Snapshot 17 - Revision History

Profile Updates

EpisodeOfCare

• Corrected validation for Service First Contact Date and Referral Received Date comparison. A data type mismatch between dateTime and date could cause valid same-day records to fail when First Contact Date contained a time component. The comparison now correctly supports validation between dateTime and date values.

• Updated constraint description to reflect the implemented business rule. The description now reads "on or after" (greater than or equal to), consistent with the validation logic and permitting same-day first contact.

• Corrected validation for the constraint comparing Service Enrollment Date (period.start) and Service Initiation Date. A precision mismatch between dateTime and date could cause valid records to be incorrectly rejected. The comparison now correctly supports validation between dateTime and date values.

• Updated validation to require at least one of Service Enrollment Date or Service Initiation Date when EpisodeOfCare status is active.

Patient

• Updated Patient.communication:officialLanguage from conditional mandatory to optional. The associated validation rule was removed, allowing records to be submitted without an Official Language value while maintaining compatibility with existing implementations.

Terminology Updates

SNOMED Terminology

• Trauma: SNOMED code updated from 417746004 to 773760007; display updated to "Traumatic event".

• Problematic substance use: SNOMED code updated from 66214007 to 1306692000; display updated to "Harmful pattern of substance use (disorder)".

• Alcohol dependence and Dependent drug abuse:

  • Removed SNOMED codes 66590003 and 6525002.
  • Replaced with "Substance use disorder (disorder)" (1306691007).

Observation

• Removed the Arrive in Canada code table. HSPs must now submit the year only (YYYY format) for this field. Code table values are no longer accepted.

ServiceRequest

• Updated Outbound Referral Source display values to align with the Data Dictionary:
  • Code 22: "Community Mental Health Agency - Child Program" → "Community Org - Child Mental Health Program"
  • Code OCIRP: "Community and Social Services Program" → "Other Community Institution/Residential Program"
  • Code 24: "Social Service Agency - Child Program" → "Social Service Org - Child Program"