description: The US Core Occupation Observation Profile is based upon the core FHIR Observation Resource and implements the US Core Data for Interoperability (USCDI) Occupation and Occupation Industry requirements. This profile promotes interoperability and adoption through common implementation by setting minimum expectations for the Observation resource to record, search, and fetch a patient's past or present job as occupation and industry, in other words, the type of work and type of business that compensates for work or assigns work to an unpaid worker or volunteer. In the context of this profile, a job is defined as a work situation, or a training or volunteer position held for a specified period. It identifies which core elements, extensions, vocabularies, and value sets **SHALL** be present and constrains the way the elements are used and constrains the way the elements are used when using the profile. It provides the floor for standards development for specific use cases.
package_name: hl7.fhir.us.core
derivation: constraint
name: USCoreObservationOccupationProfile
type: Observation
elements:
  status: {mustSupport: true, index: 0}
  category:
    mustSupport: true
    index: 1
    slicing:
      rules: open
      discriminator:
      - {path: $this, type: pattern}
      min: null
      slices:
        socialhistory:
          match:
            coding:
            - {code: social-history, system: 'http://terminology.hl7.org/CodeSystem/observation-category'}
          schema:
            mustSupport: true
            pattern:
              type: CodeableConcept
              value:
                coding:
                - {code: social-history, system: 'http://terminology.hl7.org/CodeSystem/observation-category'}
            index: 2
          min: 0
          max: 1
  code:
    short: Occupation history
    mustSupport: true
    pattern:
      type: CodeableConcept
      value:
        coding:
        - {code: 11341-5, system: 'http://loinc.org'}
    index: 3
  subject:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient']
    index: 4
  effectivePeriod: {mustSupport: true, index: 5}
  valueCodeableConcept:
    type: CodeableConcept
    short: Coded occupation or text
    binding: {strength: extensible, valueSet: 'http://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.114222.4.11.7901'}
    mustSupport: true
    index: 6
  component:
    mustSupport: true
    index: 7
    slicing:
      rules: open
      discriminator:
      - {path: code, type: pattern}
      min: null
      slices:
        industry:
          match:
            code:
              coding:
              - {code: 86188-0, system: 'http://loinc.org'}
          schema:
            short: Occupation industry
            mustSupport: true
            index: 8
            elements:
              code:
                type: CodeableConcept
                short: Occupation industry history
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: 86188-0, system: 'http://loinc.org'}
                index: 9
              valueCodeableConcept:
                type: CodeableConcept
                short: Occupation industry or text
                binding: {strength: extensible, valueSet: 'http://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.114222.4.11.7900'}
                mustSupport: true
                index: 10
            required: [valueCodeableConcept]
package_version: 7.0.0-ballot
class: profile
kind: resource
url: http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-occupation
base: http://hl7.org/fhir/StructureDefinition/Observation
version: 7.0.0-ballot
required: [subject, valueCodeableConcept]