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
Terminology
CodeSystems
CodeSystems define the set of codes from which values in a ValueSet are drawn. These represent the underlying source of meaning for coded data used in Coding elements. In CA Core+, CodeSystems are used to anchor both pan-Canadian and jurisdictional terminologies, including those defined specifically for this guide (e.g., task status, jurisdictional codes), as well as widely adopted external code systems like SNOMED CT, LOINC, and CCI.
Each CodeSystem entry in this guide includes a canonical URL, identifier, and human-readable description. These systems are referenced by profiles throughout the CA Core+ guide, typically in required or preferred bindings to support consistent interpretation of coded data.
While CA Core+ reuses many external CodeSystems, it may also define internal systems to support CA-specific workflow or classification needs. These are documented below and will be updated in future releases as additional modules are published.
| CodeSystem | Description |
|---|---|
| CommunicationBarrierSystem | Contains business-specific nuances of the task business state. |
| TaskBusinessStatusSystem | Contains codes required to identify if the patient speaks/understands an offical language (english/french). |
ValueSets
ValueSets are intended for use where there are a specific list of codes which must be used to represent given content in a codeableConcept element. These can be found in many of the resources profiled in this IG and will be linked from the FHIR resource table on the element. Visit the CodeableConcept (CA-Core) and it's child Coding (CA-Core) pages to learn more about how valuesets can be used with the Codeable Concept Element. It is recommended that readers review the the Profiling Conventions & Approach page for more information on how codeableConcept data elements are used in this CA Core+.
In a future update more guidance will be added on retrieving normative versions of these valuesets from the Infoway Teriminology Server.
Several ValueSets are not available at their canonical URL (e.g., NVC published value sets, canonicals starting with fhir.infoway-inforoute.ca). 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 browsed or downloaded, typically from the Canadian Terminology Service.
In a future release, after canonical URLs are resolving, the respective stub ValueSets will be removed.
| ValueSet | Description |
|---|---|
| AnatomicalOrAcquiredBodyStructureCode | A value set for anatomical or acquired body structure codes. |
| CCI | This subset contains concepts from the Canadian Classifcation of Health Interventions (CCI). |
| ClinicalFindingCode | This subset contains concepts that represent diagnoses, the results of a clinical observation, assessment of judgment from SNOMED CT. |
| CommunicationBarrierCode | A value set for communication barriers in healthcare settings. |
| DIN | This subset contains all concepts represented by the DIN. |
| GenderIdentityCode | A value set for gender identity codes used in healthcare settings. |
| 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. |
| ICD-10-CA Codes | A value set for ICD-10-CA codes used in Canada. |
| ICD-9 CM Codes | A value set for ICD-9-CM codes. |
| IndigenousIdentityCode | A code that represents whether a person self-identifies as First Nations, Inuit/Inuk or Métis. |
| LicensedNaturalHealthProducts | A value set for licensed natural health products used in Canada. |
| 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. |
| PassiveAdministeredImmunizingAgentCode | A value set for passive immunization agents. |
| PassiveHistoricalImmunizingAgentCode | A value set for historical passive immunization agents. |
| pCLOCD | This subset draws from the pan-Canadian LOINC Observation Code Database. |
| PersonPronouns | A value set for personal pronouns used in healthcare settings. |
| PHCVS | A value set for primary healthcare codes. |
| PharmaceuticalBiologicProduceAndSubstanceCode | This subset is the combination of the PharmaceuticalBiologicProductCode and SubstanceCode subsets. |
| PharmaceuticalBiologicProductCode | A value set for pharmaceutical and biologic products. |
| PharmaceuticalDoseForm | A value set for pharmaceutical dose forms. |
| PrescriptionDoseQuantityUnit | Units of measure and/or products that convey the amount of drug to be given to a patient in one dose from the PrescribeIT value set. |
| PrescriptionDrugForm | A value set for prescription drug forms. |
| PrescriptionMedicinalProduct | A value set for prescription medicinal products available in Canada. |
| PrescriptionRouteofAdministration | A value set for routes of prescription medication administration. |
| ProcedureCode | This subset is contains a list of procedure codes for the pan-Canadian context. |
| RacializedGroupCode | A value set for racialized group codes used in healthcare settings. |
| recordedGenderCode | The scope of this subset is to represent genders as used in healthcare data systems, including commonly used gender identities for administrative and clinical purposes. |
| recordedGenderType | The scope of this subset is to represent sex and gender types as used in healthcare data systems, including commonly used gender identities for administrative and clinical purposes. |
| RouteofAdministration | A value set for routes of medication administration. |
| SeverityCode | A value set for severity codes used in clinical conditions and findings. |
| SexAssignedAtBirthCode | 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, physiologic and/or genetic characteristics. |
| SexualOrientationCode | A value set for sexual orientation codes used in healthcare settings. |
| SocialHistory | A code that classifies the general type of observation being made, specifically for social history data elements related to social determinants of health. |
| SubstanceCode | A value set for substances that may cause allergies or adverse reactions. |
| TaskBusinessStatus | A value set for vaccine-preventable diseases. |
| TherapeuticMoietyTM | A value set for therapeutic moiety codes used in medication prescribing. |
| VaccineAdministeredTradeNameCode | A value set for vaccine trade names used in Canada. |
| VaccineHistoricalNameCode | A value set for historical vaccine names, used when brand name is not known or does not exist. |
| VaccinePreventableDiseaseCode | A value set for vaccine-preventable diseases. |