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18.8.97 OH2 - Past or Present Job segment (3.4.16)

The OH2 segment is used to communicate the information about a job or jobs which the subject currently holds or has held in the past. It includes related observations about the occupation (type of work), the type of business (industry) in which that occupation is performed, supervisory level (including military pay grade), and the employer's name and location. It should also include observations about the job's compensation and sector employment type (e.g., paid work, self-employed, volunteer) and work schedule, and may also contain observations for job duties and occupational exposures. The type of work a person performs (occupation) and their industry (type of business in which they work) are critical data elements for patient care, population health, and public health, with the current information being the most important. In the health care encounter, current occupation and industry are important because they provide information regarding the exposures a person may have to substances/environments/hazards that may cause illness/injury or may impact the treatment plan. The combination of occupation and industry serves as a key indicator of the person’s work environment. The segment is designed to ensure that these data remain associated with one-another in perpetuity, even if multiple jobs are included.

This segment may relate either to the patient or to the Next of Kin.

The intent is for the segment to be allowed to repeat within a message definition to enable a job history for the person.

Examples:

A person/patient may currently hold a job as carpenter, and previously held a job as a painter. This would be represented by repeating OH2 segments.

HL7 Attribute Table - OH2 - Past or Present Job

Base Framework
Seq#Data ElementDescriptionFlagsImplementCardinalityLengthC.LENVocabularyData Type
OH2
103522Set ID SHOULD[1..1] 
SI

Sequence ID

200816Action Code MAY[0..1][2..2]univ: SegmentActionCode (CD) hl7VS-segmentActionCode (VS) segmentAction (CS)
ID

Coded Value for HL7 Defined Tables

303524Entered Date MAY[0..1] 
DT

Date

403525Occupation  SHOULD[1..1]  ERROR: does not know what to do!!
CWE

Coded with Exceptions

503526Industry  SHOULD[1..1]  ERROR: does not know what to do!!
CWE

Coded with Exceptions

603527Work Classification MAY[0..1]  ERROR: does not know what to do!!
CWE

Coded with Exceptions

702494Job Start Date MAY[0..1] 
DT

Date

802495Job End Date MAY[0..1] 
DT

Date

903528Work Schedule MAY[0..1]  ERROR: does not know what to do!!
CWE

Coded with Exceptions

1003529Average Hours worked per Day MAY[0..1] 
NM

Numeric

1103530Average Days Worked per Week MAY[0..1] 
NM

Numeric

1203531Employer Organization  MAY[0..1] 
XON

Extended Composite Name and Identification Number for Organizations

1303546Employer Address MAY[0..*] 
XAD

Extended Address

1403532Supervisory Level MAY[0..1]  ERROR: does not know what to do!!
CWE

Coded with Exceptions

1503533Job Duties MAY[0..*] 
ST

String Data

1603534Occupational Hazards MAY[0..*] 
FT

Formatted Text Data

1702433Job Unique Identifier MAY[0..1] 
EI

Entity Identifier

1802471Current Job Indicator MAY[0..1] univ: Yes/noIndicator (CD)
CWE

Coded with Exceptions

Seq#Data ElementDescriptionFlagsImplementCardinalityLengthC.LENVocabularyData Type
OH2
103522Set ID SHALL[1..1] 
SI

Sequence ID

200816Action Code MAY[0..1][2..2]univ: SegmentActionCode (CD) hl7VS-segmentActionCode (VS) segmentAction (CS)
ID

Coded Value for HL7 Defined Tables

303524Entered Date MAY[0..1] 
DT

Date

403525Occupation  SHALL[1..1] 
CWE

Coded with Exceptions

503526Industry  SHALL[1..1] 
CWE

Coded with Exceptions

603527Work Classification MAY[0..1] 
CWE

Coded with Exceptions

702494Job Start Date MAY[0..1] 
DT

Date

802495Job End Date MAY[0..1] 
DT

Date

903528Work Schedule MAY[0..1] 
CWE

Coded with Exceptions

1003529Average Hours worked per Day MAY[0..1] 
NM

Numeric

1103530Average Days Worked per Week MAY[0..1] 
NM

Numeric

1203531Employer Organization  MAY[0..1] 
XON

Extended Composite Name and Identification Number for Organizations

1303546Employer Address MAY[0..*] 
XAD

Extended Address

1403532Supervisory Level MAY[0..1] 
CWE

Coded with Exceptions

1503533Job Duties MAY[0..*] 
ST

String Data

1603534Occupational Hazards MAY[0..*] 
FT

Formatted Text Data

1702433Job Unique Identifier MAY[0..1] 
EI

Entity Identifier

1802471Current Job Indicator MAY[0..1] univ: Yes/noIndicator (CD) hl7VS-yes-no-Indicator (VS) expandedYes-NoIndicator (CS)
CWE

Coded with Exceptions

Base FrameworkBase Standard Profile
Seq#Data ElementDescriptionFlagsImplementCardinalityLengthC.LENVocabularyData TypeImplementVocabulary
OH2 
103522Set ID SHOULD[1..1] 
SI

Sequence ID

SHALL
200816Action Code MAY[0..1][2..2]univ: SegmentActionCode (CD) hl7VS-segmentActionCode (VS) segmentAction (CS)
ID

Coded Value for HL7 Defined Tables

MAY 
303524Entered Date MAY[0..1] 
DT

Date

MAY
403525Occupation  SHOULD[1..1]  ERROR: does not know what to do!!
CWE

Coded with Exceptions

SHALL
503526Industry  SHOULD[1..1]  ERROR: does not know what to do!!
CWE

Coded with Exceptions

SHALL
603527Work Classification MAY[0..1]  ERROR: does not know what to do!!
CWE

Coded with Exceptions

MAY
702494Job Start Date MAY[0..1] 
DT

Date

MAY
802495Job End Date MAY[0..1] 
DT

Date

MAY
903528Work Schedule MAY[0..1]  ERROR: does not know what to do!!
CWE

Coded with Exceptions

MAY
1003529Average Hours worked per Day MAY[0..1] 
NM

Numeric

MAY
1103530Average Days Worked per Week MAY[0..1] 
NM

Numeric

MAY
1203531Employer Organization  MAY[0..1] 
XON

Extended Composite Name and Identification Number for Organizations

MAY
1303546Employer Address MAY[0..*] 
XAD

Extended Address

MAY
1403532Supervisory Level MAY[0..1]  ERROR: does not know what to do!!
CWE

Coded with Exceptions

MAY
1503533Job Duties MAY[0..*] 
ST

String Data

MAY
1603534Occupational Hazards MAY[0..*] 
FT

Formatted Text Data

MAY
1702433Job Unique Identifier MAY[0..1] 
EI

Entity Identifier

MAY
1802471Current Job Indicator MAY[0..1] univ: Yes/noIndicator (CD)
CWE

Coded with Exceptions

MAYhl7VS-yes-no-Indicator (VS) expandedYes-NoIndicator (CS)
Base Framework Base Standard Profile
Seq# Data Element Description Flags Optionality Repetition Length C.LEN Table Data Type Optionality Table
OH2  
1 03522 Set ID   O      
SI

Sequence ID

R  
2 00816 Action Code   O   [2..2]  
ID

Coded Value for HL7 Defined Tables

  (0206)
3 03524 Entered Date   O      
DT

Date

   
4 03525 Occupation   O     (0958)
CWE

Coded with Exceptions

R  
5 03526 Industry   O     (0955)
CWE

Coded with Exceptions

R  
6 03527 Work Classification   O      
CWE

Coded with Exceptions

  (0959)
7 02494 Job Start Date   O      
DT

Date

   
8 02495 Job End Date   O      
DT

Date

   
9 03528 Work Schedule   O      
CWE

Coded with Exceptions

  (0954)
10 03529 Average Hours worked per Day   O      
NM

Numeric

   
11 03530 Average Days Worked per Week   O      
NM

Numeric

   
12 03531 Employer Organization   O      
XON

Extended Composite Name and Identification Number for Organizations

   
13 03546 Employer Address   O Y    
XAD

Extended Address

   
14 03532 Supervisory Level   O      
CWE

Coded with Exceptions

  (0956)
15 03533 Job Duties   O Y    
ST

String Data

   
16 03534 Occupational Hazards   O Y    
FT

Formatted Text Data

   
17 02433 Job Unique Identifier   O      
EI

Entity Identifier

   
18 02471 Current Job Indicator   O      
CWE

Coded with Exceptions

  (0136)
Seq# Data Element Description Optionality Repetition Length C.LEN Table Data Type
OH2
1 03522 Set ID R      
SI

Sequence ID

2 00816 Action Code O   [2..2] (0206)
ID

Coded Value for HL7 Defined Tables

3 03524 Entered Date O      
DT

Date

4 03525 Occupation R     (0958)
CWE

Coded with Exceptions

5 03526 Industry R     (0955)
CWE

Coded with Exceptions

6 03527 Work Classification O     (0959)
CWE

Coded with Exceptions

7 02494 Job Start Date O      
DT

Date

8 02495 Job End Date O      
DT

Date

9 03528 Work Schedule O     (0954)
CWE

Coded with Exceptions

10 03529 Average Hours worked per Day O      
NM

Numeric

11 03530 Average Days Worked per Week O      
NM

Numeric

12 03531 Employer Organization O      
XON

Extended Composite Name and Identification Number for Organizations

13 03546 Employer Address O Y    
XAD

Extended Address

14 03532 Supervisory Level O     (0956)
CWE

Coded with Exceptions

15 03533 Job Duties O Y    
ST

String Data

16 03534 Occupational Hazards O Y    
FT

Formatted Text Data

17 02433 Job Unique Identifier O      
EI

Entity Identifier

18 02471 Current Job Indicator O     (0136)
CWE

Coded with Exceptions

18.8.97.1 OH2 field definitions (3.4.16.0)

18.8.97.2 OH2-1 Set ID (SI) 03522 (3.4.16.1)

Definition: This field contains the number that identifies the OH2 segment instances in message structures where the OH2 segment repeats. For the first occurrence of the segment, the sequence number shall be one, for the second occurrence, the sequence number shall be two, etc. If the subject of the OH2 segment changes (e.g. Patient vs Next of Kin) the Set ID sequence will be reset.

18.8.97.3 OH2-2 Action Code (CWE) 00816 (3.4.16.2)

Definition: This field contains a code defining the action to be taken for this segment. It allows this segment to be sent to delete or update, for example, previously sent information. Refer to HL7 Table 0206 - Segment Action Code in Chapter 2C, Code Tables, for valid values.

18.8.97.4 OH2-3 Entered Date (DT) 03524 (3.4.16.3)

Definition: This field records the date that the information was entered into the patient record.

18.8.97.5 OH2-4 Occupation (CWE) 03525 (3.4.16.4)

Definition: This field contains a code defining the occupation in which an individual is engaged in for the job recorded in this segment, regardless of duration. Refer to HL7 Table 0958 - Occupation Code in Chapter 2C, Code Tables, for suggested values. In the US, this field should use the Occupation CDC Census 2010 codes published at https://phinvads.cdc.gov/vads/ViewValueSet.action?oid=2.16.840.1.114222.4.11.7186

18.8.97.6 OH2-5 Industry (CWE) 03526 (3.4.16.5)

Definition: This field contains a code defining the industry in which an individual is engaged for the job recorded in this segment, regardless of duration. Refer to HL7 Table 0955 - Industry Code in Chapter 2C, Code Tables, for suggested values. In the US, this field should use the Industry CDC Census 2010 codes published at https://phinvads.cdc.gov/vads/ViewValueSet.action?oid=2.16.840.1.114222.4.11.7187

18.8.97.7 OH2-6 Work Classification (CWE) 03527 (3.4.16.6)

Definition: This field contains a code defining the work classification associated with the job of a person recorded in this segment. Refer to HL7 Table 0959 - Work Classification Code in Chapter 2C, Code Tables, for suggested values.

18.8.97.8 OH2-7 Job Start Date (DT) 02494 (3.4.16.7)

Definition: This field asserts when the job began.

18.8.97.9 OH2-8 Job End Date (DT) 02495 (3.4.16.8)

Definition: This field asserts when the job ended. If the job is current, Job End Date shall be empty.

Note: The Employment Status End Date SHALL not be greater than the date noted in OH2-3 Entered Date.

18.8.97.10 OH2-9 Work Schedule (CWE) 03528 (3.4.16.9)

Definition: This field contains a code defining the work schedule associated with the job of a person recorded in this segment. Describes an individual's typical arrangement of working hours for a job. For example, work schedule may capture that an individual typically works a regular day shift, evening shift, or night shift. It can also specify if an individual has another type of schedule such as a rotating shift, split shift, etc. In healthcare settings, knowledge of a patient's typical work schedule may assist in diagnosis of healthcare issues related to irregular work hours or sleep patterns. It may also assist in determining appropriate treatment and prevention plans that will coordinate with the patient's work schedule. Refer to HL7 Table 0954 - Work Schedule Code in Chapter 2C, Code Tables, for suggested values.

18.8.97.11 OH2-10 Average Hours Worked Per Day (NM) 03529 (3.4.16.10)

Definition: This field asserts the average hours worked per day for the job of a person recorded in this segment.

18.8.97.12 OH2-11 Average Days Worked per Week (NM) 03530 (3.4.16.11)

Definition: This field asserts the average days worked per week for the job of a person recorded in this segment.

18.8.97.13 OH2-12 Employer Organization (XON) 03531 (3.4.16.12)

Definition: This field asserts the name and or identifier of the employer organization for the job of a person recorded in this segment.

18.8.97.14 OH2-13 Employer Address (XAD) 03546 (3.4.16.13)

Definition: This field asserts the address of the employer organization for the job of a person recorded in this segment. This field shall be populated with the address of the employer rather than the site that the employee works.

The field may repeat.

18.8.97.15 OH2-14 Supervisory Level (CWE) 03532 (3.4.16.14)

Definition: This field contains a code defining the supervisory level associated with the job of a person recorded in this segment. Supervisory Level reflects the amount of supervisory or management responsibilities for an individual’s job. For example, in the US, in the military, this is the person’s pay grade, which serves as a proxy for supervisory level and can be interpreted across branches. Refer to HL7 Table 0956 - Supervisory Level Code in Chapter 2C, Code Tables, for suggested values. In the US, this field should use the Job Supervisory Level or Pay Grade (ODH)codes published at https://phinvads.cdc.gov/vads/ViewCodeSystem.action?oid=2.16.840.1.114222.4.11.7613

18.8.97.16 OH2-15 Job Duties (ST) 03533 (3.4.16.15)

Definition: This field lists the regular actions performed at work. For example, a person may have the occupation of “construction laborer” and his specific job duties are to carry construction supplies. Specific job information is important in the healthcare setting because it provides information regarding hazards to which a person may have been exposed, which is pertinent to treatment and prevention. This field may repeat to list multiple job duties, or the job duties may be compiled as a single narrative.

18.8.97.17 OH2-16 Occupational Hazards (FT) 03534 (3.4.16.16)

Definition: This field lists the hazard(s) associated with a person’s job. Job hazards are a source of potential harm to an individual’s physical or mental health. Hazards may be biological, physical, psychological, chemical, or radiological in nature. An occupational hazard is one that is specific to the work or work environment of an individual. This field may repeat to list multiple occupational hazards, or the occupational hazards may be compiled as a single narrative.

18.8.97.18 OH2-17 Job Unique Identifier (EI) 02433 (3.4.16.17)

Definition: This field contains a value the uniquely identifies a single job for a person.

18.8.97.19 OH2-18 Current Job Indicator (CWE) 02471 (3.4.16.18)

Definition: This field defines a flag indicating if this is the person’s current job (at the time the record was last updated) using 'Yes', when current and 'No' when not. Refer to HL7 Table 0136 - Yes/no Indicator in Chapter 2C, Code Tables, for valid values.