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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.

Usage Guidance

Several ValueSets are not available at their canonical URL or on the terminology servers used in implementation guide publication (i.e., tx.fhir.org). Primarily, this impacts validation against Canada Health Infoway-hosted ValueSets during the development of derived Implementation Guides. This does not affect deployed systems as these instances will be validated against loaded terminology. For several of these ValueSets, "stub" resources have been created to stand-in for the unresolvable ValueSets. These stub ValueSets include pointers to the locations where the full value sets can be downloaded. Current guidance is to manually download the value sets from the Terminology Gateway. When terminology is not readily available as FHIR® Release 4 ValueSets or CodeSystems, implementers should work with terminology producers to identify options.

*Please note that these are Code Systems and/or Value sets created by Ontario Health

**Use of terminology subsets hosted on Canada Health Infoway Terminology Gateway is required in order to comply with this interoperability specification.

Value Sets defined by this implementation guide:

Value Set Description Profile Binding Strength
ActEncounterCode Concepts representing classification of patient encounter such as ambulatory (outpatient), inpatient, emergency, home health or others due to local variations. Encounter:Encounter.Class.code Extensible
AddressUse Indicates type of address for the client. Patient:Patient.Address.use Required
AppointmentRescheduleReason* Codes representing the reason for reschedule of the client's first scheduled appointment. Appointment:Appointment.cancelationReason Extensible
AppointmentStatus* The overall status of the Appointment. Each of the participants has their own participation status which indicates their involvement in the process, however this status indicates the shared status. Appointment:Appointment.Status Required
BornInCanadaResponse* A set of response options representing if a client was born in Canada. Observation:extension.bornInCanada.valueCode Required
CanadianJurisdiction** Codes to identify the provinces and territories of Canada Patient: Patient.address.state Required
CitizenshipStatus* The citizenship status of the client. Observation:Observation.value.coding.code Required
ClientIdentifierTypeCode* A coded type for the identifier that can be used to determine which identifier to use for a specific purpose. Patient:Patient.identifier.JHN.type.coding.code Required
EmploymentStatus* The client's primary relation to the labour force. If the client has more than one source of employment, the employment status which client receives the highest income amount is to be considered the primary source. Observation:Observation.value.coding.code Required
EncounterTypeCode** A description of the type of contact between the Provider and the Client for a registered Encounter or visit. Encounter:Encounter.type Extensible
EncounterStatus Current state of the encounter. Encounter:Encounter.status Required
EpisodeOfCareStatus The status of the episode of care. EpisodeOfCare:EpisodeOfCare.Status Required
Ethnicity** The ethno-cultural origin(s) which best represents the client. Patient:Patient.extension.value.valueCoding.code Extensible
FunctionalCentreCode* The functional center code associated with the program/services supports provided to the client. HealthCareService:Extension.Value.Coding.Code Required
GenderIdentity* The socially prescribed roles, attributes and behaviors which best describe client's gender. Observation:Observation.value.coding.code Required
HighestLevelOfEducationAttained* The highest level of education attained by the client. Observation:Observation.value.coding.code Required
HousingStatus* The type of residential setting and arrangement where the client normally lives. Observation:Observation.value.coding.code Required
Language* Languages understood or supported by Ontario clients and organizations. Patient:Patient.communication.language Extensible
LanguageUse* The purpose of this language Patient:Patient.communication.language Required
LegalStatus* The client's involvement with the criminal justice or the youth justice systems. Observation:Observation.value.coding.code Required
MaritalStatus The client's relationship and or marital status. Patient:Patient.maritalStatus Extensible
PersonalIncomeSource* The client's main or primary source of income. If the client has more than one source of income, the source from which client receives the highest income amount is to be considered the primary source. Observation:Observation.value.coding.code Required
PreExistingConditions* This information is collected from a variety of sources, including self-report, and should not be used for diagnosis without being confirmed by a qualified diagnosing practitioner. Condition:Condition.code.coding Required
PreferredOfficialLanguage* Official languages of Canada. Patient:Patient.communication.language Required
ReferralType* Indicates the type of referral (e.g., initial (external) or internal). ServiceRequest:ServiceRequest.Extension:ReferralType Required
ReferralSourceType* The type of agency, organization or individual that referred the client for treatment to the agency providing the services. ServiceRequest:ServiceRequest.Extension:referralSourceType.value Required
ReligionAndSpiritualAffiliation* The client's self-identification or affiliation with any religious denomination, group, or other religiously defined community or system of belief and/or spiritual faith practices. Patient:Patient.extension:clientReligion.value.coding.code Extensible
RequestStatus Codes identifying the lifecycle stage of a request. ServiceRequest:ServiceRequest.status Required
RequestIntent Codes indicating the degree of authority/intentionality associated with a request. ServiceRequest:ServiceRequest.intent Required
SexualOrientation* The sexual orientation that best represents the client. Observation:Observation.value.coding.code Required
SDOHObservationCode* Codes representing the Social Determinant of Health being observed. Observation-CitizenshipStatus:Code
Observation-EmploymentStatus:Code
Observation-LegalStatus:Code
Observation-LevelOfEducation:Code
Observation-NumberOfPeopleIncomeSupports:Code
Observation-PersonalIncomeSource:Code
Observation-ResidenceType:Code
Observation-SexualOrientation:Code
Observation-TotalHouseholdIncome:Code
Required
ServiceTerminationReason* The reason the client is terminated from the service. The termination could occur at different stages of service provision (first contact, intake, screening and waitlist, service delivery or service completion). EpisodeOfCare:EpisodeOfCare.extension:ServiceTerminationReason.value.coding.code Required
TotalHouseholdIncome* The combined annual income (before tax) of client's household from all sources, including wages, commissions, bonuses, social assistance and retirement income. Observation:Observation.value.coding.code Required