DRAFT - The specification is currently in development and subject to significant change. It is not ready for limited roll-out or production level use.

Updates

Terminology Updates

VALUE SET/CODE SYSTEM VERSION No. DATE SUMMARY OF CHANGE
CommunicationBarrier 0.1 11/28/2023 Replaced eHealthOntario ValueSet Canonical with IGuide Canonical convention, still includes codes from https://ehealthontario.ca/fhir/CodeSystem/communication-barrier until further feedback from the eReferral Interoperability Working Group is collected to address the impact of changing the code system on production systems
CommunicationCategory 0.1 11/28/2023 Replaced eHealthOntario ValueSet Canonical with IGuide Canonical convention, still includes codes from https://ehealthontario.ca/fhir/CodeSystem/communication-category until further feedback from the eReferral Interoperability Working Group is collected to address the impact of changing the code system on production systems
DARC and DART Reasons 0.1 11/28/2023 Replaced eHealthOntario ValueSet Canonical with IGuide Canonical convention, still includes codes from https://ehealthontario.ca/fhir/CodeSystem/darc-dart-reason until further feedback from the eReferral Interoperability Working Group is collected to address the impact of changing the code system on production systems
eReferralIdentifierType 0.1 11/28/2023 Replaced eHealthOntario ValueSet Canonical with IGuide Canonical convention, still includes the code from http://ehealthontario.ca/fhir/CodeSystem/ereferral-identifier-type until further feedback from the eReferral Interoperability Working Group is collected to address the impact of changing the code system on production systems
HumanLanguage 0.1 11/28/2023 Replaced eHealthOntario ValueSet Canonical with IGuide Canonical convention
MessageEventCode 0.1 11/28/2023 Replaced eHealthOntario ValueSet Canonical with IGuide Canonical convention, still includes codes from https://ehealthontario.ca/fhir/CodeSystem/message-event-code until further feedback from the eReferral Interoperability Working Group is collected to address the impact of changing the code system on production systems
PatientContactRelationships 0.1 11/28/2023 Replaced eHealthOntario ValueSet Canonical with IGuide Canonical convention, still includes codes from http://ehealthontario.ca/fhir/CodeSystem/patient-contact-relationship until further feedback from the eReferral Interoperability Working Group is collected to address the impact of changing the code system on production systems. Note that these codes in particular may also evolve as part of the requirements for emergency contact relationship codes in the pan-Canadian Health Data Content Framework
TaskBusinessStatus 0.1 11/28/2023 Replaced eHealthOntario ValueSet Canonical with IGuide Canonical convention, still includes codes from https://ehealthontario.ca/fhir/CodeSystem/task-business-status until further feedback from the eReferral Interoperability Working Group is collected to address the impact of changing the code system on production systems
TaskCode 0.1 11/28/2023 Replaced eHealthOntario ValueSet Canonical with IGuide Canonical convention, still includes codes from https://ehealthontario.ca/fhir/CodeSystem/task-code until further feedback from the eReferral Interoperability Working Group is collected to address the impact of changing the code system on production systems

Constraint Updates

CA:eReC cross iguide changes

.meta

The MustSupport flag on this element has been relaxed in this version until further confirmation of the use of meta.profile (outside of use for certain validation suites) and impact can be assessed by the working group. Please note that this relaxation is based on the IG Best Practices highlighted here of avoiding forcing the mustSupport constraint on .meta in profiles unless absolutely necessary.

.coding

Elements .coding.system and .coding.display have been relaxed, while the elements .coding and .coding.code will maintain their constraints as discussed within the eReferral interoperability working group, pending further discussion based on the mustSupport definition (TBC).


Known Issues

  1. Introduced virtualService extension derived from an R5 element within the Appointment profile. A separate extension will be created for it after balloting is completed. For now, please focus attention on the patterning and use of the Appointment resource and how virtualService fits into it.

Any known issues found within the guide will be documented in the section provided here in future iterations of this guide. To provide your questions or concerns please message Canada Health Infoway on: interoperability@infoway-inforoute.ca.