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

IHE FHIR Profile: Occupational Data for Health (ODH) - International, 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: Employment Status

Official URL: https://profiles.ihe.net/PCC/ODH/StructureDefinition/odh-EmploymentStatus | Version: 1.0.1-current
Active as of 2024-12-05 | Computable Name: EmploymentStatus
Other Identifiers: OID:1.3.6.1.4.1.19376.1.5.3.1.3.43.42.3

A History of Employment Status Observation is a clinical statement about a person's relationship to working for pay, family earnings, or training (e.g. having one or more jobs, searching for work, etc.). A person's ODH Employment Status is independent of Job characteristics, e.g., not “full-time work,” “part-time work,” "self-employed," because many people have more than one job.

Usage:

- Refer to this Resource Profile: Occupational Data For Health
- Examples for this Resource Profile: Observation/observation-odh-employment-status-sample

### Formal Views of Profile Content

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

- Differential Table
- Key Elements Table
- Snapshot Table
- Statistics/References
- All

This structure is derived from Observation

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Observation |  | 0..* | Observation | Employment Status
basedOn |  | 0..* | Reference(ServiceRequest) | The plan, proposal or order that is fulfilled in whole or in part by this observation
partOf |  | 0..* | Reference(Procedure) | The larger procedure that this particular observation is a component or step
category |  | 0..1 | CodeableConcept | Classification of type of observation
Slices for coding |  | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:code
coding:Fixed_social-history | Σ | 1..1 | Coding | Social History
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: social-history
code |  | 1..1 | CodeableConcept | Type of observation (code / type)
Slices for coding |  | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:code
coding:Fixed_74165-2 | Σ | 1..1 | Coding | History of employment status NIOSH
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 74165-2
subject |  | 1..1 | Reference(Patient) | The subject of an observation
focus |  | 0..0 |  |
effectivePeriod |  | 0..1 | Period | The time period the employment status addresses. If the employment is current, the ending time of the time period should be omitted.
performer |  | 0..* | Reference(Practitioner | Organization | Patient | RelatedPerson) | Who is responsible for the observation
valueCodeableConcept |  | 0..1 | CodeableConcept | A person's employment status as defined by compensation and sector (e.g. paid vs. unpaid, self-employed vs. not self-employed, government vs. private, etc.) Binding: employmentStatusODH (required)
dataAbsentReason |  | 0..0 |  |
interpretation |  | 0..1 | CodeableConcept | High, low, normal, etc.
bodySite |  | 0..0 |  |
method |  | 0..0 |  |
specimen |  | 0..0 |  |
device |  | 0..0 |  |
referenceRange |  | 0..0 |  |
hasMember |  | 0..0 |  |
derivedFrom |  | 0..* | Reference(DocumentReference | Media | QuestionnaireResponse | Observation) | Related measurements the observation is made from
component |  | 0..0 |  |
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
Observation.valueCodeableConcept | required | EmploymentStatusODH `http://terminology.hl7.org/ValueSet/v3-employmentStatusODH`
Observation.referenceRange.type | extensible | ObservationReferenceRangeMeaningCodes `http://hl7.org/fhir/ValueSet/referencerange-meaning` from the FHIR Standard
Observation.referenceRange.appliesTo | extensible | ObservationReferenceRangeAppliesToCodes `http://hl7.org/fhir/ValueSet/referencerange-appliesto` from the FHIR Standard
Observation.component.referenceRange.type | extensible | ObservationReferenceRangeMeaningCodes `http://hl7.org/fhir/ValueSet/referencerange-meaning` from the FHIR Standard
Observation.component.referenceRange.appliesTo | extensible | ObservationReferenceRangeAppliesToCodes `http://hl7.org/fhir/ValueSet/referencerange-appliesto` from the FHIR Standard

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Observation | C | 0..* | Observation | Employment Status obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
basedOn | Σ | 0..* | Reference(ServiceRequest) | The plan, proposal or order that is fulfilled in whole or in part by this observation
partOf | Σ | 0..* | Reference(Procedure) | The larger procedure that this particular observation is a component or step
status | ?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
category |  | 0..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
Slices for coding | Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:code
coding:Fixed_social-history | Σ | 1..1 | Coding | Social History
system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
code | Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: social-history
code | Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
Slices for coding | Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:code
coding:Fixed_74165-2 | Σ | 1..1 | Coding | History of employment status NIOSH
system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code | Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 74165-2
subject | Σ | 1..1 | Reference(Patient) | The subject of an observation
Slices for effective[x] | Σ | 0..1 |  | Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
effectiveTiming |  |  | Timing |
effectiveInstant |  |  | instant |
effective[x]:effectivePeriod | Σ | 0..1 | Period | The time period the employment status addresses. If the employment is current, the ending time of the time period should be omitted.
performer | Σ | 0..* | Reference(Practitioner | Organization | Patient | RelatedPerson) | Who is responsible for the observation
Slices for value[x] | Σ C | 0..1 |  | Actual result Slice: Unordered, Open by type:$this
valueQuantity |  |  | Quantity |
valueCodeableConcept |  |  | CodeableConcept |
valueString |  |  | string |
valueBoolean |  |  | boolean |
valueInteger |  |  | integer |
valueRange |  |  | Range |
valueRatio |  |  | Ratio |
valueSampledData |  |  | SampledData |
valueTime |  |  | time |
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
value[x]:valueCodeableConcept | Σ C | 0..1 | CodeableConcept | A person's employment status as defined by compensation and sector (e.g. paid vs. unpaid, self-employed vs. not self-employed, government vs. private, etc.) Binding: employmentStatusODH (required)
interpretation |  | 0..1 | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
derivedFrom | Σ | 0..* | Reference(DocumentReference | Media | QuestionnaireResponse | Observation) | Related measurements the observation is made from
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Observation.status | required | ObservationStatus `http://hl7.org/fhir/ValueSet/observation-status|4.0.1` from the FHIR Standard
Observation.category | preferred | ObservationCategoryCodes `http://hl7.org/fhir/ValueSet/observation-category` from the FHIR Standard
Observation.code | example | LOINCCodes (a valid code from LOINC) `http://hl7.org/fhir/ValueSet/observation-codes` from the FHIR Standard
Observation.value[x]:valueCodeableConcept | required | EmploymentStatusODH `http://terminology.hl7.org/ValueSet/v3-employmentStatusODH`
Observation.interpretation | extensible | ObservationInterpretationCodes `http://hl7.org/fhir/ValueSet/observation-interpretation` from the FHIR Standard
Observation.referenceRange.type | extensible | ObservationReferenceRangeMeaningCodes `http://hl7.org/fhir/ValueSet/referencerange-meaning` from the FHIR Standard
Observation.referenceRange.appliesTo | extensible | ObservationReferenceRangeAppliesToCodes `http://hl7.org/fhir/ValueSet/referencerange-appliesto` from the FHIR Standard
Observation.component.code | example | LOINCCodes (a valid code from LOINC) `http://hl7.org/fhir/ValueSet/observation-codes` from the FHIR Standard
Observation.component.referenceRange.type | extensible | ObservationReferenceRangeMeaningCodes `http://hl7.org/fhir/ValueSet/referencerange-meaning` from the FHIR Standard
Observation.component.referenceRange.appliesTo | extensible | ObservationReferenceRangeAppliesToCodes `http://hl7.org/fhir/ValueSet/referencerange-appliesto` from the FHIR Standard

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Observation | C | 0..* | Observation | Employment Status obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | Business Identifier for observation
basedOn | Σ | 0..* | Reference(ServiceRequest) | The plan, proposal or order that is fulfilled in whole or in part by this observation
partOf | Σ | 0..* | Reference(Procedure) | The larger procedure that this particular observation is a component or step
status | ?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
category |  | 0..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding | Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:code
coding:Fixed_social-history | Σ | 1..1 | Coding | Social History
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: social-history
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
code | Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding | Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:code
coding:Fixed_74165-2 | Σ | 1..1 | Coding | History of employment status NIOSH
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 74165-2
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
subject | Σ | 1..1 | Reference(Patient) | The subject of an observation
encounter | Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made
Slices for effective[x] | Σ | 0..1 |  | Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
effectiveTiming |  |  | Timing |
effectiveInstant |  |  | instant |
effective[x]:effectivePeriod | Σ | 0..1 | Period | The time period the employment status addresses. If the employment is current, the ending time of the time period should be omitted.
issued | Σ | 0..1 | instant | Date/Time this version was made available
performer | Σ | 0..* | Reference(Practitioner | Organization | Patient | RelatedPerson) | Who is responsible for the observation
Slices for value[x] | Σ C | 0..1 |  | Actual result Slice: Unordered, Open by type:$this
valueQuantity |  |  | Quantity |
valueCodeableConcept |  |  | CodeableConcept |
valueString |  |  | string |
valueBoolean |  |  | boolean |
valueInteger |  |  | integer |
valueRange |  |  | Range |
valueRatio |  |  | Ratio |
valueSampledData |  |  | SampledData |
valueTime |  |  | time |
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
value[x]:valueCodeableConcept | Σ C | 0..1 | CodeableConcept | A person's employment status as defined by compensation and sector (e.g. paid vs. unpaid, self-employed vs. not self-employed, government vs. private, etc.) Binding: employmentStatusODH (required)
interpretation |  | 0..1 | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
note |  | 0..* | Annotation | Comments about the observation
derivedFrom | Σ | 0..* | Reference(DocumentReference | Media | QuestionnaireResponse | Observation) | Related measurements the observation is made from
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Observation.language | preferred | CommonLanguages
Additional Bindings | Purpose
AllLanguages | Max Binding
`http://hl7.org/fhir/ValueSet/languages` from the FHIR Standard
Observation.status | required | ObservationStatus `http://hl7.org/fhir/ValueSet/observation-status|4.0.1` from the FHIR Standard
Observation.category | preferred | ObservationCategoryCodes `http://hl7.org/fhir/ValueSet/observation-category` from the FHIR Standard
Observation.code | example | LOINCCodes (a valid code from LOINC) `http://hl7.org/fhir/ValueSet/observation-codes` from the FHIR Standard
Observation.value[x]:valueCodeableConcept | required | EmploymentStatusODH `http://terminology.hl7.org/ValueSet/v3-employmentStatusODH`
Observation.interpretation | extensible | ObservationInterpretationCodes `http://hl7.org/fhir/ValueSet/observation-interpretation` from the FHIR Standard
Observation.referenceRange.type | extensible | ObservationReferenceRangeMeaningCodes `http://hl7.org/fhir/ValueSet/referencerange-meaning` from the FHIR Standard
Observation.referenceRange.appliesTo | extensible | ObservationReferenceRangeAppliesToCodes `http://hl7.org/fhir/ValueSet/referencerange-appliesto` from the FHIR Standard
Observation.component.code | example | LOINCCodes (a valid code from LOINC) `http://hl7.org/fhir/ValueSet/observation-codes` from the FHIR Standard
Observation.component.dataAbsentReason | extensible | DataAbsentReason `http://hl7.org/fhir/ValueSet/data-absent-reason` from the FHIR Standard
Observation.component.interpretation | extensible | ObservationInterpretationCodes `http://hl7.org/fhir/ValueSet/observation-interpretation` from the FHIR Standard
Observation.component.referenceRange.type | extensible | ObservationReferenceRangeMeaningCodes `http://hl7.org/fhir/ValueSet/referencerange-meaning` from the FHIR Standard
Observation.component.referenceRange.appliesTo | extensible | ObservationReferenceRangeAppliesToCodes `http://hl7.org/fhir/ValueSet/referencerange-appliesto` from the FHIR Standard

This structure is derived from Observation

Summary

Mandatory: 5 elements(4 nested mandatory elements)
Fixed: 4 elements
Prohibited: 9 elements

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of Observation.category.coding
- The element 1 is sliced based on the value of Observation.code.coding

Differential View

This structure is derived from Observation

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Observation |  | 0..* | Observation | Employment Status
basedOn |  | 0..* | Reference(ServiceRequest) | The plan, proposal or order that is fulfilled in whole or in part by this observation
partOf |  | 0..* | Reference(Procedure) | The larger procedure that this particular observation is a component or step
category |  | 0..1 | CodeableConcept | Classification of type of observation
Slices for coding |  | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:code
coding:Fixed_social-history | Σ | 1..1 | Coding | Social History
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: social-history
code |  | 1..1 | CodeableConcept | Type of observation (code / type)
Slices for coding |  | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:code
coding:Fixed_74165-2 | Σ | 1..1 | Coding | History of employment status NIOSH
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 74165-2
subject |  | 1..1 | Reference(Patient) | The subject of an observation
focus |  | 0..0 |  |
effectivePeriod |  | 0..1 | Period | The time period the employment status addresses. If the employment is current, the ending time of the time period should be omitted.
performer |  | 0..* | Reference(Practitioner | Organization | Patient | RelatedPerson) | Who is responsible for the observation
valueCodeableConcept |  | 0..1 | CodeableConcept | A person's employment status as defined by compensation and sector (e.g. paid vs. unpaid, self-employed vs. not self-employed, government vs. private, etc.) Binding: employmentStatusODH (required)
dataAbsentReason |  | 0..0 |  |
interpretation |  | 0..1 | CodeableConcept | High, low, normal, etc.
bodySite |  | 0..0 |  |
method |  | 0..0 |  |
specimen |  | 0..0 |  |
device |  | 0..0 |  |
referenceRange |  | 0..0 |  |
hasMember |  | 0..0 |  |
derivedFrom |  | 0..* | Reference(DocumentReference | Media | QuestionnaireResponse | Observation) | Related measurements the observation is made from
component |  | 0..0 |  |
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
Observation.valueCodeableConcept | required | EmploymentStatusODH `http://terminology.hl7.org/ValueSet/v3-employmentStatusODH`
Observation.referenceRange.type | extensible | ObservationReferenceRangeMeaningCodes `http://hl7.org/fhir/ValueSet/referencerange-meaning` from the FHIR Standard
Observation.referenceRange.appliesTo | extensible | ObservationReferenceRangeAppliesToCodes `http://hl7.org/fhir/ValueSet/referencerange-appliesto` from the FHIR Standard
Observation.component.referenceRange.type | extensible | ObservationReferenceRangeMeaningCodes `http://hl7.org/fhir/ValueSet/referencerange-meaning` from the FHIR Standard
Observation.component.referenceRange.appliesTo | extensible | ObservationReferenceRangeAppliesToCodes `http://hl7.org/fhir/ValueSet/referencerange-appliesto` from the FHIR Standard

Key Elements View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Observation | C | 0..* | Observation | Employment Status obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
basedOn | Σ | 0..* | Reference(ServiceRequest) | The plan, proposal or order that is fulfilled in whole or in part by this observation
partOf | Σ | 0..* | Reference(Procedure) | The larger procedure that this particular observation is a component or step
status | ?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
category |  | 0..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
Slices for coding | Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:code
coding:Fixed_social-history | Σ | 1..1 | Coding | Social History
system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
code | Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: social-history
code | Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
Slices for coding | Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:code
coding:Fixed_74165-2 | Σ | 1..1 | Coding | History of employment status NIOSH
system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code | Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 74165-2
subject | Σ | 1..1 | Reference(Patient) | The subject of an observation
Slices for effective[x] | Σ | 0..1 |  | Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
effectiveTiming |  |  | Timing |
effectiveInstant |  |  | instant |
effective[x]:effectivePeriod | Σ | 0..1 | Period | The time period the employment status addresses. If the employment is current, the ending time of the time period should be omitted.
performer | Σ | 0..* | Reference(Practitioner | Organization | Patient | RelatedPerson) | Who is responsible for the observation
Slices for value[x] | Σ C | 0..1 |  | Actual result Slice: Unordered, Open by type:$this
valueQuantity |  |  | Quantity |
valueCodeableConcept |  |  | CodeableConcept |
valueString |  |  | string |
valueBoolean |  |  | boolean |
valueInteger |  |  | integer |
valueRange |  |  | Range |
valueRatio |  |  | Ratio |
valueSampledData |  |  | SampledData |
valueTime |  |  | time |
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
value[x]:valueCodeableConcept | Σ C | 0..1 | CodeableConcept | A person's employment status as defined by compensation and sector (e.g. paid vs. unpaid, self-employed vs. not self-employed, government vs. private, etc.) Binding: employmentStatusODH (required)
interpretation |  | 0..1 | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
derivedFrom | Σ | 0..* | Reference(DocumentReference | Media | QuestionnaireResponse | Observation) | Related measurements the observation is made from
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Observation.status | required | ObservationStatus `http://hl7.org/fhir/ValueSet/observation-status|4.0.1` from the FHIR Standard
Observation.category | preferred | ObservationCategoryCodes `http://hl7.org/fhir/ValueSet/observation-category` from the FHIR Standard
Observation.code | example | LOINCCodes (a valid code from LOINC) `http://hl7.org/fhir/ValueSet/observation-codes` from the FHIR Standard
Observation.value[x]:valueCodeableConcept | required | EmploymentStatusODH `http://terminology.hl7.org/ValueSet/v3-employmentStatusODH`
Observation.interpretation | extensible | ObservationInterpretationCodes `http://hl7.org/fhir/ValueSet/observation-interpretation` from the FHIR Standard
Observation.referenceRange.type | extensible | ObservationReferenceRangeMeaningCodes `http://hl7.org/fhir/ValueSet/referencerange-meaning` from the FHIR Standard
Observation.referenceRange.appliesTo | extensible | ObservationReferenceRangeAppliesToCodes `http://hl7.org/fhir/ValueSet/referencerange-appliesto` from the FHIR Standard
Observation.component.code | example | LOINCCodes (a valid code from LOINC) `http://hl7.org/fhir/ValueSet/observation-codes` from the FHIR Standard
Observation.component.referenceRange.type | extensible | ObservationReferenceRangeMeaningCodes `http://hl7.org/fhir/ValueSet/referencerange-meaning` from the FHIR Standard
Observation.component.referenceRange.appliesTo | extensible | ObservationReferenceRangeAppliesToCodes `http://hl7.org/fhir/ValueSet/referencerange-appliesto` from the FHIR Standard

Snapshot View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Observation | C | 0..* | Observation | Employment Status obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | Business Identifier for observation
basedOn | Σ | 0..* | Reference(ServiceRequest) | The plan, proposal or order that is fulfilled in whole or in part by this observation
partOf | Σ | 0..* | Reference(Procedure) | The larger procedure that this particular observation is a component or step
status | ?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
category |  | 0..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding | Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:code
coding:Fixed_social-history | Σ | 1..1 | Coding | Social History
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: social-history
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
code | Σ | 1..1 | CodeableConcept | Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding | Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:code
coding:Fixed_74165-2 | Σ | 1..1 | Coding | History of employment status NIOSH
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 74165-2
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
subject | Σ | 1..1 | Reference(Patient) | The subject of an observation
encounter | Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made
Slices for effective[x] | Σ | 0..1 |  | Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
effectiveTiming |  |  | Timing |
effectiveInstant |  |  | instant |
effective[x]:effectivePeriod | Σ | 0..1 | Period | The time period the employment status addresses. If the employment is current, the ending time of the time period should be omitted.
issued | Σ | 0..1 | instant | Date/Time this version was made available
performer | Σ | 0..* | Reference(Practitioner | Organization | Patient | RelatedPerson) | Who is responsible for the observation
Slices for value[x] | Σ C | 0..1 |  | Actual result Slice: Unordered, Open by type:$this
valueQuantity |  |  | Quantity |
valueCodeableConcept |  |  | CodeableConcept |
valueString |  |  | string |
valueBoolean |  |  | boolean |
valueInteger |  |  | integer |
valueRange |  |  | Range |
valueRatio |  |  | Ratio |
valueSampledData |  |  | SampledData |
valueTime |  |  | time |
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
value[x]:valueCodeableConcept | Σ C | 0..1 | CodeableConcept | A person's employment status as defined by compensation and sector (e.g. paid vs. unpaid, self-employed vs. not self-employed, government vs. private, etc.) Binding: employmentStatusODH (required)
interpretation |  | 0..1 | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
note |  | 0..* | Annotation | Comments about the observation
derivedFrom | Σ | 0..* | Reference(DocumentReference | Media | QuestionnaireResponse | Observation) | Related measurements the observation is made from
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Observation.language | preferred | CommonLanguages
Additional Bindings | Purpose
AllLanguages | Max Binding
`http://hl7.org/fhir/ValueSet/languages` from the FHIR Standard
Observation.status | required | ObservationStatus `http://hl7.org/fhir/ValueSet/observation-status|4.0.1` from the FHIR Standard
Observation.category | preferred | ObservationCategoryCodes `http://hl7.org/fhir/ValueSet/observation-category` from the FHIR Standard
Observation.code | example | LOINCCodes (a valid code from LOINC) `http://hl7.org/fhir/ValueSet/observation-codes` from the FHIR Standard
Observation.value[x]:valueCodeableConcept | required | EmploymentStatusODH `http://terminology.hl7.org/ValueSet/v3-employmentStatusODH`
Observation.interpretation | extensible | ObservationInterpretationCodes `http://hl7.org/fhir/ValueSet/observation-interpretation` from the FHIR Standard
Observation.referenceRange.type | extensible | ObservationReferenceRangeMeaningCodes `http://hl7.org/fhir/ValueSet/referencerange-meaning` from the FHIR Standard
Observation.referenceRange.appliesTo | extensible | ObservationReferenceRangeAppliesToCodes `http://hl7.org/fhir/ValueSet/referencerange-appliesto` from the FHIR Standard
Observation.component.code | example | LOINCCodes (a valid code from LOINC) `http://hl7.org/fhir/ValueSet/observation-codes` from the FHIR Standard
Observation.component.dataAbsentReason | extensible | DataAbsentReason `http://hl7.org/fhir/ValueSet/data-absent-reason` from the FHIR Standard
Observation.component.interpretation | extensible | ObservationInterpretationCodes `http://hl7.org/fhir/ValueSet/observation-interpretation` from the FHIR Standard
Observation.component.referenceRange.type | extensible | ObservationReferenceRangeMeaningCodes `http://hl7.org/fhir/ValueSet/referencerange-meaning` from the FHIR Standard
Observation.component.referenceRange.appliesTo | extensible | ObservationReferenceRangeAppliesToCodes `http://hl7.org/fhir/ValueSet/referencerange-appliesto` from the FHIR Standard

This structure is derived from Observation

Summary

Mandatory: 5 elements(4 nested mandatory elements)
Fixed: 4 elements
Prohibited: 9 elements

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of Observation.category.coding
- The element 1 is sliced based on the value of Observation.code.coding

Other representations of profile: CSV, Excel, Schematron