Occupational Data for Health (ODH) Elements and Structure in HL7 V2 Messaging and FHIR

Project Name
Occupational Data for Health (ODH) Elements and Structure in HL7 V2 Messaging and FHIR

Project Number
1290

Project Type

Product Family

Products
FHIR Resources

Project Intent
Revise Current Standard

Ballot Type

Project Need

The project will facilitate the use of occupational data for health (ODH) in electronic health record systems and personal health record systems, and will facilitate the association of work and health in a way that has the potential to dramatically improve worker health.

In the US, close to two-thirds of adults work, and, on average, workers spend close to half their waking hours at work. Therefore information about a patient’s work can help care providers with recognition and diagnosis, treatment or management, and transitions of care for conditions related to work and those unrelated to work. For example, diabetes management can be affected by factors such as working in a hot environment or on rotating shifts. ODH also are useful for population analyses, to facilitate access to knowledge through clinical decision support, and in support of health condition/disease surveillance efforts.

Support for ODH is needed in systems already using V2. For example, state and local health departments participating in the National Notifiable Disease Surveillance System (NNDSS) can submit case information to the CDC using V2 messages. If a patient presents with a reportable condition, the physician reports to state/local public health authorities; NNDSS is the system whereby these authorities notify CDC of the case. The state/local public health authorities may generate and send a V2 message for this purpose. The CDC receives the message and acknowledges receipt.

Currently, limited work information is standardized in V2 and FHIR message structures. What is present is generally designed to meet administrative needs and does not meet the needs to assist care providers. This project proposes that V2 and FHIR ODH structures be made available to facilitate improved patient care, population health analyses, health outcomes, and health condition surveillance.

Also, this project is intended to ensure adequate structures are available in V2 and FHIR for ICD-10-CM codes for capturing environmental events and circumstances as the cause of injury (V00-Y99). These codes are a critical component of injury surveillance efforts.

Objectives and Deliverables
Submit project scope statement - Target: Sept 23, 2016 Submit notice of intent to ballot - V2 (NIB) to be balloted as a part of 2.9 - Target: Oct 30, 2016 Submit notice of intent to ballot as a draft ballot for preliminary review of content FHIR - Target: March 2017 Submit notice of intent to ballot as STU- FHIR (NIB) - Target: Nov 2017 Submit for ballot– V2 to be balloted as a part of 2.9 - Target: Nov 2016 (or as constrained for V2) Submit for ballot as a draft ballot for preliminary review of content - Target: March 2017 Submit for ballot as STU- to be balloted as a part of FHIR STU - Target: Dec 2017 (or as constrained for FHIR) Ballot period - Target: per V2 and FHIR schedules Ballot reconciliation - Target: per V2 and FHIR schedules Publication Request for TSC - Target: approval is part of FHIR and V2 Subsequent ballots to be performed if needed - Target: TBD Project End Date (all objectives have been met) - Target: per V2 and FHIR schedules

Project Document Repository
https://confluence.hl7.org/display/PHWG/Occupational+Data Project information and documents will be posted at the project wiki page http://wiki.hl7.org/index.php?title=Occupational_Data_for_Health_(ODH))

Collaboration Efforts
How much content for this project is already developed? All content, no format Was the content externally developed (Y/N)? Yes - NIOSH data model and value sets Is this a hosted (externally funded) project? (not asking for amount just if funded) - Yes.

Dependencies
ODH in a C-CDA structure is in ballot reconciliation through the Structured Documents WG. ODH also is published through IHE. All ODH formats need to remain aligned. This will depend upon ballot cycles and reconciliation for V2 and FHIR.

Stakeholders

Implementers
1) General: ODH has broad value for social history across many domains including patient care, population health, quality reporting, and clinical decision support 2) V2: Public Health, Ex. use case: case notification (state/local public health jurisdiction to CDC) 3) V2: Syndromic surveillance 4) FHIR: some of the ODH data elements are under consideration by ONC for inclusion in EHR Certification Criteria

External Drivers
N/A

Common Names
ODH (Occupational Data for Health)

Lineage
N/A

External Vocabularies
Yes

Backwards Compatibility
Don't Know

Joint Copyright
No