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: Usual Work

Official URL: https://profiles.ihe.net/PCC/ODH/StructureDefinition/odh-UsualWork Version: 1.0.0
Active as of 2020-01-04 Computable Name: UsualWork
Other Identifiers: OID:1.3.6.1.4.1.19376.1.5.3.1.3.43.42.7

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.

Observations are a key aspect of healthcare. This resource is used to capture those that do not require more sophisticated mechanisms.

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 Usual Work
... 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_21843-8 Σ 1..1 Coding History of Usual 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: 21843-8
... 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 0..1 Period The period.start asserts when the usual occupation began. NOTE: If the period.start element is missing, the start of the usual occupation is not known. The period.end asserts when the usual occupation ended. If usual occupation is current, period.end should be omitted.
... performer 0..* Reference(Practitioner | Organization | Patient | RelatedPerson) Who is responsible for the observation
... valueCodeableConcept 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: Occupation types (preferred): Occupation International Labour Organization

.... text 0..1 string Use the narrative description if there is no coded value available for the usual 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 1..* BackboneElement Component results
Slice: Unordered, Open by value:code
.... 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.
..... code 1..1 CodeableConcept History of Usual industry
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... 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: 21844-6
..... 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 usual industry.
..... dataAbsentReason 0..1 CodeableConcept The reason that there is no value available for the Industry.
..... interpretation 0..0
..... referenceRange 0..0
.... 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).
..... code 1..1 CodeableConcept Usual occupation duration
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... 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: 74163-7
..... 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: a
..... interpretation 0..0
..... referenceRange 0..0

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Observation.valueCodeableConceptpreferredODF_occupationVS (a valid code from https://metadata.ilo.org/thesaurus.html)
https://profiles.ihe.net/PCC/ODH/ValueSet/odf-occupationVS
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-UsualIndustry.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-UsualIndustry.referenceRange.typeextensibleObservationReferenceRangeMeaningCodes
http://hl7.org/fhir/ValueSet/referencerange-meaning
from the FHIR Standard
Observation.component:odh-UsualIndustry.referenceRange.appliesToextensibleObservationReferenceRangeAppliesToCodes
http://hl7.org/fhir/ValueSet/referencerange-appliesto
from the FHIR Standard
Observation.component:odh-UsualOccupationDuration.referenceRange.typeextensibleObservationReferenceRangeMeaningCodes
http://hl7.org/fhir/ValueSet/referencerange-meaning
from the FHIR Standard
Observation.component:odh-UsualOccupationDuration.referenceRange.appliesToextensibleObservationReferenceRangeAppliesToCodes
http://hl7.org/fhir/ValueSet/referencerange-appliesto
from the FHIR Standard
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* Observation Usual Work
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_21843-8 Σ 1..1 Coding History of Usual Occupation
...... 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: 21843-8
... subject Σ 1..1 Reference(Patient) The subject of an observation
... focus Σ 0..* Reference(RelatedPerson) What the observation is about, when it is not about the subject of record
... Slices for effective[x] Σ 0..1 Period Clinically relevant time/time-period for observation
Slice: Unordered, Closed by type:$this
.... effective[x]:effectivePeriod Σ 0..1 Period The period.start asserts when the usual occupation began. NOTE: If the period.start element is missing, the start of the usual occupation is not known. The period.end asserts when the usual occupation ended. If usual occupation is current, period.end should be omitted.
... performer Σ 0..* Reference(Practitioner | Organization | Patient | RelatedPerson) Who is responsible for the observation
... Slices for value[x] ΣC 0..1 CodeableConcept Actual result
Slice: Unordered, Closed by type:$this
.... value[x]:valueCodeableConcept ΣC 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: Occupation types (preferred): Occupation International Labour Organization

... 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.

... derivedFrom Σ 0..* Reference(DocumentReference | Media | QuestionnaireResponse | Observation) Related measurements the observation is made from
... Slices for component Σ 1..* BackboneElement Component results
Slice: Unordered, Open by value:code
.... component:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.

.... component:odh-UsualIndustry Σ 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.
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept History of Usual industry
Binding: LOINCCodes (example): Codes identifying names of simple observations.


Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... 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: 21844-6
..... 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.

.... component:odh-UsualOccupationDuration Σ 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).
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Usual occupation duration
Binding: LOINCCodes (example): Codes identifying names of simple observations.


Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... 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: 74163-7

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
from the FHIR Standard
Observation.categorypreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.value[x]:valueCodeableConceptpreferredODF_occupationVS (a valid code from https://metadata.ilo.org/thesaurus.html)
https://profiles.ihe.net/PCC/ODH/ValueSet/odf-occupationVS
from this IG
Observation.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
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.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.component:odh-UsualIndustry.codeexamplePattern: LOINC Code 21844-6
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.component:odh-UsualIndustry.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.component:odh-UsualIndustry.referenceRange.typeextensibleObservationReferenceRangeMeaningCodes
http://hl7.org/fhir/ValueSet/referencerange-meaning
from the FHIR Standard
Observation.component:odh-UsualIndustry.referenceRange.appliesToextensibleObservationReferenceRangeAppliesToCodes
http://hl7.org/fhir/ValueSet/referencerange-appliesto
from the FHIR Standard
Observation.component:odh-UsualOccupationDuration.codeexamplePattern: LOINC Code 74163-7
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.component:odh-UsualOccupationDuration.referenceRange.typeextensibleObservationReferenceRangeMeaningCodes
http://hl7.org/fhir/ValueSet/referencerange-meaning
from the FHIR Standard
Observation.component:odh-UsualOccupationDuration.referenceRange.appliesToextensibleObservationReferenceRangeAppliesToCodes
http://hl7.org/fhir/ValueSet/referencerange-appliesto
from the FHIR Standard
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* Observation Usual Work
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 BindingsPurpose
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_21843-8 Σ 1..1 Coding History of Usual Occupation
...... 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: 21843-8
...... 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
... focus Σ 0..* Reference(RelatedPerson) What the observation is about, when it is not about the subject of record
... encounter Σ 0..1 Reference(Encounter) Healthcare event during which this observation is made
... Slices for effective[x] Σ 0..1 Period Clinically relevant time/time-period for observation
Slice: Unordered, Closed by type:$this
.... effective[x]:effectivePeriod Σ 0..1 Period The period.start asserts when the usual occupation began. NOTE: If the period.start element is missing, the start of the usual occupation is not known. The period.end asserts when the usual occupation ended. If usual occupation is current, period.end should be omitted.
... issued Σ 0..1 instant Date/Time this version was made available
... performer Σ 0..* Reference(Practitioner | Organization | Patient | RelatedPerson) Who is responsible for the observation
... Slices for value[x] ΣC 0..1 CodeableConcept Actual result
Slice: Unordered, Closed by type:$this
.... value[x]:valueCodeableConcept ΣC 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: Occupation types (preferred): Occupation International Labour Organization

..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ 0..* Coding Code defined by a terminology system
..... text Σ 0..1 string Use the narrative description if there is no coded value available for the usual occupation.
... 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.

... note 0..* Annotation Comments about the observation
... derivedFrom Σ 0..* Reference(DocumentReference | Media | QuestionnaireResponse | Observation) Related measurements the observation is made from
... Slices for component Σ 1..* BackboneElement Component results
Slice: Unordered, Open by value:code
.... component:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.

..... value[x] Σ 0..1 Actual component result
...... valueQuantity Quantity
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valueBoolean boolean
...... valueInteger integer
...... valueRange Range
...... valueRatio Ratio
...... valueSampledData SampledData
...... valueTime time
...... valueDateTime dateTime
...... valuePeriod Period
..... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

..... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
.... component:odh-UsualIndustry Σ 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.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept History of Usual industry
Binding: LOINCCodes (example): Codes identifying names of simple observations.


Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 21844-6
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] Σ 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

...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 0..* Coding Code defined by a terminology system
...... text Σ 0..1 string Use the narrative description if there is no coded value available for the usual industry.
..... 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.

.... component:odh-UsualOccupationDuration Σ 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).
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Usual occupation duration
Binding: LOINCCodes (example): Codes identifying names of simple observations.


Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 74163-7
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] Σ 0..1 Quantity Actual component result
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value Σ 0..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.

...... unit Σ 0..1 string Unit representation
...... system ΣC 0..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code Σ 0..1 code Coded form of the unit
Fixed Value: a
..... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Observation.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
from the FHIR Standard
Observation.categorypreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.value[x]:valueCodeableConceptpreferredODF_occupationVS (a valid code from https://metadata.ilo.org/thesaurus.html)
https://profiles.ihe.net/PCC/ODH/ValueSet/odf-occupationVS
from this IG
Observation.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
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.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.component.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.component.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard
Observation.component:odh-UsualIndustry.codeexamplePattern: LOINC Code 21844-6
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.component:odh-UsualIndustry.value[x]preferredODF_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-UsualIndustry.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.component:odh-UsualIndustry.referenceRange.typeextensibleObservationReferenceRangeMeaningCodes
http://hl7.org/fhir/ValueSet/referencerange-meaning
from the FHIR Standard
Observation.component:odh-UsualIndustry.referenceRange.appliesToextensibleObservationReferenceRangeAppliesToCodes
http://hl7.org/fhir/ValueSet/referencerange-appliesto
from the FHIR Standard
Observation.component:odh-UsualOccupationDuration.codeexamplePattern: LOINC Code 74163-7
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.component:odh-UsualOccupationDuration.value[x].comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
from the FHIR Standard
Observation.component:odh-UsualOccupationDuration.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.component:odh-UsualOccupationDuration.referenceRange.typeextensibleObservationReferenceRangeMeaningCodes
http://hl7.org/fhir/ValueSet/referencerange-meaning
from the FHIR Standard
Observation.component:odh-UsualOccupationDuration.referenceRange.appliesToextensibleObservationReferenceRangeAppliesToCodes
http://hl7.org/fhir/ValueSet/referencerange-appliesto
from the FHIR Standard

This structure is derived from Observation

Summary

Mandatory: 7 elements(4 nested mandatory elements)
Fixed: 6 elements
Prohibited: 11 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
  • The element 1 is sliced based on the value of Observation.component

Differential View

This structure is derived from Observation

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..* Observation Usual Work
... 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_21843-8 Σ 1..1 Coding History of Usual 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: 21843-8
... 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 0..1 Period The period.start asserts when the usual occupation began. NOTE: If the period.start element is missing, the start of the usual occupation is not known. The period.end asserts when the usual occupation ended. If usual occupation is current, period.end should be omitted.
... performer 0..* Reference(Practitioner | Organization | Patient | RelatedPerson) Who is responsible for the observation
... valueCodeableConcept 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: Occupation types (preferred): Occupation International Labour Organization

.... text 0..1 string Use the narrative description if there is no coded value available for the usual 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 1..* BackboneElement Component results
Slice: Unordered, Open by value:code
.... 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.
..... code 1..1 CodeableConcept History of Usual industry
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... 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: 21844-6
..... 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 usual industry.
..... dataAbsentReason 0..1 CodeableConcept The reason that there is no value available for the Industry.
..... interpretation 0..0
..... referenceRange 0..0
.... 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).
..... code 1..1 CodeableConcept Usual occupation duration
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... 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: 74163-7
..... 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: a
..... interpretation 0..0
..... referenceRange 0..0

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Observation.valueCodeableConceptpreferredODF_occupationVS (a valid code from https://metadata.ilo.org/thesaurus.html)
https://profiles.ihe.net/PCC/ODH/ValueSet/odf-occupationVS
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-UsualIndustry.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-UsualIndustry.referenceRange.typeextensibleObservationReferenceRangeMeaningCodes
http://hl7.org/fhir/ValueSet/referencerange-meaning
from the FHIR Standard
Observation.component:odh-UsualIndustry.referenceRange.appliesToextensibleObservationReferenceRangeAppliesToCodes
http://hl7.org/fhir/ValueSet/referencerange-appliesto
from the FHIR Standard
Observation.component:odh-UsualOccupationDuration.referenceRange.typeextensibleObservationReferenceRangeMeaningCodes
http://hl7.org/fhir/ValueSet/referencerange-meaning
from the FHIR Standard
Observation.component:odh-UsualOccupationDuration.referenceRange.appliesToextensibleObservationReferenceRangeAppliesToCodes
http://hl7.org/fhir/ValueSet/referencerange-appliesto
from the FHIR Standard

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* Observation Usual Work
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_21843-8 Σ 1..1 Coding History of Usual Occupation
...... 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: 21843-8
... subject Σ 1..1 Reference(Patient) The subject of an observation
... focus Σ 0..* Reference(RelatedPerson) What the observation is about, when it is not about the subject of record
... Slices for effective[x] Σ 0..1 Period Clinically relevant time/time-period for observation
Slice: Unordered, Closed by type:$this
.... effective[x]:effectivePeriod Σ 0..1 Period The period.start asserts when the usual occupation began. NOTE: If the period.start element is missing, the start of the usual occupation is not known. The period.end asserts when the usual occupation ended. If usual occupation is current, period.end should be omitted.
... performer Σ 0..* Reference(Practitioner | Organization | Patient | RelatedPerson) Who is responsible for the observation
... Slices for value[x] ΣC 0..1 CodeableConcept Actual result
Slice: Unordered, Closed by type:$this
.... value[x]:valueCodeableConcept ΣC 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: Occupation types (preferred): Occupation International Labour Organization

... 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.

... derivedFrom Σ 0..* Reference(DocumentReference | Media | QuestionnaireResponse | Observation) Related measurements the observation is made from
... Slices for component Σ 1..* BackboneElement Component results
Slice: Unordered, Open by value:code
.... component:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.

.... component:odh-UsualIndustry Σ 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.
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept History of Usual industry
Binding: LOINCCodes (example): Codes identifying names of simple observations.


Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... 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: 21844-6
..... 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.

.... component:odh-UsualOccupationDuration Σ 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).
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Usual occupation duration
Binding: LOINCCodes (example): Codes identifying names of simple observations.


Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... 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: 74163-7

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
from the FHIR Standard
Observation.categorypreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.value[x]:valueCodeableConceptpreferredODF_occupationVS (a valid code from https://metadata.ilo.org/thesaurus.html)
https://profiles.ihe.net/PCC/ODH/ValueSet/odf-occupationVS
from this IG
Observation.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
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.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.component:odh-UsualIndustry.codeexamplePattern: LOINC Code 21844-6
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.component:odh-UsualIndustry.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.component:odh-UsualIndustry.referenceRange.typeextensibleObservationReferenceRangeMeaningCodes
http://hl7.org/fhir/ValueSet/referencerange-meaning
from the FHIR Standard
Observation.component:odh-UsualIndustry.referenceRange.appliesToextensibleObservationReferenceRangeAppliesToCodes
http://hl7.org/fhir/ValueSet/referencerange-appliesto
from the FHIR Standard
Observation.component:odh-UsualOccupationDuration.codeexamplePattern: LOINC Code 74163-7
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.component:odh-UsualOccupationDuration.referenceRange.typeextensibleObservationReferenceRangeMeaningCodes
http://hl7.org/fhir/ValueSet/referencerange-meaning
from the FHIR Standard
Observation.component:odh-UsualOccupationDuration.referenceRange.appliesToextensibleObservationReferenceRangeAppliesToCodes
http://hl7.org/fhir/ValueSet/referencerange-appliesto
from the FHIR Standard

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* Observation Usual Work
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 BindingsPurpose
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_21843-8 Σ 1..1 Coding History of Usual Occupation
...... 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: 21843-8
...... 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
... focus Σ 0..* Reference(RelatedPerson) What the observation is about, when it is not about the subject of record
... encounter Σ 0..1 Reference(Encounter) Healthcare event during which this observation is made
... Slices for effective[x] Σ 0..1 Period Clinically relevant time/time-period for observation
Slice: Unordered, Closed by type:$this
.... effective[x]:effectivePeriod Σ 0..1 Period The period.start asserts when the usual occupation began. NOTE: If the period.start element is missing, the start of the usual occupation is not known. The period.end asserts when the usual occupation ended. If usual occupation is current, period.end should be omitted.
... issued Σ 0..1 instant Date/Time this version was made available
... performer Σ 0..* Reference(Practitioner | Organization | Patient | RelatedPerson) Who is responsible for the observation
... Slices for value[x] ΣC 0..1 CodeableConcept Actual result
Slice: Unordered, Closed by type:$this
.... value[x]:valueCodeableConcept ΣC 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: Occupation types (preferred): Occupation International Labour Organization

..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ 0..* Coding Code defined by a terminology system
..... text Σ 0..1 string Use the narrative description if there is no coded value available for the usual occupation.
... 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.

... note 0..* Annotation Comments about the observation
... derivedFrom Σ 0..* Reference(DocumentReference | Media | QuestionnaireResponse | Observation) Related measurements the observation is made from
... Slices for component Σ 1..* BackboneElement Component results
Slice: Unordered, Open by value:code
.... component:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.

..... value[x] Σ 0..1 Actual component result
...... valueQuantity Quantity
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valueBoolean boolean
...... valueInteger integer
...... valueRange Range
...... valueRatio Ratio
...... valueSampledData SampledData
...... valueTime time
...... valueDateTime dateTime
...... valuePeriod Period
..... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

..... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
.... component:odh-UsualIndustry Σ 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.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept History of Usual industry
Binding: LOINCCodes (example): Codes identifying names of simple observations.


Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 21844-6
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] Σ 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

...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 0..* Coding Code defined by a terminology system
...... text Σ 0..1 string Use the narrative description if there is no coded value available for the usual industry.
..... 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.

.... component:odh-UsualOccupationDuration Σ 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).
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Usual occupation duration
Binding: LOINCCodes (example): Codes identifying names of simple observations.


Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 74163-7
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... value[x] Σ 0..1 Quantity Actual component result
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value Σ 0..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.

...... unit Σ 0..1 string Unit representation
...... system ΣC 0..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code Σ 0..1 code Coded form of the unit
Fixed Value: a
..... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Observation.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
from the FHIR Standard
Observation.categorypreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.value[x]:valueCodeableConceptpreferredODF_occupationVS (a valid code from https://metadata.ilo.org/thesaurus.html)
https://profiles.ihe.net/PCC/ODH/ValueSet/odf-occupationVS
from this IG
Observation.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
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.codeexampleLOINCCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.component.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.component.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard
Observation.component:odh-UsualIndustry.codeexamplePattern: LOINC Code 21844-6
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.component:odh-UsualIndustry.value[x]preferredODF_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-UsualIndustry.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.component:odh-UsualIndustry.referenceRange.typeextensibleObservationReferenceRangeMeaningCodes
http://hl7.org/fhir/ValueSet/referencerange-meaning
from the FHIR Standard
Observation.component:odh-UsualIndustry.referenceRange.appliesToextensibleObservationReferenceRangeAppliesToCodes
http://hl7.org/fhir/ValueSet/referencerange-appliesto
from the FHIR Standard
Observation.component:odh-UsualOccupationDuration.codeexamplePattern: LOINC Code 74163-7
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.component:odh-UsualOccupationDuration.value[x].comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
from the FHIR Standard
Observation.component:odh-UsualOccupationDuration.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.component:odh-UsualOccupationDuration.referenceRange.typeextensibleObservationReferenceRangeMeaningCodes
http://hl7.org/fhir/ValueSet/referencerange-meaning
from the FHIR Standard
Observation.component:odh-UsualOccupationDuration.referenceRange.appliesToextensibleObservationReferenceRangeAppliesToCodes
http://hl7.org/fhir/ValueSet/referencerange-appliesto
from the FHIR Standard

This structure is derived from Observation

Summary

Mandatory: 7 elements(4 nested mandatory elements)
Fixed: 6 elements
Prohibited: 11 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
  • The element 1 is sliced based on the value of Observation.component

 

Other representations of profile: CSV, Excel, Schematron