Occupational Exposure/Hazard

Data Element

Description

A hazard that is specific to a person's work or work environment for a single job and with which the person might come in contact. A hazard is a source of potential harm to an individual's physical or mental health (e.g., biological, chemical, physical, psychological, radiological).

Submitted By: Sarah Gaunt / The Association of Public Health Laboratories (APHL)
Data Element Information
Use Case Description(s)
Use Case Description	This data element is used in electronic case reporting (eCR) which provides case reports to state, tribal, local, or territorial (STLT) public health agencies (PHA) for reportable diseases and conditions. Submission of reports of persons with these conditions is required by law in every US State and Territory. Public health epidemiologists have identified the data elements necessary to be included in electronic case reports from healthcare organizations and providers. The transition is underway from providing these reports via fax, mail, email, or phone to using data available in the electronic health records to submit reports electronically to all PHAs. Once received at the PHA, this data is use for surveillance, case management and public health response efforts such as contact tracing or other mitigation efforts. Specific to this data element: Identification of potential risk, transmission risk.
Estimate the breadth of applicability of the use case(s) for this data element	This data is exchanged as part of the extensive implementation of electronic case reporting (eCR) in the US; eCR is in broad implementation nationwide with thousands of reporting health care organizations.
Link to use case project page	https://www.cdc.gov/ecr/index.html; https://ecr.aimsplatform.org/
ONC Priority	Address public health interoperability needs of reporting, investigation, and emergency response
Maturity of Use and Technical Specifications for Data Element
Applicable Standard(s)	LOINC History of Occupational hazard \| 87729-0 https://loinc.org/87729-0/
Additional Specifications	HL7 C-CDA - Occupational Data for Health: Past or Present Occupation Observation HL7 FHIR® Implementation Guide: Occupational Data for Health (http://hl7.org/fhir/us/odh/STU1.3/StructureDefinition-odh-PastOrPresentJob.html)
Current Use	(Level 2) Captured, stored, or accessed in multiple production EHRs or other HIT modules from more than one developer
Extent of exchange	(Level 2) Between more than two production EHRs or other HIT modules using available interoperability standards
Supporting Artifacts	This data is exchanged as part of the extensive implementation of electronic case reporting (eCR) in the US; eCR is in broad implementation nationwide with thousands of reporting health care organizations.
Potential Challenges
Restrictions on Standardization (e.g. proprietary code)	None.
Restrictions on Use (e.g. licensing, user fees)	None.
Privacy and Security Concerns	None.
Estimate of Overall Burden	Medium.

ASTP Evaluation Details Each submitted Data Element has been evaluated based on the following criteria. The overall Level classification is a composite of the maturity based on these individual criteria. This information can be used to identify areas that require additional work to raise the overall classification level and consideration for inclusion in future versions of USCDI
Criterion #1 Maturity - Current Standards	Level 2 - Data element is represented by a terminology standard or SDO-balloted technical specification or implementation guide.
Criterion #2 Maturity - Current Use	Level 1 - Data element is captured, stored, or accessed in at least one production EHR or HIT module.
Criterion #3 Maturity - Current Exchange	Level 1 - Data element is electronically exchanged between two production EHRs or other HIT modules using available interoperability standards.
Criterion #4 Use Case(s) - Breadth of Applicability	Level 0 - Use cases apply to a limited number of care settings or specialties, or data element represents a specialization of other, more general data elements.
Evaluation Comment	Use of this data element is limited to occupational health investigation, and may not be collected during routine care.

Work Information

Data Element

Comment