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Publication Request

Publication Request

1. Published Name of the Standard for which request is being made

2. Standards Material/Document

STU

3. Date of Request

Oct 03, 2019

4. Use Period

2 years

5. Reason for extension, timeline, and actions

6. Original Publication Date

7. End date of the current STU period

8. Length of the requested extension

9. Review Process

10. HL7 Work Group making this request and date

Public Health

10a. Requesting WG Date

11. URL of approval minutes

https://confluence.hl7.org/display/PHWG/2019-10-17

12. HL7 Product Management Group

FMG

12a. Management Group Date of Approval

13. URL of approval minutes

14. Is the artifact ready for final publication?

No

15. If not ready, please describe remaining steps.

16. Tool name used to produce the machine processable artifacts in the IG

17. The name of the “IG artifact” within the context of the above mentioned tool.

18. Balloted Name of the standard for which request is being made

HL7 FHIR Profile: Occupational Data for Health (ODH), Release 1.1 (Standard for Trial Use)

19. Requested name for published standard

HL7 FHIR Profile: Occupational Data for Health (ODH), Release 1.1 (Standard for Trial Use)

20. If CMET, list IDs balloted

NA

21. Project Insight Number

1290

22. Document Realm

US

23. Ballot cycle in which the document was successfully balloted

2018-Sep

24. Results of that ballot (following reconciliation activities):

24. Results of that ballot (following reconciliation activities):

(not needed for errata, STU extension, or unballoted STU update)

25. Affirmative

49

26. Negative

2

27. Abstentions

79

28. Not Returned

20

29. Total in ballot pool

50

30. Date on which final document/standards material was supplied to HQ

31. URL of publication material/ SVN repository

https://build.fhir.org/ig/HL7/us-odh/

32. Publishing Facilitator

Lori Reed-Fourquet

33. Special Publication Instructions

None

34. URL of ballot reconciliation document

http://www.hl7.org/documentcenter/public/ballots/2018SEP/reconciliation/recon_fhir_odh_r1_d1_2018sep.xls

35. Has the Work Group posted its consideration of all comments received in its reconciliation document on the ballot desktop?

Yes

36. Substantive Changes Since Last Ballot?

No

37. Product Brief Reviewed By

38. Date Product Brief Reviewed

39. Has the Product Brief changed?

Product Brief

Product Brief

40. Family

FHIR

41. Section

Implementation Guides

42. Topic

Clinical Quality Medical Records Patient Administration Patient Care Patient Referral Public Health Terminology

43. Please Describe the Topic

44. Product Type

45. Parent standard

FHIR R4

46. Parent Standard Status

47. Update/replace standard

NA

48. Common name/search keyword

ODH/ODH, Occupation, Industry, Work, NIOSH, CDC, Social History, Occupational Data for Health

49. Description

This Implementation Guide contains profiles to implement support for Occupational Data for Health (ODH). ODH is primarily designed to facilitate clinical care, including population health; ODH also can be used to support public health reporting, population health, and similar value-based care. ODH is not designed to support billing activities. This STU Ballot for the Occupational Data for Health (ODH) Implementation Guide (IG) is sponsored by the National Institute of Occupational Safety and Health (NIOSH), a federal agency responsible for conducting research and making recommendations for the prevention of work-related injury and illness. NIOSH is a part of the Centers for Disease and Prevention (CDC). The project to define ODH was done with a group representing a variety of stakeholders including NIOSH subject matter experts, epidemiologists, occupational health providers, and vendors.

Targets

Targets

These are categories of potential users, implementers, or other interested parties such as those that are indicated on the Project Scope Statement under “Stakeholders/Vendors/Providers”. Select those that are applicable, or suggest others:

50. Stakeholders

Clinical and Public Health Laboratories, Quality Reporting Agencies, Standards Development Organizations (SDOs)

51. Vendors

EHR, PHR, Health Care IT, Clinical Decision Support Systems, Lab

52. Providers

Clinical and Public Health Laboratories Emergency Services Local and State Departments of Health Healthcare Institutions (hospitals, long term care, home care, mental health)

53. Benefits

The majority of adults in the U.S. spend more than half their waking hours at work. Therefore, health and work are inextricably inter-related. For example, the management of chronic conditions requires taking the patient’s work environment into consideration. Furthermore, the recognition of new conditions related to previously unknown workplace hazards has often come from astute clinicians, which requires knowledge of the patients’ work-setting. ONC has indicated recognition of the value of work information for health care.
The incorporation of self-reported ODH into Electronic Health Records (EHRs) and other IT healthcare systems provides an opportunity to improve health in relation to work. ODH has not been broadly recognized as a social determinant of health and has not yet been a priority for inclusion in IT healthcare systems in a structured way that fully supports direct patient care and occupational public health activities.
Though research has been conducted and guidance is available to support clinicians, the IT healthcare systems they work in are unable to efficiently identify patients that would benefit the most from this knowledge.
This project seeks to address this gap of system and awareness by modeling ODH in a way so that it supports diagnosis, treatment, research and surveillance of work-related injury and illness.

54. Implementations/Case Studies

• Centricity Practice Solutions
• AllianceChicago

55. Development Background

The Occupational Data for Health (ODH) FHIR IG covers information about a patient’s work or a patient's family member's work. ODH is designed for the social history section of a medical record, to facilitate clinical care in most/all disciplines and delivery environments. ODH also can be used to support public health reporting, population health activities, clinical decision support, and similar value-based care. The model is not designed for other purposes, but could be used for other purposes if the needs are supported by this model. The scope of the work information includes:
• Employment Status
• Retirement Date
• Combat Zone Period
• Past or Present Job for the patient or a household member, which includes:
o Past or Present Occupation
o Past or Present Industry
o Work Classification
o Work Schedule, which includes:
 Weekly Work Days
 Daily Work Hours
o Job Duties
o Occupational Exposures
o Employer name
o Employer address
o Related Subject
• Usual Work of the patient or a household member, which includes:
o Usual Occupation
o Usual Industry
o Usual Occupation Duration
o Related Subject