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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 |