
Observation.effective[x].effectiveTiming Timing
Observation.effective[x].effectiveInstant instant
Observation.issued This element is included in summaries. 0..1 instant Date/Time this version was made available
Observation.performer This element is included in summaries. 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) Who is responsible for the observation
Observation.value[x] This element is included in summaries. C 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.
Binding: ODH Occupations (preferred): Occupation: ISCO-08 (International Labour Organization)
Observation.value[x].id 0..1 string Unique id for inter-element referencing
Observation.value[x].extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.value[x].coding This element is included in summaries. 0..* Coding Code defined by a terminology system
Observation.value[x].text This element is included in summaries. 0..1 string Use the narrative description if there is no coded value available for the usual occupation.
Observation.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.
Observation.interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.note 0..* Annotation Comments about the observation
Observation.bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
Observation.method 0..1 CodeableConcept How it was done
Binding: ObservationMethods (example): Methods for simple observations.
Observation.specimen 0..1 Reference(Specimen) Specimen used for this observation
Observation.device 0..1 Reference(Device | DeviceMetric) (Measurement) Device
Observation.referenceRange C 0..* BackboneElement Provides guide for interpretation
Constraints: obs-3
Observation.referenceRange.id 0..1 string Unique id for inter-element referencing
Observation.referenceRange.extension 0..* Extension Additional content defined by implementations
Observation.referenceRange.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.referenceRange.low C 0..1 SimpleQuantity(4.0.1) Low Range, if relevant
Constraints: sqty-1
Observation.referenceRange.high C 0..1 SimpleQuantity(4.0.1) High Range, if relevant
Constraints: sqty-1
Observation.referenceRange.type 0..1 CodeableConcept Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
Observation.referenceRange.appliesTo 0..* CodeableConcept Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
Observation.referenceRange.age 0..1 Range Applicable age range, if relevant
Observation.referenceRange.text 0..1 string Text based reference range in an observation
Observation.hasMember This element is included in summaries. 0..* Reference(Observation | QuestionnaireResponse | MolecularSequence) Related resource that belongs to the Observation group
Observation.derivedFrom This element is included in summaries. 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) Related measurements the observation is made from
Observation.Slices for component This element is included in summaries. 1..* BackboneElement Component results
Slice: Unordered, Open by value:code

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for component.component:All Slices Content/Rules for all slices
Observation.Slices for component.component:All Slices.id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:All Slices.extension 0..* Extension Additional content defined by implementations
Observation.Slices for component.component:All Slices.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:All Slices.code This element is included in summaries. 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Observation.Slices for component.component:All Slices.value[x] This element is included in summaries. 0..1 Actual component result
Observation.Slices for component.component:All Slices.value[x].valueQuantity Quantity
Observation.Slices for component.component:All Slices.value[x].valueCodeableConcept CodeableConcept
Observation.Slices for component.component:All Slices.value[x].valueString string
Observation.Slices for component.component:All Slices.value[x].valueBoolean boolean
Observation.Slices for component.component:All Slices.value[x].valueInteger integer
Observation.Slices for component.component:All Slices.value[x].valueRange Range
Observation.Slices for component.component:All Slices.value[x].valueRatio Ratio
Observation.Slices for component.component:All Slices.value[x].valueSampledData SampledData
Observation.Slices for component.component:All Slices.value[x].valueTime time
Observation.Slices for component.component:All Slices.value[x].valueDateTime dateTime
Observation.Slices for component.component:All Slices.value[x].valuePeriod Period
Observation.Slices for component.component:All Slices.dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.Slices for component.component:All Slices.interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:All Slices.referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
Observation.Slices for component.component:odh-UsualIndustry This element is included in summaries. 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.
Observation.Slices for component.component:odh-UsualIndustry.id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:odh-UsualIndustry.extension 0..* Extension Additional content defined by implementations
Observation.Slices for component.component:odh-UsualIndustry.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:odh-UsualIndustry.code This element is included in summaries. 1..1 CodeableConcept History of Usual industry
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "21844-6",
      "display" : "History of Usual industry"
    }
  ]
}
Observation.Slices for component.component:odh-UsualIndustry.value[x] This element is included in summaries. 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.
Binding: ODH Industries (preferred): Industry: ISIC Rev.4 (UN Statistics Division)
Observation.Slices for component.component:odh-UsualIndustry.value[x].id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:odh-UsualIndustry.value[x].extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.Slices for component.component:odh-UsualIndustry.value[x].coding This element is included in summaries. 0..* Coding Code defined by a terminology system
Observation.Slices for component.component:odh-UsualIndustry.value[x].text This element is included in summaries. 0..1 string Use the narrative description if there is no coded value available for the usual industry.
Observation.Slices for component.component:odh-UsualIndustry.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.
Observation.Slices for component.component:odh-UsualIndustry.interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:odh-UsualIndustry.referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
Observation.Slices for component.component:odh-UsualOccupationDuration This element is included in summaries. 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).
Observation.Slices for component.component:odh-UsualOccupationDuration.id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:odh-UsualOccupationDuration.extension 0..* Extension Additional content defined by implementations
Observation.Slices for component.component:odh-UsualOccupationDuration.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:odh-UsualOccupationDuration.code This element is included in summaries. 1..1 CodeableConcept Usual occupation duration
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "74163-7",
      "display" : "Usual occupation duration"
    }
  ]
}
Observation.Slices for component.component:odh-UsualOccupationDuration.value[x] This element is included in summaries. 0..1 Quantity Actual component result
Observation.Slices for component.component:odh-UsualOccupationDuration.value[x].id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:odh-UsualOccupationDuration.value[x].extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.Slices for component.component:odh-UsualOccupationDuration.value[x].value This element is included in summaries. 0..1 decimal Numerical value (with implicit precision)
Observation.Slices for component.component:odh-UsualOccupationDuration.value[x].comparator This element is a modifier element. This element is included in summaries. 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Observation.Slices for component.component:odh-UsualOccupationDuration.value[x].unit This element is included in summaries. 0..1 string Unit representation
Observation.Slices for component.component:odh-UsualOccupationDuration.value[x].system This element is included in summaries. C 0..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org (extensions allowed)
Observation.Slices for component.component:odh-UsualOccupationDuration.value[x].code This element is included in summaries. 0..1 code Coded form of the unit
Required Pattern: a (extensions allowed)
Observation.Slices for component.component:odh-UsualOccupationDuration.dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.Slices for component.component:odh-UsualOccupationDuration.interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:odh-UsualOccupationDuration.referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.category Base preferred Observation Category Codes 📍4.0.1 FHIR Std.
Observation.category:social-history Base preferred Observation Category Codes 📍4.0.1 FHIR Std.
Observation.code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.value[x] Base preferred ODH Occupations 📦1.0.1-current This IG
Observation.dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.
Observation.method Base example Observation Methods 📍4.0.1 FHIR Std.
Observation.referenceRange.​type Base preferred Observation Reference Range Meaning Codes 📍4.0.1 FHIR Std.
Observation.referenceRange.​appliesTo Base example Observation Reference Range Applies To Codes 📍4.0.1 FHIR Std.
Observation.component.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:odh-UsualIndustry.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:odh-UsualIndustry.​value[x] Base preferred ODH Industries 📦1.0.1-current This IG
Observation.component:odh-UsualIndustry.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:odh-UsualIndustry.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:odh-UsualOccupationDuration.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:odh-UsualOccupationDuration.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:odh-UsualOccupationDuration.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:odh-UsualOccupationDuration.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression

This structure is derived from Observation

Summary

Mandatory: 4 elements

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Observation.category
  • The element 1 is sliced based on the value of Observation.component

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation C 0..* Observation Usual Work
Constraints: obs-6, obs-7
Observation.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
Observation.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Observation.basedOn This element is included in summaries. 0..* Reference(ServiceRequest) The plan, proposal or order that is fulfilled in whole or in part by this observation
Observation.partOf This element is included in summaries. 0..* Reference(Procedure) The larger procedure that this particular observation is a component or step
Observation.status This element is a modifier element. This element is included in summaries. 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
Observation.Slices for category 1..* CodeableConcept Classification of type of observation
Slice: Unordered, Open by value:$this
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for category.category:social-history 1..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.

Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
      "code" : "social-history"
    }
  ]
}
Observation.code This element is included in summaries. 1..1 CodeableConcept Type of observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "21843-8",
      "display" : "History of Usual Occupation"
    }
  ]
}
Observation.value[x] This element is included in summaries. C 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.
Binding: ODH Occupations (preferred): Occupation: ISCO-08 (International Labour Organization)
Observation.value[x].text This element is included in summaries. 0..1 string Use the narrative description if there is no coded value available for the usual occupation.
Observation.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.
Observation.interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
Observation.method 0..1 CodeableConcept How it was done
Binding: ObservationMethods (example): Methods for simple observations.
Observation.specimen 0..1 Reference(Specimen) Specimen used for this observation
Observation.device 0..1 Reference(Device | DeviceMetric) (Measurement) Device
Observation.referenceRange C 0..* BackboneElement Provides guide for interpretation
Constraints: obs-3
Observation.referenceRange.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.Slices for component This element is included in summaries. 1..* BackboneElement Component results
Slice: Unordered, Open by value:code

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for component.component:All Slices Content/Rules for all slices
Observation.Slices for component.component:All Slices.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:All Slices.code This element is included in summaries. 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Observation.Slices for component.component:odh-UsualIndustry This element is included in summaries. 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.
Observation.Slices for component.component:odh-UsualIndustry.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:odh-UsualIndustry.code This element is included in summaries. 1..1 CodeableConcept History of Usual industry
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "21844-6",
      "display" : "History of Usual industry"
    }
  ]
}
Observation.Slices for component.component:odh-UsualIndustry.value[x] This element is included in summaries. 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.
Binding: ODH Industries (preferred): Industry: ISIC Rev.4 (UN Statistics Division)
Observation.Slices for component.component:odh-UsualIndustry.value[x].text This element is included in summaries. 0..1 string Use the narrative description if there is no coded value available for the usual industry.
Observation.Slices for component.component:odh-UsualIndustry.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.
Observation.Slices for component.component:odh-UsualIndustry.interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:odh-UsualIndustry.referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
Observation.Slices for component.component:odh-UsualOccupationDuration This element is included in summaries. 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).
Observation.Slices for component.component:odh-UsualOccupationDuration.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:odh-UsualOccupationDuration.code This element is included in summaries. 1..1 CodeableConcept Usual occupation duration
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "74163-7",
      "display" : "Usual occupation duration"
    }
  ]
}
Observation.Slices for component.component:odh-UsualOccupationDuration.value[x] This element is included in summaries. 0..1 Quantity Actual component result
Observation.Slices for component.component:odh-UsualOccupationDuration.value[x].comparator This element is a modifier element. This element is included in summaries. 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Observation.Slices for component.component:odh-UsualOccupationDuration.value[x].system This element is included in summaries. C 0..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org (extensions allowed)
Observation.Slices for component.component:odh-UsualOccupationDuration.value[x].code This element is included in summaries. 0..1 code Coded form of the unit
Required Pattern: a (extensions allowed)
Observation.Slices for component.component:odh-UsualOccupationDuration.interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:odh-UsualOccupationDuration.referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.category Base preferred Observation Category Codes 📍4.0.1 FHIR Std.
Observation.category:social-history Base preferred Observation Category Codes 📍4.0.1 FHIR Std.
Observation.code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.value[x] Base preferred ODH Occupations 📦1.0.1-current This IG
Observation.dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.
Observation.method Base example Observation Methods 📍4.0.1 FHIR Std.
Observation.component.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:odh-UsualIndustry.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:odh-UsualIndustry.​value[x] Base preferred ODH Industries 📦1.0.1-current This IG
Observation.component:odh-UsualIndustry.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:odh-UsualIndustry.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:odh-UsualOccupationDuration.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:odh-UsualOccupationDuration.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:odh-UsualOccupationDuration.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression

Differential View

This structure is derived from Observation

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation 0..* Observation Usual Work
Observation.basedOn 0..* Reference(ServiceRequest) The plan, proposal or order that is fulfilled in whole or in part by this observation
Observation.partOf 0..* Reference(Procedure) The larger procedure that this particular observation is a component or step
Observation.Slices for category 1..* CodeableConcept Classification of type of observation
Slice: Unordered, Open by value:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for category.category:social-history 1..1 CodeableConcept Classification of type of observation
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
      "code" : "social-history"
    }
  ]
}
Observation.code 1..1 CodeableConcept Type of observation (code / type)
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "21843-8",
      "display" : "History of Usual Occupation"
    }
  ]
}
Observation.value[x] 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.
Binding: ODH Occupations (preferred): Occupation: ISCO-08 (International Labour Organization)
Observation.value[x].text 0..1 string Use the narrative description if there is no coded value available for the usual occupation.
Observation.dataAbsentReason 0..1 CodeableConcept The reason that there is no value available for the Occupation.
Observation.interpretation 0..* CodeableConcept High, low, normal, etc.
Observation.bodySite 0..1 CodeableConcept Observed body part
Observation.method 0..1 CodeableConcept How it was done
Observation.specimen 0..1 Reference(Specimen) Specimen used for this observation
Observation.device 0..1 Reference(Device | DeviceMetric) (Measurement) Device
Observation.referenceRange 0..* BackboneElement Provides guide for interpretation
Observation.Slices for component 1..* BackboneElement Component results
Slice: Unordered, Open by value:code
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for component.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.
Observation.Slices for component.component:odh-UsualIndustry.code 1..1 CodeableConcept History of Usual industry
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "21844-6",
      "display" : "History of Usual industry"
    }
  ]
}
Observation.Slices for component.component:odh-UsualIndustry.value[x] 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.
Binding: ODH Industries (preferred): Industry: ISIC Rev.4 (UN Statistics Division)
Observation.Slices for component.component:odh-UsualIndustry.value[x].text 0..1 string Use the narrative description if there is no coded value available for the usual industry.
Observation.Slices for component.component:odh-UsualIndustry.dataAbsentReason 0..1 CodeableConcept The reason that there is no value available for the Industry.
Observation.Slices for component.component:odh-UsualIndustry.interpretation 0..* CodeableConcept High, low, normal, etc.
Observation.Slices for component.component:odh-UsualIndustry.referenceRange 0..* Provides guide for interpretation of component result
Observation.Slices for component.component:odh-UsualOccupationDuration 0..1 BackboneElement UsualOccupationDuration: The total of all periods of time (in years) the subject has spent in their Usual Occupation, not including intermittent period(s) when they were not working in that occupation (type of work).
Observation.Slices for component.component:odh-UsualOccupationDuration.code 1..1 CodeableConcept Usual occupation duration
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "74163-7",
      "display" : "Usual occupation duration"
    }
  ]
}
Observation.Slices for component.component:odh-UsualOccupationDuration.value[x] 0..1 Quantity Actual component result
Observation.Slices for component.component:odh-UsualOccupationDuration.value[x].system 0..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org (extensions allowed)
Observation.Slices for component.component:odh-UsualOccupationDuration.value[x].code 0..1 code Coded form of the unit
Required Pattern: a (extensions allowed)
Observation.Slices for component.component:odh-UsualOccupationDuration.interpretation 0..* CodeableConcept High, low, normal, etc.
Observation.Slices for component.component:odh-UsualOccupationDuration.referenceRange 0..* Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.value[x] Base preferred ODH Occupations 📦1.0.1-current This IG
Observation.component:odh-UsualIndustry.​value[x] Base preferred ODH Industries 📦1.0.1-current This IG

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation C 0..* Observation Usual Work
Constraints: obs-6, obs-7
Observation.id This element is included in summaries. 0..1 id Logical id of this artifact
Observation.meta This element is included in summaries. 0..1 Meta Metadata about the resource
Observation.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
Observation.language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
Observation.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
Observation.contained 0..* Resource Contained, inline Resources
Observation.extension 0..* Extension Additional content defined by implementations
Observation.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Observation.identifier This element is included in summaries. 0..* Identifier Business Identifier for observation
Observation.basedOn This element is included in summaries. 0..* Reference(ServiceRequest) The plan, proposal or order that is fulfilled in whole or in part by this observation
Observation.partOf This element is included in summaries. 0..* Reference(Procedure) The larger procedure that this particular observation is a component or step
Observation.status This element is a modifier element. This element is included in summaries. 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
Observation.Slices for category 1..* CodeableConcept Classification of type of observation
Slice: Unordered, Open by value:$this
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for category.category:social-history 1..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.

Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
      "code" : "social-history"
    }
  ]
}
Observation.code This element is included in summaries. 1..1 CodeableConcept Type of observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "21843-8",
      "display" : "History of Usual Occupation"
    }
  ]
}
Observation.subject This element is included in summaries. 0..1 Reference(Patient | Group | Device | Location) Who and/or what the observation is about
Observation.focus This element is included in summaries. 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
Observation.encounter This element is included in summaries. 0..1 Reference(Encounter) Healthcare event during which this observation is made
Observation.effective[x] This element is included in summaries. 0..1 Clinically relevant time/time-period for observation
Observation.effective[x].effectiveDateTime dateTime
Observation.effective[x].effectivePeriod Period
Observation.effective[x].effectiveTiming Timing
Observation.effective[x].effectiveInstant instant
Observation.issued This element is included in summaries. 0..1 instant Date/Time this version was made available
Observation.performer This element is included in summaries. 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) Who is responsible for the observation
Observation.value[x] This element is included in summaries. C 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.
Binding: ODH Occupations (preferred): Occupation: ISCO-08 (International Labour Organization)
Observation.value[x].id 0..1 string Unique id for inter-element referencing
Observation.value[x].extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.value[x].coding This element is included in summaries. 0..* Coding Code defined by a terminology system
Observation.value[x].text This element is included in summaries. 0..1 string Use the narrative description if there is no coded value available for the usual occupation.
Observation.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.
Observation.interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.note 0..* Annotation Comments about the observation
Observation.bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
Observation.method 0..1 CodeableConcept How it was done
Binding: ObservationMethods (example): Methods for simple observations.
Observation.specimen 0..1 Reference(Specimen) Specimen used for this observation
Observation.device 0..1 Reference(Device | DeviceMetric) (Measurement) Device
Observation.referenceRange C 0..* BackboneElement Provides guide for interpretation
Constraints: obs-3
Observation.referenceRange.id 0..1 string Unique id for inter-element referencing
Observation.referenceRange.extension 0..* Extension Additional content defined by implementations
Observation.referenceRange.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.referenceRange.low C 0..1 SimpleQuantity(4.0.1) Low Range, if relevant
Constraints: sqty-1
Observation.referenceRange.high C 0..1 SimpleQuantity(4.0.1) High Range, if relevant
Constraints: sqty-1
Observation.referenceRange.type 0..1 CodeableConcept Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
Observation.referenceRange.appliesTo 0..* CodeableConcept Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
Observation.referenceRange.age 0..1 Range Applicable age range, if relevant
Observation.referenceRange.text 0..1 string Text based reference range in an observation
Observation.hasMember This element is included in summaries. 0..* Reference(Observation | QuestionnaireResponse | MolecularSequence) Related resource that belongs to the Observation group
Observation.derivedFrom This element is included in summaries. 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) Related measurements the observation is made from
Observation.Slices for component This element is included in summaries. 1..* BackboneElement Component results
Slice: Unordered, Open by value:code

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for component.component:All Slices Content/Rules for all slices
Observation.Slices for component.component:All Slices.id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:All Slices.extension 0..* Extension Additional content defined by implementations
Observation.Slices for component.component:All Slices.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:All Slices.code This element is included in summaries. 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Observation.Slices for component.component:All Slices.value[x] This element is included in summaries. 0..1 Actual component result
Observation.Slices for component.component:All Slices.value[x].valueQuantity Quantity
Observation.Slices for component.component:All Slices.value[x].valueCodeableConcept CodeableConcept
Observation.Slices for component.component:All Slices.value[x].valueString string
Observation.Slices for component.component:All Slices.value[x].valueBoolean boolean
Observation.Slices for component.component:All Slices.value[x].valueInteger integer
Observation.Slices for component.component:All Slices.value[x].valueRange Range
Observation.Slices for component.component:All Slices.value[x].valueRatio Ratio
Observation.Slices for component.component:All Slices.value[x].valueSampledData SampledData
Observation.Slices for component.component:All Slices.value[x].valueTime time
Observation.Slices for component.component:All Slices.value[x].valueDateTime dateTime
Observation.Slices for component.component:All Slices.value[x].valuePeriod Period
Observation.Slices for component.component:All Slices.dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.Slices for component.component:All Slices.interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:All Slices.referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
Observation.Slices for component.component:odh-UsualIndustry This element is included in summaries. 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.
Observation.Slices for component.component:odh-UsualIndustry.id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:odh-UsualIndustry.extension 0..* Extension Additional content defined by implementations
Observation.Slices for component.component:odh-UsualIndustry.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:odh-UsualIndustry.code This element is included in summaries. 1..1 CodeableConcept History of Usual industry
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "21844-6",
      "display" : "History of Usual industry"
    }
  ]
}
Observation.Slices for component.component:odh-UsualIndustry.value[x] This element is included in summaries. 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.
Binding: ODH Industries (preferred): Industry: ISIC Rev.4 (UN Statistics Division)
Observation.Slices for component.component:odh-UsualIndustry.value[x].id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:odh-UsualIndustry.value[x].extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.Slices for component.component:odh-UsualIndustry.value[x].coding This element is included in summaries. 0..* Coding Code defined by a terminology system
Observation.Slices for component.component:odh-UsualIndustry.value[x].text This element is included in summaries. 0..1 string Use the narrative description if there is no coded value available for the usual industry.
Observation.Slices for component.component:odh-UsualIndustry.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.
Observation.Slices for component.component:odh-UsualIndustry.interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:odh-UsualIndustry.referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
Observation.Slices for component.component:odh-UsualOccupationDuration This element is included in summaries. 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).
Observation.Slices for component.component:odh-UsualOccupationDuration.id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:odh-UsualOccupationDuration.extension 0..* Extension Additional content defined by implementations
Observation.Slices for component.component:odh-UsualOccupationDuration.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:odh-UsualOccupationDuration.code This element is included in summaries. 1..1 CodeableConcept Usual occupation duration
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: 
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "74163-7",
      "display" : "Usual occupation duration"
    }
  ]
}
Observation.Slices for component.component:odh-UsualOccupationDuration.value[x] This element is included in summaries. 0..1 Quantity Actual component result
Observation.Slices for component.component:odh-UsualOccupationDuration.value[x].id 0..1 string Unique id for inter-element referencing
Observation.Slices for component.component:odh-UsualOccupationDuration.value[x].extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.Slices for component.component:odh-UsualOccupationDuration.value[x].value This element is included in summaries. 0..1 decimal Numerical value (with implicit precision)
Observation.Slices for component.component:odh-UsualOccupationDuration.value[x].comparator This element is a modifier element. This element is included in summaries. 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Observation.Slices for component.component:odh-UsualOccupationDuration.value[x].unit This element is included in summaries. 0..1 string Unit representation
Observation.Slices for component.component:odh-UsualOccupationDuration.value[x].system This element is included in summaries. C 0..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org (extensions allowed)
Observation.Slices for component.component:odh-UsualOccupationDuration.value[x].code This element is included in summaries. 0..1 code Coded form of the unit
Required Pattern: a (extensions allowed)
Observation.Slices for component.component:odh-UsualOccupationDuration.dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.Slices for component.component:odh-UsualOccupationDuration.interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:odh-UsualOccupationDuration.referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.category Base preferred Observation Category Codes 📍4.0.1 FHIR Std.
Observation.category:social-history Base preferred Observation Category Codes 📍4.0.1 FHIR Std.
Observation.code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.value[x] Base preferred ODH Occupations 📦1.0.1-current This IG
Observation.dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.
Observation.method Base example Observation Methods 📍4.0.1 FHIR Std.
Observation.referenceRange.​type Base preferred Observation Reference Range Meaning Codes 📍4.0.1 FHIR Std.
Observation.referenceRange.​appliesTo Base example Observation Reference Range Applies To Codes 📍4.0.1 FHIR Std.
Observation.component.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:odh-UsualIndustry.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:odh-UsualIndustry.​value[x] Base preferred ODH Industries 📦1.0.1-current This IG
Observation.component:odh-UsualIndustry.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:odh-UsualIndustry.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:odh-UsualOccupationDuration.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:odh-UsualOccupationDuration.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:odh-UsualOccupationDuration.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:odh-UsualOccupationDuration.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression

This structure is derived from Observation

Summary

Mandatory: 4 elements

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Observation.category
  • The element 1 is sliced based on the value of Observation.component

 

Other representations of profile: CSV, Excel, Schematron