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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 |
|---|---|---|---|
| AllergyIntolerance - AllergyIntolerance.code | Candidate | AbsentOrUnknownAllergiesUvIps (HL7 FHIR) | Codes for “known absent” and “not known” allergies. |
| AllergyIntolerance - AllergyIntolerance.category | Required | AllergyIntoleranceCategory (HL7 FHIR) | Category of an identified substance associated with allergies or intolerances. |
| AllergyIntolerance - AllergyIntolerance.severity | Required | AllergyIntoleranceSeverity (HL7 FHIR) | Clinical assessment of the severity of a reaction event as a whole, potentially considering multiple different manifestations. |
| AllergyIntolerance - AllergyIntolerance.reaction.manifestation | Preferred | ClinicalFindingCode** (SNOMED CT CA) |
This subset contains concepts that represent diagnoses, the results of a clinical observation, assessment of judgment, and includes normal and abnormal clinical states. |
| AllergyIntolerance - AllergyIntolerance.code | Candidate | LicensedNaturalHealthProducts (HC-NPN) | 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. |
| AllergyIntolerance - AllergyIntolerance.code | Preferred | PharmaceuticalBiologicProductAndSubstanceCode ** (SNOMED CT CA) |
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. |
| AllergyIntolerance - AllergyIntolerance.code | Candidate | PrescriptionMedicinalProduct** (CCDD) |
Medicinal products for prescribing. The content of this ValueSet only contains commonly used medicinal products that are available for prescribing and dispensing in Canada. |
| Binary - Binary.language | Required | CommonLanguages (HL7 FHIR) | This value set includes common codes from BCP-47 (see http://tools.ietf.org/html/bcp47). |
| Binary - Binary.contentType | Required | MimeTypeEHR (IETF) | Attachment mime type. |
| Composition - Composition.status | Required | CompositionStatus (HL7 FHIR) | The workflow/clinical status of the Document or Section |
| Composition - Composition.category | Candidate | DocumentKOD* (LOINC + OntarioHealth) |
Document Ontology Parts that define the Kind of Document category for the document |
| Composition - Composition.relatesTo.code | Required | DocumentRelationshipType (HL7 FHIR) | The type of relationship between documents. |
| Composition - Composition.category | Candidate | DocumentRole* (LOINC + OntarioHealth) |
Document Ontology Parts that define the Role category for the document. |
| Composition - Composition.category | Candidate | DocumentSetting* (LOINC + OntarioHealth) |
Document Ontology Parts that define the Setting category for the document. |
| Composition - Composition.category | Candidate | DocumentSMD* (LOINC + OntarioHealth) |
Document Ontology Parts that define the Subject Matter Domain category for the document. |
| Composition - Composition.category | Candidate | DocumentTOS* (LOINC + OntarioHealth) |
Document Ontology Parts that define the Type of Service Ccategory for the document. |
| Composition - Composition.type | Preferred | FHIRDocumentTypeCodes (HL7 FHIR) | Contains all the FHIR Document Codes. |
| Composition - Composition.type | Candidate | LocalDocmentType** (OntarioHealth) |
Local Codes submitted by adopters identifying the type of document. |
| Composition - Composition.type | Candidate | ProvincialDocumentType** (OntarioHealth) |
Provincial codes that identify document type. |
| Condition - Condition.code | Candidate | AbsentOrUnknownProblemsUvIps (HL7 FHIR) | International Patient Summary (IPS) codes for “known absent” and “not known” data. |
| Condition - Condition.code | Preferred | ClinicalFindingCode** (SNOMED CT CA) |
This subset contains concepts that represent diagnoses, the results of a clinical observation, assessment of judgment, and includes normal and abnormal clinical states. |
| Condition - Condition.clinicalStatus | Required | ConditionClinicalStatusCodes (HL7 FHIR) | Codes for “known absent” and “not known” allergies. |
| Condition - Condition.code | Candidate | ICD10CAAllCode* (CIHI) |
ICD 10 Codes that indicate reasons for an encounter. |
| Condition - Condition.code | Candidate | ICD9CMAllCode* (CIHI) |
ICD 9 clinical modification codes that indicate reasons for an encounter. |
| DocumentReference - DocumentReferemce.docStatus | Required | CompositionStatus (HL7 FHIR) | The workflow/clinical status of the Document or Section. |
| DocumentReference - DocumentReference.category | Candidate | DocumentKOD** (LOINC + OntarioHealth) |
Document Ontology Parts that define the Kind of Document category for the document. |
| DocumentReference - DocumentReference.category | Candidate | DocumentRole** (LOINC + OntarioHealth) |
Document Ontology Parts that define the Role category for the document. |
| DocumentReference - DocumentReference.category | Candidate | DocumentSetting** (LOINC + OntarioHealth) |
Document Ontology Parts that define the Setting category for the document. |
| DocumentReference - DocumentReference.category | Candidate | DocumentSMD** (LOINC + OntarioHealth) |
Document Ontology Parts that define the Subject Matter Domain category for the document. |
| DocumentReference - DocumentReference.category | Candidate | DocumentTOS** (LOINC + OntarioHealth) |
Document Ontology Parts that define the Type of Service Ccategory for the document. |
| DocumentReference - DocumentReferemce.type | Preferred | DocumentTypeValueSet (HL7 FHIR) | This is the code specifying the precise type of document (e.g. Pulmonary History and Physical, Discharge Summary, Ultrasound Report, etc.). The Document Type value set includes all LOINC values listed in HITSP C80 Table 2-144 Document Class Value Set Definition above used for Document Class, and all LOINC values whose SCALE is DOC in the LOINC database. |
| DocumentReference - DocumentReference.content.attachment.contentType | Required | MimeTypeEHR (IETF) | Attachment mime type. |
| Encounter - Encounter.location.status | Required | EncounterLocationStatus (HL7 FHIR) | The status of the location. |
| Encounter - Encounter.type | Required | LocalEncounterType* (OntarioHealth) |
Local Codes submitted by adopters identifying the circumstances under which the patient was or will be admitted. |
| 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. |
| Encounter - Encounter.diagnosis.role | 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. |
| Encounter - Encounter.class | Extensible | EncounterClassEHR* (HL7 v3 + HL7 v2 + OntarioHealth) |
This value set defines a set of codes that can be used to indicate the class of encounter for Ontario Health interfaces, contributed in PV1-2 in HL7 v2 and Encounter.class data element in FHIR. |
| Encounter - Encounter.participant.type | Required | EncounterParticipantTypeEHR (HL7 v3) | Role of participant in the encounter. |
| Encounter - Encounter.priority | Required | EncounterPriority (CTAS) | The Canadian Triage and Acuity Scale (CTAS) is a scale used to determine the triage level. Triage level categorizes the patient according to the type and severity of the patient’s initial presenting signs and symptoms. This value set is used in element encounter.priority in FHIR and is contributed in PV2-40 in HL7 v2. |
| Encounter - Encounter.reasonCode | Required | EncounterReasonCodes (SNOMED CT CA) | The value set defines the set of codes that can be used to indicate reasons for an encounter. |
| Encounter - Encounter.status | Required | EncounterStatus (HL7 FHIR) | Status of the encounter. |
| Encounter - Encounter.serviceType | Extensible | HospitalService* (CIHI) |
This field indicates description of the Hospital Service. |
| Encounter - Encounter.identifier.type | Extensible | IdentifierTypeEHR* (HL7 v3 + HL7 v2 + OntarioHealth) |
A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. |
| Encounter - Encounter.location(All Slices).physicalType.coding.code | Required | LocationPhysicalType* (OntarioHealth) |
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. |
| Location - Location.address.type | Required | AddressType (HL7 FHIR) | The type of an address (physical / postal or both). |
| Location - Location.address.country | Required | CountryCodeEHR* (OntarioHealth) |
3-character ISO country codes supported by Ontario Health interfaces for use in addresses. |
| Location - Location.address.state | Required | ProvinceStateCodeEHR* (OntarioHealth) |
Codes for provinces, states and territories supported by Ontario Health interfaces. |
| 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. |
| Organization - Organization.address.type | Required | AddressType (HL7 FHIR) | The type of an address (physical / postal or both). |
| Organization - Organization.address.use | Required | AddressUse (HL7 FHIR) | The use of an address. |
| Organization - Organization.telecom.system | Required | ContactPointSystem (HL7 FHIR) | Telecommunications form for contact point. |
| Organization - Organization.telecom.use | Required | ContactPointUse (HL7 FHIR) | Use of contact point. |
| Organization - Organization.address.country | Required | CountryCodeEHR* (OntarioHealth) |
3-character ISO country codes supported by Ontario Health interfaces for use in addresses. |
| Organization - Organization.address.state | Required | ProvinceStateCodeEHR* (OntarioHealth) |
Codes for provinces, states and territories supported by Ontario Health interfaces. |
| Patient - Patient.address.state | Required | ProvinceStateCodeEHR* (OntarioHealth) |
Codes for provinces, states and territories supported by Ontario Health interfaces. |
| Patient - Patient.identifier.type | Extensible | IdentifierTypeEHR* (HL7 v3 + HL7 v2 + OntarioHealth) |
A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. |
| Patient - Patient.communication.language | Extensible | LanguageEHR* (OntarioHealth) |
Languages understood or supported by Ontario Health clients and organizations. |
| Patient - Patient.contact.name.use | Required | NameUse (HL7 FHIR) | The use of a human name. |
| Patient - Patient.address.use | Required | AddressUse (HL7 FHIR) | The use of an address. |
| Patient - Patient.address.type | Required | AddressType (HL7 FHIR) | The type of an address (physical / postal or both). |
| Patient - Patient.gender | Required | AdministrativeGender (HL7 FHIR) | The gender of a person used for administrative purposes. |
| Patient - Patient.telecom.system | Required | ContactPointSystem (HL7 FHIR) | Telecommunications form for contact point. |
| Patient - Patient.telecom.use | Required | ContactPointUse (HL7 FHIR) | Use of contact point. |