ODH/ODH, Occupation, Industry, Work, NIOSH, CDC, Social History, Occupational Data for Health
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.
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:
Clinical and Public Health Laboratories, Quality Reporting Agencies, Standards Development Organizations (SDOs)
EHR, PHR, Health Care IT, Clinical Decision Support Systems, Lab
Clinical and Public Health LaboratoriesEmergency ServicesLocal and State Departments of HealthHealthcare Institutions (hospitals, long term care, home care, mental health)
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
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