HL7 FHIR Profile: Occupational Data for Health (ODH), Release 1, STU 1.3 (Standard for Trial Use)
1.3.0 - STU 1.3
HL7 FHIR Profile: Occupational Data for Health (ODH), Release 1, STU 1.3 (Standard for Trial Use)
1.3.0 - STU 1.3
This page is part of the Occupational Data for Health (ODH) FHIR IG (v1.3.0: STU 1.3 on FHIR R4) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions 
| Official URL: http://hl7.org/fhir/us/odh/StructureDefinition/odh-OccupationalDataForHealth | Version: 1.3.0 | |||
| Draft as of 2021-01-04 | Computable Name: OccupationalDataForHealth | |||
Copyright/Legal: ©2020+ HL7 International Public Health Work Group. Package hl7.fhir.us.odh#1.0.0 based on FHIR 4.0.1. Generated 2020-01-08. Links: Home | QA Report | Search | Version History external | CC0 external | Propose a change external |
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This Composition covers information about a patient’s work, including some voluntary work, or a patient’s household members’ work. ODH is designed for the social history section of a medical record, to facilitate clinical care in multiple disciplines and delivery environments. ODH can be used for clinical decision support, population health activities and value-based care, and public health reporting.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from Composition
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Composition | 0..* | Composition | Occupational Data For Health | |
  type | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) | |
   Slices for coding | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:code | |
   coding:Fixed_74166-0 | Σ | 1..1 | Coding | Occupational summary note |
 system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
 code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 74166-0 | |
 category | 0..1 | CodeableConcept | Categorization of Composition | |
| subject | 1..1 | Reference(Resource) | Who and/or what the composition is about | |
 author | 1..* | Reference(Practitioner | PractitionerRole | Device | US Core Patient Profile | RelatedPerson | Organization) | Who and/or what authored the composition | |
| attester | 0..* | BackboneElement | Attests to accuracy of composition | |
 party | 0..1 | Reference(US Core Patient Profile | Practitioner | RelatedPerson | Organization | PractitionerRole) | Who attested the composition | |
| relatesTo | 0..* | BackboneElement | Relationships to other compositions/documents | |
 target[x] | 1..1 | Target of the relationship | ||
 targetIdentifier | Identifier | |||
| targetReference | Reference(Composition) | |||
| section | 1..1 | BackboneElement | Section in the OccupationalDataForHealth composition, containing the person's occupational data, past and present | |
| author | 0..* | Reference(Practitioner | PractitionerRole | Device | US Core Patient Profile | RelatedPerson | Organization) | Who and/or what authored the section | |
| Slices for entry | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:reference.resolve() | |
 entry:odh-EmploymentStatus | 0..* | Reference(Employment Status) | EmploymentStatus: The self-reported current and/or historical status about a person’s economic relationship to work (e.g. having one or more jobs), including start and end dates | |
| entry:odh-RetirementDate | 0..* | Reference(Retirement Date) | RetirementDate: A self-reported date that a person considers themselves to have ‘retired’ | |
| entry:odh-CombatZonePeriod | 0..* | Reference(Combat Zone Period) | CombatZonePeriod: Self-reported date range(s) when a person worked in what is considered a combat zone; sometimes called a hazardous duty work | |
| entry:odh-UsualWork | 0..1 | Reference(Usual Work) | 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 | |
 entry:odh-PastOrPresentJob | 0..* | Reference(Past Or Present Job) | PastOrPresentJob: 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 | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Composition | 0..* | Composition | Occupational Data For Health | |
 implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| status | ?!Σ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. |
| type | Σ | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. |
| Slices for coding | Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:code |
| coding:Fixed_74166-0 | Σ | 1..1 | Coding | Occupational summary note |
| system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org |
| code | Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 74166-0 |
| category | Σ | 0..1 | CodeableConcept | Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level. |
| subject | Σ | 1..1 | Reference(Resource) | Who and/or what the composition is about |
| date | Σ | 1..1 | dateTime | Composition editing time |
| author | Σ | 1..* | Reference(Practitioner | PractitionerRole | Device | US Core Patient Profile | RelatedPerson | Organization) | Who and/or what authored the composition |
| title | Σ | 1..1 | string | Human Readable name/title |
| attester | 0..* | BackboneElement | Attests to accuracy of composition | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| mode | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. | |
| party | 0..1 | Reference(US Core Patient Profile | Practitioner | RelatedPerson | Organization | PractitionerRole) | Who attested the composition | |
| relatesTo | 0..* | BackboneElement | Relationships to other compositions/documents | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | 1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. | |
| target[x] | 1..1 | Target of the relationship | ||
| targetIdentifier | Identifier | |||
| targetReference | Reference(Composition) | |||
| section | C | 1..1 | BackboneElement | Section in the OccupationalDataForHealth composition, containing the person's occupational data, past and present |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| author | 0..* | Reference(Practitioner | PractitionerRole | Device | US Core Patient Profile | RelatedPerson | Organization) | Who and/or what authored the section | |
| Slices for entry | C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:reference.resolve() |
| entry:odh-EmploymentStatus | C | 0..* | Reference(Employment Status) | EmploymentStatus: The self-reported current and/or historical status about a person’s economic relationship to work (e.g. having one or more jobs), including start and end dates |
| entry:odh-RetirementDate | C | 0..* | Reference(Retirement Date) | RetirementDate: A self-reported date that a person considers themselves to have ‘retired’ |
| entry:odh-CombatZonePeriod | C | 0..* | Reference(Combat Zone Period) | CombatZonePeriod: Self-reported date range(s) when a person worked in what is considered a combat zone; sometimes called a hazardous duty work |
| entry:odh-UsualWork | C | 0..1 | Reference(Usual Work) | 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 |
| entry:odh-PastOrPresentJob | C | 0..* | Reference(Past Or Present Job) | PastOrPresentJob: 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 |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Composition.status | required | CompositionStatus |
| Composition.type | preferred | FHIRDocumentTypeCodes |
| Composition.category | example | DocumentClassValueSet |
| Composition.attester.mode | required | CompositionAttestationMode |
| Composition.relatesTo.code | required | DocumentRelationshipType |
| Id | Grade | Path(s) | Details | Requirements |
| cmp-1 | error | Composition.section | A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists() | |
| cmp-2 | error | Composition.section | A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty() | |
| dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Composition | If 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-4 | error | Composition | If 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-5 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Composition | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Composition | 0..* | Composition | Occupational Data For Health | |||||
| id | Σ | 0..1 | id | Logical id of this artifact | ||||
| meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained | 0..* | Resource | Contained, inline Resources | |||||
 extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier | Σ | 0..1 | Identifier | Version-independent identifier for the Composition | ||||
| status | ?!Σ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. | ||||
| type | Σ | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| Slices for coding | Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:code | ||||
| coding:Fixed_74166-0 | Σ | 1..1 | Coding | Occupational summary note | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | ||||
| version | Σ | 0..1 | string | Version of the system - if relevant | ||||
| code | Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 74166-0 | ||||
| display | Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text | Σ | 0..1 | string | Plain text representation of the concept | ||||
| category | Σ | 0..1 | CodeableConcept | Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level. | ||||
| subject | Σ | 1..1 | Reference(Resource) | Who and/or what the composition is about | ||||
| encounter | Σ | 0..1 | Reference(Encounter) | Context of the Composition | ||||
| date | Σ | 1..1 | dateTime | Composition editing time | ||||
| author | Σ | 1..* | Reference(Practitioner | PractitionerRole | Device | US Core Patient Profile | RelatedPerson | Organization) | Who and/or what authored the composition | ||||
| title | Σ | 1..1 | string | Human Readable name/title | ||||
| confidentiality | Σ | 0..1 | code | As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition. | ||||
| attester | 0..* | BackboneElement | Attests to accuracy of composition | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| mode | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. | |||||
| time | 0..1 | dateTime | When the composition was attested | |||||
| party | 0..1 | Reference(US Core Patient Profile | Practitioner | RelatedPerson | Organization | PractitionerRole) | Who attested the composition | |||||
| custodian | Σ | 0..1 | Reference(Organization) | Organization which maintains the composition | ||||
| relatesTo | 0..* | BackboneElement | Relationships to other compositions/documents | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code | 1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. | |||||
| target[x] | 1..1 | Target of the relationship | ||||||
| targetIdentifier | Identifier | |||||||
| targetReference | Reference(Composition) | |||||||
| event | Σ | 0..* | BackboneElement | The clinical service(s) being documented | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code | Σ | 0..* | CodeableConcept | Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented. | ||||
| period | Σ | 0..1 | Period | The period covered by the documentation | ||||
| detail | Σ | 0..* | Reference(Resource) | The event(s) being documented | ||||
| section | C | 1..1 | BackboneElement | Section in the OccupationalDataForHealth composition, containing the person's occupational data, past and present | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title | 0..1 | string | Label for section (e.g. for ToC) | |||||
| code | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||
| author | 0..* | Reference(Practitioner | PractitionerRole | Device | US Core Patient Profile | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text | C | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
| mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| Slices for entry | C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:reference.resolve() | ||||
| entry:odh-EmploymentStatus | C | 0..* | Reference(Employment Status) | EmploymentStatus: The self-reported current and/or historical status about a person’s economic relationship to work (e.g. having one or more jobs), including start and end dates | ||||
| entry:odh-RetirementDate | C | 0..* | Reference(Retirement Date) | RetirementDate: A self-reported date that a person considers themselves to have ‘retired’ | ||||
| entry:odh-CombatZonePeriod | C | 0..* | Reference(Combat Zone Period) | CombatZonePeriod: Self-reported date range(s) when a person worked in what is considered a combat zone; sometimes called a hazardous duty work | ||||
| entry:odh-UsualWork | C | 0..1 | Reference(Usual Work) | 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 | ||||
| entry:odh-PastOrPresentJob | C | 0..* | Reference(Past Or Present Job) | PastOrPresentJob: 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 | ||||
| emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section | C | 0..* | See section (Composition) | Nested Section | ||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | ||||
| Composition.language | preferred | CommonLanguages
| ||||
| Composition.status | required | CompositionStatus | ||||
| Composition.type | preferred | FHIRDocumentTypeCodes | ||||
| Composition.category | example | DocumentClassValueSet | ||||
| Composition.confidentiality | required | v3.ConfidentialityClassification | ||||
| Composition.attester.mode | required | CompositionAttestationMode | ||||
| Composition.relatesTo.code | required | DocumentRelationshipType | ||||
| Composition.event.code | example | ActCode | ||||
| Composition.section.code | example | DocumentSectionCodes | ||||
| Composition.section.mode | required | ListMode | ||||
| Composition.section.orderedBy | preferred | ListOrderCodes | ||||
| Composition.section.emptyReason | preferred | ListEmptyReasons |
| Id | Grade | Path(s) | Details | Requirements |
| cmp-1 | error | Composition.section | A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists() | |
| cmp-2 | error | Composition.section | A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from Composition
Summary
Mandatory: 6 elements
Fixed Value: 2 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from Composition
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Composition | 0..* | Composition | Occupational Data For Health | |
| type | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) | |
| Slices for coding | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:code | |
| coding:Fixed_74166-0 | Σ | 1..1 | Coding | Occupational summary note |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 74166-0 | |
| category | 0..1 | CodeableConcept | Categorization of Composition | |
| subject | 1..1 | Reference(Resource) | Who and/or what the composition is about | |
| author | 1..* | Reference(Practitioner | PractitionerRole | Device | US Core Patient Profile | RelatedPerson | Organization) | Who and/or what authored the composition | |
| attester | 0..* | BackboneElement | Attests to accuracy of composition | |
| party | 0..1 | Reference(US Core Patient Profile | Practitioner | RelatedPerson | Organization | PractitionerRole) | Who attested the composition | |
| relatesTo | 0..* | BackboneElement | Relationships to other compositions/documents | |
| target[x] | 1..1 | Target of the relationship | ||
| targetIdentifier | Identifier | |||
| targetReference | Reference(Composition) | |||
| section | 1..1 | BackboneElement | Section in the OccupationalDataForHealth composition, containing the person's occupational data, past and present | |
| author | 0..* | Reference(Practitioner | PractitionerRole | Device | US Core Patient Profile | RelatedPerson | Organization) | Who and/or what authored the section | |
| Slices for entry | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:reference.resolve() | |
| entry:odh-EmploymentStatus | 0..* | Reference(Employment Status) | EmploymentStatus: The self-reported current and/or historical status about a person’s economic relationship to work (e.g. having one or more jobs), including start and end dates | |
| entry:odh-RetirementDate | 0..* | Reference(Retirement Date) | RetirementDate: A self-reported date that a person considers themselves to have ‘retired’ | |
| entry:odh-CombatZonePeriod | 0..* | Reference(Combat Zone Period) | CombatZonePeriod: Self-reported date range(s) when a person worked in what is considered a combat zone; sometimes called a hazardous duty work | |
| entry:odh-UsualWork | 0..1 | Reference(Usual Work) | 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 | |
| entry:odh-PastOrPresentJob | 0..* | Reference(Past Or Present Job) | PastOrPresentJob: 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 | |
| Documentation for this format | ||||
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Composition | 0..* | Composition | Occupational Data For Health | |
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| status | ?!Σ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. |
| type | Σ | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. |
| Slices for coding | Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:code |
| coding:Fixed_74166-0 | Σ | 1..1 | Coding | Occupational summary note |
| system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org |
| code | Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 74166-0 |
| category | Σ | 0..1 | CodeableConcept | Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level. |
| subject | Σ | 1..1 | Reference(Resource) | Who and/or what the composition is about |
| date | Σ | 1..1 | dateTime | Composition editing time |
| author | Σ | 1..* | Reference(Practitioner | PractitionerRole | Device | US Core Patient Profile | RelatedPerson | Organization) | Who and/or what authored the composition |
| title | Σ | 1..1 | string | Human Readable name/title |
| attester | 0..* | BackboneElement | Attests to accuracy of composition | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| mode | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. | |
| party | 0..1 | Reference(US Core Patient Profile | Practitioner | RelatedPerson | Organization | PractitionerRole) | Who attested the composition | |
| relatesTo | 0..* | BackboneElement | Relationships to other compositions/documents | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | 1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. | |
| target[x] | 1..1 | Target of the relationship | ||
| targetIdentifier | Identifier | |||
| targetReference | Reference(Composition) | |||
| section | C | 1..1 | BackboneElement | Section in the OccupationalDataForHealth composition, containing the person's occupational data, past and present |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| author | 0..* | Reference(Practitioner | PractitionerRole | Device | US Core Patient Profile | RelatedPerson | Organization) | Who and/or what authored the section | |
| Slices for entry | C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:reference.resolve() |
| entry:odh-EmploymentStatus | C | 0..* | Reference(Employment Status) | EmploymentStatus: The self-reported current and/or historical status about a person’s economic relationship to work (e.g. having one or more jobs), including start and end dates |
| entry:odh-RetirementDate | C | 0..* | Reference(Retirement Date) | RetirementDate: A self-reported date that a person considers themselves to have ‘retired’ |
| entry:odh-CombatZonePeriod | C | 0..* | Reference(Combat Zone Period) | CombatZonePeriod: Self-reported date range(s) when a person worked in what is considered a combat zone; sometimes called a hazardous duty work |
| entry:odh-UsualWork | C | 0..1 | Reference(Usual Work) | 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 |
| entry:odh-PastOrPresentJob | C | 0..* | Reference(Past Or Present Job) | PastOrPresentJob: 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 |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Composition.status | required | CompositionStatus |
| Composition.type | preferred | FHIRDocumentTypeCodes |
| Composition.category | example | DocumentClassValueSet |
| Composition.attester.mode | required | CompositionAttestationMode |
| Composition.relatesTo.code | required | DocumentRelationshipType |
| Id | Grade | Path(s) | Details | Requirements |
| cmp-1 | error | Composition.section | A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists() | |
| cmp-2 | error | Composition.section | A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty() | |
| dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Composition | If 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-4 | error | Composition | If 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-5 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Composition | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Composition | 0..* | Composition | Occupational Data For Health | |||||
| id | Σ | 0..1 | id | Logical id of this artifact | ||||
| meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained | 0..* | Resource | Contained, inline Resources | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier | Σ | 0..1 | Identifier | Version-independent identifier for the Composition | ||||
| status | ?!Σ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. | ||||
| type | Σ | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| Slices for coding | Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:code | ||||
| coding:Fixed_74166-0 | Σ | 1..1 | Coding | Occupational summary note | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | ||||
| version | Σ | 0..1 | string | Version of the system - if relevant | ||||
| code | Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 74166-0 | ||||
| display | Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text | Σ | 0..1 | string | Plain text representation of the concept | ||||
| category | Σ | 0..1 | CodeableConcept | Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level. | ||||
| subject | Σ | 1..1 | Reference(Resource) | Who and/or what the composition is about | ||||
| encounter | Σ | 0..1 | Reference(Encounter) | Context of the Composition | ||||
| date | Σ | 1..1 | dateTime | Composition editing time | ||||
| author | Σ | 1..* | Reference(Practitioner | PractitionerRole | Device | US Core Patient Profile | RelatedPerson | Organization) | Who and/or what authored the composition | ||||
| title | Σ | 1..1 | string | Human Readable name/title | ||||
| confidentiality | Σ | 0..1 | code | As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition. | ||||
| attester | 0..* | BackboneElement | Attests to accuracy of composition | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| mode | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. | |||||
| time | 0..1 | dateTime | When the composition was attested | |||||
| party | 0..1 | Reference(US Core Patient Profile | Practitioner | RelatedPerson | Organization | PractitionerRole) | Who attested the composition | |||||
| custodian | Σ | 0..1 | Reference(Organization) | Organization which maintains the composition | ||||
| relatesTo | 0..* | BackboneElement | Relationships to other compositions/documents | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code | 1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. | |||||
| target[x] | 1..1 | Target of the relationship | ||||||
| targetIdentifier | Identifier | |||||||
| targetReference | Reference(Composition) | |||||||
| event | Σ | 0..* | BackboneElement | The clinical service(s) being documented | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code | Σ | 0..* | CodeableConcept | Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented. | ||||
| period | Σ | 0..1 | Period | The period covered by the documentation | ||||
| detail | Σ | 0..* | Reference(Resource) | The event(s) being documented | ||||
| section | C | 1..1 | BackboneElement | Section in the OccupationalDataForHealth composition, containing the person's occupational data, past and present | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title | 0..1 | string | Label for section (e.g. for ToC) | |||||
| code | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. | |||||
| author | 0..* | Reference(Practitioner | PractitionerRole | Device | US Core Patient Profile | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text | C | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
| mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| Slices for entry | C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:reference.resolve() | ||||
| entry:odh-EmploymentStatus | C | 0..* | Reference(Employment Status) | EmploymentStatus: The self-reported current and/or historical status about a person’s economic relationship to work (e.g. having one or more jobs), including start and end dates | ||||
| entry:odh-RetirementDate | C | 0..* | Reference(Retirement Date) | RetirementDate: A self-reported date that a person considers themselves to have ‘retired’ | ||||
| entry:odh-CombatZonePeriod | C | 0..* | Reference(Combat Zone Period) | CombatZonePeriod: Self-reported date range(s) when a person worked in what is considered a combat zone; sometimes called a hazardous duty work | ||||
| entry:odh-UsualWork | C | 0..1 | Reference(Usual Work) | 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 | ||||
| entry:odh-PastOrPresentJob | C | 0..* | Reference(Past Or Present Job) | PastOrPresentJob: 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 | ||||
| emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section | C | 0..* | See section (Composition) | Nested Section | ||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | ||||
| Composition.language | preferred | CommonLanguages
| ||||
| Composition.status | required | CompositionStatus | ||||
| Composition.type | preferred | FHIRDocumentTypeCodes | ||||
| Composition.category | example | DocumentClassValueSet | ||||
| Composition.confidentiality | required | v3.ConfidentialityClassification | ||||
| Composition.attester.mode | required | CompositionAttestationMode | ||||
| Composition.relatesTo.code | required | DocumentRelationshipType | ||||
| Composition.event.code | example | ActCode | ||||
| Composition.section.code | example | DocumentSectionCodes | ||||
| Composition.section.mode | required | ListMode | ||||
| Composition.section.orderedBy | preferred | ListOrderCodes | ||||
| Composition.section.emptyReason | preferred | ListEmptyReasons |
| Id | Grade | Path(s) | Details | Requirements |
| cmp-1 | error | Composition.section | A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists() | |
| cmp-2 | error | Composition.section | A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from Composition
Summary
Mandatory: 6 elements
Fixed Value: 2 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron
IG © 2020+ HL7 International Public Health Work Group. Package hl7.fhir.us.odh#1.3.0 based on FHIR 4.0.1. Generated 2023-03-27
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