description: 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. package_name: hl7.fhir.us.odh derivation: constraint name: UsualWork type: Observation elements: category: index: 2 elements: coding: array: true min: 1 index: 3 slicing: id: '1' rules: open ordered: false discriminator: - {path: code, type: value} min: 1 slices: Fixed_social-history: match: {code: social-history} schema: short: Social History type: Coding _required: true base: {max: '*', min: 0, path: CodeableConcept.coding} isSummary: true index: 4 elements: system: pattern: {type: Uri, value: 'http://terminology.hl7.org/CodeSystem/observation-category'} index: 5 code: pattern: {type: Code, value: social-history} index: 6 required: [system, code] required: [coding] referenceRange: index: 28 elements: type: binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/ValueSet/referencerange-meaning'} index: 29 appliesTo: binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/ValueSet/referencerange-appliesto'} index: 30 hasMember: {index: 31} derivedFrom: type: Reference refers: ['http://hl7.org/fhir/StructureDefinition/DocumentReference', 'http://hl7.org/fhir/StructureDefinition/Media', 'http://hl7.org/fhir/StructureDefinition/Observation', 'http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse'] index: 32 interpretation: {index: 23} method: {index: 25} specimen: {index: 26} component: array: true min: 1 index: 33 slicing: id: '3' rules: open ordered: false discriminator: - {path: code, type: value} min: 1 slices: odh-UsualIndustry: match: code: coding: - {code: 21844-6, system: 'http://loinc.org'} schema: short: '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.' _required: true index: 34 elements: code: short: History of Usual industry pattern: type: CodeableConcept value: coding: - {code: 21844-6, system: 'http://loinc.org'} index: 35 valueCodeableConcept: type: CodeableConcept short: Express the Industry using a coded value. If no coded value is available, use text. If the Industry is not available, explain using dataAbsentReason. index: 36 elements: coding: array: true index: 37 slicing: rules: open discriminator: - {path: $this, type: pattern} min: 0 slices: industryCDCCensus2010: match: {} schema: short: Industry CDC Census 2010 binding: {strength: required, valueSet: 'http://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.114222.4.11.7187'} index: 38 min: 0 max: 1 industryONETSOCDetailODH: match: {} schema: short: Industry NAICS Detail (ODH) binding: {strength: required, valueSet: 'http://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.114222.4.11.7900'} index: 39 min: 0 max: 1 industryCDCCensus2018: match: {} schema: short: Industry CDC Census 2018 binding: {strength: required, valueSet: 'http://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.114222.4.11.8066'} index: 40 min: 0 max: 1 text: {short: Use the narrative description if there is no coded value available for the usual industry., index: 41} dataAbsentReason: {short: The reason that there is no value available for the Industry., index: 42} interpretation: {index: 43} referenceRange: index: 44 elements: type: binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/ValueSet/referencerange-meaning'} index: 45 appliesTo: binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/ValueSet/referencerange-appliesto'} index: 46 odh-UsualOccupationDuration: match: code: coding: - {code: 74163-7, system: 'http://loinc.org'} schema: short: '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).' index: 47 elements: code: short: Usual occupation duration pattern: type: CodeableConcept value: coding: - {code: 74163-7, system: 'http://loinc.org'} index: 48 valueQuantity: base: {max: '1', min: 0, path: 'Observation.component.value[x]'} type: Quantity index: 49 elements: system: pattern: {type: Uri, value: 'http://unitsofmeasure.org'} index: 50 code: pattern: {type: Code, value: a} index: 51 interpretation: {index: 52} referenceRange: index: 53 elements: type: binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/ValueSet/referencerange-meaning'} index: 54 appliesTo: binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/ValueSet/referencerange-appliesto'} index: 55 code: index: 7 elements: coding: array: true min: 1 index: 8 slicing: id: '2' rules: open ordered: false discriminator: - {path: code, type: value} min: 1 slices: Fixed_21843-8: match: {code: 21843-8} schema: short: History of Usual Occupation type: Coding _required: true base: {max: '*', min: 0, path: CodeableConcept.coding} isSummary: true index: 9 elements: system: pattern: {type: Uri, value: 'http://loinc.org'} index: 10 code: pattern: {type: Code, value: 21843-8} index: 11 required: [system, code] required: [coding] valueCodeableConcept: type: CodeableConcept short: 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. index: 16 elements: coding: array: true index: 17 slicing: rules: open discriminator: - {path: $this, type: pattern} min: 0 slices: occupationCDCCensus2010: match: {} schema: short: Occupation CDC Census 2010 binding: {strength: required, valueSet: 'http://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.114222.4.11.7186'} index: 18 min: 0 max: 1 occupationONETSOCDetailODH: match: {} schema: short: Occupation ONETSOC Detail (ODH) binding: {strength: required, valueSet: 'http://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.114222.4.11.7901'} index: 19 min: 0 max: 1 occupationCDCCensus2018: match: {} schema: short: Occupation CDC Census 2018 binding: {strength: required, valueSet: 'http://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.114222.4.11.8065'} index: 20 min: 0 max: 1 text: {short: Use the narrative description if there is no coded value available for the usual occupation., index: 21} bodySite: binding: {strength: preferred, valueSet: 'http://hl7.org/fhir/ValueSet/body-site'} index: 24 focus: type: Reference refers: ['http://hl7.org/fhir/StructureDefinition/RelatedPerson'] index: 13 device: type: Reference refers: ['http://hl7.org/fhir/StructureDefinition/Device'] index: 27 basedOn: type: Reference short: The plan, proposal or order that is fulfilled in whole or in part by this observation refers: ['http://hl7.org/fhir/StructureDefinition/ServiceRequest'] index: 0 partOf: type: Reference short: The larger procedure that this particular observation is a component or step refers: ['http://hl7.org/fhir/StructureDefinition/Procedure'] index: 1 subject: type: Reference short: The subject of an observation refers: ['http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient'] index: 12 performer: type: Reference refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'http://hl7.org/fhir/StructureDefinition/Practitioner', 'http://hl7.org/fhir/StructureDefinition/RelatedPerson', 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient'] index: 15 dataAbsentReason: {short: The reason that there is no value available for the Occupation., index: 22} effectivePeriod: {type: Period, short: '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.', index: 14} package_version: 1.2.0 class: profile kind: resource url: http://hl7.org/fhir/us/odh/StructureDefinition/odh-UsualWork base: http://hl7.org/fhir/StructureDefinition/Observation version: 1.2.0 required: [component, subject]