Work Information Templates

Type	Standard / Implementation Specification	Standards Process Maturity	Implementation Maturity	Adoption Level	Federally required	Cost	Test Tool Availability
Implementation Specification	HL7® Version 2.9 Messaging Standard – An Application Protocol for Electronic Data Exchange in Healthcare Environments, Normative. Chapter 3, Patient Administration	Final	Production	Feedback Requested	No	Free
Implementation Specification	C-CDA R2.1 Supplemental Templates for Occupational Data for Health Release 1, STU Release 1.1 - US Realm. Standard for Trial Use	Balloted Draft	Pilot		No	Free	Yes
Implementation Specification	IHE Patient Care Coordination (PCC) Technical Framework Supplement: CDA Content Modules, Revision 2.8 – Trial Implementation	Balloted Draft	Pilot		No	Free
Implementation Specification	HL7 FHIR® Release 4.0.1 Implementation Guide: Occupational Data for Health (ODH), Release 1.3 (STU)	Balloted Draft	Pilot		No	Free	Yes

Limitations, Dependencies, and Preconditions for Consideration	Applicable Security Patterns for Consideration
An information model of Patient Work, called Occupational Data for Health (ODH), has been published in JAMIA. Any or all of the Occupational Data for Health (ODH) CDA sections, FHIR profiles, or V2 segments can be incorporated as a non-breaking addition to interoperability specifications. The ODH implementation guide is referenced in several FHIR and CDA as optional if work information is desired. The ODH structures for specific data elements are reflected in several implementation guides. These include: US Core FHIR Implementation Guide, 6.1.0—STU6 (USCDI V3) HL7 CDA® R2 Implementation Guide: C-CDA Templates for Clinical Notes STU Companion Guide, Release 4.1 – US Realm, Standard for Trial Use (USCDI V3) All ODH sections/profiles are an option in these implementation specifications: IHE Patient Care Coordination (PCC) Technical Framework Supplement to Volume 1, CDA Occupational Data Options (XDS-MS, XHPR, EDR), Revision 1.1 – Trial Implementation IHE Patient Care Coordination (PCC) Technical Framework Supplement: Query for Existing Data for Mobile (QEDm), Revision 2.3 – Trial Implementation IHE PCC TF Supplement: International Patient Summary (IPS), Revision 1.2 – Trial Implementation IHE Quality, Research and Public Health Technical Framework Supplement: Healthy Weight (HW), Revision 2.5 – Trial Implementation The ODH Usual Work section/profile is required in these implementation specifications: HL7 CDA R2 Implementation Guide: Reporting to Public Health Cancer Registries from Ambulatory Healthcare Providers, Release 1 – DSTU Release 1.1 HL7 CDA R2 Implementation Guide: Vital Records Death Reporting, Release 1 STU 2.1 Vital Records Death Reporting (VRDR) FHIR Implementation Guide v2.2.0: STU 2 The ODH Employment Status, Job, and Usual Work sections/profiles are options in these implementation specifications: HL7 CDA R2 Implementation Guide: Public Health Case Report – the Electronic Initial Case Report (eICR), Release 2, STU Release 3.1 - US Realm HL7 FHIR Implementation Guide: Electronic Case Reporting (eCR), Release 2.1 - US Realm 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.	These standards are intended to transmit data that are part of the medical record and must be protected accordingly.

Limitations, Dependencies, and Preconditions for Consideration

Applicable Security Patterns for Consideration

An information model of Patient Work, called Occupational Data for Health (ODH), has been published in JAMIA.
Any or all of the Occupational Data for Health (ODH) CDA sections, FHIR profiles, or V2 segments can be incorporated as a non-breaking addition to interoperability specifications.
The ODH implementation guide is referenced in several FHIR and CDA as optional if work information is desired.
The ODH structures for specific data elements are reflected in several implementation guides. These include:
- US Core FHIR Implementation Guide, 6.1.0—STU6 (USCDI V3)
- HL7 CDA® R2 Implementation Guide: C-CDA Templates for Clinical Notes STU Companion Guide, Release 4.1 – US Realm, Standard for Trial Use (USCDI V3)
All ODH sections/profiles are an option in these implementation specifications:
The ODH Usual Work section/profile is required in these implementation specifications:
The ODH Employment Status, Job, and Usual Work sections/profiles are options in these implementation specifications:
- HL7 CDA R2 Implementation Guide: Public Health Case Report – the Electronic Initial Case Report (eICR), Release 2, STU Release 3.1 - US Realm
- HL7 FHIR Implementation Guide: Electronic Case Reporting (eCR), Release 2.1 - US Realm
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.

These standards are intended to transmit data that are part of the medical record and must be protected accordingly.

Comment

Submitted by Amanda Deering on 2023-10-06

NIOSH Comments

NIOSH suggests modifying applicable implementation specifications to accommodate for updates made to titles, versions, and hyperlinks as outlined in the attachment.

Updates to ISA for 2023 - Content_Structure.pdf

Submitted by GennyLuensman on 2022-09-30

Proposed version updates

We are preparing a comment updating to the latest standards versions and will provide further information as soon as possible.