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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.

TitleDescriptionStatusCanonical
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.

drafthttp://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.

drafthttp://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.

drafthttp://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.

drafthttp://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.

drafthttp://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.

drafthttp://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.

drafthttp://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.

drafthttp://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.

drafthttp://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.

drafthttp://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.

drafthttp://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.

drafthttp://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.

drafthttp://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.

drafthttp://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.

drafthttp://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.

drafthttp://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.

drafthttp://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.

drafthttp://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.

drafthttp://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.

drafthttp://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.

drafthttp://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.

drafthttp://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.

drafthttp://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.

drafthttp://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.

drafthttp://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.

drafthttp://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.

drafthttp://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.

drafthttp://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.

drafthttp://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.

drafthttp://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.

drafthttp://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.

drafthttp://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.

drafthttp://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.

TitleDescriptionStatusCanonical
PatientPresentLocation

Extension used to communicate the present location of the patient if it is different than the patient's home address.

drafthttp://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

drafthttp://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.

drafthttp://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.

drafthttp://fhir.infoway-inforoute.ca/cacore/StructureDefinition/dart-ext
Element Validity Period

the period for which this element is valid.

drafthttp://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.

drafthttp://fhir.infoway-inforoute.ca/cacore/StructureDefinition/ext-communicationbarrier
Extension: Identifier Version

A version string indicating the currency/validity of an identifier

drafthttp://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.

drafthttp://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.

drafthttp://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.

drafthttp://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.

drafthttp://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.

drafthttp://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).

drafthttp://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

drafthttp://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.

drafthttp://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.

drafthttp://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.

drafthttp://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.

drafthttp://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.

drafthttp://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.

drafthttp://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.

TitleDescriptionStatusCanonical
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.

drafthttp://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.

drafthttp://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.

drafthttp://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.

TitleDescriptionStatusCanonical
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.

drafthttp://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.

drafthttp://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.

TitleDescriptionStatusCanonical
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.

drafthttps://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.

drafthttps://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.

drafthttp://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.

drafthttp://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.

drafthttp://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.

drafthttp://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.

drafthttps://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.

drafthttps://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.

drafthttp://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.

drafthttp://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.

drafthttp://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.

drafthttps://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

drafthttps://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.

drafthttps://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.

drafthttps://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.

drafthttp://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.

drafthttps://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.

drafthttps://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.

drafthttps://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.

drafthttps://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.

drafthttps://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.

drafthttps://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.

drafthttps://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.

drafthttps://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.

drafthttps://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.

drafthttps://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.

drafthttps://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.

drafthttps://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.

drafthttps://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.

drafthttps://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.

drafthttps://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.

drafthttps://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.

drafthttps://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.

drafthttps://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.

drafthttps://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.

drafthttp://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.

drafthttps://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

drafthttps://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

drafthttps://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.

drafthttps://fhir.infoway-inforoute.ca/ValueSet/vaccinepreventablediseasecode

Contribute Feedback

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.

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