CH-EPR. Summary of DECOR information. Implementation Guideline. Version as of :32:25. PDF extract as of :41:29

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1 Summary of DECOR information Implementation Guideline Version as of :32:25 PDF extract as of :41:29

2 Licenses This program is free software; you can redistribute it and/or modify it under the terms of the GNU General Public License as published by the Free Software Foundation; either version 3 of the License, or (at your option) any later version. This program is distributed in the hope that it will be useful, but WITHOUT ANY WARRANTY; without even the implied warranty of MERCHANTABILITY or FITNESS FOR A PARTICULAR PURPOSE. See the GNU General Public License for more details. See The contents of this specification may be subject to other copyright and trademark laws and licensing regulations which are not specified here. Disclaimer The content of this publication has been carefully prepared and reviewed. However, ehealth Suisse does not guarantee the accuracy, completeness or quality of the information provided, or that it is up-to-date. Liability claims against ehealth Suisse in respect of material or immaterial damage caused by the use or non-use of the information offered or by inaccurate or incomplete information are in principle ruled out provided that there is no provable culpable intent or gross negligence on the institute s part. 2/52

3 Table of Contents 1 Project Information Project Additional project information Version Info Identifiers Identifiers ch-epr-codesystem ch-epr-codesystem Administrative Gender Media Type SNOMED Clinical Terms Tags for Identifying Languages - RFC List of Template Identifiers used in this project List of Value Set Identifiers used in this project Value sets EprAuthorRole :22:33 ( beta) EprAuthorRole :10:29 ( stable) EprDocumentAvailabilityStatus :18:51 ( beta) EprDocumentAvailabilityStatus :41:36 ( stable) EprDocumentClassCode :21:46 ( beta) EprDocumentClassCode :37:23 ( stable) EprDocumentConfidentialityCode :23:44 ( beta) EprDocumentConfidentialityCode :36:23 ( stable) EprDocumentFormatCode :24:15 ( beta) EprDocumentFormatCode :45:54 ( stable) EprDocumentLanguage :44:47 ( beta) /52

4 EprDocumentLanguage :27:33 ( beta) EprDocumentLanguage :31:45 ( stable) EprDocumentMimeType :56:01 ( beta) EprDocumentMimeType :38:22 ( stable) EprDocumentPracticeSettingCode :10:59 ( beta) EprDocumentPracticeSettingCode :45:32 ( stable) EprDocumentTypeCode :39:26 ( beta) EprDocumentTypeCode :32:13 ( beta) EprDocumentTypeCode :44:36 ( stable) EprGender :12:19 ( beta) EprGender :50:13 ( stable) EprHealthcareFacilityTypeCode :44:07 ( beta) EprHealthcareFacilityTypeCode :04:09 ( stable) EprTypeCodeClassCodeMap :50:11 ( stable) Issues Issues already assigned Currently assigned to: 3 (id Johannes Gnaegi) (ch-epr-issue-1) Falscher Code für "Undifferentiated" (ch-epr-issue-2) Falscher code für "Pulmonary Report" (ch-epr-issue-3) Falsche OID Valueset (ch-epr-issue-12) emedication Documents present? (ch-epr-issue-13) XDS requests ISO Norm for Id (ch-epr-issue-14) Add Dataelements for the IHE XDS Attributes Issues not yet assigned (ch-epr-issue-5) Fehlend: Aufträge (ch-epr-issue-6) Lufu-Befund (ch-epr-issue-7) Kurz und Austrittsbericht (ch-epr-issue-8) Verordnungen /52

5 4.2.5 (ch-epr-issue-9) Fehlendes Mapping auf DocumentClass (ch-epr-issue-11) Verbindung zu ClassCode fehlt Issues dealt with (ch-epr-issue-10) Audit trail missing (ch-epr-issue-4) EKG Befund falscher Display Name Defined labels /52

6 Project Information 1 Project Information 1.1 Project The following project contains the value sets for the meta data specified in the framework of Annex 3 of the FDHA Ordinance on the electronic patient record (metadata). The translations provided are recommendations of ehealth Suisse and are not prescribed by law. You will find current issues that are pending or errors under the Issues. Further information on the publications and process may be found here: _Verantwortlichkeiten_Prozess_Metadaten_D.pdf Additional project information This project is marked as a repository Properties Prefix: ch-epr- Default language: en-us? Contains reusable content? Publication location Disclaimer Project overview Project index The content of this publication has been carefully prepared and reviewed. However, ehealth Suisse does not guarantee the accuracy, completeness or quality of the information provided, or that it is up-to-date. Liability claims against ehealth Suisse in respect of material or immaterial damage caused by the use or non-use of the information offered or by inaccurate or incomplete information are in principle ruled out provided that there is no provable culpable intent or gross negligence on the institute s part. List of Authors Administrator Juerg Bleuer Johannes Gnaegi Dr. Kai Heitmann David Moessner Version Info Date By :32:25 Johannes Gnaegi Official Release: stable/ beta Bemerkungen: stable: Enthält die aktuelle Version der Wertebereiche gemäss EPDV-EDI Anhang 3. Jedes Valueset hat das entsprechende Label und Status "Final". 6/52

7 Project Information beta: Enthält Fehlerkorrekturen und Anpassungen auf Basis von den eingegebenen Kommentare (Bemerkungen, Fehlerkorrekturen etc.). - Korrektur OID AuthorRole - Löschen Lufu-Befund - Korrektur Gender von O - "Other" nach UN - "Undifferentiated" Hinweis zum Draft beta: Das Valueset EprDocumentLanguage enthält ein neues Codesystem, dieses ist als Draft im Release eingeschlossen. Grund dafür ist, dass die XDS SPezifikation dort konkrete Vorgaben macht, welche nicht berücksichtigt wurden. Dieser Fehler wurde im Rahmen des Projectathon bekannt :13:15 Johannes Gnaegi Official Release: Beta There have been changes to the following 3 issues since the last intermediate version or release. Issue 1 "Falscher Code für "Undifferentiated"" with status "Open". See the issue for all details. Last event ( T14:07:11): Finding: - Der Code "O" in der Verordnung zum EPDG enthält einen falschen internationalen Code für "Undifferentiated", richtig wäre der hier verwendete Code "UN". Suggestion: - Korrektur in Verordnungen - wurde aufgenommen. Further explanation: - Issue 2 "Falscher code für "Pulmonary Report"" with status "Open". See the issue for all details. Last event ( T14:09:22): Finding: - Code für Pulmonary Report ist falsch Suggestion: - Korrektur Code auf Further explanation: - Issue 3 "Falsche OID Valueset" with status "Open". See the issue for all details. Last event ( T14:11:20): 7/52

8 Project Information Finding: - OID in Verordnungen für AuthroRole falsch Suggestion: - Korrektur auf die hier genutzte OID Further explanation: - 8/52

9 Identifiers 2 Identifiers 2.1 Identifiers As for now used for rendering purposes only ch-epr-codesystem Language Display Name en-us ch-epr-codesystem-1 ch-epr-codesystem ch-epr-codesystem Language Display Name en-us ch-epr-codesystem-2 ch-epr-codesystem Administrative Gender Language Display Name en-us Administrative Gender Administrative Gender Media Type Language Display Name en-us Media Type Media Type SNOMED Clinical Terms Language Display Name en-us SNOMED Clinical Terms SNOMED Clinical Terms Tags for Identifying Languages - RFC Language Display Name en-us Tags for Identifying Languages - RFC5646 Tags for Identifying Languages - RFC List of Template Identifiers used in this project Id Display Name Name Effective date Type 9/52

10 Identifiers 2.3 List of Value Set Identifiers used in this project Id Display Name Name Effective date EprAuthorRole EprAuthorRole :10:29 Warning: Possible conflicting duplicate names EprAuthorRole EprAuthorRole :10: EprAuthorRole EprAuthorRole :22: EprDocumentAvailabilityStatus EprDocumentAvailabilityStatus :36: EprDocumentAvailabilityStatus EprDocumentAvailabilityStatus :41: EprDocumentAvailabilityStatus EprDocumentAvailabilityStatus :18: EprDocumentClassCode EprDocumentClassCode :20: EprDocumentClassCode EprDocumentClassCode :37: EprDocumentClassCode EprDocumentClassCode :21: EprDocumentConfidentialityCode EprDocumentConfidentialityCode :36: EprDocumentConfidentialityCode EprDocumentConfidentialityCode :23: EprDocumentFormatCode EprDocumentFormatCode :45: EprDocumentFormatCode EprDocumentFormatCode :24: EprHealthcareFacilityTypeCode EprHealthcareFacilityTypeCode :04: EprHealthcareFacilityTypeCode EprHealthcareFacilityTypeCode :44: EprDocumentLanguage EprDocumentLanguage :31: EprDocumentLanguage EprDocumentLanguage :27: EprDocumentLanguage EprDocumentLanguage :44: EprDocumentMimeType EprDocumentMimeType :38: EprDocumentMimeType EprDocumentMimeType :56: EprDocumentPracticeSettingCode EprDocumentPracticeSettingCode :45: EprDocumentPracticeSettingCode EprDocumentPracticeSettingCode :10: EprGender EprGender :59:12 10/52

11 Identifiers EprGender EprGender :49: EprGender EprGender :55: EprGender EprGender :50: EprGender EprGender :12: EprDocumentTypeCode EprDocumentTypeCode :09: EprDocumentTypeCode EprDocumentTypeCode :44: EprDocumentTypeCode EprDocumentTypeCode :14: EprDocumentTypeCode EprDocumentTypeCode :32: EprDocumentTypeCode EprDocumentTypeCode :39: EprDocumentTypeCodeClassCodeMap EprDocumentTypeCodeClassCodeMap :40: EprTypeCodeClassCodeMap EprTypeCodeClassCodeMap :50:11 11/52

12 3 3.1 Value sets EprAuthorRole :22:33 ( beta) Id Effective Date valid from :22:33 Other versions of this value set EprAuthorRole beta :10:00 EprAuthorRole stable :10:29 Status Final Version Label beta Name EprAuthorRole Display Name EprAuthorRole Role of the author as per Annex 3 EPRO-FDHA, Chapter 2.1 This code defines the role of the author within the institution, e.g. doctor, nurse, therapist, etc, This is a sub-attribute of epd_xds_author. Source Code System SNOMED Clinical Terms Level/ Type Code Display Name Code System Designations 0-L Pharmacist (occupation) SNOMED Clinical Terms Preferred: Pharmacist 0-L Physician (occupation) SNOMED Clinical Terms Preferred: Physician 0-L Chiropractor (occupation) SNOMED Clinical Terms Preferred: Chiropractor 0-L Dietitian (occupation) SNOMED Clinical Terms Preferred: Dietitian 0-L Registered midwife (occupation) SNOMED Clinical Terms Preferred: Midwife 12/52

13 0-L Complementary health worker (occupation) SNOMED Clinical Terms Preferred: Complementary therapist 0-L Patient (person) SNOMED Clinical Terms Preferred: Patient 0-L Professional nurse (occupation) SNOMED Clinical Terms Preferred: Professional nurse 0-L Psychologist (occupation) SNOMED Clinical Terms Preferred: Psychologist 0-L Social caseworker (general) (occupation) SNOMED Clinical Terms Preferred: Social worker 0-L Speech/language therapist (occupation) SNOMED Clinical Terms Preferred: Speech therapist 0-L Physiotherapist (occupation) SNOMED Clinical Terms Preferred: Physiotherapist 0-L Occupational therapist (occupation) SNOMED Clinical Terms Preferred: Occupational therapist 0-L Lactation consultant (occupation) SNOMED Clinical Terms Preferred: Breast Feeding Consultant 0-L Dentist (occupation) SNOMED Clinical Terms Preferred: Dentist 0-L Caregiver (person) SNOMED Clinical Terms Preferred: Other Caregiver Legenda: Type L=leaf, S=specializable, A=abstract, D=deprecated. NullFlavors to appear attribute instead EprAuthorRole :10:29 ( stable) Id Effective Date valid from :10:29 Other versions of this value set EprAuthorRole beta :22:33 EprAuthorRole beta :10:00 Status Final Version Label stable Name EprAuthorRole Display Name EprAuthorRole Role of the author as per Annex 3 EPRO-FDHA, Chapter /52

14 This code defines the role of the author within the institution, e.g. doctor, nurse, therapist, etc, This is a sub-attribute of epd_xds_author. Source Code System SNOMED Clinical Terms Level/ Type Code Display Name Code System Designations 0-L Pharmacist (occupation) SNOMED Clinical Terms Preferred: Pharmacist 0-L Physician (occupation) SNOMED Clinical Terms Preferred: Physician 0-L Chiropractor (occupation) SNOMED Clinical Terms Preferred: Chiropractor 0-L Dietitian (occupation) SNOMED Clinical Terms Preferred: Dietitian 0-L Registered midwife (occupation) SNOMED Clinical Terms Preferred: Midwife 0-L Complementary health worker (occupation) SNOMED Clinical Terms Preferred: Complementary therapist 0-L Patient (person) SNOMED Clinical Terms Preferred: Patient 0-L Professional nurse (occupation) SNOMED Clinical Terms Preferred: Professional nurse 0-L Psychologist (occupation) SNOMED Clinical Terms Preferred: Psychologist 0-L Social caseworker (general) (occupation) SNOMED Clinical Terms Preferred: Social worker 0-L Speech/language therapist (occupation) SNOMED Clinical Terms Preferred: Speech therapist 0-L Physiotherapist (occupation) SNOMED Clinical Terms Preferred: Physiotherapist 0-L Occupational therapist (occupation) SNOMED Clinical Terms Preferred: Occupational therapist 0-L Lactation consultant (occupation) SNOMED Clinical Terms Preferred: Breast Feeding Consultant 0-L Dentist (occupation) SNOMED Clinical Terms Preferred: Dentist 0-L Caregiver (person) SNOMED Clinical Terms Preferred: Other Caregiver Legenda: Type L=leaf, S=specializable, A=abstract, D=deprecated. NullFlavors to appear attribute instead 14/52

15 3.1.3 EprDocumentAvailabilityStatus :18:51 ( beta) Id Effective Date valid from :18:51 Other versions of this value set EprDocumentAvailabilityStatus stable :41:36 EprDocumentAvailabilityStatus :36:00 Status Final Version Label beta Name EprDocumentAvailabilityStatus Display Name EprDocumentAvailabilityStatus Document availability status as per Annex 3 EPRO-FDHA, Chapter 2.2. Source Code System ch-epr-codesystem-1 Level/ Type Code Display Name Code System Designations 0-L urn:oasis:names:tc:ebxmlregrep:statustype:approved 0-L urn:oasis:names:tc:ebxmlregrep:statustype:deprecated Approved ch-epr-codesystem-1 Preferred: Approved Deprecated ch-epr-codesystem-1 Preferred: Deprecated Legenda: Type L=leaf, S=specializable, A=abstract, D=deprecated. NullFlavors to appear attribute instead EprDocumentAvailabilityStatus :41:36 ( stable) Id Effective Date valid from :41:36 Other versions of this value set EprDocumentAvailabilityStatus beta :18:51 EprDocumentAvailabilityStatus :36:00 Status Final Version Label stable Name EprDocumentAvailabilityStatus Display Name EprDocumentAvailabilityStatus 15/52

16 Source Code System Document availability status as per Annex 3 EPRO-FDHA, Chapter ch-epr-codesystem-1 Level/ Type Code Display Name Code System Designations 0-L urn:oasis:names:tc:ebxmlregrep:statustype:approved 0-L urn:oasis:names:tc:ebxmlregrep:statustype:deprecated Approved ch-epr-codesystem-1 Preferred: Approved Deprecated ch-epr-codesystem-1 Preferred: Deprecated Legenda: Type L=leaf, S=specializable, A=abstract, D=deprecated. NullFlavors to appear attribute instead EprDocumentClassCode :21:46 ( beta) Id Effective Date valid from :21:46 Other versions of this value set EprDocumentClassCode stable :37:23 EprDocumentClassCode :20:12 Status Final Version Label beta Name EprDocumentClassCode Display Name EprDocumentClassCode Document class as per EPRO-FDHA Annex 3, Chapter 2.3. Source Code System SNOMED Clinical Terms Level/ Type Code Display Name Code System Designations 0-L Note on Consultation (record artifact) SNOMED Clinical Terms Preferred: Notes on Consultations 0-L Progress Note (record artifact) SNOMED Clinical Terms Preferred: Progress Notes 0-L Note on Procedure (record artifact) SNOMED Clinical Terms Preferred: Notes on Procedures 16/52

17 0-L Test or Procedure Request (record artifact) SNOMED Clinical Terms Preferred: Tests/Procedure Requests 0-L Clinical Care Referral (record artifact) SNOMED Clinical Terms Preferred: Clinical Care Referrals 0-L Episode Summary Report (record artifact) SNOMED Clinical Terms Preferred: Episode Summary Reports 0-L Progress report (qualifier value) SNOMED Clinical Terms Preferred: Progress Reports 0-L Diagnostic Test Result (record artifact) SNOMED Clinical Terms Preferred: Diagnostic Test Results 0-L Notification (record artifact) SNOMED Clinical Terms Preferred: Notifications 0-L Historic Overview (record artifact) SNOMED Clinical Terms Preferred: Historic Overviews 0-L Present State Summary (record artifact) SNOMED Clinical Terms Preferred: Present State Summaries 0-L Care Plan (record artifact) SNOMED Clinical Terms Preferred: Care Plans 0-L Alert (record artifact) SNOMED Clinical Terms Preferred: Alerts 0-L Scanned Document (record artifact) SNOMED Clinical Terms Preferred: Scanned Documents 0-L Data from Patient (record artifact) SNOMED Clinical Terms Preferred: Data from Patient 0-L Other Composition SNOMED Clinical Terms Preferred: Other Composition Legenda: Type L=leaf, S=specializable, A=abstract, D=deprecated. NullFlavors to appear attribute instead EprDocumentClassCode :37:23 ( stable) Id Effective Date valid from :37:23 Other versions of this value set EprDocumentClassCode beta :21:46 EprDocumentClassCode :20:12 Status Final Version Label stable Name EprDocumentClassCode Display Name EprDocumentClassCode 17/52

18 Source Code System Document class as per EPRO-FDHA Annex 3, Chapter SNOMED Clinical Terms Level/ Type Code Display Name Code System Designations 0-L Note on Consultation (record artifact) SNOMED Clinical Terms Preferred: Notes on Consultations 0-L Progress Note (record artifact) SNOMED Clinical Terms Preferred: Progress Notes 0-L Note on Procedure (record artifact) SNOMED Clinical Terms Preferred: Notes on Procedures 0-L Test or Procedure Request (record artifact) SNOMED Clinical Terms Preferred: Tests/Procedure Requests 0-L Clinical Care Referral (record artifact) SNOMED Clinical Terms Preferred: Clinical Care Referrals 0-L Episode Summary Report (record artifact) SNOMED Clinical Terms Preferred: Episode Summary Reports 0-L Progress report (qualifier value) SNOMED Clinical Terms Preferred: Progress Reports 0-L Diagnostic Test Result (record artifact) SNOMED Clinical Terms Preferred: Diagnostic Test Results 0-L Notification (record artifact) SNOMED Clinical Terms Preferred: Notifications 0-L Historic Overview (record artifact) SNOMED Clinical Terms Preferred: Historic Overviews 0-L Present State Summary (record artifact) SNOMED Clinical Terms Preferred: Present State Summaries 0-L Care Plan (record artifact) SNOMED Clinical Terms Preferred: Care Plans 0-L Alert (record artifact) SNOMED Clinical Terms Preferred: Alerts 0-L Scanned Document (record artifact) SNOMED Clinical Terms Preferred: Scanned Documents 0-L Data from Patient (record artifact) SNOMED Clinical Terms Preferred: Data from Patient 0-L Other Composition SNOMED Clinical Terms Preferred: Other Composition Legenda: Type L=leaf, S=specializable, A=abstract, D=deprecated. NullFlavors to appear attribute instead 18/52

19 3.1.7 EprDocumentConfidentialityCode :23:44 ( beta) Id Effective Date valid from :23:44 Other versions of this value set EprDocumentConfidentialityCode stable :36:23 Status Final Version Label beta Name EprDocumentConfidentialityCode Display Name EprDocumentConfidentialityCode Document confidentiality as per Annex 3 EPRO-FDHA, Chapter 2.4. Source Code System SNOMED Clinical Terms Level/ Type Code Display Name Code System Designations 0-L Normal (qualifier value) SNOMED Clinical Terms Preferred: normal 0-L Restricted (qualifier value) SNOMED Clinical Terms Preferred: restricted 0-L Secret (qualifier value) SNOMED Clinical Terms Preferred: secret Legenda: Type L=leaf, S=specializable, A=abstract, D=deprecated. NullFlavors to appear attribute instead EprDocumentConfidentialityCode :36:23 ( stable) Id Effective Date valid from :36:23 Other versions of this value set EprDocumentConfidentialityCode beta :23:44 Status Final Version Label stable Name EprDocumentConfidentialityCode Display Name EprDocumentConfidentialityCode Document confidentiality as per Annex 3 EPRO-FDHA, Chapter /52

20 Source Code System SNOMED Clinical Terms Level/ Type Code Display Name Code System Designations 0-L Normal (qualifier value) SNOMED Clinical Terms Preferred: normal 0-L Restricted (qualifier value) SNOMED Clinical Terms Preferred: restricted 0-L Secret (qualifier value) SNOMED Clinical Terms Preferred: secret Legenda: Type L=leaf, S=specializable, A=abstract, D=deprecated. NullFlavors to appear attribute instead EprDocumentFormatCode :24:15 ( beta) Id Effective Date valid from :24:15 Other versions of this value set EprDocumentFormatCode stable :45:54 Status Final Version Label beta Name EprDocumentFormatCode Display Name EprDocumentFormatCode Document format as per Annex 3 EPRO-FDHA, Chapter 2.5. This unambiguous code defines the format of the XDS document. Together with the mimetype, this should provide the potential consumer with sufficient information as to whether they are in a position to process the document. Source Code System ch-epr-codesystem-2 Level/ Type Code Display Name Code System Designations 0-L urn:che:epd:epd_unstructured_document Unstructured EPD document ch-eprcodesystem-2 0-L urn:che:epd:epd_structured_document Structured EPD document ch-eprcodesystem-2 Preferred: Unstructured EPD document Preferred: Structured EPD document 20/52

21 0-L urn:ihe:rad: IHE KOS document ch-eprcodesystem-2 Preferred: IHE KOS document Legenda: Type L=leaf, S=specializable, A=abstract, D=deprecated. NullFlavors to appear attribute instead EprDocumentFormatCode :45:54 ( stable) Id Effective Date valid from :45:54 Other versions of this value set EprDocumentFormatCode beta :24:15 Status Final Version Label stable Name EprDocumentFormatCode Display Name EprDocumentFormatCode Document format as per Annex 3 EPRO-FDHA, Chapter 2.5. This unambiguous code defines the format of the XDS document. Together with the mimetype, this should provide the potential consumer with sufficient information as to whether they are in a position to process the document. Source Code System ch-epr-codesystem-2 Level/ Type Code Display Name Code System Designations 0-L urn:che:epd:epd_unstructured_document Unstructured EPD document ch-eprcodesystem-2 0-L urn:che:epd:epd_structured_document Structured EPD document ch-eprcodesystem-2 0-L urn:ihe:rad: IHE KOS document ch-eprcodesystem-2 Preferred: Unstructured EPD document Preferred: Structured EPD document Preferred: IHE KOS document Legenda: Type L=leaf, S=specializable, A=abstract, D=deprecated. NullFlavors to appear attribute instead 21/52

22 EprDocumentLanguage :44:47 ( beta) Id Effective Date valid from :44:47 Other versions of this value set EprDocumentLanguage beta :27:33 EprDocumentLanguage stable :31:45 Status Draft Version Label beta Name EprDocumentLanguage Display Name EprDocumentLanguage Document language as per Annex 3 EPRO-FDHA, Chapter 2.7. Defines the language in which the document was written. 2 Source Code Systems Tags for Identifying Languages - RFC SNOMED Clinical Terms Level/ Type Code Display Name Code System Designations 0-L de-ch German Tags for Identifying Languages - RFC5646 Preferred: German 0-L fr-ch French Tags for Identifying Languages - RFC5646 Preferred: French 0-L it-ch Italian Tags for Identifying Languages - RFC5646 Preferred: Italian 0-L rm-ch Rhaeto-Romanic Tags for Identifying Languages - RFC5646 Preferred: Rhaeto-Romanic 0-L en-us English language (qualifier value) Tags for Identifying Languages - RFC5646 Preferred: English 0-L World languages (qualifier value) SNOMED Clinical Terms Preferred: Other language Legenda: Type L=leaf, S=specializable, A=abstract, D=deprecated. NullFlavors to appear attribute instead EprDocumentLanguage :27:33 ( beta) Id Effective Date valid from :27:33 22/52

23 Other versions of this value set EprDocumentLanguage beta :44:47 EprDocumentLanguage stable :31:45 Status Final Version Label beta Name EprDocumentLanguage Display Name EprDocumentLanguage Document language as per Annex 3 EPRO-FDHA, Chapter 2.7. Defines the language in which the document was written. Source Code System SNOMED Clinical Terms Level/ Type Code Display Name Code System Designations 0-L German language (qualifier value) SNOMED Clinical Terms Preferred: German 0-L French language (qualifier value) SNOMED Clinical Terms Preferred: French 0-L Italian language (qualifier value) SNOMED Clinical Terms Preferred: Italian 0-L Rhaeto-Romanic language (qualifier value) SNOMED Clinical Terms Preferred: Rhaeto-Romanic 0-L English language (qualifier value) SNOMED Clinical Terms Preferred: English 0-L World languages (qualifier value) SNOMED Clinical Terms Preferred: Other language Legenda: Type L=leaf, S=specializable, A=abstract, D=deprecated. NullFlavors to appear attribute instead EprDocumentLanguage :31:45 ( stable) Id Effective Date valid from :31:45 Other versions of this value set EprDocumentLanguage beta :44:47 EprDocumentLanguage beta :27:33 Status Final Version Label stable 23/52

24 Name EprDocumentLanguage Display Name EprDocumentLanguage Document language as per Annex 3 EPRO-FDHA, Chapter 2.7. Defines the language in which the document was written. There is an open issue with this item: ch-epr-issue-13: XDS requests ISO Norm for Id (Open) Source Code System SNOMED Clinical Terms Level/ Type Code Display Name Code System Designations 0-L German language (qualifier value) SNOMED Clinical Terms Preferred: German 0-L French language (qualifier value) SNOMED Clinical Terms Preferred: French 0-L Italian language (qualifier value) SNOMED Clinical Terms Preferred: Italian 0-L Rhaeto-Romanic language (qualifier value) SNOMED Clinical Terms Preferred: Rhaeto-Romanic 0-L English language (qualifier value) SNOMED Clinical Terms Preferred: English 0-L World languages (qualifier value) SNOMED Clinical Terms Preferred: Other language Legenda: Type L=leaf, S=specializable, A=abstract, D=deprecated. NullFlavors to appear attribute instead EprDocumentMimeType :56:01 ( beta) Id Effective Date valid from :56:01 Other versions of this value set EprDocumentMimeType stable :38:22 Status Final Version Label beta Name EprDocumentMimeType Display Name EprDocumentMimeType MIME type of the document as per Annex 3 EPRO-FDHA, Chapter 2.8. Source Code System Media Type 24/52

25 Level/ Type Code Display Name Code System Designations 0-L application/ dicom DICOM Media Type 0-L application/pdf PDF Media Type 0-L audio/mpeg MPEG audio layer 3 Media Type 0-L image/gif GIF Graphics Interchange Format Media Type 0-L image/jpeg JPEG Image Media Type 0-L image/png PNG Portable Network Graphics Media Type 0-L image/tiff TIFF Image Media Type 0-L multipart/xhl7-cda-level1 CDA Level 1 Multipart Media Type 0-L text/plain Plain Text Media Type 0-L text/xml XML-Text Media Type 0-L video/mpeg MPEG Video Media Type Legenda: Type L=leaf, S=specializable, A=abstract, D=deprecated. NullFlavors to appear attribute instead EprDocumentMimeType :38:22 ( stable) Id Effective Date valid from :38:22 Other versions of this value set EprDocumentMimeType beta :56:01 Status Final Version Label stable Name EprDocumentMimeType Display Name EprDocumentMimeType 25/52

26 Source Code System MIME type of the document as per Annex 3 EPRO-FDHA, Chapter Media Type Level/ Type Code Display Name Code System Designations 0-L application/ dicom DICOM Media Type 0-L application/pdf PDF Media Type 0-L audio/mpeg MPEG audio layer 3 Media Type 0-L image/gif GIF Graphics Interchange Format Media Type 0-L image/jpeg JPEG Image Media Type 0-L image/png PNG Portable Network Graphics Media Type 0-L image/tiff TIFF Image Media Type 0-L multipart/xhl7-cda-level1 CDA Level 1 Multipart Media Type 0-L text/plain Plain Text Media Type 0-L text/xml XML-Text Media Type 0-L video/mpeg MPEG Video Media Type Legenda: Type L=leaf, S=specializable, A=abstract, D=deprecated. NullFlavors to appear attribute instead EprDocumentPracticeSettingCode :10:59 ( beta) Id Effective Date valid from :10:59 Other versions of this value set EprDocumentPracticeSettingCode stable :45:32 26/52

27 Status Final Version Label beta Name EprDocumentPracticeSettingCode Display Name EprDocumentPracticeSettingCode Medical specialisation of the data captured in the document as per Annex 3 EPRO-FDHA, Chapter 2.9. This attribute assigns the contents of a document to a medical specialisation. It is conceivable that this information will assist the patient with setting or changing the confidentiality level of documents, which is relevant for controlling access. Source Code System SNOMED Clinical Terms Level/ Type Code Display Name Code System Designations 0-L Clinical immunology/allergy (qualifier value) SNOMED Clinical Terms Preferred: Clinical immunology/allergy 0-L General medicine (qualifier value) SNOMED Clinical Terms Preferred: General medicine 0-L Anesthetics (qualifier value) SNOMED Clinical Terms Preferred: Anaesthesiology 0-L Vascular medicine (qualifier value) SNOMED Clinical Terms Preferred: Vascular medicine 0-L Occupational medicine (qualifier value) SNOMED Clinical Terms Preferred: Occupational medicine 0-L Chiropractic service (qualifier value) SNOMED Clinical Terms Preferred: Chiropractic service 0-L General surgery (qualifier value) SNOMED Clinical Terms Preferred: General surgery 0-L Dermatology (qualifier value) SNOMED Clinical Terms Preferred: Dermatology 0-L Endocrinology (qualifier value) SNOMED Clinical Terms Preferred: Endocrinology 0-L Occupational therapy service (qualifier value) SNOMED Clinical Terms Preferred: Occupational therapy service 0-L Dietetics and nutrition (qualifier value) SNOMED Clinical Terms Preferred: Dietetics and nutrition 0-L Gastroenterology (qualifier value) SNOMED Clinical Terms Preferred: Gastroenterology 0-L Geriatric medicine (qualifier value) SNOMED Clinical Terms Preferred: Geriatric medicine 0-L Gynecology (qualifier value) SNOMED Clinical Terms Preferred: Gynecology and Obstretrics 27/52

28 0-L Clinical hematology (qualifier value) SNOMED Clinical Terms Preferred: Clinical haematology 0-L Cardiac surgery (qualifier value) SNOMED Clinical Terms Preferred: Cardiac surgery 0-L Clinical immunology (qualifier value) SNOMED Clinical Terms Preferred: Clinical immunology 0-L Infectious diseases (specialty) (qualifier value) SNOMED Clinical Terms Preferred: Infectious diseases 0-L Internal medicine (qualifier value) SNOMED Clinical Terms Preferred: Internal medicine 0-L Critical care medicine (qualifier value) SNOMED Clinical Terms Preferred: Critical care medicine 0-L Cardiology (qualifier value) SNOMED Clinical Terms Preferred: Cardiology 0-L Complementary therapy service (qualifier value) SNOMED Clinical Terms Preferred: Complementary therapy 0-L Clinical pathology service (qualifier value) SNOMED Clinical Terms Preferred: Laboratory service 0-L Speech and language therapy service (qualifier value) SNOMED Clinical Terms Preferred: Speech and language therapy service 0-L Clinical genetics (qualifier value) SNOMED Clinical Terms Preferred: Clinical genetics 0-L Oral and maxillofacial surgery (qualifier value) SNOMED Clinical Terms Preferred: Oral and maxillofacial surgery 0-L Nephrology (qualifier value) SNOMED Clinical Terms Preferred: Nephrology 0-L Neurosurgery (qualifier value) SNOMED Clinical Terms Preferred: Neurosurgery 0-L Neurology (qualifier value) SNOMED Clinical Terms Preferred: Neurology 0-L Accident & emergency (qualifier value) SNOMED Clinical Terms Preferred: Accident & emergency 0-L Nuclear medicine - specialty (qualifier value) SNOMED Clinical Terms Preferred: Nuclear medicine 0-L Ophthalmology (qualifier value) SNOMED Clinical Terms Preferred: Ophthalmology 0-L Trauma and orthopedics (qualifier value) SNOMED Clinical Terms Preferred: Trauma and orthopedics 0-L Osteopathic manipulative medicine (qualifier value) SNOMED Clinical Terms Preferred: Osteopathic manipulative medicine 0-L Otolaryngology (qualifier value) SNOMED Clinical Terms Preferred: Otolaryngology 0-L Pediatric specialty (qualifier value) SNOMED Clinical Terms Preferred: Pediatrics 28/52

29 0-L Palliative medicine (qualifier value) SNOMED Clinical Terms Preferred: Palliative medicine 0-L Pathology (qualifier value) SNOMED Clinical Terms Preferred: Pathology 0-L Nursing (qualifier value) SNOMED Clinical Terms Preferred: Nursing 0-L Clinical pharmacology (qualifier value) SNOMED Clinical Terms Preferred: Clinical pharmacology 0-L Pharmacy service (qualifier value) SNOMED Clinical Terms Preferred: Pharmacy service 0-L Physiotherapy (qualifier value) SNOMED Clinical Terms Preferred: Physiotherapy 0-L Plastic surgery - specialty (qualifier value) SNOMED Clinical Terms Preferred: Plastic surgery 0-L Pulmonary medicine (qualifier value) SNOMED Clinical Terms Preferred: Pulmonary medicine 0-L Podiatry service (qualifier value) SNOMED Clinical Terms Preferred: Podiatry service 0-L Preventive medicine (qualifier value) SNOMED Clinical Terms Preferred: Preventive medicine 0-L Psychiatry (qualifier value) SNOMED Clinical Terms Preferred: Psychiatry 0-L Psychology (qualifier value) SNOMED Clinical Terms Preferred: Psychology 0-L Psychosomatic medicine (qualifier value) SNOMED Clinical Terms Preferred: Psycho-Somatic medicine 0-L Radiology - specialty (qualifier value) SNOMED Clinical Terms Preferred: Radiology 0-L Radiation oncology (qualifier value) SNOMED Clinical Terms Preferred: Radiation oncology 0-L Legal medicine (qualifier value) SNOMED Clinical Terms Preferred: Legal medicine 0-L Rehabilitation - specialty (qualifier value) SNOMED Clinical Terms Preferred: Rehabilitation 0-L Rheumatology (qualifier value) SNOMED Clinical Terms Preferred: Rheumatology 0-L Thoracic surgery (qualifier value) SNOMED Clinical Terms Preferred: Thoracic surgery 0-L Blood transfusion (specialty) (qualifier value) SNOMED Clinical Terms Preferred: Transfusion medicine 0-L Tropical medicine (qualifier value) SNOMED Clinical Terms Preferred: Tropical medicine 0-L Urology (qualifier value) SNOMED Clinical Terms Preferred: Urology 29/52

30 0-L Dental medicine specialties (qualifier value) SNOMED Clinical Terms Preferred: Dental medicine 0-L Clinical oncology (qualifier value) SNOMED Clinical Terms Preferred: Clinical oncology 0-L Transplantation surgery (qualifier value) SNOMED Clinical Terms Preferred: Transplant surgery 0-L Clinical specialty (qualifier value) SNOMED Clinical Terms Preferred: other Clinical specialty Legenda: Type L=leaf, S=specializable, A=abstract, D=deprecated. NullFlavors to appear attribute instead EprDocumentPracticeSettingCode :45:32 ( stable) Id Effective Date valid from :45:32 Other versions of this value set EprDocumentPracticeSettingCode beta :10:59 Status Final Version Label stable Name EprDocumentPracticeSettingCode Display Name EprDocumentPracticeSettingCode Medical specialisation of the data captured in the document as per Annex 3 EPRO-FDHA, Chapter 2.9. This attribute assigns the contents of a document to a medical specialisation. It is conceivable that this information will assist the patient with setting or changing the confidentiality level of documents, which is relevant for controlling access. Source Code System SNOMED Clinical Terms Level/ Type Code Display Name Code System Designations 0-L Clinical immunology/allergy (qualifier value) SNOMED Clinical Terms Preferred: Clinical immunology/allergy 0-L General medicine (qualifier value) SNOMED Clinical Terms Preferred: General medicine 0-L Anesthetics (qualifier value) SNOMED Clinical Terms Preferred: Anaesthesiology 0-L Vascular medicine (qualifier value) SNOMED Clinical Terms Preferred: Vascular medicine 30/52

31 0-L Occupational medicine (qualifier value) SNOMED Clinical Terms Preferred: Occupational medicine 0-L Chiropractic service (qualifier value) SNOMED Clinical Terms Preferred: Chiropractic service 0-L General surgery (qualifier value) SNOMED Clinical Terms Preferred: General surgery 0-L Dermatology (qualifier value) SNOMED Clinical Terms Preferred: Dermatology 0-L Endocrinology (qualifier value) SNOMED Clinical Terms Preferred: Endocrinology 0-L Occupational therapy service (qualifier value) SNOMED Clinical Terms Preferred: Occupational therapy service 0-L Dietetics and nutrition (qualifier value) SNOMED Clinical Terms Preferred: Dietetics and nutrition 0-L Gastroenterology (qualifier value) SNOMED Clinical Terms Preferred: Gastroenterology 0-L Geriatric medicine (qualifier value) SNOMED Clinical Terms Preferred: Geriatric medicine 0-L Gynecology (qualifier value) SNOMED Clinical Terms Preferred: Gynecology and Obstretrics 0-L Clinical hematology (qualifier value) SNOMED Clinical Terms Preferred: Clinical haematology 0-L Cardiac surgery (qualifier value) SNOMED Clinical Terms Preferred: Cardiac surgery 0-L Clinical immunology (qualifier value) SNOMED Clinical Terms Preferred: Clinical immunology 0-L Infectious diseases (specialty) (qualifier value) SNOMED Clinical Terms Preferred: Infectious diseases 0-L Internal medicine (qualifier value) SNOMED Clinical Terms Preferred: Internal medicine 0-L Critical care medicine (qualifier value) SNOMED Clinical Terms Preferred: Critical care medicine 0-L Cardiology (qualifier value) SNOMED Clinical Terms Preferred: Cardiology 0-L Complementary therapy service (qualifier value) SNOMED Clinical Terms Preferred: Complementary therapy 0-L Clinical pathology service (qualifier value) SNOMED Clinical Terms Preferred: Laboratory service 0-L Speech and language therapy service (qualifier value) SNOMED Clinical Terms Preferred: Speech and language therapy service 0-L Clinical genetics (qualifier value) SNOMED Clinical Terms Preferred: Clinical genetics 0-L Oral and maxillofacial surgery (qualifier value) SNOMED Clinical Terms Preferred: Oral and maxillofacial surgery 31/52

32 0-L Nephrology (qualifier value) SNOMED Clinical Terms Preferred: Nephrology 0-L Neurosurgery (qualifier value) SNOMED Clinical Terms Preferred: Neurosurgery 0-L Neurology (qualifier value) SNOMED Clinical Terms Preferred: Neurology 0-L Accident & emergency (qualifier value) SNOMED Clinical Terms Preferred: Accident & emergency 0-L Nuclear medicine - specialty (qualifier value) SNOMED Clinical Terms Preferred: Nuclear medicine 0-L Ophthalmology (qualifier value) SNOMED Clinical Terms Preferred: Ophthalmology 0-L Trauma and orthopedics (qualifier value) SNOMED Clinical Terms Preferred: Trauma and orthopedics 0-L Osteopathic manipulative medicine (qualifier value) SNOMED Clinical Terms Preferred: Osteopathic manipulative medicine 0-L Otolaryngology (qualifier value) SNOMED Clinical Terms Preferred: Otolaryngology 0-L Pediatric specialty (qualifier value) SNOMED Clinical Terms Preferred: Pediatrics 0-L Palliative medicine (qualifier value) SNOMED Clinical Terms Preferred: Palliative medicine 0-L Pathology (qualifier value) SNOMED Clinical Terms Preferred: Pathology 0-L Nursing (qualifier value) SNOMED Clinical Terms Preferred: Nursing 0-L Clinical pharmacology (qualifier value) SNOMED Clinical Terms Preferred: Clinical pharmacology 0-L Pharmacy service (qualifier value) SNOMED Clinical Terms Preferred: Pharmacy service 0-L Physiotherapy (qualifier value) SNOMED Clinical Terms Preferred: Physiotherapy 0-L Plastic surgery - specialty (qualifier value) SNOMED Clinical Terms Preferred: Plastic surgery 0-L Pulmonary medicine (qualifier value) SNOMED Clinical Terms Preferred: Pulmonary medicine 0-L Podiatry service (qualifier value) SNOMED Clinical Terms Preferred: Podiatry service 0-L Preventive medicine (qualifier value) SNOMED Clinical Terms Preferred: Preventive medicine 0-L Psychiatry (qualifier value) SNOMED Clinical Terms Preferred: Psychiatry 0-L Psychology (qualifier value) SNOMED Clinical Terms Preferred: Psychology 32/52

33 0-L Psychosomatic medicine (qualifier value) SNOMED Clinical Terms Preferred: Psycho-Somatic medicine 0-L Radiology - specialty (qualifier value) SNOMED Clinical Terms Preferred: Radiology 0-L Radiation oncology (qualifier value) SNOMED Clinical Terms Preferred: Radiation oncology 0-L Legal medicine (qualifier value) SNOMED Clinical Terms Preferred: Legal medicine 0-L Rehabilitation - specialty (qualifier value) SNOMED Clinical Terms Preferred: Rehabilitation 0-L Rheumatology (qualifier value) SNOMED Clinical Terms Preferred: Rheumatology 0-L Thoracic surgery (qualifier value) SNOMED Clinical Terms Preferred: Thoracic surgery 0-L Blood transfusion (specialty) (qualifier value) SNOMED Clinical Terms Preferred: Transfusion medicine 0-L Tropical medicine (qualifier value) SNOMED Clinical Terms Preferred: Tropical medicine 0-L Urology (qualifier value) SNOMED Clinical Terms Preferred: Urology 0-L Dental medicine specialties (qualifier value) SNOMED Clinical Terms Preferred: Dental medicine 0-L Clinical oncology (qualifier value) SNOMED Clinical Terms Preferred: Clinical oncology 0-L Transplantation surgery (qualifier value) SNOMED Clinical Terms Preferred: Transplant surgery 0-L Clinical specialty (qualifier value) SNOMED Clinical Terms Preferred: other Clinical specialty Legenda: Type L=leaf, S=specializable, A=abstract, D=deprecated. NullFlavors to appear attribute instead EprDocumentTypeCode :39:26 ( beta) Id Effective Date valid from :39:26 Other versions of this value set EprDocumentTypeCode beta :32:13 EprDocumentTypeCode beta :14:30 EprDocumentTypeCode stable :44:36 33/52

REGULATION RESPECTING THE TERMS AND CONDITIONS FOR THE ISSUANCE OF THE PERMIT AND SPECIALIST'S CERTIFICATES BY THE COLLÈGE DES MÉDECINS DU QUÉBEC

REGULATION RESPECTING THE TERMS AND CONDITIONS FOR THE ISSUANCE OF THE PERMIT AND SPECIALIST'S CERTIFICATES BY THE COLLÈGE DES MÉDECINS DU QUÉBEC (This version is offered as a courtesy and holds no official value.) Professional Code (R.S.Q., c. C-26, s. 93, sub. c and c.1, 94 par. i and 94.1) DIVISION I GENERAL PROVISIONS 1. The purpose of this