{ "resourceType": "StructureDefinition", "id": "odh-UsualWork", "text": { "status": "generated", "div": "

UsualWork Profile

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.

Mapping Summary

odh.UsualWork maps to Observation:\n  Language maps to language\n  Narrative maps to text\n  ImplicitRules maps to implicitRules\n  Metadata.VersionId maps to meta.versionId\n  Metadata.SourceSystem maps to meta.extension\n  Metadata.Profile maps to meta.profile\n  Metadata.LastUpdated maps to meta.lastUpdated\n  Metadata.SecurityLabel maps to meta.security\n  Metadata.Tag maps to meta.tag\n  Identifier maps to identifier\n  ObservationBasedOn maps to basedOn\n  ObservationPartOf maps to extension\n  Status maps to status\n  Category maps to category\n  Code maps to code\n  ObservationSubjectOfRecord maps to subject\n  FocalSubject maps to modifierExtension\n  CareContext maps to context\n  RelevantTime maps to effective[x]\n  StatementDateTime maps to issued\n  Performer maps to performer\n  DataValue maps to value[x]\n  DataAbsentReason maps to dataAbsentReason\n  Interpretation maps to interpretation\n  Annotation maps to extension\n  BodyLocation.Code maps to bodySite\n  BodyLocation.Laterality maps to bodySite.extension\n  BodyLocation.Orientation maps to bodySite.extension\n  BodyLocation.RelationToLandmark maps to bodySite.extension\n  Method maps to method\n  Device maps to device\n  ReferenceRange maps to referenceRange\n  ReferenceRange.LowerBound maps to referenceRange.low\n  ReferenceRange.UpperBound maps to referenceRange.high\n  ReferenceRange.Type maps to referenceRange.type\n  ReferenceRange.ApplicableSubpopulation maps to referenceRange.appliesTo\n  ReferenceRange.ApplicableAgeRange maps to referenceRange.age\n  ReferenceRange.Text maps to referenceRange.text\n  fix related.type to #has-member\n  PanelMembers maps to related\n  PanelMembers.Observation maps to related.target (slice at = related; slice on = target.reference.resolve(); slice on type = profile; slice strategy = includes)\n  ObservationDerivedFrom maps to extension\n  Components.ObservationComponent maps to component (slice on = code.coding.code; slice strategy = includes)\n  Components.ObservationComponent.Code maps to component.code\n  Components.ObservationComponent.DataValue maps to component.value[x]\n  Components.ObservationComponent.DataAbsentReason maps to component.dataAbsentReason\n  Components.ObservationComponent.Interpretation maps to component.interpretation\n  Components.ObservationComponent.ReferenceRange maps to component.referenceRange\n  Components.ObservationComponent.ReferenceRange.LowerBound maps to component.referenceRange.low\n  Components.ObservationComponent.ReferenceRange.UpperBound maps to component.referenceRange.high\n  Components.ObservationComponent.ReferenceRange.Type maps to component.referenceRange.type\n  Components.ObservationComponent.ReferenceRange.ApplicableSubpopulation maps to component.referenceRange.appliesTo\n  Components.ObservationComponent.ReferenceRange.ApplicableAgeRange maps to component.referenceRange.age\n  Components.ObservationComponent.ReferenceRange.Text maps to component.referenceRange.text\n

" }, "url": "http://hl7.org/fhir/us/odh/StructureDefinition/odh-UsualWork", "identifier": [ { "system": "http://hl7.org/fhir/us/odh", "value": "odh.UsualWork" } ], "version": "1.0.0", "name": "UsualWork", "title": "odh-UsualWork", "status": "draft", "date": "2019-05-08T04:00:00+00:00", "publisher": "HL7", "contact": [ { "telecom": [ { "system": "url", "value": "http://standardhealthrecord.org" } ] } ], "description": "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.", "purpose": "Observations are a key aspect of healthcare. This resource is used to capture those that do not require more sophisticated mechanisms.", "fhirVersion": "3.0.1", "mapping": [ { "identity": "workflow", "uri": "http://hl7.org/fhir/workflow", "name": "Workflow Mapping" }, { "identity": "sct-concept", "uri": "http://snomed.info/conceptdomain", "name": "SNOMED CT Concept Domain Binding" }, { "identity": "v2", "uri": "http://hl7.org/v2", "name": "HL7 v2 Mapping" }, { "identity": "rim", "uri": "http://hl7.org/v3", "name": "RIM Mapping" }, { "identity": "w5", "uri": "http://hl7.org/fhir/w5", "name": "W5 Mapping" }, { "identity": "sct-attr", "uri": "http://snomed.info/sct", "name": "SNOMED CT Attribute Binding" } ], "kind": "resource", "abstract": false, "type": "Observation", "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Observation", "derivation": "constraint", "differential": { "element": [ { "id": "Observation:odh-UsualWork", "path": "Observation", "short": "odh-UsualWork", "definition": "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." }, { "id": "Observation:odh-UsualWork.meta", "path": "Observation.meta" }, { "id": "Observation:odh-UsualWork.meta.extension:sourcesystem", "path": "Observation.meta.extension", "sliceName": "sourcesystem", "definition": "FHIR: This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc. FHIM: Identifies the computer system that created the medical record. This optional field may also be used to indicate that the medical record was originally created by a different organization from the one that is currently storing or utilizing the record in that the assigning authority of the Id could be set to that originating organization. This property is optional, as some systems will assume that all records that it contains originated in that system, however it is anticipated that it will become increasingly commonplace for records from multiple systems and organizations will be comingled in order to provide a complete picture of the patient's health record.", "min": 0, "max": "1", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension", "profile": "http://hl7.org/fhir/us/odh/StructureDefinition/shr-core-SourceSystem-extension" } ] }, { "id": "Observation:odh-UsualWork.extension", "path": "Observation.extension", "slicing": { "id": "8", "discriminator": [ { "type": "value", "path": "url" } ], "ordered": false, "rules": "open" } }, { "id": "Observation:odh-UsualWork.extension:observationpartof", "path": "Observation.extension", "sliceName": "observationpartof", "definition": "A larger event of which this particular Observation is a component or step. For example, an observation as part of a procedure.", "min": 0, "max": "*", "base": { "path": "DomainResource.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension", "profile": "http://hl7.org/fhir/us/odh/StructureDefinition/shr-core-ObservationPartOf-extension" } ] }, { "id": "Observation:odh-UsualWork.extension:annotation", "path": "Observation.extension", "sliceName": "annotation", "definition": "An added or follow-up note, often after the fact, that contains metadata about who made the statement and when.", "min": 0, "max": "*", "base": { "path": "DomainResource.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension", "profile": "http://hl7.org/fhir/us/odh/StructureDefinition/shr-core-Annotation-extension" } ] }, { "id": "Observation:odh-UsualWork.extension:observationderivedfrom", "path": "Observation.extension", "sliceName": "observationderivedfrom", "definition": "The target resource that represents a measurement from which this observation value is derived. For example, a calculated anion gap or a fetal measurement based on an ultrasound image.", "min": 0, "max": "*", "base": { "path": "DomainResource.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension", "profile": "http://hl7.org/fhir/us/odh/StructureDefinition/shr-core-ObservationDerivedFrom-extension" } ] }, { "id": "Observation:odh-UsualWork.modifierExtension", "path": "Observation.modifierExtension", "slicing": { "id": "9", "discriminator": [ { "type": "value", "path": "url" } ], "ordered": false, "rules": "open" } }, { "id": "Observation:odh-UsualWork.modifierExtension:focalsubject", "path": "Observation.modifierExtension", "sliceName": "focalsubject", "definition": "The person or entity that the information in this resource relates to, if different than the person of record. The subject of information can be a reference or a code, the latter when the subject is described generically, for example, in terms of a relationship to the subject of record (e.g., wife).", "min": 0, "max": "1", "base": { "path": "DomainResource.modifierExtension", "min": 0, "max": "*" }, "type": [ { "code": "Extension", "profile": "http://hl7.org/fhir/us/odh/StructureDefinition/shr-core-FocalSubject-extension" } ], "mustSupport": true, "isModifier": true }, { "id": "Observation:odh-UsualWork.modifierExtension:focalsubject.valueCodeableConcept", "path": "Observation.modifierExtension.valueCodeableConcept", "short": "CodeableConcept", "definition": "A set of codes drawn from different coding systems, representing the same concept.", "type": [ { "code": "CodeableConcept" } ], "binding": { "strength": "required", "valueSetReference": { "reference": "https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.1.11.19579/expansion" } } }, { "id": "Observation:odh-UsualWork.basedOn", "path": "Observation.basedOn", "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/us/odh/StructureDefinition/shr-core-MedicationRequest" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/us/odh/StructureDefinition/shr-core-ServiceRequest" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/us/odh/StructureDefinition/shr-core-ProcedureRequest" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/us/odh/StructureDefinition/shr-core-ReferralRequest" } ] }, { "id": "Observation:odh-UsualWork.category", "path": "Observation.category", "min": 0, "max": "1", "base": { "path": "Observation.category", "min": 0, "max": "*" } }, { "id": "Observation:odh-UsualWork.category.coding", "path": "Observation.category.coding", "slicing": { "id": "1", "discriminator": [ { "type": "value", "path": "code" } ], "ordered": false, "rules": "open" }, "min": 1, "max": "*" }, { "id": "Observation:odh-UsualWork.category.coding:Fixed_social-history", "path": "Observation.category.coding", "sliceName": "Fixed_social-history", "short": "Social History", "definition": "Social History", "min": 1, "max": "1", "type": [ { "code": "Coding" } ], "isSummary": true }, { "id": "Observation:odh-UsualWork.category.coding:Fixed_social-history.system", "path": "Observation.category.coding.system", "fixedUri": "http://hl7.org/fhir/observation-category" }, { "id": "Observation:odh-UsualWork.category.coding:Fixed_social-history.code", "path": "Observation.category.coding.code", "fixedCode": "social-history" }, { "id": "Observation:odh-UsualWork.code", "path": "Observation.code" }, { "id": "Observation:odh-UsualWork.code.coding", "path": "Observation.code.coding", "slicing": { "id": "2", "discriminator": [ { "type": "value", "path": "code" } ], "ordered": false, "rules": "open" }, "min": 1, "max": "*" }, { "id": "Observation:odh-UsualWork.code.coding:Fixed_21843-8", "path": "Observation.code.coding", "sliceName": "Fixed_21843-8", "short": "History of Usual Occupation", "definition": "History of Usual Occupation", "min": 1, "max": "1", "type": [ { "code": "Coding" } ], "isSummary": true }, { "id": "Observation:odh-UsualWork.code.coding:Fixed_21843-8.system", "path": "Observation.code.coding.system", "fixedUri": "http://loinc.org" }, { "id": "Observation:odh-UsualWork.code.coding:Fixed_21843-8.code", "path": "Observation.code.coding.code", "fixedCode": "21843-8" }, { "id": "Observation:odh-UsualWork.subject", "path": "Observation.subject", "min": 1, "max": "1", "base": { "path": "Observation.subject", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/us/odh/StructureDefinition/shr-core-Patient" } ] }, { "id": "Observation:odh-UsualWork.context", "path": "Observation.context", "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/us/odh/StructureDefinition/shr-core-Encounter" } ] }, { "id": "Observation:odh-UsualWork.effectivePeriod", "path": "Observation.effectivePeriod", "min": 1, "max": "1", "base": { "path": "Observation.effective[x]", "min": 0, "max": "1" }, "type": [ { "code": "Period" } ] }, { "id": "Observation:odh-UsualWork.performer", "path": "Observation.performer", "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/us/odh/StructureDefinition/shr-core-Practitioner" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/us/odh/StructureDefinition/shr-core-Organization" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/us/odh/StructureDefinition/shr-core-Patient" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/us/odh/StructureDefinition/shr-core-RelatedPerson" } ] }, { "id": "Observation:odh-UsualWork.valueCodeableConcept", "path": "Observation.valueCodeableConcept", "type": [ { "code": "CodeableConcept" } ], "binding": { "strength": "required", "valueSetReference": { "reference": "https://phinvads.cdc.gov/vads/ViewValueSet.action?oid=2.16.840.1.114222.4.11.7186" } } }, { "id": "Observation:odh-UsualWork.dataAbsentReason", "path": "Observation.dataAbsentReason", "min": 0, "max": "0", "base": { "path": "Observation.dataAbsentReason", "min": 0, "max": "1" }, "binding": { "strength": "extensible", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/data-absent-reason" } } }, { "id": "Observation:odh-UsualWork.bodySite", "path": "Observation.bodySite", "min": 0, "max": "0", "base": { "path": "Observation.bodySite", "min": 0, "max": "1" }, "binding": { "strength": "preferred", "valueSetReference": { "reference": "http://hl7.org/fhir/us/odh/ValueSet/shr-core-BodyLocationVS" } } }, { "id": "Observation:odh-UsualWork.method", "path": "Observation.method", "min": 0, "max": "0", "base": { "path": "Observation.method", "min": 0, "max": "1" } }, { "id": "Observation:odh-UsualWork.device", "path": "Observation.device", "min": 0, "max": "0", "base": { "path": "Observation.device", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/us/odh/StructureDefinition/shr-core-Device" } ] }, { "id": "Observation:odh-UsualWork.referenceRange", "path": "Observation.referenceRange", "min": 0, "max": "0", "base": { "path": "Observation.referenceRange", "min": 0, "max": "*" } }, { "id": "Observation:odh-UsualWork.referenceRange.appliesTo", "path": "Observation.referenceRange.appliesTo", "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ObservationRangeType" } ], "strength": "extensible", "description": "Codes identifying the population the reference range applies to.", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/referencerange-appliesto" } } }, { "id": "Observation:odh-UsualWork.related", "path": "Observation.related", "min": 0, "max": "0", "base": { "path": "Observation.related", "min": 0, "max": "*" } }, { "id": "Observation:odh-UsualWork.related.type", "path": "Observation.related.type", "fixedCode": "has-member" }, { "id": "Observation:odh-UsualWork.related.target", "path": "Observation.related.target", "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/us/odh/StructureDefinition/shr-core-Observation" } ] }, { "id": "Observation:odh-UsualWork.component", "path": "Observation.component", "slicing": { "id": "3", "discriminator": [ { "type": "value", "path": "code.coding.code" } ], "ordered": false, "rules": "open" }, "min": 1, "max": "*" }, { "id": "Observation:odh-UsualWork.component:odh-UsualIndustry", "path": "Observation.component", "sliceName": "odh-UsualIndustry", "short": "UsualIndustry", "definition": "The industry (type of business) in which the subject has worked for the longest duration while in the usual occupation. For example, a person who has spent 30 years as a building carpenter in various industries, but mostly in construction, would record a usual occupation of building carpenter and a usual industry of construction.", "min": 1, "max": "1", "base": { "path": "Observation.component", "min": 0, "max": "*" } }, { "id": "Observation:odh-UsualWork.component:odh-UsualIndustry.code", "path": "Observation.component.code" }, { "id": "Observation:odh-UsualWork.component:odh-UsualIndustry.code.coding", "path": "Observation.component.code.coding", "slicing": { "id": "4", "discriminator": [ { "type": "value", "path": "code" } ], "ordered": false, "rules": "open" }, "min": 1, "max": "*" }, { "id": "Observation:odh-UsualWork.component:odh-UsualIndustry.code.coding:Fixed_21844-6", "path": "Observation.component.code.coding", "sliceName": "Fixed_21844-6", "short": "History of Usual industry", "definition": "History of Usual industry", "min": 1, "max": "1", "type": [ { "code": "Coding" } ], "isSummary": true }, { "id": "Observation:odh-UsualWork.component:odh-UsualIndustry.code.coding:Fixed_21844-6.system", "path": "Observation.component.code.coding.system", "fixedUri": "http://loinc.org" }, { "id": "Observation:odh-UsualWork.component:odh-UsualIndustry.code.coding:Fixed_21844-6.code", "path": "Observation.component.code.coding.code", "fixedCode": "21844-6" }, { "id": "Observation:odh-UsualWork.component:odh-UsualIndustry.valueCodeableConcept", "path": "Observation.component.valueCodeableConcept", "type": [ { "code": "CodeableConcept" } ], "binding": { "strength": "required", "valueSetReference": { "reference": "https://phinvads.cdc.gov/vads/ViewValueSet.action?oid=2.16.840.1.114222.4.11.7187" } } }, { "id": "Observation:odh-UsualWork.component:odh-UsualIndustry.dataAbsentReason", "path": "Observation.component.dataAbsentReason", "binding": { "strength": "extensible", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/data-absent-reason" } } }, { "id": "Observation:odh-UsualWork.component:odh-UsualIndustry.referenceRange", "path": "Observation.component.referenceRange", "min": 0, "max": "0", "base": { "path": "Observation.component.referenceRange", "min": 0, "max": "*" } }, { "id": "Observation:odh-UsualWork.component:odh-UsualIndustry.referenceRange.appliesTo", "path": "Observation.component.referenceRange.appliesTo", "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ObservationRangeType" } ], "strength": "extensible", "description": "Codes identifying the population the reference range applies to.", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/referencerange-appliesto" } } }, { "id": "Observation:odh-UsualWork.component:odh-UsualOccupationDuration", "path": "Observation.component", "sliceName": "odh-UsualOccupationDuration", "short": "UsualOccupationDuration", "definition": "The total time spent on an activity, inclusive of all time intervals, whether continuous or interrupted.", "min": 0, "max": "1", "base": { "path": "Observation.component", "min": 0, "max": "*" } }, { "id": "Observation:odh-UsualWork.component:odh-UsualOccupationDuration.code", "path": "Observation.component.code" }, { "id": "Observation:odh-UsualWork.component:odh-UsualOccupationDuration.code.coding", "path": "Observation.component.code.coding", "slicing": { "id": "5", "discriminator": [ { "type": "value", "path": "code" } ], "ordered": false, "rules": "open" }, "min": 1, "max": "*" }, { "id": "Observation:odh-UsualWork.component:odh-UsualOccupationDuration.code.coding:Fixed_74163-7", "path": "Observation.component.code.coding", "sliceName": "Fixed_74163-7", "short": "Usual occupation duration", "definition": "Usual occupation duration", "min": 1, "max": "1", "type": [ { "code": "Coding" } ], "isSummary": true }, { "id": "Observation:odh-UsualWork.component:odh-UsualOccupationDuration.code.coding:Fixed_74163-7.system", "path": "Observation.component.code.coding.system", "fixedUri": "http://loinc.org" }, { "id": "Observation:odh-UsualWork.component:odh-UsualOccupationDuration.code.coding:Fixed_74163-7.code", "path": "Observation.component.code.coding.code", "fixedCode": "74163-7" }, { "id": "Observation:odh-UsualWork.component:odh-UsualOccupationDuration.valueQuantity", "path": "Observation.component.valueQuantity", "type": [ { "code": "Quantity" } ] }, { "id": "Observation:odh-UsualWork.component:odh-UsualOccupationDuration.valueQuantity.system", "path": "Observation.component.valueQuantity.system", "fixedUri": "http://unitsofmeasure.org" }, { "id": "Observation:odh-UsualWork.component:odh-UsualOccupationDuration.valueQuantity.code", "path": "Observation.component.valueQuantity.code", "fixedCode": "a" }, { "id": "Observation:odh-UsualWork.component:odh-UsualOccupationDuration.dataAbsentReason", "path": "Observation.component.dataAbsentReason", "binding": { "strength": "extensible", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/data-absent-reason" } } }, { "id": "Observation:odh-UsualWork.component:odh-UsualOccupationDuration.referenceRange", "path": "Observation.component.referenceRange", "min": 0, "max": "1", "base": { "path": "Observation.component.referenceRange", "min": 0, "max": "*" } }, { "id": "Observation:odh-UsualWork.component:odh-UsualOccupationDuration.referenceRange.appliesTo", "path": "Observation.component.referenceRange.appliesTo", "min": 0, "max": "1", "base": { "path": "Observation.component.referenceRange.appliesTo", "min": 0, "max": "*" }, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ObservationRangeType" } ], "strength": "extensible", "description": "Codes identifying the population the reference range applies to.", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/referencerange-appliesto" } } } ] } }