Confirmation

Patient Summary - Canada

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. This resource is an informative value set; a [normative subset](https fhir.infoway-inforoute.ca ValueSet healthcareproviderroletype) containing the expanded values can be found on Canada Health Infoway's [Terminology Server](https terminologystandardsservice.ca fhir). Access to the Terminology Server requires an [InfoCentral account](https infocentral.infoway-inforoute.ca en register).

This subset contains concepts that represent health-related conditions which can be diagnoses the results of a clinical observation assessment of judgment events or other situations with explicit context. This is a broad data exchange subset that is intended to support semantic interoperability and conformance testing. It is recommended that jurisdictions define and implement more specific clinically curated subsets that contain a portion of these concepts for data capture at the point of care for their specific use case. This subset was defined using the intensional definition of ^ 45941000087104 |Diagnoses results of a clinical observation assessment of judgment normal and abnormal clinical states reference set (foundation metadata concept) | or 272379006 |Event (event) | or 243796009 |Situation with explicit context (situation) |against the substrate SNOMED CT Canadian Edition. This resource is an informative value set; a normative subset containing the expanded values can be found on Canada Health Infoway's [Terminology Server](https infocentral.infoway-inforoute.ca en tools standards-tools terminology-server). The [Direct link](https fhir.infoway-inforoute.ca ValueSet healthconditioncode) to the ValueSet on TerminologyServer will require an [InfoCentral account](https infocentral.infoway-inforoute.ca en register) for access.

This profile represents the constraints applied to the Composition resource by the PS-CA project. A Canadian Patient Summary (PS-CA) document is an electronic health record extract containing essential healthcare information about a subject of care. It is informed by the IPS-UV Composition profile but differs in its application of Must Support flags on some of the sections to allow for jurisdictional implementors flexibility in what sections systems Must Support in order to show conformance to their respective patient summaries. The PS-CA dataset is minimal and non-exhaustive; specialty-agnostic and condition-independent; but still clinically relevant. It is informed by the requirements specified in EN 17269 and ISO DIS 27269 it is designed for supporting the international use case scenario for ‘unplanned cross border care’ but is also designed to support a variety of use cases for cross-jurisdiction exchange. It is intended to guide implementation nationally while ensuring international exchange of patient summaries is not impeded. This profile is based on the ClinicalDocument profile from the base R4 FHIR standard.

This profile represents the constraints applied to the Immunization resource by the PS-CA project to represent a record of immunization in the patient summary. It is informed by the constraints of the [Immunization IPS-UV profile](http hl7.org fhir uv ips StructureDefinition-Immunization-uv-ips.html) and the [Canadian Baseline Profile](http build.fhir.org ig HL7-Canada ca-baseline branches master StructureDefinition-profile-immunization.html) to allow for cross-border and cross-jurisdiction sharing of Medication Summary information. It describes the event of a patient being administered a vaccination or a record of a vaccination as reported by a patient a clinician or another party.

This profile represents the constraints applied to the Condition resource by the PS-CA project which is informed by the constraints of the [Condition IPS-UV profile](http hl7.org fhir uv ips StructureDefinition-Condition-uv-ips.html) and the [Canadian Baseline Profile](http build.fhir.org ig HL7-Canada ca-baseline branches master StructureDefinition-profile-condition.html) to allow for cross-border and cross-jurisdiction sharing of a record of a problem represented in the patient summary as an instance of the Condition resource constrained by this profile.

This profile represents the constraints applied to the AllergyIntolerance resource by the PS-CA project which is informed by the constraints of the [AllergyIntolerance IPS-UV profile](http hl7.org fhir uv ips StructureDefinition-AllergyIntolerance-uv-ips.html) and the [Canadian Baseline Profile](http build.fhir.org ig HL7-Canada ca-baseline branches master StructureDefinition-profile-allergyintolerance.html) to allow for cross-border and cross-jurisdiction sharing of Allergies and Intolerances. It documents the relevant allergies or intolerances (conditions) for a patient describing the kind of reaction (e.g. rash anaphylaxis ..); preferably the agents that cause it; and optionally the criticality and the certainty of the allergy.

This profile represents the constraints applied to the Patient resource by the PS-CA project to represent the minimum expectations for the Patient resource when used in the PS-CA composition profile or in one of the referred resources. It is informed by the constraints of the [Patient IPS-UV profile](http hl7.org fhir uv ips StructureDefinition-Patient-uv-ips.html) and the [Canadian Baseline Profile](http build.fhir.org ig HL7-Canada ca-baseline branches master StructureDefinition-profile-patient.html)

The [pCLOCD](https infocentral.infoway-inforoute.ca en standards canadian pclocd-loinc) code system draws from the pan-Canadian LOINC Observation Code Database (pCLOCD) which 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 include both English and Canadian French. This resource is a stub value set intended to point implementers towards the use of pCLOCD content while efforts move forward with the pan-Canadian Health Data Content Framework to propose harmonized terminology and potentially further constrained valueSets for specific contexts; in the meantime the contents of this code system can be downloaded or viewed via the [PCLOCD page](https fhir.infoway-inforoute.ca CodeSystem pCLOCD ) on the[Terminology Server](https terminologystandardsservice.ca fhir). Access to the Terminology Server requires an [InfoCentral account](https infocentral.infoway-inforoute.ca en register).

This profile represents the constraints applied to the MedicationRequest resource by the PS-CA project which is informed by the constraints of the IPS-UV and by the constraints of the [Canadian Baseline Profile](http build.fhir.org ig HL7-Canada ca-baseline branches master StructureDefinition-profile-medicationrequest.html) to allow for cross-border and cross-jurisdiction sharing of information record of a medication request information in the patient summary.