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

## Artifacts Summary

This page provides a list of the FHIR artifacts defined as part of this implementation guide.

### Structures: Resource Profiles

These define constraints on FHIR resources for systems conforming to this implementation guide.

Combat Zone Period | A Combat Zone Period Observation is a clinical statement indicating the self-reported date range(s)when a person worked in what is considered a combat zone. Both civilian workers, such as Department of Defense contractors, and military service members could have worked in combat zones. Many people who have served in the military seek care first outside of the Veterans Health Administration system. Collecting this observation can facilitate important conversations about possible related health concerns, potentially prompting referral to the Department of Veterans' Affairs (VA).
Employment Status | The self-reported current and/or historical status about a person's economic relationship to work (e.g. having one or more jobs), including start and end dates. A person's Employment Status could change over time, for example, a person could be employed following a period of choosing to not be in the labor force. Outside of ODH, the employment arrangement between an employer and a person (one job) has sometimes been referred to as a person's 'employment status.' However, in ODH, Employment Status is used to characterize a person, Work Classification is used to characterize a job, and Retirement Date is used to characterize a person as retired.
Occupational Data For Health | covers information about a patient's work, including some voluntary work, or a patient's household members' work. ODH is designed for the social history section of a medical record, to facilitate clinical care in multiple disciplines and delivery environments. ODH can be used for clinical decision support, population health activities and value-based care, and public health reporting.
Past Or Present Job | A Past or Present Occupation Observation is a clinical statement about the type of work done by a person in a job, as reported by that person. It includes a set of self-reported, related observations that remain associated with one-another to characterize the job and provide clinically-relevant information. It also can be used in a minor's record for the job(s) of people who share a home with the person (see optional related subject). A job is defined as a work situation, training position, or (potentially clinically-relevant) volunteer position held for a specified time period; for a given job, updates to Job Occupation, Past or Present Industry (Job Industry), Supervisory Level, or Employer would constitute a new job or volunteer position. A person can have more than one job at the same time and multiple jobs over time. Knowledge about a person's job(s) informs diagnosis and management of illness and injury; it also informs management of health in the work environment, regardless of whether a condition is work-related. While knowing about a person's current job(s) is likely to be most important, some work-related health conditions can manifest after a long latency so a history of jobs can also provide valuable information. This set of related Job observations also can provide information for public health to locate infectious disease outbreaks and intervene to prevent further illness. Public health can also use these data to analyze work-related conditions such as silicosis, pesticide poisoning, and some types of cancer to identify Occupations, Industry sectors and Employers for whom interventions are needed to mitigate risk.
Retirement Date | A Date of Retirement Observation is a clinical statement about a self-reported date (at least year) that a person considers themselves to have 'retired'. If present, the person has retired. A person can be both retired and employed; most often, a person would be retired from one job and employed in another job.
Usual Work | 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 his or her 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 his or her 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.

### Structures: Extension Definitions

These define constraints on FHIR data types for systems conforming to this implementation guide.

Employer | A person or organization that hires the services of another. This contains the address of the employer, which might not be the work location.
ODHIsCurrentJob-extension | A flag indicating if this is the person's current job (at the time the resource was last updated)

### Terminology: Value Sets

These define sets of codes used by systems conforming to this implementation guide.

Occupations | Value set indicating the ILO occupations.
Yes No VS | Value set indicating yes or no (values drawn from Snomed CT), equivalent to LL361-7.
industries | Value set indicating the ILO industries.

### Terminology: Code Systems

These define new code systems used by systems conforming to this implementation guide.

International Classification Of Occupations 2008 | The International Classification of Occupations (ISCO) seeks to facilitate international communication about occupations by providing statisticians with a framework to make internationally comparable occupational data available, and by allowing international occupational data to be produced in a form that can be useful for research as well as for specific decision-making and action-oriented activities. The current version, known as ISCO-08, was published in 2008 and is the fourth iteration, following ISCO-58, ISCO-68 and ISCO-88. Published by IHE with authority from the International Labor Organization Given on July 18th 2024. This code system will be removed if and when a more formal publication is taken on by this organization.
International Standard Industrial Classification Codes Rev4 | a standard classification of economic activities arranged so that entities can be classified according to the activity they carry out. The categories of ISIC at the most detailed level (classes) are delineated according to what is, in most countries, the customary combination of activities described in statistical units and considers the relative importance of the activities included in these classes. While the latest version, ISIC Rev.4, continues to use criteria such as input, output and use of the products produced, more emphasis has been given to the character of the production process in defining and delineating ISIC classes. Published by IHE with authority from the International Labor Organization Given on July 18th 2024. This code system will be removed if and when a more formal publication is taken on by this organization.

### Terminology: Concept Maps

These define transformations to convert between codes by systems conforming with this implementation guide.

ISCO08 to USA SOC 2010 Crosswalk | ISCO08 to USA SOC 2010 Crosswalk
SOC2010 to ISCO08 Crosswalk | SOC2010 to ISCO08 Crosswalk

### Example: Example Instances

These are example instances that show what data produced and consumed by systems conforming with this implementation guide might look like.

Employment Status Example | This example shows an employment status of 'Employed' for patient Maya Gordon.
ODH Patient Maya Gordon | This is an example of patient, Maya Gordon, that is associated with the work profile examples.
ODH Practitioner Simone Heps | This is an example of practitioner, Simone Heps.
Retirement Date Example | This example shows a retirement date for test patient Maya Gordon.
South Hospital | Organization - South Hospital Example

### Other

These are resources that are used within this implementation guide that do not fit into one of the other categories.

Combat Zone Period Example | This example includes a combat zone period of 1 year for patient Maya Gordon.
Occupational Data Composition for Maya Gordon | Complete composition example of work information for patient Maya Gordon.
Past or Present Job Example | This is an example of a Past or Present Job for patient, Maya Gordon. This example includes coded Occupation, Industry, Work Classification (compensation sector and employment type), Work Schedule, Weekly Work Days, Daily Work Hours, Job Duties, and Occupational Hazard.
Usual Work Example | Example for the Usual Work profile