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This material contains content that is copyright of SNOMED International. Implementers of these specifications must have the appropriate SNOMED CT Affiliate license - for more information contact https://www.snomed.org/get-snomed
or info@snomed.org
.
Canadian Baseline, published by HL7 Canada - FHIR Implementation Work Group. This guide is not an authorized publication; it is the continuous build for version 1.2.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7-Canada/ca-baseline/ and changes regularly. See the Directory of published versions ( src
)
Code of Federal Regulation 21CFR§1271.290(c) ( src
)
If the service identified by the ServiceRequest.category is laboratory procedure the pan-Canadian LOINC Observation Code Database (pCLOCD) is preferred. pCLOCD is the Canadian version of the LOINC(tm) database. ( src
)
TBD. This is a placeholder for a comprehensive valueset, consisting of all Manufactured Product (MP), Non-proprietary Therapeutic Product (NTP) and Therapeutic Moiety (TM) codes, which would be created and maintained by Canada Health Infoway. 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. ( src
)
The pan-Canadian LOINC Observation Code Database (pCLOCD) is the Canadian version of the LOINC(tm) database. It was created using the LOINC(tm) records and attributes that were constrained for Canadian use and supplemented to specifically meet Canadian requirements. It contains the core LOINC(tm) attributes as required by Regenstrief copyright rules. The LOINC(tm) Component has been customized to meet Canadian requirements and is displayed as the pan Canadian Component Name. This component name is the basis for the pan Canadian Display Name. Core attributes are include both English and Canadian French. ( src
)
There are examples where a medication request may include the option of an oral dose or an Intravenous or Intramuscular dose. For example, "Ondansetron 8mg orally or IV twice a day as needed for nausea" or "Compazine® (prochlorperazine) 5-10mg PO or 25mg PR bid prn nausea or vomiting". In these cases, two medication requests would be created that could be grouped together. The decision on which dose and route of administration to use is based on the patient's condition at the time the dose is needed. ( src
)
Value of extension Binding: EthnicityCode (preferred): One of self-reported ethnic group codes representing the ethnicity concept and should not be confused with citizenship or nationality. Example Example of the Ethnicity extension: {"system":"http://snomed.info/sct","code":"733446001","display":"Canadian (ethnic group)"}
Medicinal products for prescribing Binding:
PrescriptionMedicinalProduct (20250915) (preferred): Represents subset of codes with commonly used medicinal products that are available for prescribing and dispensing in Canada.
Identification of the condition, problem or diagnosis Binding:
ClinicalFindingCode (preferred): Codes for problems from the SNOMED CT Canadian edition value set
CHI identification of the condition, problem or diagnosis Binding:
HealthConcernCode (required): Represents the patient's relevant clinical problems, conditions, diagnoses, symptoms, findings and complaints, as interpreted by the provider.
CHI identification of the condition, problem or diagnosis Binding:
HealthConcernCode (example): Represents the patient's relevant clinical problems, conditions, diagnoses, symptoms, findings and complaints, as interpreted by the provider.
Codes that identify this medication Binding:
PrescriptionMedicinalProduct (20250915) (preferred): TBD. This is a placeholder for a comprehensive valueset, consisting of all Manufactured Product (MP), Non-proprietary Therapeutic Product (NTP) and Therapeutic Moiety (TM) codes, which would be created and maintained by Canada Health Infoway. 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. Example DIN: {"coding":[{"system":"http://hl7.org/fhir/NamingSystem/ca-hc-din"}]} Example NPN: {"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v3-hc-npn"}]} Example CCDD: {"coding":[{"system":"http://terminology.hl7.org/CodeSystem/hc-CCDD"}]} Example SNOMED CT (Medications) - IPS: {"coding":[{"system":"http://snomed.info/sct"}]} Example WHO ATC IPS: {"coding":[{"system":"http://www.whocc.no/atc"}]}
powder | tablets | capsule + Binding:
DispensableDrugForm (example): TBD. This is a placeholder for a comprehensive valueset, which would be created and maintained by Canada Health Infoway. Currently seeking implementer feedback and input from pan-Canadian profiles to support updates to the nominated valueSet.
What was administered Binding:
PrescriptionMedicinalProduct (20250915) (preferred): TBD. This is a placeholder for a comprehensive valueset, consisting of all Manufactured Product (MP), Non-proprietary Therapeutic Product (NTP) and Therapeutic Moiety (TM) codes, which would be created and maintained by Canada Health Infoway. 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.
What medication was supplied Binding:
PrescriptionMedicinalProduct (20250915) (preferred): TBD. This is a placeholder for a comprehensive valueset, consisting of all Manufactured Product (MP), Non-proprietary Therapeutic Product (NTP) and Therapeutic Moiety (TM) codes, which would be created and maintained by Canada Health Infoway. 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. Example DIN: {"coding":[{"system":"https://fhir.infoway-inforoute.ca/ValueSet/CA-HC-DIN"}]} Example NPN: {"coding":[{"system":"https://fhir.infoway-inforoute.ca/ValueSet/CA-HC-NPN"}]} Example CCDD: {"coding":[{"system":"https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct"}]} Example SNOMED CT (Medications) - IPS: {"coding":[{"system":"http://hl7.org/fhir/uv/ips/ValueSet/medication-snomed-uv-ips"}]} Example WHO ATC IPS: {"coding":[{"system":"http://hl7.org/fhir/uv/ips/ValueSet/whoatc-uv-ips"}]}
Medication to be taken Binding:
PrescriptionMedicinalProduct (20250915) (preferred): TBD. This is a placeholder for a comprehensive valueset, consisting of all Manufactured Product (MP), Non-proprietary Therapeutic Product (NTP) and Therapeutic Moiety (TM) codes, which would be created and maintained by Canada Health Infoway. 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.
What medication was taken Binding:
PrescriptionMedicinalProduct (20250915) (preferred): TBD. This is a placeholder for a comprehensive valueset, consisting of all Manufactured Product (MP), Non-proprietary Therapeutic Product (NTP) and Therapeutic Moiety (TM) codes, which would be created and maintained by Canada Health Infoway. 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.
Identification of the procedure Binding:
InterventionCode (preferred): Extensional Subset of SNOMED CT and SNOMED CT CA Extension Codes to describe Services/Activities performed by Primary Health Care Providers.
Laboratory procedure code Binding: https://fhir.infoway-inforoute.ca/ValueSet/pCLOCD (preferred): The pan-Canadian LOINC Observation Code Database (pCLOCD) is the Canadian version of the LOINC(tm) database. It was created using the LOINC(tm) records and attributes that were constrained for Canadian use and supplemented to specifically meet Canadian requirements. It contains the core LOINC(tm) attributes as required by Regenstrief copyright rules. The LOINC(tm) Component has been customized to meet Canadian requirements and is displayed as the pan Canadian Component Name. This component name is the basis for the pan Canadian Display Name. Core attributes are include both English and Canadian French.
Canadian Baseline, published by HL7 Canada - FHIR Implementation Work Group. This guide is not an authorized publication; it is the continuous build for version 1.2.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7-Canada/ca-baseline/
and changes regularly. See the Directory of published versions
Value of extension Binding: EthnicityCode (preferred): One of self-reported ethnic group codes representing the ethnicity concept and should not be confused with citizenship or nationality. Example Example of the Ethnicity extension: {"system":"http://snomed.info/sct","code":"733446001","display":"Canadian (ethnic group)"}
The identification of the specific substance (or pharmaceutical product) considered to be responsible for the Adverse Reaction event uses Substance Code value set with Example
binding.
Consider use Canadian Clinical Drug Data
set in case of medication allergy/intolerance, and SNOMED CT for other substances/agents.
The codes SHOULD be taken from For example codes, see
ClinicalFindingCode http://hl7.org/fhir/ValueSet/condition-code|4.0.1
( preferred
to https://fhir.infoway-inforoute.ca/ValueSet/clinicalfindingcode
)
The code that represents relevant clinical problems, conditions, diagnoses, symptoms, findings and complaints, as interpreted by the provider shall be taken from CHI Health Concern Code
Identification of the condition, problem or diagnosis Binding:
ClinicalFindingCode (preferred): Codes for problems from the SNOMED CT Canadian edition value set
The Condition.code
element is CodeableConcept
data type meaning that more than one Coding
sub-elements can be present.
One of these Coding sub-elements SHALL use Health Concern Code
value set from Canada Health Infoway. Other Coding component are transaltion of the HealthConcernCode to other code systems.
For example codes, see
HealthConcernCode http://hl7.org/fhir/ValueSet/clinical-findings|4.0.1
( example
to https://fhir.infoway-inforoute.ca/ValueSet/healthconcerncode
)
The codes SHOULD be taken from For example codes, see
EncounterDischargeDisposition http://hl7.org/fhir/ValueSet/encounter-discharge-disposition|4.0.1
( preferred
to https://fhir.infoway-inforoute.ca/ValueSet/encounterdischargedisposition
)
The codes SHOULD be taken from For example codes, see https://cvc.canimmunize.ca/v3/ValueSet/Diseasehttp://hl7.org/fhir/ValueSet/immunization-recommendation-target-disease|4.0.1
( preferred
to https://cvc.canimmunize.ca/v3/ValueSet/Disease
)
The codes SHOULD be taken from For example codes, see
PrescriptionMedicinalProduct (20250915) http://hl7.org/fhir/ValueSet/medication-codes|4.0.1
( preferred
to https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct
)
For example codes, see
DispensableDrugForm http://hl7.org/fhir/ValueSet/medication-form-codes|4.0.1
( example
to https://fhir.infoway-inforoute.ca/ValueSet/dispensabledrugform
)
This profile was generated from HL7 StructureDefinition
on 2019-03-28 and constrained during a review of US Core against Canadian sources. RxNorm is not used in Canada and the list of medicinal products available differs from the US, therefore PrescribeIT Medication Profile
was used as a basis for this profile - with some significant differences due to structural differences between versions of FHIR.
Codes that identify this medication Binding:
PrescriptionMedicinalProduct (20250915) (preferred): TBD. This is a placeholder for a comprehensive valueset, consisting of all Manufactured Product (MP), Non-proprietary Therapeutic Product (NTP) and Therapeutic Moiety (TM) codes, which would be created and maintained by Canada Health Infoway. 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. Example DIN: {"coding":[{"system":"http://hl7.org/fhir/NamingSystem/ca-hc-din"}]} Example NPN: {"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v3-hc-npn"}]} Example CCDD: {"coding":[{"system":"http://terminology.hl7.org/CodeSystem/hc-CCDD"}]} Example SNOMED CT (Medications) - IPS: {"coding":[{"system":"http://snomed.info/sct"}]} Example WHO ATC IPS: {"coding":[{"system":"http://www.whocc.no/atc"}]}
powder | tablets | capsule + Binding:
DispensableDrugForm (example): TBD. This is a placeholder for a comprehensive valueset, which would be created and maintained by Canada Health Infoway. Currently seeking implementer feedback and input from pan-Canadian profiles to support updates to the nominated valueSet.
What was administered Binding:
PrescriptionMedicinalProduct (20250915) (preferred): TBD. This is a placeholder for a comprehensive valueset, consisting of all Manufactured Product (MP), Non-proprietary Therapeutic Product (NTP) and Therapeutic Moiety (TM) codes, which would be created and maintained by Canada Health Infoway. 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.
What medication was supplied Binding:
PrescriptionMedicinalProduct (20250915) (preferred): TBD. This is a placeholder for a comprehensive valueset, consisting of all Manufactured Product (MP), Non-proprietary Therapeutic Product (NTP) and Therapeutic Moiety (TM) codes, which would be created and maintained by Canada Health Infoway. 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. Example DIN: {"coding":[{"system":"https://fhir.infoway-inforoute.ca/ValueSet/CA-HC-DIN"}]} Example NPN: {"coding":[{"system":"https://fhir.infoway-inforoute.ca/ValueSet/CA-HC-NPN"}]} Example CCDD: {"coding":[{"system":"https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct"}]} Example SNOMED CT (Medications) - IPS: {"coding":[{"system":"http://hl7.org/fhir/uv/ips/ValueSet/medication-snomed-uv-ips"}]} Example WHO ATC IPS: {"coding":[{"system":"http://hl7.org/fhir/uv/ips/ValueSet/whoatc-uv-ips"}]}
Medication to be taken Binding:
PrescriptionMedicinalProduct (20250915) (preferred): TBD. This is a placeholder for a comprehensive valueset, consisting of all Manufactured Product (MP), Non-proprietary Therapeutic Product (NTP) and Therapeutic Moiety (TM) codes, which would be created and maintained by Canada Health Infoway. 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.
What medication was taken Binding:
PrescriptionMedicinalProduct (20250915) (preferred): TBD. This is a placeholder for a comprehensive valueset, consisting of all Manufactured Product (MP), Non-proprietary Therapeutic Product (NTP) and Therapeutic Moiety (TM) codes, which would be created and maintained by Canada Health Infoway. 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.
The full list of identifiers can be found on Canadian URI Registry
. Canada Health Infoway provides Canadian URI Registry search tool
to simplify search.
Qualification defines a code for the degree or educational rank that the credential specifies and may also apply to an expertise type.
This profile recommends to use Canadian QualifiedRoleType
value set as the coded representation of the provider's qualification.
Credential defines 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.
It uses Canadian HealthcareProviderRoleType
value set as the coded representation of the provider's credentials.
This profile recommends to use Canadian QualifiedRoleType
value set as the coded representation of the provider's qualification.
This value set lists codes for the degree or educational rank that the credential specifies. It may also apply to an Expertise type.
Roles which this practitioner is authorized to perform for the organization are defined by Canadian HealthcareProviderRoleType
value set as the coded representation of the provider's credentials.
Credential defines 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.
Specific specialty of the practitioner defines the clinical, medical, surgical or other healthcare-related service specialty of a practitioner who interacts, treats or provides such services to or for a patient.
This profile recommends to use Canadian PractitionerSpecialty
value set for speciality codes.
The codes SHOULD be taken from For example codes, see
InterventionCode http://hl7.org/fhir/ValueSet/procedure-code|4.0.1
( preferred
to https://fhir.infoway-inforoute.ca/ValueSet/interventioncode
)
Identification of the procedure Binding:
InterventionCode (preferred): Extensional Subset of SNOMED CT and SNOMED CT CA Extension Codes to describe Services/Activities performed by Primary Health Care Providers.
If the service identified by the ServiceRequest.category
is laboratory procedure
the pan-Canadian LOINC Observation Code Database
( pCLOCD
) is preferred. pCLOCD is the Canadian version of the LOINC(tm) database.
The CA FHIR Baseline is a community developed specification that was made possible through the efforts and dedication of so many in our Canadian FHIR Implementer community
. The true list exceeds what we've been able to capture and is expected to grow as our community reviews and refines it.
(
preferred
)
:
Represents subset of codes with commonly used medicinal products that are available for prescribing and dispensing in Canada.
