Representing Job, Usual Work, and Other Work Information

Type	Standard / Implementation Specification	Standards Process Maturity	Implementation Maturity	Adoption Level	Federally required	Cost	Test Tool Availability
Standard for observations	LOINC®	Final	Production		No	Free	N/A
Standard for observation values	Occupational Data for Health (ODH) Code System	Balloted Draft	Pilot	Feedback Requested	No	Free	No
Standard for observation values	CDC Census 2010 Industry and Occupation System	Balloted Draft	Production		No	Free	Yes
Implementation Specification	HL7 EHRS-FM Release 2: Functional Profile; Work and Health, Release 1 – US Realm	Balloted Draft	Feedback requested	Feedback Requested	No	Free

Limitations, Dependencies, and Preconditions for Consideration	Applicable Value Set(s) and Starter Set(s)
Self-reported, structured and standardized work history has broad applicability to healthcare as part of the medical record and is suitable for many use cases supporting patient care, population health, and public health. An Information Model, Occupational Data for Health (ODH), supports the collection and classification of Work Information in health IT systems and has been published in JAMIA. NIOSH has prepared A Guide to the Collection of Occupational Data for Health to provide tips to health IT system developers seeking to implement work concepts. The ODH industry value set includes the search-friendly terms from the North American Industry Classification System (NAICS) index with the respective category. The terms in this value set are relatable to the general public. The ODH occupation value set includes the search-friendly terms from the Occupational Information Network-Standard Occupational Classification (O*NET-SOC) system alternate titles with the respective category. The terms in this value set are relatable to the general public. The CDC_Census 2010 Industry and Occupation System will be deprecated when the HL7 CDA R2 Implementation Guide: Reporting to Public Health Cancer Registries from Ambulatory Healthcare Providers, Release 1; DSTU Release 1.1 – US Realm.is updated through SVAP.	Representing Industry: Past or Present Industry Question (LOINC code 86188-0) Usual Industry Question (LOINC code 21844-6) PHVS_Industry_NAICS_Detail_ODH (urn:oid: 2.16.840.1.114222.4.11.7900) PHVS_Industry_CDC_Census2010 codes (urn:oid:2.16.840.1.114222.4.11.7187) Representing Occupation: Past or Present Occupation Question (LOINC code 11341-5) Usual Occupation Question (LOINC code 21843-8) PHVS_Occupation_CDC_ONETSOC_Detail_ODH (urn: oid: 2.16.840.1.114222.4.11.7901) PHVS_Occupation_CDC_Census2010 codes (urn:oid:2.16.840.1.114222.4.11.7186) Representing Employment Status: Employment Status Question (LOINC code 74165-2) PHVS_EmploymentStatus_ODH (urn:oid: 2.16.840.1.114222.4.11.7129) HL7 ValueSet: employmentStatusODH (urn:oid: 2.16.840.1.113883.1.11.20562) Representing Work Schedule: Work Schedule Question (LOINC code 74159-5) PHVS_WorkSchedule_ODH (urn:oid: 2.16.840.1.114222.4.11.7130) HL7 ValueSet: WorkScheduleODH (urn:oid:2.16.840.1.113883.1.11.20561) Representing Work Classification: Work Classification Question (LOINC code 85104-8) PHVS_WorkClassification_ODH (urn:oid: 2.16.840.1.114222.4.11.7597) HL7 ValueSet: WorkClassificationODH (urn:oid:2.16.840.1.113883.1.11.20560) Representing Job Supervisory Level or Pay Grade: Job Supervisory Level or Pay Grade Question (LOINC code 87707-6) PHVS_JobSupervisoryLevelorPayGrade_ODH (unr:oid:2.16.840.1.114222.4.11.7613)

Limitations, Dependencies, and Preconditions for Consideration

Applicable Value Set(s) and Starter Set(s)

Self-reported, structured and standardized work history has broad applicability to healthcare as part of the medical record and is suitable for many use cases supporting patient care, population health, and public health.
An Information Model, Occupational Data for Health (ODH), supports the collection and classification of Work Information in health IT systems and has been published in JAMIA.
NIOSH has prepared A Guide to the Collection of Occupational Data for Health to provide tips to health IT system developers seeking to implement work concepts.
The ODH industry value set includes the search-friendly terms from the North American Industry Classification System (NAICS) index with the respective category. The terms in this value set are relatable to the general public.
The ODH occupation value set includes the search-friendly terms from the Occupational Information Network-Standard Occupational Classification (O*NET-SOC) system alternate titles with the respective category. The terms in this value set are relatable to the general public.
The CDC_Census 2010 Industry and Occupation System will be deprecated when the HL7 CDA R2 Implementation Guide: Reporting to Public Health Cancer Registries from Ambulatory Healthcare Providers, Release 1; DSTU Release 1.1 – US Realm.is updated through SVAP.

Representing Industry:

Representing Occupation:

Representing Employment Status:

Representing Work Schedule:

Representing Work Classification:

Representing Job Supervisory Level or Pay Grade:

Comment

Submitted by Amanda Deering on 2023-10-04

NIOSH Comments

NIOSH suggests adding HL7 value sets under the Applicable Value Set(s) and Starter Set(s) section as they are in the interoperability standards for sharing work information. The HL7 value set recommendations are applicable to Employment Status, Work Schedule, and Work Classification as outlined in the attachment.

2023 NIOSH ISA Updates - Vocabulary_CodeSet_Terminology_0.pdf

Submitted by GennyLuensman on 2022-09-30

Proposed Additional Industry and Occupation Value Sets

We are collaborating internally to prepare a comment adding the updated CDC_Census industry and occupation value sets and will provide further information as soon as possible.