Business Data

Visit Data

Note: This is a draft of conceptual data elements. we will develop and update this page as we continue the work

The table below describes the business data covered in this implementation guide.

Encounter Data Element	Description	Note
Identifier	Unique visit identifier generated by the sending system
Status	Current state of the encounter	If different from FHIR value set, sending system must map to one of the FHIR values.
Class	Classification of the encounter	Supports hospital, community, and virtual visits
Type	Specific type of encounter (e.g. e-mail consultation, surgical day-care, skilled nursing, rehabilitation)	Modalities for virtual visits or AAC admit categories for hospital visits
Service Type	Defines the clinical, medical, surgical or other healthcare-related service specialty of a practitioner who interacts, treats or provides such services to or for a patient
Participant	Practitioners involved in the visit, such as attending, admitting practitioners
Patient	Patient involved in the visit
Visit Reason	Reason the encounter takes place, expressed as a code. For admissions, this can be used for a coded admission diagnosis	Can refer to a specific Condition, a code, or free text
Diagnosis	The list of diagnosis relevant to this encounter
Service Provider	The organization where the visit happened

Clinical Documents

The table below describes the business data of clinical documents covered in this implementation guide. This table is a draft and we will develop it further in the final version of the implementation guide.

Clinical Document Data Element	Description
Document Identifier	Unique identifier for the document generated by the source system
Document Status	Status of the document (preliminary, final, corrected)
Type	Document type defined by the source system. We also have provincial document type under LOINC system.
Date	Date the document is created in the source system
Author	Author of the document
Custodian	The legal HIC organization responsible for the data in the document
Copied-to Providers	Providers who should receive a copy of the document