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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.
* Please note that these value sets are created by Ontario Health
** Please note that use of terminology subsets hosted on Canada Health Infoway Terminology Gateway is required in order to comply with this interoperability specification. Access to and use of SNOMED CT and other subsets on Canada Health Infoway Terminology Gateway requires an Infoway account with acceptance of the SNOMED CT license agreements
Value Sets referenced by this implementation guide:
| Profile-Element | Binding Strength | Value Set (Code System) | Description |
|---|---|---|---|
| Patient - Patient.address.type | Required | AddressType* (HL7 FHIR) |
Distinguishes between physical addresses (those you can visit) and mailing addresses (e.g. PO Boxes and care-of addresses). |
| Practitioner - Practitioner.address.type | Required | AddressType* (HL7 FHIR) |
Distinguishes between physical addresses (those you can visit) and mailing addresses (e.g. PO Boxes and care-of addresses). |
| Patient - Patient.address.use | Required | AddressUse* (HL7 FHIR) |
The use of an address |
| Practitioner - Practitioner.address.use | Required | AddressUse* (HL7 FHIR) |
The use of an address |
| Patient - Patient.gender | Required | AdministrativeGender (HL7 FHIR) | The gender of a person used for administrative purposes |
| Encounter - Encounter.hospitalization.admitSource | Required | AdmitSource* (CIHI) |
This field indicates the last point of entry prior to being admitted as an inpatient to the reporting facility |
| Patient - Patient.communication.language | Required | AllLanguages (urn:ietf:bcp:47) | A human language |
| Encounter - Encounter.location(slice-location-bed).physicalType.coding(slice-bed-type).code | Required | BedType * (CIHI) |
Type of bed |
| Encounter - Encounter.priority | Required | CanadianTriageAcuityScale * (CTAS) |
Codes supported by eHealth Ontario for encounter priority - uses CTAS coding system |
| Composition - Composition.status | Required | CompositionStatus (HL7 FHIR) | The workflow/clinical status of the Document or Section |
| DocumentReference - DocumentReferemce.docStatus | Required | CompositionStatus (HL7 FHIR) | The workflow/clinical status of the Document or Section |
| Practitioner - Practitioner.telecom.system | Required | ContactPointSystem (HL7 FHIR) | Telecommunications form for contact point. |
| Patient - Patient.telecom.system | Required | ContactPointSystem (HL7 FHIR) | Telecommunications form for contact point. |
| Practitioner - Practitioner.telecom.use | Required | ContactPointUse (HL7 FHIR) | Use of contact point |
| Patient - Patient.telecom.use | Required | ContactPointUse (HL7 FHIR) | Use of contact point |
| Patient - Patient.address.country | Extensible | CountryCode* (urn:iso:std:iso:3166-3) |
3-character ISO country codes supported by Ontario Health interfaces for use in addresses. |
| Encounter - Encounter.diagnosis.use | Preferred | DiagnosisRole (HL7 FHIR) | Code used to express the role of a diagnosis on the Encounter record |
| Encounter - Encounter.hospitalization.dischargeDisposition | Required | DischargeDisposition * (CIHI) |
This field contains the disposition of the patient at time of discharge |
| Composition - Composition.category(sliceCategory-kind-of-document) | Extensible | DocumentKOD* (LOINC + OntarioHealth) |
Document Ontology Parts that define the Kind of Document category for the document |
| Composition - Composition.category(sliceCategory-subject-mater-domain) | Extensible | DocumentSMD* (LOINC + OntarioHealth) |
Document Ontology Parts that define the Subject Matter Domain category for the document |
| Composition - Composition.category(sliceCategory-type-of-service) | Extensible | DocumentTOS* (LOINC + OntarioHealth) |
Document Ontology Parts that define the Type of Service Ccategory for the document |
| Composition - Composition.category(sliceCategory-role) | Extensible | DocumentRole* (LOINC + OntarioHealth) |
Document Ontology Parts that define the Role category for the document |
| Composition - Composition.category(sliceCategory-setting) | Extensible | DocumentSetting* (LOINC + OntarioHealth) |
Document Ontology Parts that define the Setting category for the document |
| DocumentReference - DocumentReference.category(sliceCategory-kind-of-document) | Extensible | DocumentKOD* (LOINC + OntarioHealth) |
Document Ontology Parts that define the Kind of Document category for the document |
| DocumentReference - DocumentReference.category(sliceCategory-subject-mater-domain) | Extensible | DocumentSMD* (LOINC + OntarioHealth) |
Document Ontology Parts that define the Subject Matter Domain category for the document |
| DocumentReference - DocumentReference.category(sliceCategory-type-of-service) | Extensible | DocumentTOS* (LOINC + OntarioHealth) |
Document Ontology Parts that define the Type of Service Ccategory for the document |
| DocumentReference - DocumentReference.category(sliceCategory-role) | Extensible | DocumentRole* (LOINC + OntarioHealth) |
Document Ontology Parts that define the Role category for the document |
| DocumentReference - DocumentReference.category(sliceCategory-setting) | Extensible | DocumentSetting* (LOINC + OntarioHealth) |
Document Ontology Parts that define the Setting category for the document |
| Composition - Composition.relatesTo.code | Required | DocumentRelationshipType (HL7 FHIR) | The type of relationship between documents. |
| Encounter - Encounter.class | Required | EncounterClass * (HL7 v3 + HL7 v2 + OntarioHealth) |
Characterisation of the setting in which the encounter takes place |
| Encounter - Encounter.participant.type | Required | EncounterParticipantType * (HL7 v3) |
Role of participant in the encounter |
| Encounter - Encounter.status | Required | EncounterStatus (HL7 FHIR) | Status of the encounter |
| Encounter - Encounter.type (slice-virtual-visit-modality) | Required | EncounterType ** (SNOMED CT CA) |
A description of the type of contact between the Provider and the Client for a registered Encounter or visit. |
| Encounter - Encounter.diagnosis.condition.code (slice-snomed-ct-code) | Required | EncounterReasonCodes-SCT (SNOMED CT CA) | SCT Codes that indicate diagnoses or reasons for an encounter |
| PractitionerRole - PractitionerRole.code | Required | HealthcareProviderRoleType ** (SCPTYPE) |
Represents the role of the Provider in relation to his/her participation in a specific health care event. |
| Encounter - Encounter.serviceType | Required | HospitalService* (CIHI) |
This field indicates description of the Hospital Service |
| OperationOutcome - OperationOutcome.issue.severity | Required | IssueSeverity (HL7 FHIR) | How the issue affects the success of the action - Indicates whether the issue indicates a variation from successful processing. |
| OperationOutcome - OperationOutcome.issue.code | Required | IssueType (HL7 FHIR) | Describes the type of the issue. |
| Encounter - Encounter.diagnosis.condition.code (slice-icd-10-ca-code) | Required | ICD-10-CA** (ICD-10-CA) |
ICD 10 Codes that indicate reasons for an encounter |
| DocumentReference - DocumentReference.type (slice-local-document-type) | Extensible | LocalDocmentType* (OntarioHealth) |
Local Codes submitted by adopters identifying the type of document |
| Composition - Composition.type (slice-local-document-type) | Extensible | LocalDocmentType* (OntarioHealth) |
Local Codes submitted by adopters identifying the type of document |
| Encounter - Encounter.type (slice-local-Encounter-Type) | Required | LocalEncounterType* (OntarioHealth) |
Local Codes submitted by adopters identifying the circumstances under which the patient was or will be admitted |
| Encounter - Encounter.location(All Slices).physicalType.coding.code | Required | LocationPhysicalType* (HL7 FHIR) |
This value set specifies the aspect of the patient location data being contributed in PV1-3 (Assigned Patient Location) in HL7 v2 and is used in FHIR element Encounter.location.physicalType |
| DocumentReference - DocumentReference.category.extension.ext-loinc-ontology-axis | Required | LOINCOntologyPartTypes* (LOINC) |
Indicates the Clinical document Ontology Part Type from the LOINC Document Ontology. |
| Composition - Composition.category.extension.ext-loinc-ontology-axis | Required | LOINCOntologyPartTypes* (LOINC) |
Indicates the Clinical document Ontology Part Type from the LOINC Document Ontology. |
| DocumentReference - DocumentReference.content.attachment.contentType | Required | MimeType* (urn:ietf:bcp:13) |
Attachment mime type. |
| Composition - Composition. composition.section.entry.binary.contentType | Required | MimeType* (urn:ietf:bcp:13) |
Attachment mime type. |
| Binary - Binary.contentType | Required | MimeType* (urn:ietf:bcp:13) |
Attachment mime type. |
| Patient - Patient.name.use | Required | NameUse (HL7 FHIR) | The use of a human name. |
| Patient - Patient.identifier.type | Required | PatientIdentifierType* (HL7 v2) |
Patient Identifier Type. |
| Patient - Patient.contact.relationship.code | Required | PatientContactRelationship* (HL7 v2 + HL7 v3) |
Relationship of the Contact to the Patient. |
| Patient - Patient.address.state | Extensible | ProvinceStateCode* (Canada Post - ISO) |
Codes for provinces, states and territories supported by Ontario Health interfaces. |
| Composition - Composition.type (slice-provincial-document-type) | Extensible | ProvincialDocumentType* (OntarioHealth) |
Provincial codes that identify document type |
| DocumentReference - DocumentReference.type (slice-provincial-document-type) | Extensible | ProvincialDocumentType* (OntarioHealth) |
Provincial codes that identify document type |