Business Context Index > Business Data
DHDR Conceptual Data Model
This model is linked to Ontario’s Electronic Health Record (EHR) Conceptual Information Model 2.0 (CIM 2.0). See: https://ehealthontario.on.ca/files/public/support/Architecture/Ontario_EHR_CIM_2.0.pdf
To support the use of structured data through the adoption of data content and health terminology standards in the solution, this CDM also includes high-level entity relationships and attributes discovered in versions of the FHIR R4.0.1 interoperability standard. The model does not repeat the structure of the messages laid out in FHIR. Links to FHIR specs are included for entity definitions and field code values. In any difference of meaning between cited FHIR elements and this model, FHIR is the authoritative voice. This model relies on the following specifications:
- FHIR R4.0.1 - The current official version of FHIR as of the time this implementation guide was published
Conceptual Data Model ERDs and Metadata
Entity Relationship Diagrams (ERDs) follow. These include:
- a conceptual high-level ERD for solution data structures, including metadata for each entity
- an ERD for the Client & Provider subject area (including metadata for each entity) which is not called out as a FHIR Profile but is included because all other entities in the model are dependent on it,
- two subject area ERDs, each Subject Area corresponds to a Profile and metadata is included for each attribute
DHDR Conceptual Data Model
The Conceptual Data Model that follows describes the concepts that are available via DHDR, but are general descriptions of the concept within the context of the broader health care system and an Electronic Health Record (EHR). The definitions of the entities are taken specifically from the EHR Conceptual Information Model and are meant to cover the broad spectrum of the data across the EHR. The information that is available via the DHDR interface may only contain a subset of the concepts described in the definition of the Entity. For information related to the specific concepts and data subsets available via the DHDR API, please visit Information Available to Health Care Providers through the Digital Health Drug Repository - Forms- Central Forms Repository (CFR) (beta) (gov.on.ca) .
| Entity Name | Description | FHIR Resource Name |
|---|---|---|
| Healthcare Client | An individual participating in the health care system for the purpose of receiving therapeutic, diagnostic, or preventive procedures. (U.S. National Library of Medicine - Medical Subject Headings) A natural person (i.e. a human being) who:
This entity covers personal identifying information but not health information. It includes information about:
The health care client's identity may be unknown e.g. for a protected person or if the identity of the health care client is unknown. A health care client may be a VIP whose identity must be omitted from reporting. A health care client may be identified by an alias. Health care client-identifying information could include a photograph. May be related genetically or by physical co-location (e.g. residential, occupational, travel, etc.) to another person not necessarily a health care client. Depending on care setting, a health care client may be referred to as:
|
Patient |
| Health Care Provider | A person or an organization that provides health care or other health-related services or products. It includes information about contact method:
|
N/A |
| Provider Organization | An organization that provides health care or other health-related services or products. Includes e.g. insurers and transcription services. May have information on service classification e.g. Regional Cancer Centre. (For Single Sign on application, a Provider Organization may be a Sponsoring Organization, a Health Care organization that has users that require access to at least one Federated Service. 2015-6-15) |
Organization |
| Provider Person | Describes a health care provider involved in the delivery of healthcare services. Encompasses both professional and non-professional members. Has professions, areas of practice for which the provider is qualified. May have information on clinician credentialing and privileging as defined by the applicable professional and governing organizations. This includes remote participation (e.g., via tele-health activities such as tele-consultation, home health monitoring.) Includes any information about licensing status and license suspension. May be an author, authenticator or scribe/transcriber of clinical documentation. Has a Unique Provider Identifier, a key assigned by eHealth to uniquely identify each Provider. May have a health system universal ID. May have a license number or national provider identifier (U.S.). May have multiple unique identifiers. |
Practitioner |
| Provider Role | A part played by a health care provider (regulated or unregulated) that provides a type of care to a particular health care client. Examples: Acupuncturist Advanced Care Paramedic Audiologist Certified Graduate Nurse Chiropractic Clinical Counsellor Combined Lab and X-Ray Technologist Communicable Disease Case Investigator Counsellor Critical Care Paramedic Dental Assistant Dental Hygienist Dental Technician Dentist Denturist Emergency Medical Responder Homeopath Home Support Worker Kinesiologist Lab Technician Licensed Practical Nurse Marriage and Family Therapist Medical Doctor Medical Laboratory Technologist Medical Officer of Health Midwife Nuclear Medicine Technologist Occupational Therapist Optician Optometrist Paramedic Practitioner Pharmacist Pharmacy Technician Physiotherapist Personal Support Worker Podiatrist Primary Care Paramedic Psychiatrist Psychologist Psychotherapist Radiation Technologist in Magnetic Resonance Radiation Technologist in Radiation Radiation Technologist in Therapy Recreation Therapist Registered Acupuncturist Registered Clinical Social Worker Registered Dietitian Registered Massage Therapist Registered Midwife Registered Nurse Registered Nurse Practitioner Registered Psychiatric Nurse Respiratory Therapist Social Services Worker Social Worker Speech Language Pathologist Speech Therapist Veterinarian |
Practitioner Role |
| Health Care Provider Product Location aka. Location (Service Delivery) | An address or other identifiable locale at which health products have been provided to an individual health care client in a Health Care Encounter, often by a particular provider playing a particular role. It may also be:
Locations and contact information may refer to the location of the provider within a health care facility's premises e.g. a hospital unit. Products and services can be provided by non-licensed providers e.g. care-givers. |
Location |
| Drugs | Any substance or mixture of substances used in the diagnosis, treatment, mitigation or prevention of a disease, disorder or abnormal physical state, or its symptoms, or when used for non-medical purposes, solely for its effects on the central nervous system. Includes prescription drugs, herbal medicine, vitamins, minerals, Chinese medicine, and other over the counter medicines. Also there are extemporaneous mixtures which are combinations of drugs. May have the following attributes:
|
Medication |
| Medication Order (Requisition) | A request for a Health Product, fulfilled by providers. A requisition may come with instructions, which may come from the provider, a pharmacist, or a manufacturer. May have:
|
MedicationDispense / MedicationRequest/MedicationAdministration |
Client and Provider Subject Area
Metadata for the attributes in this subject area are available at the following location(s):
- Healthcare Client (Patient)
- Provider Person (Practitioner)
- Provider Organization
- Service Location
- ProviderRole
See below for related Subject Area details
Medication Order Subject Area
Metadata for the attributes in this subject area are available at the following location(s):