Ontario Clinical Report Exchange Implementation Guide v1.0.0 - Trial Use
For a full list of available versions, see the Directory of published versions
| Term/Acronym/Abbreviation | Description |
|---|---|
| Acute and Community Clinical Data Repository (acCDR) | A repository used for sharing clinically relevant digital health record information not currently shared through the laboratory, medication, or diagnostic imaging repositories. Includes information such as discharge summaries, patient assessment forms, clinical notes, and transcribed reports or procedures reports. |
| Application Programming Interface (API) | A set of standard software interrupts, calls, functions, and data formats that can be used by an application program to access network services, devices, applications, or operating systems. |
| College of Physicians and Surgeons of Ontario (CPSO) | The regulatory college for medical doctors in Ontario, Canada. |
| Date Of Birth (DOB) | Refers to the year, month, and day a patient was born. |
| Data Quality Solution (DQS) | The ONE Data Quality application is used by authorized external users who contribute data to Ontario Health's clinical repositories, as well as authorized users within Ontario Health responsible for data quality management, specifically supporting conformance, clinical validation, and data accuracy monitoring processes. It is used to view the annotations for messages that have failed to file, allowing external users to monitor and report status on new and unresolved annotations. |
| Digital health asset | Has the meaning set out in section 26 of O. Reg. 324/04 and generally means a product or service that,
|
| Digital Health Information Exchange (DHIEX) | A regulatory framework that gives Ontario Health the ability to define and implement the health information standards and requirements for use in interoperability specifications. It regulates digital health information exchange in Ontario for consistent sharing of meaningful health information across health systems for the benefit of patients and health care providers. |
| DHIEX framework | Ontario Health refers to its authorities under the regulation (specifically sections 26 to 34) as the Digital Health Information Exchange (DHIEX). |
| EHR Profile | A set of OH defined FHIR profiles that provides common model of clinical data across OH FHIR APIs to imporve consistency and minimize discrepancy. These profiles provide reusable, high-quality, and standardized data structures that facilitate interoperability across OH FHIR APIs to support common reusable FHIR artefacts for harmonization and consistency, and they will evolve over time. |
| Electronic Medical Record (EMR) system | An electronic medical record (EMR) generally refers to an electronic version of the paper health record. An EMR system can be used by one or more health information custodians in a primary care practice setting or community-based care setting to collect or use personal health information such as a patient's family history, lab requests and results, cancer screening tests, emergency room visits, prescriptions, etc, for the provision of care. |
| Health Card Number (HCN) | A number assigned to every individual eligible to receive provincial health care services under the provincial/territory health insurance plan. |
| Health Information Custodian (HIC) | A person or organization that has custody or control of personal health information for the purpose of health care or other health-related duties. Examples include physicians, hospitals, pharmacies, laboratories and the Ministry of Health. |
| Health Information Network Provider (HINP) | Provides services to two or more custodians, where the services are provided primarily to enable the custodians to use electronic means to disclose personal health information to one another. |
| Health Information System (HIS) | Any system that captures, stores, manages, or transmits information related to the health of individuals or activities of organizations that work within the health sector. |
| Health Level Seven (HL7®) | HL7 is An ANSI accredited standards development organization that create and promote the adoption of innovative interoperability standards that improve health and well-being while fostering a diverse and inclusive global community. |
| HL7 Fast Healthcare Interoperability Resources Standard (HL7 FHIR®) | A standard for exhanging healthcare information electronically that defines a set of "Resources" that represent granular clinical concepts. The resources can be managed in isolation, or aggregated into complex documents. Technically, FHIR is designed for the web; the resources are based on simple Extensible Markup Language (XML) or JavaScript Object Notation (JSON) structures, with an http-based RESTful protocol where each resource has predictable Uniform Resource Locator (URL). Where possible, open internet standards are used for data representation. |
| Health Report Manager (HRM) | A digital health solution owned and operated by OntarioMD that enables clinicians to securely receive patient reports electronically from participating hospitals and specialty clinics. |
| Hospital | Any institution, building or other premises or place that is established for the purposes of the treatment of patients and that is approved under the Public Hospitals Act, R.S.O. 1990, Chapter P.40 as a public hospital. |
| Hospital Information System (HIS) | A comprehensive, knowledge-based system used in a hospital setting, capable of providing information to all who need it to make sound decisions about health. |
| Hypertext Transfer Protocol (HTTP) | A communication link protocol used by web servers and browsers to transfer/exchange HTML documents or files (text, graphic images, sound, video, and other multimedia files) over the Internet. |
| Implementation Guide (IG) | A specification explaining the proper use of a standard for a specific purpose. |
| Implementer(s) | Entities responsible for carrying out the adoption of the Implementation Guide (IG). |
| Integrated Community Health Services Centre (ICHSC) | An Integrated Community Health Services Centre (ICHSC) in Ontario (formerly known as Independent Health Facilities) is a community-based health facility, including community surgical and diagnostic centres, that is licensed to provide a range of publicly insured diagnostic services, surgeries and procedures which are prescribed under the Integrated Community Health Services Centres Act, 2023 (https://www.ontario.ca/laws/statute/23i04#Sched19). |
| Interoperability specification | Has the meaning set out in section 26 of O. Reg. 324/04 and generally means a business or technical requirement established by the Agency that applies to a digital health asset or to a digital health asset’s interaction with other digital health assets, and that may include, without being limited to, a requirement related to,
|
| JavaScript Object Notation (JSON) | A text format that is completely language independent but uses conventions that are familiar to programmers of the C-family of languages, including C, C++, C#, Java, JavaScript, Perl, Python, and many others. These properties make JavaScript Object Notation (JSON) an ideal data-interchange language. |
| JSON Web Token (JWT) | JWT is an open standard (RFC 7519) that defines a compact and self-contained way for securely transmitting information between parties as a JSON object. |
| Logical Observation Identifiers Names and Codes (LOINC) | A universal code system for identifying health measurements, observations and documents. It provides a common language (set of identifiers, names, and codes) for clinical and laboratory observations; a rich catalog of measurements, including laboratory tests, clinical measures like vital signs and anthropomorphic measures, standardized survey instruments, and more. In essence, it provides the lingua franca for interoperable data exchange. **The code systems includes observation and document ontology. |
| Master Numbering System (MNS) | A numbering system developed for the purpose of bringing together all Health Facilities and Programs under one system of identification. The list is a composite of health and health related units, facilities, clinics, programs and services. Each such organization has been assigned a unique four digit identifying code. |
| Medical Record Number (MRN) | A unique number assigned by a facility (e.g. hospital, community pharmacy) to identify an actual or potential recipient of care. The medical record number is organization specific. |
| miCDR | Ontario Medical Imaging Clinical Data Repository |
| Ministry of Health (MOH) | The Ontario government ministry in charge of overseeing the province's healthcare system. Formerly known as Ministry of Health and Long Term Care (MOHLTC). |
| ONE Access Gateway (OAG) | A modernized platform for enabling the integration of provider facing applications with provincial clinical repositories and registries in a secure and reliable manner. |
| Object Identifier (OID) | An identifier mechanism standardized by the International Telecommunications Union (ITU) and International Organization for Standardization/International Electrotechnical Commission (ISO/IEC) for naming any object, concept, or "thing" with a globally unambiguous persistent name. |
| Ontario Clinical Report Exchange (OCRE) | A digital health solution that enables clinicians to securely receive patient reports electronically from participating hospitals and specialty clinics. |
| Personal Health Information (PHI) | Has the meaning set out in section 4 of PHIPA. Specifically, it is “identifying information” about an individual that:
PHI also includes identifying information about an individual that is not PHI listed above but that is contained in a record that includes PHI listed above. Information is “identifying” when it identifies an individual or when it is reasonably foreseeable in the circumstances that it could be utilized, either alone or with other information, to identify the individual. |
| Personal Health Information Protection Act (PHIPA) | The Ontario health privacy law. It establishes rules for the management of Personal Health Information and the protection of the confidentiality of that information, while facilitating the effective delivery of healthcare services. References to PHIPA include the regulation made thereunder (O. Reg. 329/04), as may be amended or replaced from time to time. |
| Point of Service (PoS) | A software application used by health information custodians for viewing or managing personal health information (PHI). Common PoS systems include, but are not limited to, provincial clinical viewers, health information system (HIS) and primary care electronic medical records (EMRs). |
| Provincial Health Services Directory (PHSD) | The Provincial Health Services Directory (PHSD) is an Ontario Health owned, managed and delivered comprehensive Health Services Directory/repository for the province. |
| Provider application | Provider applications include point-of-service systems supporting clinical workflow for Ontario’s healthcare providers. |
| Uniform Resource Identifier (URI) | The sequence of characters that identifies a logical or physical resource. Uniform Resource Locator (URL) is an example of a type of URI. |
| Uniform Resource Locator (URL) | A method to locate a resource on the web. It contains the name of the protocol to be used to access the resource and the resource name. |
| Unique Provider Identifier number (UPI) | A unique number or code used for the purpose of identifying a healthcare provider in Ontario. |
| Universal Unique Identifier (UUID) | An octet string of 16 octets (128 bits) used to reliably identifying very persistent objects across a network, particularly (but not necessarily) as part of an object identifier (OID) value, or in a Uniform Resource Name (URN). |
| Extensible Markup Language (XML) | A simplified subset of standard generalized markup language, capable of describing many different kinds of data. |