Provincial Client Registry (PCR) HL7 FHIR® Contribution Implementation Guide v1.0.0-draft1
For a full list of available versions, see the Directory of published versions
| Term/Acronym/Abbreviation | Description |
|---|---|
| Admission, Discharge, Transfer (ADT) | Admission, Discharge and Transfer digital messages for patients in a healthcare facility. |
| Agent | Any individual authorized by a custodian to perform services or activities related to personal health information on the custodian's behalf. This includes persons or companies contracting, employed, or volunteering for a custodian, potentially having access to personal health information. |
| Cancer Care Ontario (CCO) | Ontario government’s principal advisor on the cancer and renal system that encompasses Cancer Care Ontario and the Ontario Renal Network. CCO provide tools, resources and evidence-based data to help our healthcare partners improve the delivery of care. CCO also manages an Access to Care Program that helps improve patient access to healthcare services and reduce wait times, and support Ontario’s Wait Time and Emergency Room/Alternate Level of Care Strategies. |
| Corporate Identifier (CORPID) | A Corporate Identifier that uniquely identifies a patient and their records within the Legal Entity. The same patient that visits multiple facilities in the organization and is assigned different corresponding MRNs is ultimately managed under a single Corporate Identifier (and typically demographics) within in the Legal Entity. The CORPID is typically not visible to health care providers and the users of local information systems. |
| Definitional Identifier (DefID) | Primary value that uniquely identifies a source patient [record] in the PCR. In business practice, this translates to one of; CORPID (for Corporate ID Model sources), MRN (for Standard Model sources) etc. |
| Definitional Source (DefSrc) | Primary value that uniquely identifies a source patient [record] in the PCR. In business practice, this translates to one of; CORPID (for Corporate ID Model sources), Medical Record Number (MRN) (for Standard Model sources), or in the single case of the authoritative Ministry of Health Registered Persons Database feed. |
| Digital Health Drug Repository (DHDR) | A repository containing records of Primary Health Information such as drug and prescription information from publicly-funded drug programs, publicly-funded pharmacy services (e.g. MedsCheck Program, Pharmacy Smoking Cessation Program, vaccine administration) and monitored drugs programs (narcotics and controlled substances) regardless of who the payor is. Records of Personal Health Information (PHI) in DHDR may be contributed to Ontario Health, as Prescribed Organization, by the Ministry of Health, community pharmacies, and hospitals. |
| Diagnostic Imaging Common Services (DI CS) | To enable diagnostic imaging (DI) studies and DI reports stored in regional DI repositories and eHealth Ontario XDS repository to be accessible province-wide from anywhere and anytime, within the context of the provincial digital health record initiative. DI Common Service (DI-CS) is a provincial EHR repository that provides access to diagnostic imaging reports and images. From a clinical and business perspective, the DI Common Service solution will deliver a private and secure shared common service for the DI repositories while following the principle of delivering the greatest clinical value relative to associated costs as a priority. DI Common Service currently provides access to DI reports and images via the DI Viewer integrated with the eHealth Ontario Portal. |
| DOB | Date of Birth |
| Draft Standard for Trial Use (DSTU) | An archaic term for any X12 standard that has been approved since the most recent release of X12 American National Standards. The current equivalent term is X12 Standard |
| Enterprise Client Identifier (ECID) | A unique identifier for a patient in the Provincial Client Registry (PCR). Also referred to as Enterprise Patient Identifier. The PCR engine uses a probabilistic matching algorithm to link together an individual’s demographic records from multiple sources under a single identifier known as the Enterprise Client Identifier (ECID), and thus can provide identity cross-reference services in support of the Electronic Health Record (EHR). Note that the supporting PCR technology refers to ECID simply as Enterprise ID (EID). |
| Electronic Health Record (EHR) | Has the meaning set out in s. 55.1 of PHIPA and generally means the electronic systems that are developed and maintained by Ontario Health pursuant to Part V.1 of PHIPA for the purpose of enabling HICs to Collect, Use and Disclose PHI by means of the systems. |
| Enterprise Master Patient Index (EMPI) | A Ministry of Health (MOH) asset that maintains online listings of patients and medical records across multiple facilities and/or hospitals. It includes admission, registration, and discharge dates, as well as data required for re-registration. It provides access to previous records and supports the exchange of patient information. |
| Freedom of Information and Protection of Privacy Act (FIPPA) | Freedom of Information Protection of Privacy Act, 1990. Ontario legislation with two main purposes: 1) to make provincial government institutions more open and accountable by providing the public with a right of access to records; and 2) to protect the privacy of individuals with respect to their Personal Information held by provincial government organizations. References to FIPPA include the regulations made thereunder, as may be amended, or replaced from time to time. |
| FHIR | HL7 Fast Healthcare Interoperability Resources Standard |
| Health Card Number (HCN) | A number assigned to every individual eligible to receive provincial health care services under the provincial/territories health insurance plan. |
| Health Information Access Layer (HIAL) | A centrally hosted and managed solution, a collection of technologies that orchestrates digital health record transactions, ensuring that they are private and secure, and implementing integration capabilities. |
| Health Information Custodian (HIC) | Has the meaning set out in s. 3 of PHIPA and generally means 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 MOH, but does not include Ontario Health. |
| Health Level Seven (HL7®) | A set of international standards used to move clinical and administrative health data between applications. The application layer, or "layer 7" in the Open Systems Interconnection paradigm, is the focus of the HL7 standards. |
| 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. |
| Hypertext Transfer Protocol Secure (HTTPs) | A communication link protocol protects data transmission between a user's web browser and a website. It is the secure version of HTTP |
| Internet Engineering Task Force (IETF) | A standards development organization (SDO) for the Internet. The IETF makes voluntary standards that are often adopted by Internet users, network operators, and equipment vendors, and it thus helps shape the trajectory of the development of the Internet. |
| Integrating the Healthcare Enterprise (IHE) | An initiative by business and healthcare experts to enhance the information-sharing capabilities of healthcare computer systems. IHE encourages the coordinated use of industry standards like HL7 and Digital Imaging and Communications in Medicine (DICOM) to solve particular clinical requirements and enable the best possible patient care. |
| Integrating the Healthcare Enterprise(IHE) IT Infrastructure(ITI) | A domain that addresses the implementation of standards-based interoperability solutions to improve information sharing, workflow and patient care. |
| Informational Identifier (InfID) | A secondary Identifier value that uniquely distinguishes a patient under a given definitional source record. In business practice, this translates to either Health Card Nunber or Medical Record Nunber. |
| InfSrc | Informational Source |
| 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). |
| Ministry of Health and Long-Term Care (MOHLTC) | The Ontario government ministry in charge of overseeing long-term care to ensure that residents get the quality of care and quality of life they need and deserve both now and in the future. |
| 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. |
| Ontario Health Insurance Plan (OHIP) | A provincial Government-run health plan for the province of Ontario. |
| 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. |
| pan-Canadian Standard(s) (pCS) | Technical framework and clinical language that enables thousands of health care providers to communicate and share health information that is contextual and unambiguous in meaning. Pan-Canadian standards support the safe and secure exchange of health care information (e.g. drugs, labs, diagnostic imaging) across the continuum of care, clinical decision support (e.g. alerts and reminders), data analytics, population health management (e.g. screening, public health) and more. |
| Pre-Assigned Health Card Number (PAHN) | A pre-allocated health number given to infants before birth and kept by the parents to enable the child to access covered services before receiving their health card. |
| Provincial Client Registry (PCR) | The definitive source for a health care client’s identity, facilitating the unique, accurate and reliable identification of individual clients and others who receive care in Ontario, across the disciplines in the health care sector. It contains demographic and identification cross-reference data for health care clients registered in one or more patient identifier domains for which eHealth Ontario, as a result of policy/program/IT decisions, has established a data sharing agreement with the respective organizations. The PCR is fed by multiple data sources, including the Ministry of Health Registered Persons Data Base, hospital sites tracking admissions, discharges, and transfers, and other systems that participate in health care services. |
| PDQ | IHE Patient Demographic Query Profile (ITI-21) |
| Personal Health Information (PHI) | Has the meaning set out in s. 4 of PHIPA. Specifically, it is “identifying information” in oral or recorded form about an individual that: -Relates to the physical or mental health of the individual, including information that consists of the health history of the individual’s family; -Relates to the provision of health care to the individual, including the identification of a person as a provider of health care to the individual; -Is a plan that sets out the home and community care services for the individual to be provided by a health service provider or Ontario Health Team pursuant to funding under section 21 of the Connecting Care Act, 2019; -Relates to payments or eligibility for health care or eligibility for coverage for health care, in respect of the individual; -Relates to the donation by the individual of any body part or bodily substance of the individual or that is derived from the testing or examination of any such body part or bodily substance; -Is the individual’s health number; and/or Identifies an individual’s substitute decision-maker. 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 information (PI) | Information about an identifiable individual, such as name, address, telephone number, but does not include this information for an employee of an organization. |
| Patient Identifier Cross-Referencing (PIX) | A process that involves cross-referencing patient identifiers from multiple patient identifier domains. These patient identifiers can then be used by identity consumer systems to correlate information about a single patient from sources that know the patient by different identifiers. See Profile. NOTE: PIX is an Integrating the Healthcare Enterprise (IHE) Profile. |
| Public Key Infrastructure (PKI) | A combination of technology, facilities, people, operational procedures, and policy to support key-based security mechanisms. It is an enabler for encryption and digital signatures. Infrastructure used in the relation between a key holder and a relying party that allows a relying party to use a one application using a public key dependent security service, and that includes a certification authority, a certificate data structure, means for the relying party to obtain current information on the revocation status of the certificate, a certification policy, and methods to validate the certification practice. |
| 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). |
| Representational State Transfer (REST) | A style of software architecture for distributed systems such as the World Wide Web. It facilitates the transaction between web servers by allowing loose coupling between different services and does not require Extensible Markup Language (XML) parsing and message header to and from a service provider. |
| Regulated Healthcare Provider (RHP) | A health profession in Ontario governed under the Regulated Health Professions Act, 1991 (RHPA) and health profession Acts (i.e., Medicine Act, 1991). This legislative framework establishes health regulatory colleges, which regulate the professions in the public interest. |
| HL7 Reference Information Model (HL7 RIM) | An object model created as part of the Version 3 methodology, it is a large, pictorial representation of the Health Level 7 (HL7) clinical data (domains) and identifies the life cycle a message or groups of related messages will carry. It is a shared model between all domains and, as such, is the model from which all domains create their messages. It is an American National Standards Institute (ANSI) approved standard. |
| Ontario Registered Persons Database (RPDB) | A database that contain records for all individuals registered to receive health services in Ontario, respectively. Each registrant is assigned a unique Health Insurance Number (HIN). |
| Security Assertion Markup Language (SAML) | A standard format that is used in federated systems for the purpose of exchanging authentication and authorization data. It was developed to address the issue of how to achieve cross-domain ‘single sign-on’. It is an Extensible Markup Language (XML)-based open standard that is a product of the OASIS Security Technical Committee. It defines a ‘protocol’ or framework for requesting and obtaining identity assertions. |
| Simple Object Access Protocol (SOAP) | A third generation programmable web service built on top of standards-based Internet protocols that can be implemented on any platform, in any language. |
| Transport Layer Security (TLS) | A cryptographic protocols providing communication security over the Internet. |
| 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. |