Self-reported date range(s) when a person worked in what is considered a combat zone; sometimes called a hazardous duty work. Both civilian workers, such as Department of Defense contractors, and military service members could have worked in combat zones. Multiple periods in combat zone should be recorded using multiple FHIR resources.

Current and past activities for profit, wages, salary, or as a service to others.

Related data elements for a current or previous job, as reported by the person, i.e., a work situation or position held for a specified time period. A person can have more than one job at the same time and multiple jobs over time, so the data related to each job must remain in the record in perpetuity. Each job should be recorded in a separate instance of PastOrPresentJob. A person’s job can be a social determinant of their health and information about a person’s job can support patient care, population health, and public health. In patient care, knowledge of a person’s past or present job(s) can impact recognition, diagnosis, management, and treatment of injuries and illnesses. These data also can be used for clinical decision support and to prompt discussion of preventive care measures. For example, a record of jobs that require prolonged time in the sun might prompt a health care provider to inquire if the person wears protective clothing or sunscreen while working. At a minimum, it is important to have a record of a person’s current job(s); i.e., the job(s) in which a person is engaged at the time that he or she presents to a health care provider, regardless of duration, and to retain that information over time. In the event a person recently stopped working (e.g. retired without another job, became unemployed or disabled and unable to work), the most recent job(s) is used instead of the current job(s).

The self-reported current and historical data about a person’s economic relationship to work (e.g. having one or more jobs), including start and end dates. A person’s Employment Status could change over time, for example, a person could be employed following a period of choosing to not be in the labor force. Outside of ODH, the employment arrangement between an employer and a person (one job) has sometimes been referred to as a person’s ‘employment status.’ However, in ODH Employment Status is used to characterize a person, Work Classification is used to characterize a job, and Retirement Date is used to characterize a person as retired.

A self-reported date that a person considers themselves to have ‘retired’. A person can be both retired and employed (an Employment Status); most often, a person would be retired from one job and employed in another job. A person also can have more than one retirement date; for example, a person could retire from military service, then later retire from a civilian job. Multiple retirement dates should be recorded using multiple FHIR resources. Outside of ODH, a characterization of the employment arrangement between an employer and a person (one job) has sometimes been referred to as a person’s ‘employment status’ and might include values such as ‘retired.’ However, in ODH Employment Status is used to characterize a person’s relationship to working (e.g., employed, unemployed) and Retirement Date is used to characterize whether or not a person self-identifies as retired. For example, a person could be ‘employed’ (Employment Status) and have retired from a previous job (recorded at the Person level as a Retirement Date).

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 ‘secretary’ (Occupation), but in various industries, mostly hotel construction. Her Usual Occupation is ‘secretary’ and her Usual Industry is ‘hotel construction.’ Usual Work does not include work that was unpaid or voluntary.

Identifier assigned by the lab

If the ActiveFlag is false, it indicates the record or item is no longer to be used and should generally be hidden for the user in the UI.

If the ActiveFlag is false, it indicates the record or item is no longer to be used and should generally be hidden for the user in the UI.

True if the group is an actual group (as opposed to definitional).

A text note containing additional details, explanation, description, comment, or summarization. Details can discuss, support, explain changes to, or dispute information.

Additive associated with container.

Part of an address that contains the house number, apartment number, street name, street direction, P.O. Box number, delivery hints, and similar address information. (Source: HL7 FHIR).

An address expressed using postal conventions (as opposed to GPS or other location definition formats). This data type may be used to convey addresses for use in delivering mail as well as for visiting locations and which might not be valid for mail delivery. There are a variety of postal address formats defined around the world. (Source: HL7 FHIR).

A gender classification used for administrative purposes. Administrative gender is not necessarily the same as a biological description or a gender identity. This attribute does not include terms related to clinical gender.

Anatomical location or specimen further detailing directionality.

A location or structure in the body, including tissues, regions, cavities, and spaces; for example, right elbow, or left ventricle of the heart.

The age at which this reference range is applicable. This is a neonatal age (e.g. number of weeks at term) if the meaning says so.

Codes to indicate the target population this reference range applies to. For example, a reference range may be based on the normal population or a particular sex or race.

Information ascribing the record to a particular contributor or responsible person.

The data itself.

If the product is branded, and if so, the brand name of a product.

The marketing name for a brand name product

Container volume or size.

The type, kind, or class of this item.

The name of a municipality, city, town, village or other community or delivery center. (Source: HL7 FHIR).

An entry concerning a patient where the result is a narrative text.

A special type of information entry consisting of a topic and a context. The ClinicalStatement class provides the core pattern for more specific clinical statement classes, such as a statement that a finding has been found in a patient or that a procedure has been proposed by a clinical decision support system. The ClinicalStatement pattern defines the core attributes common to most clinical statements and specifies a composition pattern that encourage model component reuse and better alignment with the SNOMED CT Concept Model.

A formal terminology system.

The version of the vocabulary being used, if applicable.

An evaluation component whose value is a code (concept).

The result of social history questions, whose answer is expressed as a code.

How the specimen was obtained.

The body site where specimen was collected

The person or thing the sample was obtained from.

When the sample was obtained, as a specific time or time period.

A composition represents a document such as a patient record, a knowledge artifact, or a catalog definition.

An electronic means of contacting an organization or individual.

Abstract ancestor of all concrete content types. A unit of content that makes up a composition - e.g., a clinical statement in a patient record, a simple or composite action is a knowledge document, a catalog entry in a catalog.

Mime type of the content, with charset etc.

Code representing the sense in which the statement is interpreted, for example, the degree of presence in a PresenceStatement.

The number of items (0 or more), as an integer.

Country - a nation as commonly understood or generally accepted, expressed in ISO 3166 Alpha-2 (2-letter) codes.

The point in time when the information was recorded in the system of record.

The average number of hours in a day that a person spends performing their duties for work.

A date of birth or approximate year or period (year or date range), if estimated.

Indicator of significant change (delta) from the last or previous measurement.

The divisor of a fraction.

A specific durable physical device used in diagnosis or treatment. The value is the coding for a type of device, for example, a CPAP machine. The same device might be used on multiple patients.

Unique Device Identifier (UDI) Barcode string number for a device, assigned by the organization using the device.

A diagnosis, which is a disease or injury determined to be present through evaluation of patient history, examination, and/or review of laboratory data.

A string meant for reading by a person, for example, accompanying a code.

The name of the administrative area at a level below that of a state but above that of a city or town. In the US, a county. Outside the US, a district or the equivalent. (Source: HL7 FHIR).

The form in which active and/or inert ingredient(s) are physically presented.

The date and time span for which something is active, valid, or in force.

Abstract class defining the common metadata of all types of encapsulated data, such as images.

A person or organization that hires the services of another.

An Organization as defined in FHIR

A related person who is an employer

Concepts representing classification of patient encounter such as ambulatory (outpatient), inpatient, emergency, home health or others due to local variations.

A description of an interaction between a patient and healthcare provider(s) for the purpose of providing healthcare service(s) or assessing the health status of a patient.

Specific type of encounter (e.g. e-mail consultation, surgical day-care, skilled nursing, rehabilitation).

Root class for entities such as people, organizations, and devices that have a separately identifiable existence.

CIMI parent class for both Entity and Role.

A simplified, non-separable evaluation consisting of a finding code (represented by the Concept), value (or exception value), reference range, and interpretation. The subject of the evaluation component is the same as in the parent evaluation.

Reason that a value associated with a test or other finding is missing.

If true, exclude the subjects that match the criterion.

When the item (medication, device, etc.) will expire.

The portion of a person’s name that reflects the genealogy of the person. In western cultures, this is the ‘last’ name. In eastern cultures, the family name appears before the person’s given name(s). In some cultures (e.g. Eritrea) the family name of a son is the first name of his father. (Source: HL7 V3).

The technique used to create the finding, for example, the specific imaging technical, lab test code, or assessment vehicle.

Any clinical statement representing a finding.

The focus of the observation, if someone other than the person of record (subject), identified only by the relationship to the PersonOfRecord.

The countries of the world and major geopolitical subregions, such as US states.

The person’s given name - e.g., John

A code describing the characteristic present, absent, or having a value in this group.

An inclusion or exclusion criterion as part of defining a cohort. If the criterion is an unary, then TopicCode must be SCT#385432009 (not applicable)

A set of entities (personnel, material, or places) to be considered together. May be a pool of like-type resources, a team, or combination of personnel, material and places.

Cautions on the handling of this specimen.

A hash code of the data (sha-1, base64ed)

A photograph showing a person’s face.

The CIMI person name, constrained to map correctly to FHIR.

A unique string that identifies a specific person or thing.

Base class for classes in CIMI that stand alone. Analogous to FHIR’s DomainResource.

An entry in a patient record or in a report, generally used for the documentation of clinical information about a subject of information such as a patient or a relative of the patient, asserted by a particular source, recorded, and potentially verified.

The amount of an ingredient in a mixture, as a ratio. For example, 250 mg per tablet is expressed as a ratio where the numerator is 250mg and the denominator is 1 tablet.

Specifies an material component in a non-medication substance.

A Quantity that is an integer.

A clinical interpretation of a finding (applies to both assertions and observation).

True if the ingredient is an active ingredient in the medication.

A flag indicating if this is the person’s current job (at the time the resource was last updated).

An organization who issues a qualification, identifier, or license.

A regular action performed by a person at a job, as reported by the person. For example, a Job Duty could be ‘carry construction supplies’ for a job with the Occupation ‘construction laborer.’

A human language, spoken or written.

Additional information about a person’s use of language.

Language used for communication by a human, either the subject of record, parent, or other involved person.

Anatomical location or specimen further detailing the side(s) of interest.

Abstract top level class in the CIMI hierarchy. The Locatable class reflects CIMI’s implementation using Archetype Description Language (ADL). Its attributes (archetype_node_id, name, and archetype_details) are necessary to serialize CIMI definitions in ADL, but have no clinical relevance. To avoid complicating the profiles with irrelevant extensions, the attributes of Locatable have been omitted.

A distinctive alpha-numeric identification code assigned by the manufacturer or distributor to a specific quantity of manufactured material or product within a batch.

The lower limit on a range

When the item (medication, device, etc.) was produced.

The organization producing the product or test.

The name of the company who produce the device.

The most recent marital status of a person.

A file that contains audio, video, image, or similar content.

Specifies an material component in a medication.

A type of prescription drug or over-the-counter drug that is used to prevent, treat, or relieve symptoms of a disease or abnormal condition, but excluding vaccines.

A person or entity in a group.

The person’s middle name.

The name as plain unstructured or semi-structured text.

Abstract supertype for the name of an entity.

A unique 10 digit number to allow US healthcare providers to identify themselves in a standard way throughout the healthcare industry.

Parent for classes in CIMI that cannot stand alone. These reusable building blocks/data elements can be used to create classes by composition.

The dividend of a fraction.

Represents the result of evaluations (measurements, tests, or questions) that have been performed. Observation has a value representing the result (answer), or an ExceptionValue indicating why the value is not present. The subject of a finding can be the entire patient, or an entity such as a location body structure, intervention, or condition. Things observed about the subject can include social and behavioral factors, subjective and objective observations, and assessments.

Single section in the current OccupationalDataSummary, containing the person’s history of employment and occupation, past and present.

A hazard that is specific to a person’s work or work environment at one job and with which the person might come in contact, as reported by the person. A hazard is a source of potential harm to a person’s physical or mental health. Hazards can be biological, physical, psychological, chemical, or radiological in nature.

The party represented by the actual participant.

A list of alternate names that the organization is known as, or was known as in the past.

An identifier of the organization. An NPI preferred, tax id is allowed, and a local id is allowed in addition to ‘authoritative’ identifier

A social or legal structure formed by human beings.

The name of the organization.

True if the medication is available to consumers without a prescription.

The kind of container the medication comes in.

PanelMembers represent the elements of a group of a related but independent evaluations. Examples are the measurements that compose a complete blood count (CBC), or the elements of a pathology report. Each member is an independent evaluation, but the grouping reflects a composite lab order, shared specimen, or a single report author. Typically the Category and Reason are not given for individual findings that are part of the panel, but rather given at the level of the panel itself.

The larger entity that this is a portion of. For example, an organization might be part of a larger organization, or an encounter with a hospitalist might be part of a larger hospitalization encounter.

The point in time or span of time the participant is involved.

The type of business (industry) in which the subject currently holds or has held a job in the past.

A person in the role of a patient.

A person relevant to the health or social situation of the subject (including the person of record him or herself).

A name used by a human being, written as it would be typically expressed. May include a breakdown of the various elements of the name (family name, given name, etc.).

The person this entry belongs to.

A sequence of letters and digits used as part of a postal address, often designating a geographic region

A person who practices a healing art.

A description of the conditions or context of an observation, for example, under sedation, fasting or post-exercise. Body position and body site are also qualifiers, but handled separately. A qualifier cannot modify the measurement type; for example, a fasting blood sugar is still a blood sugar.

Contains a set of honorific terms that typically appear before a person’s name, for example Mr., Mrs., Dr., etc.

An indication of the importance of an action.

Why the item is used.

A right to practice medicine obtained by training and certification.

A quantity with units, whose value may be bounded from above or below, as defined in FHIR

An interval defined by a quantitative upper and/or lower bound. One of the two bounds must be specified, and the lower bound must be less than the upper bound. When Quantities are specified, the units of measure must be the same.

A unit of measurement for the quotient of the amount of one entity to another.

Time the item was delivered to, or accepted by, the receiving facility or unit.

The person who entered the order on behalf of another individual for example in the case of a verbal or a telephone order.

The time of the attribution action.

The usual or acceptable range for a test result.

The relationship to the person of record.

The time or time period that the finding addresses. The clinically relevant time is not necessarily when the information is gathered or when a test is carried out, but for example, when a specimen was collected, or the time period referred to by the question. Use a TimePeriod for a measurement or specimen collection continued over a significant period of time (e.g. 24 hour Urine Sodium).

URI where data can be found.

Number of bytes of content in the resource (if url provided)

The finding itself, such as the blood pressure value recorded.

Capacity in which an actor is involved in an activity. For instance, ‘attending physician’. Note that attributes of the actor (an entity) that remain constant regardless of the role the actor plays should be part of the entity and not the role. For instance, a person may be a practitioner and a patient. In both cases their date of birth will be the same and thus such information should not be part of the role.

Represents a section containing entries in a composition.

The sequence number for this specimen in a collection of specimens.

The party signing.

A digital Signature - XML DigSig, JWT, Graphical image of signature, etc.

Type of signature

Provenance information specific to the signing of the clinical statement.

A quantity where the comparator is not used, as defined in FHIR

A composition represents a document such as a patient record, a knowledge artifact, or a catalog definition.

A simplified observation for social histories.

Represents a section containing entries in a social history composition.

Identifier for the source specimen from which this specimen was derived.

Information about the proper handling of the specimen.

Direct container of specimen (tube/slide, etc.)

A specimen is a substance, physical object, or collection of objects, that the laboratory considers a single discrete, uniquely identified unit that is the subject of one or more steps in the laboratory workflow. A specimen may include multiple physical pieces as long as they are considered a single unit within the laboratory workflow. A specimen results from one to many specimen collection procedures, and may be contained in multiple specimen containers. Specimen may have one or more processing activities.

Quantity of specimen within container.

State of the specimen, such as obtained, processed, used.

Treatment performed on the specimen.

Accuracy and fluency in spoken communication in a language.

Sub-unit of a country with limited sovereignty in a federally organized country. A code may be used if codes are in common use (i.e. US 2 letter state codes). (Source: HL7 FHIR).

Compositional and reusable grouping of clinical statement attributes that make up the clinical focus of a statement.

StatementTopic class attributes are aligned with SNOMED CT Concept Model attributes when such an overlap exists. Note that this class does not include contextual attributes such as the nature of the action (ordered, proposed, planned, etc…), the nature of the patient state being described (e.g., present, suspected present, absent), and the attribution of this information (the who, when, where, how, why of the information recorded).

The current standing or state.

Any matter of defined composition that has discrete existence, whose origin may be biological, mineral or chemical.

Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the end of the name.

A coded indicator of responsibilities for directing work and personnel management responsibilities for a person’s job, as reported by the person. For US military jobs, this is pay grade.

A user name or other identifier on a telecommunication network, such as a telephone number (including country code and extension, if necessary), email address, or SkypeID.

The time at which something is to end or did end. Boundary is considered inclusive.

A period of time defined by a start and end time, date, or year. If the start element is missing, the start of the period is not known. If the end element is missing, it means that the period is ongoing, or the start may be in the past, and the end date in the future, which means that period is expected/planned to end at the specified time. The end value includes any matching date/time. For example, the period 2011-05-23 to 2011-05-27 includes all the times from the start of the 23rd May through to the end of the 27th of May.

The time at which something is to take effect, start, or did start. Boundary is considered inclusive.

A distinguishing word or group of words naming an item.

The concept representing the finding or action that is the topic of the statement.

For action topics, the TopicCode represents the action being described. For findings, the TopicCode represents the ‘question’ or property being investigated. For evaluation result findings, the TopicCode contains a concept for an observable entity, such as systolic blood pressure. For assertion findings, the TopicCode contains a code representing the condition, allergy, or other item being asserted. In all cases, the TopicCode describes the topic of the action or the finding.

The most specific code (lowest level term) describing the kind or sort of thing being represented.

Code for the unit of measure of the quantity.

The upper limit on a quantitative value.

A unique URL on which the device may be contacted directly.

The industry (type of business) which the subject has worked in for the longest duration while in the usual occupation. For example, a person who has spent 30 years as a secretary in various industries, but mostly in construction, would record a usual occupation of secretary and a usual industry of construction.

The total time spent on an activity, inclusive of all time intervals, whether continuous or interrupted.

The model number of the device, assigned by the manufacturer or vendor.

A number or code associated with the product that identifies a particular release iteration.

The average number of days per week that a person spends performing their duties for work.

Type of compensation and sector for a person’s job, such as ‘paid work, self-employed’ or ‘voluntary work’, as reported by the person.

Typical arrangement of working hours for a person’s job, as reported by the person.

Accuracy and fluency of reading and writing in a language.