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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
Addiction-SubstanceUse*	A set of values that indicates the behavioural addictions and/or problematic substance use.	QuestionnaireResponse:QuestionnaireResponse.	Required
AlcoholAnti-CravingMedication*	The value set identifies the alcohol anti-craving medication.	QuestionnaireResponse:QuestionnaireResponse.	Required
AlcoholAnti-CravingMedicationEnrollment*	The value set identifies if client is enrolled in a alcohol anti-craving medication program.	QuestionnaireResponse:QuestionnaireResponse.	Required
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
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
ConfirmedDiagnosis*	The value set identifies the confirmed diagnosis.	QuestionnaireResponse:QuestionnaireResponse.	Required
DisabilityStatus*	A code that represents the type of clients disability	Patient : Patient.extension(Disability)	Required
DisabilityType*	A code that represents the type of clients disability	Patient : Patient.extension(Disability)	Required
DischargeReason*	The value set identifies the reason for discharge.	Encounter:Encounter.hospitalization.dischargeDisposition	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
FunctionalCentreCode*	The functional center code associated with the program/services supports provided to the client.	HealthCareService:Extension.Value.Coding.Code	Required
GambelingHelpSeekingReason*	The value set identifies the reason for the person seeking treatment from an agency.	QuestionnaireResponse:QuestionnaireResponse.	Required
GamblingActivitiesInLastYear*	The value set identifies gambling activities in last 12 month.	QuestionnaireResponse:QuestionnaireResponse.	Required
GamblingFormNon-ComlpetionReason*	A set of values that indicates the reason why the gambling data form was not completed for a client receiving treatment for problem gambling.	QuestionnaireResponse:QuestionnaireResponse.	Required
GamblingFrequency*	The value set identifies the frequency of gambling activity or behavior.	QuestionnaireResponse:QuestionnaireResponse.	Required
GamblingLocation*	The value set identifies locations where gambling activity occurs.	QuestionnaireResponse:QuestionnaireResponse.	Required
GamblingProblemIdentified*	The value set identifies that the client has self-identified a problem with her/his gambling behavior .	QuestionnaireResponse:QuestionnaireResponse.	Required
GamblingTreatmentPlanStatus*	The value set identifies the status for gambling treatment plan.	QuestionnaireResponse:QuestionnaireResponse.	Required
GenderIdentity*	The socially prescribed roles, attributes and behaviors which best describe client's gender.	Observation:Observation.value.coding.code	Required
HelpSeekingReason*	The value set identifies the reason for the person seeking treatment from an agency.	QuestionnaireResponse:QuestionnaireResponse.	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
IncomeSupportingCode*	The value set indicates the income supporting code.	Observation: Observation-TotalHouseholdIncome	Required
IndigenousIdentity*	A code that represents the indigenous identity of the person.	Patient:Patient.	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
OpioidAgonistMedication*	This value set indicates the name of the opioid agonist therapy and/or anti-craving medication prescribed.	QuestionnaireResponse:QuestionnaireResponse.	Required
OpioidAgonistMedicationEnrollment*	A code that represents the indigenous identity of the person.	QuestionnaireResponse:QuestionnaireResponse.	Required
OrganizationReferralSource*	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
OriginalAppointmentRescheduleReason*	Codes representing the reason for reschedule of the client's first scheduled appointment.	Appointment:Appointment.cancelationReason	Extensible
OutboundReferralSource*	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
PreferredOfficialLanguage*	Official languages of Canada.	Patient:Patient.communication.language	Required
Race*	A code that represents the race of the person.	Patient:Patient.ExtensionRaceGroup	Required
ReferralType*	Indicates the type of referral (e.g., initial (external) or internal).	ServiceRequest:ServiceRequest.Extension:ReferralType	Required
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
ServiceTerminationContinuity*	The value set identifies that termination could occur at different stages of service provision.	QuestionnaireResponse:QuestionnaireResponse.	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-LevelOfEducation:Code Observation-HousingStatus:Code Observation-SexualOrientation:Code Observation-TotalHouseholdIncome:Code	Required
SequenceOfGamblingProblem*	The value set identifies the basic indication of when the client's gambling problem was identified, in relation to the initiation of treatment by the agency.	QuestionnaireResponse:QuestionnaireResponse.	Required
ServiceModalityClass*	The value set identifies whether the health service encounter is delivered individually or in a group setting.	Encounter:Encounter.class	Required
ServiceModalityType*	The value set identifies the method by which the health service encounter is delivered.	Encounter:Encounter.type	Required
SymptomsOfClinicalConcern*	A set of values that indicate the primary mental health condition(s) and/or substance(s) that led the client to seek treatment from the agency.	QuestionnaireResponse:QuestionnaireResponse.	Required
TransgenderIdentity*	The value set identifies whether the client self identifies as transgender.	Observation:Observation-TransgenderIdentity	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