Terminology Index > Terminology

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 (e.g., CVC published value sets) 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, for example, the Terminology Gateway or Canadian Vaccine Catalogue. When terminology is not readily available as FHIR® Release 4 ValueSets or CodeSystems, implementers should work with terminology producers to identify options.

Proposed Pan-Canadian Value Sets

These are value sets that are proposed by the Ontario Patient Summary as the national standardized terminologies that implementers are encouraged to align to. SNOMED CT Canadian Edition (SNOMED CT-CA) is the terminology generally recommended for use in Canada, but in some cases the Ontario Patient Summary will also propose the use of other terminologies (e.g., CVC, CCDD, etc.) that have widespread adoption across Canada.

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

** Use of terminology subsets hosted on the Canadian Vaccine Catalogue is required in order to comply with this interoperability specification. Please note that Canadian Vaccine Catalogue (CVC)-published value set urls are currently not resolvable, but details of the referenced value sets are available in the current version of the CVC accessible here: https://cvc.canimmunize.ca/en/explore#/

Value Sets referenced by this implementation guide:

Value Set Description Profile Binding Strength
AdministrativeGender The gender of a person used for administrative purposes. Patient (PS-ON) - Patient.gender Required
AllergyIntoleranceClinicalStatusCodes The clinical status of the allergy or intolerance. AllergyIntolerance (PS-ON) - AllergyIntolerance.clinicalStatus Required
AllergyIntoleranceCriticality Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance. AllergyIntolerance (PS-ON) - AllergyIntolerance.criticality Required
AllergyIntoleranceSeverity Clinical assessment of the severity of a reaction event as a whole, potentially considering multiple different manifestations. AllergyIntolerance (PS-ON) - AllergyIntolerance.reaction.severity Required
AllergyIntoleranceStatusCode * Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance. AllergyIntolerance (PS-ON) - AllergyIntolerance.verificationStatus:StatusCode Required
AllergyIntoleranceType Identification of the underlying physiological mechanism for a Reaction Risk. AllergyIntolerance (PS-ON) - AllergyIntolerance.type Required
AllergyIntoleranceVerificationStatusCodes Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance. AllergyIntolerance (PS-ON) - AllergyIntolerance.verificationStatus Required
AllLanguages A human language Patient (PS-ON) - Patient.communication.language Required
AnatomicalSite** The site at which the vaccine was administered. Immunization (PS-ON) - Immunization.site Preferred
AnatomicalOrAcquiredBodyStructureCode* This subset contains concepts that represent body structures including anatomical structures and acquired body structures. Condition (PS-ON) - Condition.bodySite
Procedure (PS-ON) - Procedure.bodySite		 Preferred
ClinicalFindingCode* This value set includes codes from SNOMED Clinical Terms® Canadian edition: all descendants of Value set that contains all subtypes of the concept 404684003 - Clinical finding (finding) - from the SNOMED CT Canadian Edition. Condition (PS-ON) - Condition.code:codeSCTCA
AllergyIntolerance (PS-ON) - AllergyIntolerance.reaction.manifestation:manifestationSCTCA		 Required
CompositionAttestationMode The way in which a person authenticated a composition. Composition (PS-ON) - Composition.attester.mode Required
CompositionStatus The workflow/clinical status of the composition Composition (PS-ON) - Composition.status Required
ConditionCategoryCodes A category assigned to the condition. Condition (PS-ON) - Condition.category Extensible
ConditionClinicalStatusCodes The clinical status of the condition or diagnosis. Condition (PS-ON) - Condition.clinicalStatus Required
ConditionVerificationStatus The verification status to support or decline the clinical status of the condition or diagnosis. Condition (PS-ON) - Condition.verificationStatus Required
DataAbsentReason Used to specify why the normally expected content of the data element is missing. Immunization (PS-ON) - Immunization.occurrence.dataAbsentReason MedicationStatement (PS-ON) - MedicationStatement.effective.dataAbsentReason Procedure (PS-ON) - Procedure.performed.dataAbsentReason Required
Disease** Code for a disease the vaccination is against from the Canadian Vaccine Catalogue code set. Immunization (PS-ON) - Immunization.protocolApplied.targetDisease:targetDiseaseCVC Preferred
DocumentRelationshipType The type of relationship between documents. Composition (PS-ON) - Composition.relatesTo.code Required
DocumentSectionCodes Classification of a section of a composition/document. Composition (PS-ON) - Composition.section.code Example
DrugOrMedicamentSubstanceCode * SNOMED CT Canadian edition drug active substances Medication (PS-ON) - Medication.ingredient.itemCodeableConcept:ingredientSCTCA Required
EventStatus A code specifying the state of the procedure. Procedure (PS-ON) - Procedure.status Required
Generic** The code for vaccine product administered. Immunization (PS-ON) - Immunization.vaccineCode:Generic Preferred
HealthcareProviderRoleType * A role type that is used to categorize an entity that delivers health care in an expected and professional manner to an entity in need of health care services. Examples: Registered Nurse, Chiropractor, Physician, Custodial Care Clinic. PractitionerRole (PS-ON) - PractitionerRole.code:HealthcareProviderRoleType Preferred
Identifier Type Codes A coded type for an identifier that can be used to determine which identifier to use for a specific purpose Patient (PS-ON) - Patient.identifier.type Extensible
ImmunizationStatusCodes A set of codes indicating the current status of an Immunization. Immunization (PS-ON) - Immunization.status Required
Medication Status Codes A coded concept indicating the current status of a MedicationStatement. MedicationStatement (PS-ON) - MedicationStatement.status Required
medicationrequest Status A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription. MedicationRequest (PS-ON) - MedicationRequest.status Required
NoAllergiesInfoUvIps Negation/exclusion codes for reporting no known allergies or not available data. AllergyIntolerance (PS-ON) - AllergyIntolerance.code:absentOrUnknownAllergyIntolerance Required
NoImmunizationInfoUvIps A reference to a code indicating that there there are no known immunizations or that this information is unknown. Immunization (PS-ON) - Immunization.vaccineCode:absentOrUnknownImmunization Required
NoMedsInfoUvIps Representation of unknown or absent medications MedicationStatement (PS-ON) - MedicationStatement.medication Extensible
NoProbsInfoUvIps Code representing the statement "absent problem" or the statement "problems unknown" Condition (PS-ON) - Condition.code:absentOrUnknownProblem Required
NoProceduresInfoUvIps A code to identify absent or unknown procedures Procedure (PS-ON) - Procedure.code:absentOrUnknownProcedure Required
PersonalRelationshipUvIps The nature of the relationship between a patient and a contact person for that patient. Patient (PS-ON) - Patient.contact.relationship Required
PharmaceuticalBiologicProductAndSubstanceCode * Codes for allergy or intolerance from the Infoway Substance Code and Pharmaceutical/Biologic Product Code value sets. AllergyIntolerance (PS-ON) - AllergyIntolerance.code:codeAllergyCA Required
PharmaceuticalDoseFormCode * A coded concept defining the form of a medication. SNOMED CT Canadian edition dose forms Medication (PS-ON) - Medication.form:formSCTCA Required
PrescriptionMedicinalProduct * Medicinal products for prescribing and dispensing in Canada. The content of this subset only contains commonly used medicinal products that are available for prescribing and dispensing in Canada. This content will expand to include all human medicinal products over time. Medication (PS-ON) - Medication.code
MedicationRequest (PS-ON) - MedicationRequest.medication		 Preferred
ProcedureCode * SNOMED CT Canadian codes to describe Services/Activities performed by Primary Health Care Providers. Procedure (PS-ON) - Procedure.code:codeSCTCA Required
RouteOfAdmin** The route by which the vaccine was administered. Immunization (PS-ON) - Immunization.route Preferred
SeverityCode * Code for the severity of a problem that is selected from the SNOMED CT Canadian edition value set. Condition (PS-ON) - Condition.severity:severitySCTCA Required
Tradename** The code for vaccine product administered. Immunization (PS-ON) - Immunization.vaccineCode:Tradename Preferred
v3.ConfidentialityClassification Set of codes used to value Act.Confidentiality and Role.Confidentiality attribute in accordance with the definition for concept domain "Confidentiality". Composition (PS-ON) - Composition.confidentiality Required