Draft preBallot - This specification is under preBallot review and subject to change. It should not be used for implementation purposes. . . . . For a full list of available versions, see the Directory of published versions
Artifact Status Summary
This page provides a snapshot of the current artifacts included in this version of the CA Core+ Implementation Guide. It includes profiles, extensions, and terminology artifacts (e.g., value sets and code systems), along with their current draft status.
These tables are generated using FHIR Query Language (FQL) and reflect the current state of artifacts included in this guide based on all those in the Simplifier project. Artifact statuses may evolve over time as the guide progresses toward a future Ballot release. Some of these resources may not have pages attached to them in FHIR Artifacts as they are still early in their development.
Resource Profiles
This table lists the resource profiles defined in this guide. Resource profiles constrain base FHIR resources (like Patient, Observation, or Encounter) to reflect pan-Canadian requirements or practices. These profiles serve as the foundation for representing clinical and administrative data in a consistent way. More details on each can be found under the FHIR Artifacts tab in the menu bar.
Title | Description | Status | Canonical |
---|---|---|---|
AllergyIntolerance (CA-Core) | This profile applies constraints to the AllergyIntolerance resource for CA Core+ to support the documentation of allergies and intolerances in the pan-Canadian context. It includes expectations for coded substances, reactions, and severity. | draft | http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/allergyintolerance-ca-core |
Appointment (CA-Core) | This profile applies constraints to the Appointment resource for CA Core+ to support scheduling interactions in the pan-Canadian context. | draft | http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/appointment-ca-core |
Communication (CA-Core) | This profile applies constraints to the Communication resource for CA Core+ to support asynchronous message exchange in the pan-Canadian context. | draft | http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/communication-ca-core |
Condition (CA-Core) | This profile applies constraints to the Condition resource for CA Core+ to support recording clinical conditions and health concerns in the pan-Canadian context. | draft | http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/condition-ca-core |
DiagnosticReport (CA-Core) | This profile applies constraints to the DiagnosticReport resource for CA Core+ to support diagnostic summaries such as lab and imaging reports in the pan-Canadian context. | draft | http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/diagnosticreport-ca-core |
DocumentReference (CA-Core) | This profile applies constraints to the DocumentReference resource for CA Core+ to support structured references to clinical documents in the pan-Canadian context. | draft | http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/documentreference-ca-core |
Encounter (CA-Core) | This profile applies constraints to the Encounter resource for CA Core+ to support representation of care events and encounters in the pan-Canadian context. | draft | http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/encounter-ca-core |
Example Patient Profile on Patient (CA-Core) | This is an example of how a jurisdiction or any IG author wishing to derive from CA Core+ may add additional constraints. | draft | http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/example-patient-profile-ca-core |
FamilyMemberHistory (CA-Core) | This profile applies constraints to the FamilyMemberHistory resource for CA Core+ to support capture of familial conditions in the pan-Canadian context. | draft | http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/familymemberhistory-ca-core |
HealthcareService (CA-Core) | This profile applies constraints to the HealthcareService resource for CA Core+ to support the description of services offered by healthcare organizations in the pan-Canadian context. | draft | http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/healthcareservice-ca-core |
ImagingStudy (CA-Core) | This profile applies constraints to the ImagingStudy resource for CA Core to support the effective structured sharing of diagnostic imaging studies. | draft | http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/ImagingStudy-ca-core |
Immunization (CA-Core) | This profile applies constraints to the Immunization resource for CA Core+ to support documentation of administered vaccines in the pan-Canadian context. | draft | http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/immunization-ca-core |
Location (CA-Core) | This profile applies constraints to the Location resource for CA Core+ to support documentation of places where healthcare services may be provided. | draft | http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/location-ca-core |
Medication (CA-Core) | This profile applies constraints to the Medication resource for CA Core+ to support representation of medication products in the pan-Canadian context. | draft | http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/medication-ca-core |
Medication Request (CA-Core) | This profile applies constraints to the MedicationRequest resource for CA Core+ to support prescription and medication orders in the pan-Canadian context. | draft | http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/medicationrequest-ca-core |
Medication Statement (CA-Core) | This profile applies constraints to the MedicationStatement resource for CA Core+ to support documentation of medication usage in the pan-Canadian context. | draft | http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/medicationstatement-ca-core |
Observation-AlcoholUse (CA-Core) | This profile applies constraints to the Observation resource for CA Core+ to support structured documentation of alcohol use in the pan-Canadian context. | draft | http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/observation-alcoholuse-ca-core |
Observation (CA-Core) | This profile represents the constraints applied to the Observation resource for CA Core+ to support Observations in the pan-Canadian context. Additionally, there are several Observation profiles in this IG for specific use cases. | draft | http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/observation-ca-core |
Observation-LaboratoryResult (CA-Core) | This profile applies constraints to the Observation resource for CA Core+ to support laboratory test results in the pan-Canadian context. | draft | http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/observation-laboratoryresult-ca-core |
Observation-LaboratoryResultPathology (CA-Core) | This profile applies constraints to the Observation resource for CA Core+ to support structured pathology result reporting in the pan-Canadian context. | draft | http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/observation-pathologyresult-ca-core |
Observation-ResultsRadiology (CA-Core) | This profile applies constraints to the Observation resource for CA Core+ to support structured radiology findings in the pan-Canadian context. | draft | http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/observation-resultsradiology-ca-core |
Sexual Orientation | This profile applies constraints to the Observation resource for CA Core+ to support capture of a patient’s self-reported sexual orientation in the pan-Canadian context. | draft | http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/observation-sexual-orientation |
Observation-SocialHistory (CA-Core) | This profile applies constraints to the Observation resource for CA Core+ to support capture of social determinants and lifestyle information in the pan-Canadian context. | draft | http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/observation-socialhistory-ca-core |
Observation-TobaccoUse (CA-Core) | This profile applies constraints to the Observation resource for CA Core+ to support standardized documentation of tobacco use in the pan-Canadian context. | draft | http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/observation-tobaccouse-ca-core |
Organization (CA-Core) | This profile applies constraints to the Organization resource for CA Core+ to support representation of healthcare organizations in the pan-Canadian context. | draft | http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/organization-ca-core |
Patient (CA-Core) | This profile applies constraints to the Patient resource for CA Core+ to support identity, demographics, and administrative data in the pan-Canadian context. | draft | http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/patient-ca-core |
Person (CA-Core) | This profile represents the constraints applied to the Person resource by the CA Core Proof of Concept project to represent the minimum expectations for the Person resource when used to promote capacity building for functionality found across Canadian FHIR implementations. It is informed by the constraints of shared across CIHI pCHDCF data sets. | draft | http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/person-ca-core |
Practitioner (CA-Core) | This profile applies constraints to the Patient resource for CA Core+ to support identity, demographics, and administrative data in the pan-Canadian context. | draft | http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/practitioner-ca-core |
PractitionerRole (CA-Core) | This profile applies constraints to the PractitionerRole resource for CA Core+ to support assignment of providers to roles, specialties, and organizations in the pan-Canadian context. | draft | http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/practitionerRole-ca-core |
Procedure (CA-Core) | This profile applies constraints to the Procedure resource for CA Core+ to support clinical and diagnostic procedure documentation in the pan-Canadian context. | draft | http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/procedure-ca-core |
RelatedPerson (CA-Core) | This profile represents the constraints applied to the RelatedPerson resource by the CA Core+ project to represent the minimum expectations for the RelatedPerson resource when used to promote capacity building for functionality found across Canadian FHIR implementations. It is informed by the constraints of shared across CIHI pCHDCF data sets. | draft | http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/relatedperson-ca-core |
ServiceRequest (CA-Core) | This profile applies constraints to the ServiceRequest resource for CA Core+ to support orders and referrals for clinical services in the pan-Canadian context. | draft | http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/servicerequest-ca-core |
Task (CA-Core) | This profile applies constraints to the Task resource for CA Core+ to support workflow coordination and task assignment in the pan-Canadian context. In the future, it is likely that this implementation guide will support many types of Task for different use cases. | draft | http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/task-ca-core |
Extensions
These extensions represent data elements or flags not present in base FHIR, but required to meet pan-Canadian interoperability needs. They reflect patterns seen in CACDI, jurisdictional use cases, or pan-Canadian exchange requirements. More information can be found on the Extensions page.
Title | Description | Status | Canonical |
---|---|---|---|
PatientPresentLocation | Extension used to communicate the present location of the patient if it is different than the patient's home address. | draft | http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/CA-eReC-Patient-Present-Location-EXT |
Copied Participants | Extension used to CC updates to the ServiceRequest in cases of forwarding referrals | draft | http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/copied-participants-ext |
Dates Affecting Readiness to Consult | DARC stands for 'Dates Affecting Readiness to Consult' and is defines as: Periods of time between the referral and consult date when the patient is unavailable for a first consultation due to patient-related reasons. | draft | http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/darc-ext |
Dates Affecting Readiness to Treat | DART stands for 'Dates Affecting Readiness to Treat' and is defined as: Periods of time between the Decision To Treat (DTT) and the Procedure Date when the patient is unavailable for a procedure due to patient-related reasons. | draft | http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/dart-ext |
Element Validity Period | the period for which this element is valid. | draft | http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/element-validityPeriod-ca-core |
Communication Barrier | The extension is required to identify if the patient speaks/understands an offical language (english/french), or if an interpretor is required. | draft | http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/ext-communicationbarrier |
Extension: Identifier Version | A version string indicating the currency/validity of an identifier | draft | http://hl7.org/fhir/ca/baseline/StructureDefinition/ext-identifierversion |
Extension: Birth Sex | A code classifying the person's sex assigned at birth. Replicates the birthsex extension in US-Core-R4 for interoperability. | draft | http://hl7.org/fhir/ca/baseline/StructureDefinition/ext-patientbirthsex |
Gender Identity | An extension that represents the gender identity with which the client identifies, based on the Gender Identity Value Set. | draft | http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/gender-identity-ca-core |
Gender Used | A code that represents the gender used with which the client identifies, based on the Gender Used Value Set. | draft | http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/gender-used-ca-core |
Indigenous Identity | A code classifying a person's self-identification as either First Nations, Inuk/Inuit and/or Métis. | draft | http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/indigenous-identity-ca-core |
Individual Pronouns | The pronouns to use when referring to an individual in verbal or written communication. This extension is published in this guide to pre-adopt an extension published in R5 and re-profile it further through CA Core+ project. This extension is an R4 (4.0.1) conversion and re-profiling of the canonical extension published in the R5 FHIR Extensions Pack. | draft | http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/individual-pronouns-ca-core |
Person Recorded Sex Or Gender | Recorded sex or gender (RSG) information includes the various sex and gender concepts that are often used in existing systems but are known NOT to represent a gender identity, sex parameter for clinical use, or attributes related to sexuality, such as sexual orientation, sexual activity, or sexual attraction. Examples of recorded sex or gender concepts include administrative gender, administrative sex, and sex assigned at birth. When exchanging this concept, refer to the guidance in the Gender Harmony Implementation Guide. This extension is published in this guide to pre-adopt an extension published in R5 and re-profile it further through CA Core+ project. This extension is an R4 (4.0.1) conversion and re-profiling of the canonical extension published in the R5 FHIR Extensions Pack. Implementers are advised to take note that the data type for the extension part sourceDocument (Reference) is not forwards compatible to the R5 type for that part (CodeableReference). | draft | http://fhir.infoway-inforoute.ca/ca-core/StructureDefinition/individual-recordedSexOrGender-ca-core |
Patient No Fixed Address | This extension applies to the Address data type and is used to indicate that a location address is not a fixed address for an individual. This extension is published in this guide to re-profile it further through CA Core+ project | draft | http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/no-fixed-address-ca-core |
Re-publishing of patient-birthTime extension with expanded context of use to allow application to Person.dateTime while the issue submitted to the extensions pack to expand the global extension is resolved. | draft | http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/patient-birthTime | |
Racialized Group | A code that identifies a social construct most often characterized by phenotype or appearance (e.g. skin colour) in which the client identifies. | draft | http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/racialized-group-ca-core |
RoutingOptions | This is an extension required for Referral Source Type identification. Only one referral routing object expected. | draft | http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/Routing-Options-EXT |
BusinessStatusReason | A reason for the business reason used. Currently this extension lacks a value set, and is a placeholder for future use. | draft | http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/task-business-status-reason-EXT |
PatientNeedsToBeSeen | Following a consult, this extension is used to identify if a patient needs to be seen in person. | draft | http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/task-ext-PatientNeedsToBeSeen |
Abatement | The date or estimated date that the allergy or intolerance resolved. This is called abatement because of the many overloaded connotations associated with resolution. | draft | http://hl7.org/fhir/StructureDefinition/allergyintolerance-abatement |
DataType Profiles
These are constrained FHIR data types used across CA Core+ profiles and extensions. They apply common expectations for things like identifiers, human names, or codeable concepts, supporting consistency across artifacts. More information can be found on the Data Types page.
Title | Description | Status | Canonical |
---|---|---|---|
Address(CA Core) | This profile represents the constraint applied to the Address data type by the CA Core Implementation Guide. It is recommended to follow guidance from Canada Post (https://www.canadapost-postescanada.ca) on capturing addresses. | draft | http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/address-ca-core |
Codeable Concept (CA Core) | This profile represents the constraint applied to the CodeableConcept data type by the CA Core Implementation Guide. | draft | http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/codeableconcept-ca-core |
Coding with translations | This profile extends the capabilities of the coding data type to support multi-language designations (display). It relies on the Translation extension. | draft | http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/coding-ca-core |
CodeSystems
This table includes the code systems define for use in the profiles and extensions in this guide. They establish the meaning behind each code and serve as the reference for ValueSets. More information can be found on the Terminology page. Some CodeSystems in this release are provisional and may evolve in future versions as pan Canadian standards and terminology models mature.
Title | Description | Status | Canonical |
---|---|---|---|
Communication Barrier System | Contains codes required to identify if the patient speaks/understands an offical language (english/french), or if she/he does not and an interpreter is required. | draft | http://fhir.infoway-inforoute.ca/cacore/CodeSystem/communication-barrier |
Task Business Status | Contains business-specific nuances of the business state. This resource is an informative code system; a normative subset containing the expanded values can be found on Canada Health Infoway's Terminology Server. | draft | http://fhir.infoway-inforoute.ca/io/cacore/CodeSystem/task-business-status |
ValueSets
This table includes the value sets used across profiles and extensions in this guide. Value sets define specific sets of codes used for coded elements like status, type, or category. They are drawn from standardized terminologies and help ensure consistent meaning in exchanged data. More information can be found on the Terminology page. Many ValueSets in this release will be subject to significant change as the CIHI Logical Data Model evolves with new codes.
Title | Description | Status | Canonical |
---|---|---|---|
Anatomical Or Acquired Body Structure Code | This subset contains concepts that represent body structures including anatomical structures and acquired body structures. This is a broad data exchange subset that is intended to support semantic interoperability and conformance testing. It is recommended that jurisdictions define and implement more specific clinically curated subsets that contain a portion of these concepts for data capture at the point of care for their specific use case. This subset was defined using the intensional definition of 442083009 Anatomical or acquired body structure (body structure) against the substrate SNOMED CT Canadian Edition. This resource is an informative value set; a normative subset containing the expanded values can be found on Canada Health Infoway's Terminology Server. | draft | https://fhir.infoway-inforoute.ca/ValueSet/anatomicaloracquiredbodystructurecode |
PrescriptionMedicinalProduct | Medicinal products for prescribing. The content of this ValueSet only contains commonly used medicinal products that are available for prescribing and dispensing in Canada. This content will expand to include all human medicinal products over time. This resource is an informative value set; a normative subset containing the expanded values can be found on Canada Health Infoway's Terminology Server. | draft | https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct |
Canadian Classification of Health Interventions All Concepts | This subset contains all concepts represented by the Canadian Classification of Health Interventions code system. This is a broad data exchange value set that is intended to support semantic interoperability and conformance testing. It is recommended that jurisdictions define and implement more specific clinically curated subsets that contain a portion of these concepts for data capture at the point of care for their specific use case. Further details about CCI are available from the Canadian Institute for Health Information (CIHI). This resource is an informative value set; a normative subset containing the expanded values can be found on Canada Health Infoway's Terminology Server. | draft | http://fhir.infoway-inforoute.ca/io/cacore/ValueSet/CCI |
pCLOCD Codes | The pCLOCD code system draws from the pan-Canadian LOINC Observation Code Database (pCLOCD) which is the Canadian version of the LOINC(tm) database. It was created using the LOINC(tm) records and attributes that were constrained for Canadian use and supplemented to specifically meet Canadian requirements. It contains the core LOINC(tm) attributes as required by Regenstrief copyright rules. The LOINC(tm) Component has been customized to meet Canadian requirements and is displayed as the pan Canadian Component Name. This component name is the basis for the pan Canadian Display Name. Core attributes are include both English and Canadian French.This resource is stub value set intended to broadly point implementers towards the use of pCLOCD content while efforts move forward with the pan-Canadian Health Data Content Framework to propose harmonized terminology and potentially further constrained valueSets for specific contexts. This resource is an informative value set; a normative subset containing the expanded values can be found on Canada Health Infoway's Terminology Server. | draft | http://fhir.infoway-inforoute.ca/io/cacore/ValueSet/pCLOCD |
Communication Barrier | Contains codes required to identify if the patient speaks/understands an offical language (english/french), or if an interpretor is required. This resource is an informative value set; a normative subset containing the expanded values can be found on Canada Health Infoway's Terminology Server. | draft | http://fhir.infoway-inforoute.ca/io/cacore/ValueSet/communication-barrier |
DIN All Concepts | This subset contains all concepts represented by the Health Canada Drug Identification Number code system. A Drug Identification Number (DIN) is a computer-generated eight digit number assigned by Health Canada to a drug product prior to being marketed in Canada. It uniquely identifies all drug products sold in a dosage form in Canada and is located on the label of prescription and over-the-counter drug products that have been evaluated and authorized for sale in Canada. Further information about this Code System can be found at https://www.canada.ca/en/health-canada/services/drugs-health-products/drug-products/applications-submissions/guidance-documents/regulatory-requirements-drug-identification-numbers/document.html. This resource is an informative value set; a normative subset containing the expanded values can be found on Canada Health Infoway's Terminology Server. | draft | http://fhir.infoway-inforoute.ca/io/cacore/ValueSet/DIN |
Gender Identity Value Set | This valueset specifies terms which represent an individual's personal experience of being a woman, man, nonbinary, or how the person prefers to self-describe. People may identify with more than one gender identity or use different gender identities in different settings. This resource is an informative value set; a normative subset containing the expanded values can be found on Canada Health Infoway's Terminology Server. | draft | https://fhir.infoway-inforoute.ca/ValueSet/genderidentityvaluecode |
Gender Used Value Set | The scope of this subset is to represent genders as used in healthcare data systems. This includes commonly used gender identities for administrative and clinical purposes. This resource is an informative value set; a normative subset containing the expanded values can be found on Canada Health Infoway's Terminology Server. | draft | https://fhir.infoway-inforoute.ca/ValueSet/genderusedvaluecode |
International Statistical Classification of Diseases and Related Health Problems, 10th Revision, Canada All Concepts | This subset contains all concepts represented by the ICD-10 CA code system. This is a broad data exchange value set that is intended to support semantic interoperability and conformance testing. It is recommended that jurisdictions define and implement more specific clinically curated subsets that contain a portion of these concepts for data capture at the point of care for their specific use case. Further details about ICD-10-CA are available from the Canadian Institute for Health Information (CIHI) which includes details on the ICD-10-CA/CCI Folio Views for Core Plan Subscribers Product. This resource is an informative value set; a normative subset containing the expanded values can be found on Canada Health Infoway's Terminology Server. | draft | http://fhir.infoway-inforoute.ca/io/cacore/ValueSet/ICD10CA |
ICD-9 CM All Concepts | This subset contains all concepts represented by the ICD-9 CM code system. This is a broad data exchange value set that is intended to support semantic interoperability and conformance testing. It is recommended that jurisdictions define and implement more specific clinically curated subsets that contain a portion of these concepts for data capture at the point of care for their specific use case. Further details about ICD-9 CM are available from the Canadian Institute for Health Information (CIHI) which includes details on the ICD-10-CA/CCI to ICD-9/ICD-9-CM/CCP — Conversion Table Product. This resource is an informative value set; a normative subset containing the expanded values can be found on Canada Health Infoway's Terminology Server. | draft | http://fhir.infoway-inforoute.ca/io/cacore/ValueSet/ICD9CM |
Licensed Natural Health Products | This subset contains all concepts represented in the Licensed Natural Health Products Database. The Licensed Natural Health Products Database contains information about natural health products that have been issued a product license by Health Canada. This informative value set includes Natural Product Number (NPN) and Homeopathic Medicine Number (DIN-HM). NPN is an eight (8) digit numerical code assigned to each natural health product approved to be marketed under the Natural Health Products Regulations. A DIN-HM is an eight (8) digit numerical code assigned to each homeopathic medicine approved to be marketed under the Natural Health Products Regulations. This is a broad data exchange subset that is intended to support semantic interoperability and conformance testing. It is recommended that jurisdictions define and implement more specific clinically curated subsets that contain a portion of these concepts for data capture at the point of care for their specific use case. This resource is an informative value set; a normative subset containing the expanded values can be found on Canada Health Infoway's Terminology Server. | draft | http://fhir.infoway-inforoute.ca/io/cacore/ValueSet/LicensedNaturalHealthProducts |
Passive Administered Immunizing Agent Code | The scope of this subset is passive immunizing agents that are currently licensed for use in Canada and those obtained through special access programs. The subset includes concepts represented by the trade name (brand name) of the passive immunizing agent (immune globulin or antitoxin) that was administered to the client. Passive immunizing agents are used to facilitate protection against vaccine preventable infections, when vaccines are not available or are contraindicated or when vaccines have not been used before exposure to the infective agent. This content is intended to be used when populating a record at the point of administration. Reviewers should anticipate that the representation of this valueSet will continue to evolve. This resource is an informative value set; a normative subset containing the expanded values can be found on Canada Health Infoway's Terminology Server. | draft | https://fhir.infoway-inforoute.ca/ValueSet/passiveadministeredimmunizingagentcode |
Passive Historical Immunizing Agent Code | The scope of this subset is passive immunizing agents used in Canada (generically described, i.e. without trade name), those obtained through special access programs (generically described), and agents that have been discontinued and/or never licensed in Canada (with trade name). This content is intended to be used when populating an immunization history when the client and/or provider does not have the detail of the trade name of the agent administered OR the product has been discontinued and/or never licensed in Canada. Passive immunizing agents are used to facilitate protection against vaccine preventable infections, when vaccines are not available or are countraindicated or when vaccines have not been used before exposure to the infective agent. This subset will include concepts represented by a generic description for an agent that was previously administered to the client as may be expressed by the client or provider for an immunization history and concepts represented by the trade name for products that have been discontinued and/or never licensed in Canada. This resource is an informative value set; a normative subset containing the expanded values can be found on Canada Health Infoway's Terminology Server. Reviewers should anticipate that the representation of this valueSet will continue to evolve | draft | https://fhir.infoway-inforoute.ca/ValueSet/passivehistoricalimmunizingagentcode |
Pharmaceutical/Biologic Product Code | This subset contains concepts that represent drug and vaccine products including generic names and tradenames. This is a broad data exchange subset that is intended to support semantic interoperability and conformance testing. It is recommended that jurisdictions define and implement more specific clinically curated subsets that contain a portion of these concepts for data capture at the point of care for their specific use case. This subset was defined using the intensional definition of <373873005|Pharmaceutical / biologic product (product)| against the substrate SNOMED CT Canadian Edition. This resource is an informative value set; a normative subset containing the expanded values can be found on Canada Health Infoway's Terminology Server. | draft | https://fhir.infoway-inforoute.ca/ValueSet/pharmaceuticalbiologicproductcode |
PrescribeIT Prescription Drug Form | The form in which a compounded drug or active ingredient can be dispensed to the patient. This is a broad data exchange subset that is intended to support semantic interoperability and conformance testing. It is recommended that jurisdictions define and implement more specific clinically curated subsets that contain a portion of these concepts for data capture at the point of care for their specific use case. This subset was defined by the PrescribeIT project from the Canadian Clinical Drug Data Set. This resource is an informative value set; a normative subset containing the expanded values can be found on Canada Health Infoway's Terminology Server. | draft | https://fhir.infoway-inforoute.ca/ValueSet/pharmaceuticaldoseformcode |
Pan-Canadian Health Concern Value Set | Pan-Canadian Health Concern Value Set contains 10,800+ specific diagnostic SNOMED CT CA terms that are mapped to ICD-10-CA, ICD-9 (to support physician billing in Canada) and the Canadian Emergency Department Diagnosis Shortlist (CED-DxS).The Pan-Canadian Health Concern Value Set with ICD maps can be accessed through CIHI’s eStore for this product. Most Canadian health care facilities have access at no additional charge through a Core Plan subscription with CIHI or through a bilateral agreement between CIHI and the respective ministry of health. In addition, CIHI offers a number of products and services, at no additional charge, to regional health authorities (or similar organizations) and ministries of health for jurisdictions covered by a bilateral agreement. This resource is an informative value set; a normative subset containing the expanded values can be found on Canada Health Infoway's Terminology Server. | draft | http://fhir.infoway-inforoute.ca/cacore/ValueSet/PHCVS |
Prescription Dose Quantity Unit | Units of measure and/or products that convey the amount of drug to be given to a patient in one dose. This subset was defined intensionally by the PrescribeIT project. This resource is an informative value set; a normative subset containing the expanded values can be found on Canada Health Infoway's Terminology Server. | draft | https://fhir.infoway-inforoute.ca/ValueSet/prescriptiondosequantityunit |
PrescribeIT Prescription Drug Form | The form in which a compounded drug or active ingredient can be dispensed to the patient. This is a broad data exchange subset that is intended to support semantic interoperability and conformance testing. It is recommended that jurisdictions define and implement more specific clinically curated subsets that contain a portion of these concepts for data capture at the point of care for their specific use case. This subset was defined by the PrescribeIT project from the Canadian Clinical Drug Data Set. This resource is an informative value set; a normative subset containing the expanded values can be found on Canada Health Infoway's Terminology Server. | draft | https://fhir.infoway-inforoute.ca/ValueSet/prescriptiondrugform |
PrescribeIT Prescription Route Of Administration | How the product should enter the body - used for e-Prescribing purposes. This is a broad data exchange subset that is intended to support semantic interoperability and conformance testing. It is recommended that jurisdictions define and implement more specific clinically curated subsets that contain a portion of these concepts for data capture at the point of care for their specific use case. This subset was defined intensionally by the PrescribeIT project from the Canadian Clinical Drug Data Set. This resource is an informative value set; a normative subset containing the expanded values can be found on Canada Health Infoway's Terminology Server. | draft | https://fhir.infoway-inforoute.ca/ValueSet/prescriptionrouteofadministration |
Person Pronouns | ValueSet that extends http://terminology.hl7.org/ValueSet/pronouns to include the full list of codes in the LOINC answer list. This resource is an informative value set; a normative subset containing the expanded values can be found on Canada Health Infoway's Terminology Server. | draft | https://fhir.infoway-inforoute.ca/ValueSet/pronouns |
Racialized Group Code | A code that identifies a social construct most often characterized by phenotype or appearance (e.g. skin colour) in which the client identifies. This resource is an informative value set; a normative subset containing the expanded values can be found on Canada Health Infoway's Terminology Server. | draft | https://fhir.infoway-inforoute.ca/ValueSet/racializedgroupcode |
Recorded Gender Type Value Set | The scope of this subset is to represent types of sex and gender that are used in healthcare data systems. This includes commonly used gender identities for administrative and clinical purposes. This resource is an informative value set; a normative subset containing the expanded values can be found on Canada Health Infoway's Terminology Server. | draft | https://fhir.infoway-inforoute.ca/ValueSet/recordedgendertype |
Recorded Gender Value Set | The scope of this subset is to represent genders as used in healthcare data systems. This includes commonly used gender identities for administrative and clinical purposes. This resource is an informative value set; a normative subset containing the expanded values can be found on Canada Health Infoway's Terminology Server. | draft | https://fhir.infoway-inforoute.ca/ValueSet/recordedgender |
Route Of Administration | This subset contains concepts that represent routes for medication and immunization administration, as well as routes in which individuals may be exposed to a substance. This is a broad data exchange subset that is intended to support semantic interoperability and conformance testing. It is recommended that jurisdictions define and implement more specific clinically curated subsets that contain a portion of these concepts for data capture at the point of care for their specific use case. This subset was defined using the intensional definition of 284009009 Route of administration value (qualifier value) against the substrate SNOMED CT Canadian Edition. This resource is an informative value set; a normative subset containing the expanded values can be found on Canada Health Infoway's Terminology Server. | draft | https://fhir.infoway-inforoute.ca/ValueSet/routeofadministration |
Severity Code | This subset contains concepts that represent a range of severities from mild to fatal. This subset is intended to be both a data exchange subset to support semantic interoperability and conformance testing, and a data capture subset that is implemented at the point of care. This subset was defined using the intensional definition of 272141005 Severities (qualifier value) against the substrate SNOMED CT Canadian Edition. This resource is an informative value set; a normative subset containing the expanded values can be found on Canada Health Infoway's Terminology Server. | draft | https://fhir.infoway-inforoute.ca/ValueSet/severitycode |
Sex assigned at Birth | The scope of this subset is to specify the sex of a person at birth which is a clinical finding, usually determined by a clinician based on phenotypic (e.g. genitals or gonads), physiologic (e.g. hormone levels) and/or genetic characteristics. This resource is an informative value set; a normative subset containing the expanded values can be found on Canada Health Infoway's Terminology Server. | draft | https://fhir.infoway-inforoute.ca/ValueSet/sexassignedatbirth |
Sex Orientation Value Set | The scope of this subset is to specify codes that specifies how a person describes their sexuality or who a person is romantically or physically attracted to. This resource is an informative value set; a normative subset containing the expanded values can be found on Canada Health Infoway's Terminology Server. | draft | https://fhir.infoway-inforoute.ca/ValueSet/sexualorientationcode |
Social History | This subset contains concepts that represent social history. This is a broad data exchange subset that is intended to support semantic interoperability and conformance testing. It is recommended that jurisdictions define and implement more specific clinically curated subsets that contain a portion of these concepts for data capture at the point of care for their specific use case. This subset was defined using the intensional definition of 160476009 Social / personal history observable (observable entity) against the substrate SNOMED CT Canadian Edition. This resource is an informative value set; a normative subset containing the expanded values can be found on Canada Health Infoway's Terminology Server. | draft | https://fhir.infoway-inforoute.ca/ValueSet/socialhistory |
ClinicalFindingCode | This subset contains concepts that represent diagnoses, the results of a clinical observation, assessment of judgment, and includes normal and abnormal clinical states. This is a broad data exchange subset that is intended to support semantic interoperability and conformance testing. It is recommended that jurisdictions define and implement more specific clinically curated subsets that contain a portion of these concepts for data capture at the point of care for their specific use case. This subset was defined using the intensional definition of <404684003|Clinical finding (finding)| against the substrate SNOMED CT Canadian Edition. This resource is an informative value set; a normative subset containing the expanded values can be found on Canada Health Infoway's Terminology Server. | draft | https://fhir.infoway-inforoute.ca/ValueSet/clinicalfindingcode |
HealthConditionCode | This subset contains concepts that represent health-related conditions which can be diagnoses, the results of a clinical observation, assessment of judgment, events or other situations with explicit context. This is a broad data exchange subset that is intended to support semantic interoperability and conformance testing. It is recommended that jurisdictions define and implement more specific clinically curated subsets that contain a portion of these concepts for data capture at the point of care for their specific use case. This subset was defined using the intensional definition of ^ 45941000087104 |Diagnoses, results of a clinical observation, assessment of judgment, normal and abnormal clinical states reference set (foundation metadata concept)| or < 272379006 |Event (event)| or < 243796009 |Situation with explicit context (situation)|against the substrate SNOMED CT Canadian Edition. This resource is an informative value set; a normative subset containing the expanded values can be found on Canada Health Infoway's Terminology Server. | draft | https://fhir.infoway-inforoute.ca/ValueSet/healthconditioncode |
Indigenous Identity Code | A code that represents whether a person self-identifies as First Nations, Inuit/Inuk or Métis. This resource is an informative value set; a normative subset containing the expanded values can be found on Canada Health Infoway's Terminology Server. | draft | https://fhir.infoway-inforoute.ca/ValueSet/indigenousidentitycode |
MedicationReasonCode | This subset contains concepts that represent a health condition, sign, symptom, event, situation with explicit context or procedure for which a medication is or was prescribed to manage, improve, treat or prevent. This is a broad data exchange subset that is intended to support semantic interoperability and conformance testing. It is recommended that jurisdictions define and implement more specific clinically curated subsets that contain a portion of these concepts for data capture at the point of care for their specific use case. This subset was defined using the intensional definition of ^ 45941000087104 |Diagnoses, results of a clinical observation, assessment of judgment, normal and abnormal clinical states reference set (foundation metadata concept)| or < 272379006 |Event (event)| or < 243796009 |Situation with explicit context (situation)| or ^ 45911000087100 |Activities performed in the provision of health care reference set (foundation metadata concept)| against the substrate SNOMED CT Canadian Edition. This resource is an informative value set; a normative subset containing the expanded values can be found on Canada Health Infoway's Terminology Server. | draft | https://fhir.infoway-inforoute.ca/ValueSet/medicationreasoncode |
PharmaceuticalBiologicProductAndSubstanceCode | This subset is the combination of the PharmaceuticalBiologicProductCode and SubstanceCode subsets. This subset contains concepts that represent drug and vaccine products including generic names and tradenames, as well as concepts that represent general substances, the chemical constituents of pharmaceutical/biological products, body substances, dietary substances and diagnostic substances. This is a broad data exchange subset that is intended to support semantic interoperability and conformance testing. It is recommended that jurisdictions define and implement more specific clinically curated subsets that contain a portion of these concepts for data capture at the point of care for their specific use case. This subset was defined using the intensional definition of <373873005|Pharmaceutical / biologic product (product)| and <105590001|Substance (substance)| against the substrate SNOMED CT Canadian Edition. This resource is an informative value set; a normative subset containing the expanded values can be found on Canada Health Infoway's Terminology Server. | draft | https://fhir.infoway-inforoute.ca/ValueSet/pharmaceuticalbiologicproductandsubstancecode |
ProcedureCode | This subset contains concepts that represent activities performed in the provision of health care including invasive procedures, laboratory procedures, administration of medicines, imaging, education, therapies, and administrative procedures. This is a broad data exchange subset that is intended to support semantic interoperability and conformance testing. It is recommended that jurisdictions define and implement more specific clinically curated subsets that contain a portion of these concepts for data capture at the point of care for their specific use case. This subset was defined using the intensional definition of <71388002|Procedure (procedure)| against the substrate SNOMED CT Canadian Edition. This resource is an informative value set; a normative subset containing the expanded values can be found on Canada Health Infoway's Terminology Server. | draft | https://fhir.infoway-inforoute.ca/ValueSet/procedurecode |
Substance Code | This subset contains concepts that represent general substances, the chemical constituents of pharmaceutical/biological products, body substances, dietary substances and diagnostic substances. This is a broad data exchange subset that is intended to support semantic interoperability and conformance testing. It is recommended that jurisdictions define and implement more specific clinically curated subsets that contain a portion of these concepts for data capture at the point of care for their specific use case. This subset was defined using the intensional definition of <105590001|Substance (substance)| against the substrate SNOMED CT Canadian Edition. This resource is an informative value set; a normative subset containing the expanded values can be found on Canada Health Infoway's Terminology Server. | draft | https://fhir.infoway-inforoute.ca/ValueSet/substancecode |
Task Business Status | Contains business-specific nuances of the business state. This resource is an informative value set; a normative subset containing the expanded values can be found on Canada Health Infoway's Terminology Server. | draft | http://fhir.infoway-inforoute.ca/io/cacore/ValueSet/task-business-status |
Therapeutic Moiety TM | The representation of the functional and clinically significant part of the active ingredient substance(s) present in a medicinal product, and as such the TM class is an abstract representation of a medicinal product without reference to strength and dose form, focusing only on active ingredient substance(s). This is a broad data exchange subset that is intended to support semantic interoperability and conformance testing. It is recommended that jurisdictions define and implement more specific clinically curated subsets that contain a portion of these concepts for data capture at the point of care for their specific use case. This subset is part of the Canadian Clinical Drug Data Set maintained by Health Canada. This resource is an informative value set; a normative subset containing the expanded values can be found on Canada Health Infoway's Terminology Server. | draft | https://fhir.infoway-inforoute.ca/ValueSet/therapeuticmoietytm |
Vaccine Administered Trade Name Code | The scope of this subset is vaccines that are currently licensed for use in Canada and those obtained through special access programs for use in Canada. The subset includes concepts represented by the trade name (brand name) of the vaccine administered to the client. This content is intended to be used when populating a record at the point of immunization. This resource is an informative value set; a normative subset containing the expanded values can be found on Canada Health Infoway's Terminology Server. Reviewers should anticipate that the representation of this valueSet will continue to evolve | draft | https://fhir.infoway-inforoute.ca/ValueSet/vaccineadministeredtradenamecode |
Vaccine Historical Name Code | The scope of this subset is vaccines that are currently licensed for use in Canada (generic description, i.e. no trade name), those obtained through special access programs (generic description), and vaccines that have been discontinued and/or never licensed in Canada (with trade name). This content is intended to be used when populating an immunization history when the client and /or provider does not have the detail of the trade name (brand name) of the vaccine administered OR the product has been discontinued and/or never licensed in Canada. This subset will include concepts represented by a generic description for a vaccine that was previously administered to the client as may be expressed by the client or provider for an immunization history and concepts represented by the trade name for products that have been discontinued and/or never licensed in Canada. This resource is an informative value set; a normative subset containing the expanded values can be found on Canada Health Infoway's Terminology Server. Reviewers should anticipate that the representation of this valueSet will continue to evolve | draft | https://fhir.infoway-inforoute.ca/ValueSet/vaccinehistoricalnamecode |
Vaccine Preventable Disease Code | The scope of this subset is diseases that are prevented by administration of vaccines. This allows the association of Vaccine-Preventable Diseases and Antigens (AntigenCode) and Immunoglobulins (ImmunoglobulinAgentCode) subsets. This resource is an informative value set; a normative subset containing the expanded values can be found on Canada Health Infoway's Terminology Server. | draft | https://fhir.infoway-inforoute.ca/ValueSet/vaccinepreventablediseasecode |
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This guide is being developed iteratively to support alignment with the Pan-Canadian Health Data Content Framework (PCHDCF) and the Canadian Core Data for Interoperability (CACDI). Artifact definitions are subject to change as the guide matures. We recommend visiting the Relationship to Other Specifications and Business Context pages for context on scope and status.
If you have suggestions, questions, or feedback about any artifact in this guide, please visit the Specification Feedback page to learn how you can contribute.