IHE FHIR Profile: Occupational Data for Health (ODH) - International
1.0.0 - Trial-Implementation International flag

This page is part of the IHE FHIR Profile: Occupational Data for Health (ODH) - International (v1.0.0: Publication) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Resource Profile: Past Or Present Job

Official URL: https://profiles.ihe.net/PCC/ODH/StructureDefinition/odh-PastOrPresentJob Version: 1.0.0
Active as of 2024-12-04 Computable Name: PastOrPresentJob
Other Identifiers: OID:1.3.6.1.4.1.19376.1.5.3.1.3.43.42.5

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.

Usage:

Formal Views of Profile Content

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

This structure is derived from Observation

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..* Observation Past Or Present Job
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... employer 0..1 Reference(RelatedPerson | Organization) A person or organization that hires the services of another.
URL: https://profiles.ihe.net/PCC/ODH/StructureDefinition/odh-Employer-extension
.... ODHIsCurrentJobExtension 0..1 boolean Indication of whether or not this job with the current job at the time the information was documented.
URL: https://profiles.ihe.net/PCC/ODH/StructureDefinition/odh-isCurrentJob-extension
... 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_11341-5 Σ 1..1 Coding History of Occupation
...... 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: 11341-5
... subject 1..1 Reference(Patient) The subject of an observation
... focus 0..* Reference(RelatedPerson) What the observation is about, when it is not about the subject of record
... effectivePeriod 1..1 Period Clinically relevant time/time-period for observation
... performer 0..* Reference(Practitioner | Organization | Patient | RelatedPerson) Who is responsible for the observation
... valueCodeableConcept 0..1 CodeableConcept Express the Occupation using a coded value. If no coded value is available, use text. If the Occupation is not available, explain using dataAbsentReason.
Binding: industries types (preferred): Occupation International Labour Organization

.... text 0..1 string Use the narrative description if there is no coded value available for the Occupation.
... dataAbsentReason 0..1 CodeableConcept The reason that there is no value available for the Occupation.
... interpretation 0..0
... 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
... Slices for component 0..* BackboneElement Component results
Slice: Unordered, Open by value:code.coding.code
.... component:All Slices Content/Rules for all slices
..... value[x] 0..1 Actual component result
...... valueQuantity Quantity
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valueRange Range
...... valueRatio Ratio
...... valueSampledData SampledData
...... valueTime time
...... valueDateTime dateTime
...... valuePeriod Period
..... referenceRange 0..0
.... component:odh-PastOrPresentIndustry 0..1 BackboneElement The type(s) of business (industry) associated with the patient's past and present occupation(s). Express the Industry using a coded value. If no coded value is available, use text. If the Industry is not available, explain using dataAbsentReason.
..... code 1..1 CodeableConcept Type of component observation (code / type)
...... Slices for coding 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:code
....... coding:Fixed_86188-0 Σ 1..1 Coding History of Occupation industry
........ 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: 86188-0
..... valueCodeableConcept 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: industries types (preferred): Occupation International Labour Organization

...... text 0..1 string Use the narrative description if there is no coded value available for the Industry.
..... dataAbsentReason 0..1 CodeableConcept The reason that there is no value available for the Industry.
..... interpretation 0..0
..... referenceRange 0..0
.... component:odh-WorkClassification 0..1 BackboneElement WorkClassification: Type of compensation and sector for a person's job, such as 'paid work, self-employed' or 'voluntary work', as reported by the person
..... code 1..1 CodeableConcept Type of component observation (code / type)
...... Slices for coding 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:code
....... coding:Fixed_85104-8 Σ 1..1 Coding Compensation and sector employment type
........ 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: 85104-8
..... valueCodeableConcept 0..1 CodeableConcept Actual component result
Binding: WorkClassificationODH (required)
..... interpretation 0..0
..... referenceRange 0..0
.... component:odh-SupervisoryLevel 0..1 BackboneElement SupervisoryLevel: A coded indicator of responsibilities for directing work and personnel management responsibilities for a person's job, as reported by the person
..... code 1..1 CodeableConcept Type of component observation (code / type)
...... Slices for coding 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:code
....... coding:Fixed_87707-6 Σ 1..1 Coding Job supervisory level or pay grade
........ 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: 87707-6
..... valueCodeableConcept 0..1 CodeableConcept Actual component result
Binding: Job Supervisory Level or Pay Grade (ODH) (example)
..... interpretation 0..0
..... referenceRange 0..0
.... component:odh-JobDuty 0..* BackboneElement JobDuty: A regular action performed by a person at a job, as reported by the person
..... code 1..1 CodeableConcept Type of component observation (code / type)
...... Slices for coding 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:code
....... coding:Fixed_63761-1 Σ 1..1 Coding What were your main activities or duties for this job [NHANES]
........ 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: 63761-1
..... valueString 0..1 string Actual component result
..... interpretation 0..0
..... referenceRange 0..0
.... component:odh-OccupationalHazard 0..* BackboneElement OccupationalHazard: A hazard that is specific to a person's work or work environment at one job and with which the person might come in contact, as reported by the person
..... code 1..1 CodeableConcept Type of component observation (code / type)
...... Slices for coding 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:code
....... coding:Fixed_87729-0 Σ 1..1 Coding History of Occupational hazard
........ 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: 87729-0
..... valueString 0..1 string Actual component result
..... interpretation 0..0
..... referenceRange 0..0
.... component:odh-WorkSchedule 0..1 BackboneElement WorkSchedule: Typical arrangement of working hours for a person's job, as reported by the person
..... code 1..1 CodeableConcept Type of component observation (code / type)
...... Slices for coding 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:code
....... coding:Fixed_74159-5 Σ 1..1 Coding Work schedule 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: 74159-5
..... valueCodeableConcept 0..1 CodeableConcept Actual component result
Binding: WorkScheduleODH (required)
..... interpretation 0..0
..... referenceRange 0..0
.... component:odh-WeeklyWorkDays 0..1 BackboneElement WeeklyWorkDays: The average number of days per week that a person spends performing their duties for work
..... code 1..1 CodeableConcept Type of component observation (code / type)
...... Slices for coding 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:code
....... coding:Fixed_74160-3 Σ 1..1 Coding Work days per week
........ 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: 74160-3
..... valueQuantity 0..1 Quantity Actual component result
...... system 0..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code 0..1 code Coded form of the unit
Fixed Value: d
..... interpretation 0..0
..... referenceRange 0..0
.... component:odh-DailyWorkHours 0..1 BackboneElement DailyWorkHours: The average number of hours in a day that a person spends performing their duties for work
..... code 1..1 CodeableConcept Type of component observation (code / type)
...... Slices for coding 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:code
....... coding:Fixed_87512-0 Σ 1..1 Coding Work hours per day
........ 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: 87512-0
..... valueQuantity 0..1 Quantity Actual component result
...... system 0..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code 0..1 code Coded form of the unit
Fixed Value: h
..... interpretation 0..0
..... referenceRange 0..0

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Observation.valueCodeableConceptpreferredODF_industriesVS (a valid code from https://www.ilo.org/global/industries-and-sectors/health-services/lang--en/index.htm)
https://profiles.ihe.net/PCC/ODH/ValueSet/odf-industriesVS
from this IG
Observation.referenceRange.typeextensibleObservationReferenceRangeMeaningCodes
http://hl7.org/fhir/ValueSet/referencerange-meaning
from the FHIR Standard
Observation.referenceRange.appliesToextensibleObservationReferenceRangeAppliesToCodes
http://hl7.org/fhir/ValueSet/referencerange-appliesto
from the FHIR Standard
Observation.component:odh-PastOrPresentIndustry.valueCodeableConceptpreferredODF_industriesVS (a valid code from https://www.ilo.org/global/industries-and-sectors/health-services/lang--en/index.htm)
https://profiles.ihe.net/PCC/ODH/ValueSet/odf-industriesVS
from this IG
Observation.component:odh-PastOrPresentIndustry.referenceRange.typeextensibleObservationReferenceRangeMeaningCodes
http://hl7.org/fhir/ValueSet/referencerange-meaning
from the FHIR Standard
Observation.component:odh-PastOrPresentIndustry.referenceRange.appliesToextensibleObservationReferenceRangeAppliesToCodes
http://hl7.org/fhir/ValueSet/referencerange-appliesto
from the FHIR Standard
Observation.component:odh-WorkClassification.valueCodeableConceptrequiredWorkClassificationODH
http://terminology.hl7.org/ValueSet/v3-WorkClassificationODH
Observation.component:odh-WorkClassification.referenceRange.typeextensibleObservationReferenceRangeMeaningCodes
http://hl7.org/fhir/ValueSet/referencerange-meaning
from the FHIR Standard
Observation.component:odh-WorkClassification.referenceRange.appliesToextensibleObservationReferenceRangeAppliesToCodes
http://hl7.org/fhir/ValueSet/referencerange-appliesto
from the FHIR Standard
Observation.component:odh-SupervisoryLevel.valueCodeableConceptexamplePHVS_JobSupervisoryLevelorPayGrade_ODH
http://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.114222.4.11.7613
Observation.component:odh-SupervisoryLevel.referenceRange.typeextensibleObservationReferenceRangeMeaningCodes
http://hl7.org/fhir/ValueSet/referencerange-meaning
from the FHIR Standard
Observation.component:odh-SupervisoryLevel.referenceRange.appliesToextensibleObservationReferenceRangeAppliesToCodes
http://hl7.org/fhir/ValueSet/referencerange-appliesto
from the FHIR Standard
Observation.component:odh-JobDuty.referenceRange.typeextensibleObservationReferenceRangeMeaningCodes
http://hl7.org/fhir/ValueSet/referencerange-meaning
from the FHIR Standard
Observation.component:odh-JobDuty.referenceRange.appliesToextensibleObservationReferenceRangeAppliesToCodes
http://hl7.org/fhir/ValueSet/referencerange-appliesto
from the FHIR Standard
Observation.component:odh-OccupationalHazard.referenceRange.typeextensibleObservationReferenceRangeMeaningCodes
http://hl7.org/fhir/ValueSet/referencerange-meaning
from the FHIR Standard
Observation.component:odh-OccupationalHazard.referenceRange.appliesToextensibleObservationReferenceRangeAppliesToCodes
http://hl7.org/fhir/ValueSet/referencerange-appliesto
from the FHIR Standard
Observation.component:odh-WorkSchedule.valueCodeableConceptrequiredWorkScheduleODH
http://terminology.hl7.org/ValueSet/v3-WorkScheduleODH
Observation.component:odh-WorkSchedule.referenceRange.typeextensibleObservationReferenceRangeMeaningCodes
http://hl7.org/fhir/ValueSet/referencerange-meaning
from the FHIR Standard
Observation.component:odh-WorkSchedule.referenceRange.appliesToextensibleObservationReferenceRangeAppliesToCodes
http://hl7.org/fhir/ValueSet/referencerange-appliesto
from the FHIR Standard
Observation.component:odh-WeeklyWorkDays.referenceRange.typeextensibleObservationReferenceRangeMeaningCodes
http://hl7.org/fhir/ValueSet/referencerange-meaning
from the FHIR Standard
Observation.component:odh-WeeklyWorkDays.referenceRange.appliesToextensibleObservationReferenceRangeAppliesToCodes
http://hl7.org/fhir/ValueSet/referencerange-appliesto
from the FHIR Standard
Observation.component:odh-DailyWorkHours.referenceRange.typeextensibleObservationReferenceRangeMeaningCodes
http://hl7.org/fhir/ValueSet/referencerange-meaning
from the FHIR Standard
Observation.component:odh-DailyWorkHours.referenceRange.appliesToextensibleObservationReferenceRangeAppliesToCodes
http://hl7.org/fhir/ValueSet/referencerange-appliesto
from the FHIR Standard

 

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