Ontario Immunization Repository Implementation Guide -v1.0.0-draft1
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| Term/Acronym/Abbreviation | Description |
|---|---|
| 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. |
| Consent Management Technology Asset (CMTA) | The provincial consent management solution enables the uniform enforcement of privacy directives for all digital health services transactions. If a consent directive blocking a specific provider's access to a client's information is declared, integration with CMTA allows this directive to be enforced across all identities a provider may be using to access the provincial digital health record. |
| College of Physicians and Surgeons of Ontario (CPSO) | The regulatory college for medical doctors in Ontario, Canada. |
| Community Pharmacy | A neighborhood-based retail pharmacy typically offers drug prescription services, medication counseling, and administers vaccines. |
| Digital health asset | Has the meaning set out in section 26 of O. Reg. 324/04 and generally means a product or service that,
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| 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. |
| Enterprise Client Identifier (ECID) | A unique identifier for a patient in the Provincial Client Registry (PCR). 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) | A computer-based clinical data for an individual across multiple locations. This longitudinal health record includes data from a number of different interoperable Electronic Medical Records (EMRs) and Electronic Patient Records (EPRs) and is shared across multiple jurisdictions. |
| Enterprise Master Patient Index (EMPI) | A system 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 all data pertinent for re-registration. It provides for quick access to previous records and the ability to send new patient information to them. |
| Error annotation | Annotation generated when a validation rule determined that data is incorrect or invalid in some way, therefore the dispensed or administration record is invalid for transmission to clinicians (e.g., record is missing a required data element). |
| Generic immunizing agent | The generic or non-proprietary name of the vaccine. |
| 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 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. |
| 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. |
| 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. |
| 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.R.O. 1990, Reg. 965 as a public hospital. |
| 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. |
| Immunization administration event | Describes the event of a patient being administered a vaccine product or a record of an immunization as reported by a patient, a clinician or another party. While the terms "immunization" and "vaccination" are not clinically identical, for the purposes of the FHIR resources, the terms are used synonymously. |
| Immunizing agent | A biological product that can refer to both the commercial product (tradename) and its general formulation (generic name). Immunizing agents are classified as active or passive, depending on the process by which they provide immunity. |
| Implementation Guide (IG) | A document 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). |
| Informational annotation | An informational message has been generated during the validation process, however the dispense or administration record is still valid for disclosure to clinicians (e.g., Newborn DOB detected). |
| 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,
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| 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. |
| 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). |
| Medical Record Number (MRN) | A unique number assigned by a facility (e.g. hospital, community pharmacy) to identify an individual. The medical record number is organization specific. |
| National Vaccine Catalogue (NVC) | The National Vaccine Catalogue is a publicly accessible information repository of all vaccines authorized for use in Canada, including product-specific information and standardized terminology to promote interoperability. |
| 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. |
| 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. |
| Passive immunizing agent | A substance that provides immediate, short-term immunity by supplying pre-formed antibodies. |
| 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. |
| Pharmacy Management System (PMS) | An application that provides support to a community pharmacy from an operational, clinical, and management perspective, helping to optimize patient safety, streamline workflow, and reduce operational costs. |
| 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). |
| Prescribed Organization (PO) | The organization prescribed in Ontario Regulation 329/04 as the organization for the purposes of Part V.1 of PHIPA. The Prescribed Organization has the power and the duty to develop and maintain the EHR in accordance with Part V.1 of PHIPA and the regulations made thereunder. |
| Provider application | Provider applications include point-of-service systems supporting clinical workflow for Ontario’s healthcare providers. |
| 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 and Long-Term Care Registered Persons Data Base hospital sites tracking admissions, discharges, and transfers, and other systems that participate in health care services. |
| Provincial Consent Override Interface (PCOI) | The mechanism through which consent override requests from application providers are captured. Where a request by an authorized HIC for patient clinical data is made and a consent directive exists. It facilitates, through a standardized web user interface, notification to the Health Information Custodian of the block, recording of the override reason, and the temporary suspension of the directive permitting the Health Information Custodian to view the blocked data. |
| Provincial Provider Registry (PPR) | The authoritative source of information for health profession data and health care service delivery locations for use by digital health record solutions. It facilitates the unique and accurate identification of regulated provider persons and organizations that provide health services in Ontario, or who participate in the collection, use, or disclosure of personal health information across the continuum of care. The PPR contains authoritative information about regulated health professionals and organizations in Ontario that fall within the definition of health information custodian pursuant to the Personal Health Information Protection Act (PHIPA). The PPR is currently fed by regulatory colleges, Ministry of Health and Long-Term Care databases, hospitals, and other organizations, and is managed by Ontario Health. |
| Referential validation | A process to confirm that the data aligns with external sources (e.g., validation of the patient demographics against Provincial Client Registry (PCR) or performing a drug lookup against the Health Canada Drug Product Database). |
| Structural validation | A process to confirm that a record being submitted meet the technical rules of the message format (e.g., Fast Healthcare Interoperability Resources JavaScript Object Notation/Extensible Markup Language (FHIR JSON/XML) structure or HL7 v.2 and the presence of mandatory fields). |
| Tradename immunizing agent | The drug or vaccine name under which a manufacturer, corporation, partnership or individual chooses to operate, sell and advertise. |
| Unique Provider Identifier number (UPI) | A unique number or code used for the purpose of identifying a healthcare provider. |
| 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. |
| 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). |
| Vaccine | A substance that stimulates the immune system to protect against specific diseases. |
| Warning annotation | A commentary generated when a validation rule determined that a message should be considered or analyzed, however the dispense or administration record is still invalid for transmission to clinicians (e.g., Date of Birth (DoB) has the day and month transposed). |
| Extensible Markup Language (XML) | A simplified subset of standard generalized markup language, capable of describing many different kinds of data. |