HL7 FHIR Profile: Occupational Data for Health (ODH), Release 1.1 (Standard for Trial Use)

HL7 FHIR Profile: Occupational Data for Health (ODH), Release 1.1 (Standard for Trial Use) - Local Development build (v1.1.0). See the Directory of published versions

UsualWork

 

The official URL for this profile is:

http://hl7.org/fhir/us/odh/StructureDefinition/odh-UsualWork

Related data elements about the work a person reports having 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. Knowledge of person’s Usual Work can potentially assist in diagnosis, treatment and/or prevention of chronic condition(s) or conditions with a long latency. The potential for exposure to Occupational Hazard(s) related to an Occupation and/or an Industry can change over time, and a person could have been in and out of their Usual Work over time, so additional data are helpful to fully evaluate the possible impact of the person’s Usual Work on their health and guide appropriate use of screening tests to detect early disease. Example: a person has worked for a total of 30 years as a building carpenter (Occupation), but in various industries, mostly hotel construction. Her Usual Occupation is ‘building carpenter’ and her Usual Industry is ‘hotel construction.’ Usual Work does not include work that was unpaid or voluntary.

This profile builds on Observation.

This profile was published on Wed Sep 04 00:00:00 EDT 2019 as a active by HL7 International Public Health Work Group.

Summary

Mandatory: 0 element (12 nested mandatory elements)
Fixed Value: 10 elements
Prohibited: 8 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element Observation.category.coding is sliced based on the value of value:code
  • The element Observation.code.coding is sliced based on the value of value:code
  • The element Observation.component is sliced based on the value of value:code.coding.code
  • The element Observation.component.code.coding is sliced based on the value of value:code

Mapping Source

This structure represents the following mapping definition:

odh.UsualWork maps to Observation:
  Language maps to language
  ImplicitRules maps to implicitRules
  Metadata.VersionId maps to meta.versionId
  Metadata.SourceSystem maps to meta.source
  Metadata.Profile maps to meta.profile
  Metadata.LastUpdated maps to meta.lastUpdated
  Metadata.SecurityLabel maps to meta.security
  Metadata.Tag maps to meta.tag
  Narrative maps to text
  Identifier maps to identifier
  SocialHistoryObservationBasedOn maps to basedOn
  ProceduralObservationPartOf maps to partOf
  Status maps to status
  Category maps to category
  Code maps to code
  ObservationSubjectOfRecord maps to subject
  FocalSubject maps to focus
  CareContext maps to encounter
  RelevantTime maps to effective[x] // Add Types Timing, instant
  StatementDateTime maps to issued
  Performer maps to performer // Added Target Types PractitionerRole, CareTeam
  DataValue maps to value[x] // Add Type integer, remove Type Attachment
  DataAbsentReason maps to dataAbsentReason
  Interpretation maps to interpretation
  Annotation maps to note
  BodyLocation.Code maps to bodySite
  BodyLocation.Laterality maps to bodySite.extension
  BodyLocation.AnatomicalOrientation maps to bodySite.extension
  BodyLocation.RelationToLandmark maps to bodySite.extension
  Method maps to method
  Specimen maps to specimen
  Device maps to device
  ReferenceRange maps to referenceRange
  ReferenceRange.LowerBound maps to referenceRange.low
  ReferenceRange.UpperBound maps to referenceRange.high
  ReferenceRange.Type maps to referenceRange.type
  ReferenceRange.ApplicableSubpopulation maps to referenceRange.appliesTo
  ReferenceRange.ApplicableAgeRange maps to referenceRange.age
  ReferenceRange.Text maps to referenceRange.text
  PanelMembers.Observation maps to hasMember (slice on = $this.resolve().code.coding.code; slice strategy = includes)
  ObservationDerivedFrom maps to derivedFrom
  Components.ObservationComponent maps to component (slice on = code.coding.code; slice strategy = includes)
  Components.ObservationComponent.Code maps to component.code
  Components.ObservationComponent.DataValue maps to component.value[x]
  Components.ObservationComponent.DataAbsentReason maps to component.dataAbsentReason
  Components.ObservationComponent.Interpretation maps to component.interpretation
  Components.ObservationComponent.ReferenceRange maps to component.referenceRange
  Components.ObservationComponent.ReferenceRange.LowerBound maps to component.referenceRange.low
  Components.ObservationComponent.ReferenceRange.UpperBound maps to component.referenceRange.high
  Components.ObservationComponent.ReferenceRange.Type maps to component.referenceRange.type
  Components.ObservationComponent.ReferenceRange.ApplicableSubpopulation maps to component.referenceRange.appliesTo
  Components.ObservationComponent.ReferenceRange.ApplicableAgeRange maps to component.referenceRange.age
  Components.ObservationComponent.ReferenceRange.Text maps to component.referenceRange.text

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation odh-UsualWork
... basedOn Reference(ServiceRequest)The plan, proposal or order that is fulfilled in whole or in part by this observation
... partOf Reference(US Core Procedure Profile)The larger procedure that this particular observation is a component or step
... category 0..1
.... coding 1..*(Slice Definition)Slice: Unordered, Open by value:code
..... coding:Fixed_social-history Σ1..1CodingSocial History
...... system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... code Fixed Value: social-history
... code
.... coding 1..*(Slice Definition)Slice: Unordered, Open by value:code
..... coding:Fixed_21843-8 Σ1..1CodingHistory of Usual Occupation
...... system Fixed Value: http://loinc.org
...... code Fixed Value: 21843-8
... subject 1..1Reference(US Core Patient Profile)The subject of an observation
... focus Reference(RelatedPerson)
... encounter Reference(US Core Encounter Profile)
... effectivePeriod 1..1Period
... performer Reference(US Core Practitioner Profile | US Core Organization Profile | US Core Patient Profile | RelatedPerson)
... valueCodeableConcept CodeableConceptBinding: https://phinvads.cdc.gov/vads/ViewValueSet.action?oid=2.16.840.1.114222.4.11.7186 (required)
... dataAbsentReason 0..0
... interpretation 0..1
... bodySite 0..0
... method 0..0
... specimen 0..0
... device 0..0
... referenceRange 0..0
... hasMember 0..0
... derivedFrom Reference(US Core DocumentReference Profile | Media | QuestionnaireResponse | obf-Observation)
... component 1..*(Slice Definition)Slice: Unordered, Open by value:code.coding.code
.... (All Slices) Content/Rules for all slices
..... value[x]
...... valueQuantityQuantity
...... valueCodeableConceptCodeableConcept
...... valueStringstring
...... valueRangeRange
...... valueRatioRatio
...... valueSampledDataSampledData
...... valueTimetime
...... valueDateTimedateTime
...... valuePeriodPeriod
..... referenceRange
...... type Binding: ObservationReferenceRangeMeaningCodes (extensible)
...... appliesTo Binding: ObservationReferenceRangeAppliesToCodes (extensible)
.... component:odh-UsualIndustry 1..1UsualIndustry: The industry (type of business) in which the subject has worked for the longest duration while in the usual occupation
..... code
...... coding 1..*(Slice Definition)Slice: Unordered, Open by value:code
....... coding:Fixed_21844-6 Σ1..1CodingHistory of Usual industry
........ system Fixed Value: http://loinc.org
........ code Fixed Value: 21844-6
..... valueCodeableConcept CodeableConceptBinding: https://phinvads.cdc.gov/vads/ViewValueSet.action?oid=2.16.840.1.114222.4.11.7187 (required)
..... interpretation 0..1
..... referenceRange 0..0
.... component:odh-UsualOccupationDuration 0..1UsualOccupationDuration: The total time spent on an activity, inclusive of all time intervals, whether continuous or interrupted
..... code
...... coding 1..*(Slice Definition)Slice: Unordered, Open by value:code
....... coding:Fixed_74163-7 Σ1..1CodingUsual occupation duration
........ system Fixed Value: http://loinc.org
........ code Fixed Value: 74163-7
..... valueQuantity Quantity
...... system Fixed Value: http://unitsofmeasure.org
...... code Fixed Value: a
..... interpretation 0..1
..... referenceRange 0..1
...... type Binding: ObservationReferenceRangeMeaningCodes (extensible)
...... appliesTo 0..1Binding: ObservationReferenceRangeAppliesToCodes (extensible)

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation I0..*odh-UsualWork
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
obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierBusiness Identifier for observation
... basedOn Σ0..*Reference(ServiceRequest)The plan, proposal or order that is fulfilled in whole or in part by this observation
... partOf Σ0..*Reference(US Core Procedure Profile)The larger procedure that this particular observation is a component or step
... status ?!Σ1..1coderegistered | preliminary | final | amended +
Binding: ObservationStatus (required)
... category 0..1CodeableConceptClassification of type of observation
Binding: ObservationCategoryCodes (preferred)
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ1..*(Slice Definition)Code defined by a terminology system
Slice: Unordered, Open by value:code
..... coding:Fixed_social-history Σ1..1CodingSocial History
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ0..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ0..1codeSymbol in syntax defined by the system
Fixed Value: social-history
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... code Σ1..1CodeableConceptType of observation (code / type)
Binding: LOINCCodes (example)
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ1..*(Slice Definition)Code defined by a terminology system
Slice: Unordered, Open by value:code
..... coding:Fixed_21843-8 Σ1..1CodingHistory of Usual Occupation
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ0..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ0..1codeSymbol in syntax defined by the system
Fixed Value: 21843-8
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... subject Σ1..1Reference(US Core Patient Profile)The subject of an observation
... focus Σ0..*Reference(RelatedPerson)What the observation is about, when it is not about the subject of record
... encounter Σ0..1Reference(US Core Encounter Profile)Healthcare event during which this observation is made
... effectivePeriod Σ1..1PeriodClinically relevant time/time-period for observation
... issued Σ0..1instantDate/Time this version was made available
... performer Σ0..*Reference(US Core Practitioner Profile | US Core Organization Profile | US Core Patient Profile | RelatedPerson)Who is responsible for the observation
... valueCodeableConcept ΣI0..1CodeableConceptActual result
Binding: https://phinvads.cdc.gov/vads/ViewValueSet.action?oid=2.16.840.1.114222.4.11.7186 (required)
... interpretation 0..1CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible)
... note 0..*AnnotationComments about the observation
... derivedFrom Σ0..*Reference(US Core DocumentReference Profile | Media | QuestionnaireResponse | obf-Observation)Related measurements the observation is made from
... component ΣI1..*(Slice Definition)Component results
Slice: Unordered, Open by value:code.coding.code
.... (All Slices) Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code Σ1..1CodeableConceptType of component observation (code / type)
Binding: LOINCCodes (example)
..... value[x] Σ0..1Actual component result
...... valueQuantityQuantity
...... valueCodeableConceptCodeableConcept
...... valueStringstring
...... valueRangeRange
...... valueRatioRatio
...... valueSampledDataSampledData
...... valueTimetime
...... valueDateTimedateTime
...... valuePeriodPeriod
..... dataAbsentReason I0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible)
..... interpretation 0..*CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible)
..... referenceRange 0..*BackboneElementProvides guide for interpretation of component result
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... low I0..1SimpleQuantityLow Range, if relevant
...... high I0..1SimpleQuantityHigh Range, if relevant
...... type 0..1CodeableConceptReference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (extensible)
...... appliesTo 0..*CodeableConceptReference range population
Binding: ObservationReferenceRangeAppliesToCodes (extensible)
...... age 0..1RangeApplicable age range, if relevant
...... text 0..1stringText based reference range in an observation
.... component:odh-UsualIndustry ΣI1..1BackboneElementUsualIndustry: The industry (type of business) in which the subject has worked for the longest duration while in the usual occupation
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code Σ1..1CodeableConceptType of component observation (code / type)
Binding: LOINCCodes (example)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ1..*(Slice Definition)Code defined by a terminology system
Slice: Unordered, Open by value:code
....... coding:Fixed_21844-6 Σ1..1CodingHistory of Usual industry
........ id 0..1stringUnique id for inter-element referencing
........ extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
........ system Σ0..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
........ version Σ0..1stringVersion of the system - if relevant
........ code Σ0..1codeSymbol in syntax defined by the system
Fixed Value: 21844-6
........ display Σ0..1stringRepresentation defined by the system
........ userSelected Σ0..1booleanIf this coding was chosen directly by the user
...... text Σ0..1stringPlain text representation of the concept
..... valueCodeableConcept Σ0..1CodeableConceptActual component result
Binding: https://phinvads.cdc.gov/vads/ViewValueSet.action?oid=2.16.840.1.114222.4.11.7187 (required)
..... dataAbsentReason I0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible)
..... interpretation 0..1CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible)
.... component:odh-UsualOccupationDuration ΣI0..1BackboneElementUsualOccupationDuration: The total time spent on an activity, inclusive of all time intervals, whether continuous or interrupted
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code Σ1..1CodeableConceptType of component observation (code / type)
Binding: LOINCCodes (example)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ1..*(Slice Definition)Code defined by a terminology system
Slice: Unordered, Open by value:code
....... coding:Fixed_74163-7 Σ1..1CodingUsual occupation duration
........ id 0..1stringUnique id for inter-element referencing
........ extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
........ system Σ0..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
........ version Σ0..1stringVersion of the system - if relevant
........ code Σ0..1codeSymbol in syntax defined by the system
Fixed Value: 74163-7
........ display Σ0..1stringRepresentation defined by the system
........ userSelected Σ0..1booleanIf this coding was chosen directly by the user
...... text Σ0..1stringPlain text representation of the concept
..... valueQuantity Σ0..1QuantityActual component result
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... value Σ0..1decimalNumerical value (with implicit precision)
...... comparator ?!Σ0..1code< | <= | >= | > - how to understand the value
Binding: QuantityComparator (required)
...... unit Σ0..1stringUnit representation
...... system ΣI0..1uriSystem that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code Σ0..1codeCoded form of the unit
Fixed Value: a
..... dataAbsentReason I0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible)
..... interpretation 0..1CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible)
..... referenceRange 0..1BackboneElementProvides guide for interpretation of component result
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... low I0..1SimpleQuantityLow Range, if relevant
...... high I0..1SimpleQuantityHigh Range, if relevant
...... type 0..1CodeableConceptReference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (extensible)
...... appliesTo 0..1CodeableConceptReference range population
Binding: ObservationReferenceRangeAppliesToCodes (extensible)
...... age 0..1RangeApplicable age range, if relevant
...... text 0..1stringText based reference range in an observation

doco Documentation for this format

Summary

Mandatory: 0 element (12 nested mandatory elements)
Fixed Value: 10 elements
Prohibited: 8 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element Observation.category.coding is sliced based on the value of value:code
  • The element Observation.code.coding is sliced based on the value of value:code
  • The element Observation.component is sliced based on the value of value:code.coding.code
  • The element Observation.component.code.coding is sliced based on the value of value:code

Mapping Source

This structure represents the following mapping definition:

odh.UsualWork maps to Observation:
  Language maps to language
  ImplicitRules maps to implicitRules
  Metadata.VersionId maps to meta.versionId
  Metadata.SourceSystem maps to meta.source
  Metadata.Profile maps to meta.profile
  Metadata.LastUpdated maps to meta.lastUpdated
  Metadata.SecurityLabel maps to meta.security
  Metadata.Tag maps to meta.tag
  Narrative maps to text
  Identifier maps to identifier
  SocialHistoryObservationBasedOn maps to basedOn
  ProceduralObservationPartOf maps to partOf
  Status maps to status
  Category maps to category
  Code maps to code
  ObservationSubjectOfRecord maps to subject
  FocalSubject maps to focus
  CareContext maps to encounter
  RelevantTime maps to effective[x] // Add Types Timing, instant
  StatementDateTime maps to issued
  Performer maps to performer // Added Target Types PractitionerRole, CareTeam
  DataValue maps to value[x] // Add Type integer, remove Type Attachment
  DataAbsentReason maps to dataAbsentReason
  Interpretation maps to interpretation
  Annotation maps to note
  BodyLocation.Code maps to bodySite
  BodyLocation.Laterality maps to bodySite.extension
  BodyLocation.AnatomicalOrientation maps to bodySite.extension
  BodyLocation.RelationToLandmark maps to bodySite.extension
  Method maps to method
  Specimen maps to specimen
  Device maps to device
  ReferenceRange maps to referenceRange
  ReferenceRange.LowerBound maps to referenceRange.low
  ReferenceRange.UpperBound maps to referenceRange.high
  ReferenceRange.Type maps to referenceRange.type
  ReferenceRange.ApplicableSubpopulation maps to referenceRange.appliesTo
  ReferenceRange.ApplicableAgeRange maps to referenceRange.age
  ReferenceRange.Text maps to referenceRange.text
  PanelMembers.Observation maps to hasMember (slice on = $this.resolve().code.coding.code; slice strategy = includes)
  ObservationDerivedFrom maps to derivedFrom
  Components.ObservationComponent maps to component (slice on = code.coding.code; slice strategy = includes)
  Components.ObservationComponent.Code maps to component.code
  Components.ObservationComponent.DataValue maps to component.value[x]
  Components.ObservationComponent.DataAbsentReason maps to component.dataAbsentReason
  Components.ObservationComponent.Interpretation maps to component.interpretation
  Components.ObservationComponent.ReferenceRange maps to component.referenceRange
  Components.ObservationComponent.ReferenceRange.LowerBound maps to component.referenceRange.low
  Components.ObservationComponent.ReferenceRange.UpperBound maps to component.referenceRange.high
  Components.ObservationComponent.ReferenceRange.Type maps to component.referenceRange.type
  Components.ObservationComponent.ReferenceRange.ApplicableSubpopulation maps to component.referenceRange.appliesTo
  Components.ObservationComponent.ReferenceRange.ApplicableAgeRange maps to component.referenceRange.age
  Components.ObservationComponent.ReferenceRange.Text maps to component.referenceRange.text

Differential View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation odh-UsualWork
... basedOn Reference(ServiceRequest)The plan, proposal or order that is fulfilled in whole or in part by this observation
... partOf Reference(US Core Procedure Profile)The larger procedure that this particular observation is a component or step
... category 0..1
.... coding 1..*(Slice Definition)Slice: Unordered, Open by value:code
..... coding:Fixed_social-history Σ1..1CodingSocial History
...... system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... code Fixed Value: social-history
... code
.... coding 1..*(Slice Definition)Slice: Unordered, Open by value:code
..... coding:Fixed_21843-8 Σ1..1CodingHistory of Usual Occupation
...... system Fixed Value: http://loinc.org
...... code Fixed Value: 21843-8
... subject 1..1Reference(US Core Patient Profile)The subject of an observation
... focus Reference(RelatedPerson)
... encounter Reference(US Core Encounter Profile)
... effectivePeriod 1..1Period
... performer Reference(US Core Practitioner Profile | US Core Organization Profile | US Core Patient Profile | RelatedPerson)
... valueCodeableConcept CodeableConceptBinding: https://phinvads.cdc.gov/vads/ViewValueSet.action?oid=2.16.840.1.114222.4.11.7186 (required)
... dataAbsentReason 0..0
... interpretation 0..1
... bodySite 0..0
... method 0..0
... specimen 0..0
... device 0..0
... referenceRange 0..0
... hasMember 0..0
... derivedFrom Reference(US Core DocumentReference Profile | Media | QuestionnaireResponse | obf-Observation)
... component 1..*(Slice Definition)Slice: Unordered, Open by value:code.coding.code
.... (All Slices) Content/Rules for all slices
..... value[x]
...... valueQuantityQuantity
...... valueCodeableConceptCodeableConcept
...... valueStringstring
...... valueRangeRange
...... valueRatioRatio
...... valueSampledDataSampledData
...... valueTimetime
...... valueDateTimedateTime
...... valuePeriodPeriod
..... referenceRange
...... type Binding: ObservationReferenceRangeMeaningCodes (extensible)
...... appliesTo Binding: ObservationReferenceRangeAppliesToCodes (extensible)
.... component:odh-UsualIndustry 1..1UsualIndustry: The industry (type of business) in which the subject has worked for the longest duration while in the usual occupation
..... code
...... coding 1..*(Slice Definition)Slice: Unordered, Open by value:code
....... coding:Fixed_21844-6 Σ1..1CodingHistory of Usual industry
........ system Fixed Value: http://loinc.org
........ code Fixed Value: 21844-6
..... valueCodeableConcept CodeableConceptBinding: https://phinvads.cdc.gov/vads/ViewValueSet.action?oid=2.16.840.1.114222.4.11.7187 (required)
..... interpretation 0..1
..... referenceRange 0..0
.... component:odh-UsualOccupationDuration 0..1UsualOccupationDuration: The total time spent on an activity, inclusive of all time intervals, whether continuous or interrupted
..... code
...... coding 1..*(Slice Definition)Slice: Unordered, Open by value:code
....... coding:Fixed_74163-7 Σ1..1CodingUsual occupation duration
........ system Fixed Value: http://loinc.org
........ code Fixed Value: 74163-7
..... valueQuantity Quantity
...... system Fixed Value: http://unitsofmeasure.org
...... code Fixed Value: a
..... interpretation 0..1
..... referenceRange 0..1
...... type Binding: ObservationReferenceRangeMeaningCodes (extensible)
...... appliesTo 0..1Binding: ObservationReferenceRangeAppliesToCodes (extensible)

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation I0..*odh-UsualWork
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
obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierBusiness Identifier for observation
... basedOn Σ0..*Reference(ServiceRequest)The plan, proposal or order that is fulfilled in whole or in part by this observation
... partOf Σ0..*Reference(US Core Procedure Profile)The larger procedure that this particular observation is a component or step
... status ?!Σ1..1coderegistered | preliminary | final | amended +
Binding: ObservationStatus (required)
... category 0..1CodeableConceptClassification of type of observation
Binding: ObservationCategoryCodes (preferred)
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ1..*(Slice Definition)Code defined by a terminology system
Slice: Unordered, Open by value:code
..... coding:Fixed_social-history Σ1..1CodingSocial History
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ0..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ0..1codeSymbol in syntax defined by the system
Fixed Value: social-history
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... code Σ1..1CodeableConceptType of observation (code / type)
Binding: LOINCCodes (example)
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ1..*(Slice Definition)Code defined by a terminology system
Slice: Unordered, Open by value:code
..... coding:Fixed_21843-8 Σ1..1CodingHistory of Usual Occupation
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ0..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ0..1codeSymbol in syntax defined by the system
Fixed Value: 21843-8
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... subject Σ1..1Reference(US Core Patient Profile)The subject of an observation
... focus Σ0..*Reference(RelatedPerson)What the observation is about, when it is not about the subject of record
... encounter Σ0..1Reference(US Core Encounter Profile)Healthcare event during which this observation is made
... effectivePeriod Σ1..1PeriodClinically relevant time/time-period for observation
... issued Σ0..1instantDate/Time this version was made available
... performer Σ0..*Reference(US Core Practitioner Profile | US Core Organization Profile | US Core Patient Profile | RelatedPerson)Who is responsible for the observation
... valueCodeableConcept ΣI0..1CodeableConceptActual result
Binding: https://phinvads.cdc.gov/vads/ViewValueSet.action?oid=2.16.840.1.114222.4.11.7186 (required)
... interpretation 0..1CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible)
... note 0..*AnnotationComments about the observation
... derivedFrom Σ0..*Reference(US Core DocumentReference Profile | Media | QuestionnaireResponse | obf-Observation)Related measurements the observation is made from
... component ΣI1..*(Slice Definition)Component results
Slice: Unordered, Open by value:code.coding.code
.... (All Slices) Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code Σ1..1CodeableConceptType of component observation (code / type)
Binding: LOINCCodes (example)
..... value[x] Σ0..1Actual component result
...... valueQuantityQuantity
...... valueCodeableConceptCodeableConcept
...... valueStringstring
...... valueRangeRange
...... valueRatioRatio
...... valueSampledDataSampledData
...... valueTimetime
...... valueDateTimedateTime
...... valuePeriodPeriod
..... dataAbsentReason I0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible)
..... interpretation 0..*CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible)
..... referenceRange 0..*BackboneElementProvides guide for interpretation of component result
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... low I0..1SimpleQuantityLow Range, if relevant
...... high I0..1SimpleQuantityHigh Range, if relevant
...... type 0..1CodeableConceptReference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (extensible)
...... appliesTo 0..*CodeableConceptReference range population
Binding: ObservationReferenceRangeAppliesToCodes (extensible)
...... age 0..1RangeApplicable age range, if relevant
...... text 0..1stringText based reference range in an observation
.... component:odh-UsualIndustry ΣI1..1BackboneElementUsualIndustry: The industry (type of business) in which the subject has worked for the longest duration while in the usual occupation
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code Σ1..1CodeableConceptType of component observation (code / type)
Binding: LOINCCodes (example)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ1..*(Slice Definition)Code defined by a terminology system
Slice: Unordered, Open by value:code
....... coding:Fixed_21844-6 Σ1..1CodingHistory of Usual industry
........ id 0..1stringUnique id for inter-element referencing
........ extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
........ system Σ0..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
........ version Σ0..1stringVersion of the system - if relevant
........ code Σ0..1codeSymbol in syntax defined by the system
Fixed Value: 21844-6
........ display Σ0..1stringRepresentation defined by the system
........ userSelected Σ0..1booleanIf this coding was chosen directly by the user
...... text Σ0..1stringPlain text representation of the concept
..... valueCodeableConcept Σ0..1CodeableConceptActual component result
Binding: https://phinvads.cdc.gov/vads/ViewValueSet.action?oid=2.16.840.1.114222.4.11.7187 (required)
..... dataAbsentReason I0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible)
..... interpretation 0..1CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible)
.... component:odh-UsualOccupationDuration ΣI0..1BackboneElementUsualOccupationDuration: The total time spent on an activity, inclusive of all time intervals, whether continuous or interrupted
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code Σ1..1CodeableConceptType of component observation (code / type)
Binding: LOINCCodes (example)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ1..*(Slice Definition)Code defined by a terminology system
Slice: Unordered, Open by value:code
....... coding:Fixed_74163-7 Σ1..1CodingUsual occupation duration
........ id 0..1stringUnique id for inter-element referencing
........ extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
........ system Σ0..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
........ version Σ0..1stringVersion of the system - if relevant
........ code Σ0..1codeSymbol in syntax defined by the system
Fixed Value: 74163-7
........ display Σ0..1stringRepresentation defined by the system
........ userSelected Σ0..1booleanIf this coding was chosen directly by the user
...... text Σ0..1stringPlain text representation of the concept
..... valueQuantity Σ0..1QuantityActual component result
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... value Σ0..1decimalNumerical value (with implicit precision)
...... comparator ?!Σ0..1code< | <= | >= | > - how to understand the value
Binding: QuantityComparator (required)
...... unit Σ0..1stringUnit representation
...... system ΣI0..1uriSystem that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code Σ0..1codeCoded form of the unit
Fixed Value: a
..... dataAbsentReason I0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible)
..... interpretation 0..1CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible)
..... referenceRange 0..1BackboneElementProvides guide for interpretation of component result
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... low I0..1SimpleQuantityLow Range, if relevant
...... high I0..1SimpleQuantityHigh Range, if relevant
...... type 0..1CodeableConceptReference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (extensible)
...... appliesTo 0..1CodeableConceptReference range population
Binding: ObservationReferenceRangeAppliesToCodes (extensible)
...... age 0..1RangeApplicable age range, if relevant
...... text 0..1stringText based reference range in an observation

doco Documentation for this format

Downloads: StructureDefinition: (XML, JSON, TTL), Schema: XML Schematron

 

Terminology Bindings

PathConformanceValueSet
Observation.languagepreferredCommonLanguages
Max Binding: AllLanguages
Observation.statusrequiredObservationStatus
Observation.categorypreferredObservationCategoryCodes
Observation.codeexampleLOINCCodes
Observation.valueCodeableConceptrequiredhttps://phinvads.cdc.gov/vads/ViewValueSet.action?oid=2.16.840.1.114222.4.11.7186
Observation.interpretationextensibleObservationInterpretationCodes
Observation.referenceRange.typeextensibleObservationReferenceRangeMeaningCodes
Observation.referenceRange.appliesToextensibleObservationReferenceRangeAppliesToCodes
Observation.component.codeexampleLOINCCodes
Observation.component.dataAbsentReasonextensibleDataAbsentReason
Observation.component.interpretationextensibleObservationInterpretationCodes
Observation.component.referenceRange.typeextensibleObservationReferenceRangeMeaningCodes
Observation.component.referenceRange.appliesToextensibleObservationReferenceRangeAppliesToCodes
Observation.component:odh-UsualIndustry.codeexampleLOINCCodes
Observation.component:odh-UsualIndustry.valueCodeableConceptrequiredhttps://phinvads.cdc.gov/vads/ViewValueSet.action?oid=2.16.840.1.114222.4.11.7187
Observation.component:odh-UsualIndustry.dataAbsentReasonextensibleDataAbsentReason
Observation.component:odh-UsualIndustry.interpretationextensibleObservationInterpretationCodes
Observation.component:odh-UsualIndustry.referenceRange.typeextensibleObservationReferenceRangeMeaningCodes
Observation.component:odh-UsualIndustry.referenceRange.appliesToextensibleObservationReferenceRangeAppliesToCodes
Observation.component:odh-UsualOccupationDuration.codeexampleLOINCCodes
Observation.component:odh-UsualOccupationDuration.valueQuantity.comparatorrequiredQuantityComparator
Observation.component:odh-UsualOccupationDuration.dataAbsentReasonextensibleDataAbsentReason
Observation.component:odh-UsualOccupationDuration.interpretationextensibleObservationInterpretationCodes
Observation.component:odh-UsualOccupationDuration.referenceRange.typeextensibleObservationReferenceRangeMeaningCodes
Observation.component:odh-UsualOccupationDuration.referenceRange.appliesToextensibleObservationReferenceRangeAppliesToCodes

 

Constraints

IdPathDetailsRequirements
dom-2ObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-4ObservationIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-3ObservationIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-6ObservationA resource should have narrative for robust management
: text.div.exists()
dom-5ObservationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
obs-7ObservationIf Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
: value.empty() or component.code.where( (coding.code = %resource.code.coding.code) and (coding.system = %resource.code.coding.system)).empty()
obs-6ObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
ele-1Observation.componentAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.componentAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.componentAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())