Terminology

This section contains details about the terminology systems and identifiers used in this implementation guide.

Section Contents

Terminology> Terminology Overview

Terminology

This section lists the coded value sets that are referenced by the FHIR profiles in this implementation guide. These coded values are used to describe and standardize clinical concepts and other data content within health records.

Usage Guidance

[Please validate/update the below content as per the project requirements. The content highlighted in yellow is provided for reference only]

Several ValueSets are not available at their canonical URL (e.g., CVC published value sets) or on the terminology servers used in implementation guide publication (i.e., tx.fhir.org). Primarily, this impacts validation against Canada Health Infoway-hosted ValueSets during the development of derived Implementation Guides. This does not affect deployed systems as these instances will be validated against loaded terminology. For several of these ValueSets, "stub" resources have been created to stand-in for the unresolvable ValueSets. These stub ValueSets include pointers to the locations where the full value sets can be downloaded. Current guidance is to manually download the value sets from, for example, the Terminology Gateway or Canadian Vaccine Catalogue. When terminology is not readily available as FHIR® Release 4 ValueSets or CodeSystems, implementers should work with terminology producers to identify options.

Proposed Pan-Canadian Value Sets

These are value sets that are proposed by the Ontario Patient Summary as the national standardized terminologies that implementers are encouraged to align to. SNOMED CT Canadian Edition (SNOMED CT-CA) is the terminology generally recommended for use in Canada, but in some cases the Ontario Patient Summary will also propose the use of other terminologies (e.g., CVC, CCDD, etc.) that have widespread adoption across Canada.


* Use of terminology subsets hosted on Canada Health Infoway Terminology Gateway is required in order to comply with this interoperability specification.

** Use of terminology subsets hosted on the Canadian Vaccine Catalogue is required in order to comply with this interoperability specification. Please note that Canadian Vaccine Catalogue (CVC)-published value set urls are currently not resolvable, but details of the referenced value sets are available in the current version of the CVC accessible here: https://cvc.canimmunize.ca/en/explore#/

Value Sets referenced by this implementation guide:

Value Set Description Profile Binding Strength
Name and link of the Value Set #1 A brief description of the corresponding value set Provide link(s) to the profile(s) containing the corresponding value set, Example: Profile Example provide the binding strength of the corresponding value set with a link pointing to the definition on HL7 FHIR website
Name and link of the Value Set #2 A brief description of the corresponding value set Provide link(s) to the profile(s) containing the corresponding value set provide the binding strength of the corresponding value set with a link pointing to the definition on HL7 FHIR website

Terminology > > Terminology Updates

Terminology Updates

[Use the below table to provide with any terminology related updates. The table below (highlighted in yellow) has been left for reference purposes only]

VALUE SET/CODE SYSTEM VERSION No. Date SUMMARY OF CHANGE
Generic 0.0.4 03/03/2022 The Immunization profile has been updated to use an informative 'stub' version of this Canadian Vaccine Catalogue value set.
Tradename 0.0.4 03/03/2022 The Immunization profile has been updated to use an informative 'stub' version of this Canadian Vaccine Catalogue value set.
Disease 0.0.4 03/03/2022 The Immunization profile has been updated to use an informative 'stub' version of this Canadian Vaccine Catalogue value set.
RouteOfAdmin 0.0.4 03/03/2022 The Immunization profile has been updated to use an informative 'stub' version of this Canadian Vaccine Catalogue value set.
AnatomicalSite 0.0.4 03/03/2022 The Immunization profile has been updated to use an informative 'stub' version of this Canadian Vaccine Catalogue value set.
HealthcareProviderRoleType 0.9.1 03/03/2022 The PractitionerRole profile has been updated to use an informative 'stub' version of this Canada Health Infoway value set.
AllergyIntoleranceStatusCode 0.0.4 03/03/2022 The AllergyIntolerance profile has been updated to use an informative 'stub' version of this Canada Health Infoway value set
AnatomicalOrAcquiredBodyStructureCode 0.0.4 03/03/2022 The Condition and Procedure profiles have been updated to use an informative 'stub' version of this Canada Health Infoway value set
ClinicalFindingCode 0.0.4 03/03/2022 The AllergyIntolerance and Condition profiles have been updated to use an informative 'stub' version of this Canada Health Infoway value set
DrugOrMedicamentSubstanceCode 0.0.4 03/03/2022 The Medication profile has been updated to use an informative 'stub' version of this Canada Health Infoway value set
PharmaceuticalDoseForm 0.0.4 03/03/2022 The Medication profile has been updated to use an informative 'stub' version of this Canada Health Infoway value set
PrescriptionMedicinalProduct 0.0.4 03/03/2022 The Medication and MedicationRequest profiles have been updated to use an informative 'stub' version of this Canada Health Infoway value set
ProcedureCode 0.0.4 03/03/2022 The Procedure profile has been updated to use an informative 'stub' version of this Canada Health Infoway value set
SeverityCode 0.0.4 03/03/2022 The Condition profile has been updated to use an informative 'stub' version of this Canada Health Infoway value set
SubstanceAndPharmaceuticalBiologicProductCode 0.0.4 03/03/2022 The AllergyIntolerance profile has been updated to use an informative 'stub' version of this Canada Health Infoway value set