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List of OHISC Endorsed Standards

June 10, 2016
Please note: For Ontario Electronic Health Record (EHR) Interoperability Standards, approved and maintained by eHealth Ontario, please visit http://www.ehealthontario.on.ca/en/architecture/standards.

Acronym Standard Name Type of Standard Description of Standard Level of Approval Reason for Retirement Standard Location
AlphaFIM® Alpha-Functional Independence Measure (AlphaFIM) Information: Data Structure An abbreviated version of the FIM® instrument.
It is designed to asses the disability and functional status in the acute care setting for stroke patients.

Uses six items from the FIM® instrument: 4 motor items and 2 cognitive items
3   http://www.udsmr.org/
CCI Canadian Classification of Health Interventions Information: Data Content The Canadian Classification of Health Interventions (CCI) is the new national standard for classifying health care procedures. CCI is the companion classification system to ICD-10-CA. CCI replaces the Canadian Classification of Diagnostic, Therapeutic and Surgical Procedures (CCP) and the intervention portion of ICD-9-CM in Canada. 3   https://secure.cihi.ca/
CDA - R2 HL7 Clinical Document Architecture, Release 2 Information: Data Structure It is a document markup standard that specifies the structure and semantics of "clinical documents" (such as Discharge Summary, Consult Note etc.) for the purpose of exchange between healthcare providers and patients. It defines a clinical document as having the following six characteristics: 1) Persistence, 2) Stewardship, 3) Potential for authentication, 4) Context, 5) Wholeness and 6) Human readability.
3   http://www.hl7.org/
DICOM Digital Imaging and Communication in Medicine - 2011 release and subsequent releases Information: Data Structure It is the international standard for medical images and related information (ISO 12052). It defines the formats for medical images that can be exchanged with the data and quality necessary for clinical use. 3   http://medical.nema.org/
FIM® Functional Independence Measure (FIM) Information: Data Structure FIM® instrument is recognized as a measure of functional status and disability that reflects the minutes of care necessary to support a person with disability in activities of daily living.
It contains 18 items composed of 13 motor tasks and 5 cognitive tasks (considered basic activities of daily living)
Items are rated on a 7 point ordinal scale that ranges from total assistance to complete independence

Scores range from 18 (lowest) to 126 (highest) indicating level of function.
3   http://www.udsmr.org/
HOBIC Health Outcomes for Better Information and Care - Standardized Measures for Nursing-Sensitive Outcomes Information: Data Content HOBIC data set provides a suite of standardized clinical terms and concepts used for assessing patient status and determining patient sensitive outcomes. It is used for the electronic collection of clinical patient outcomes reflective of nursing practice. 3   http://c-hobic.cna-aiic.ca/
http://community.hobic-outcomes.ca/
ICD-10-CA International Statistical Classification of Disease and Health Related Problems, 10th Revision, Canada Information: Data Content International Statistical Classification of Diseases and Related Health Problems, 10th Revision (ICD-10) is an international standard, developed by the World Health Organization for reporting clinical diagnoses. ICD-10 is designed to promote international comparability in the collection, processing, classification, and presentation of morbidity and mortality statistics. It defines a format for reporting causes of death and diseases as structured alphanumeric codes. 3   https://secure.cihi.ca/
IHE CT Integrating the Healthcare Enterprise (IHE) - Consistent Time Profile Technology: App Integration CT Profile provides a means to ensure that the system clocks and time stamps of the many computers in a network are well synchronized. It enables users to reliably sequence clinical event data stemming from disparate data sources and supports the security function of audit logs by ensuring time stamping accuracy. 3   http://www.ihe.net/
http://wiki.ihe.net/
IHE XDS-I Integrating the Healthcare Enterprise (IHE) - Cross Enterprise Document Sharing for Imaging Interoperability Profile Technology: App Integration XDS-I specifies a solution for sharing imaging documents, specifically:
  • Medical images in DICOM format
  • Medical images in JPEG format
  • Radiology reports in plain text and PDF format
  • All other DICOM objects
3   http://wiki.ihe.net/
interRAI CA interRAI Contact Assessment Information: Data Structure interRAI CA uses a brief profile to screen all vulnerable persons served through emergency departments or home care intake processes. 3   https://secure.cihi.ca/
interRAI CHA interRAI Community Health Assessment Information: Data Structure interRAI CHA allows for the assessment of persons living in a range of settings, from independent residences through assisted living, providing the flexibility to track persons as they move along the continuum of care. 2   http://catalog.interrai.org/
interRAI CMH interRAI Community Mental Health Information: Data Structure interRAI CMH provides a standardized assessment for mental health used by clinicians in outpatient and community mental health settings. 1   https://catalog.interrai.org/
interRAI HC interRAI Home Care Information: Data Structure interRAI HC identifies the preferences, needs and strengths of home care clients (including those with chronic needs and post-acute clients). 2   http://catalog.interrai.org/
interRAI LTCF interRAI Long-Term Care Facilities Information: Data Structure interRAI LTCF is used to enable comprehensive, standardized evaluation of the needs, strengths, and preferences of persons in complex continuing care hospitals/units, as well as persons living in residential care settings such as nursing homes and personal care homes (including short stay and respite residents). 1   http://catalog.interrai.org/
interRAI MH interRAI Mental Health Information: Data Structure interRAI MH provides a unique standardized assessment system for mental health, used by hospitals with designated adult inpatient mental health beds as well as by specialty and provincial psychiatric hospitals. 1   http://catalog.interrai.org/
interRAI PC interRAI Palliative Care Information: Data Structure interRAI PC provides a comprehensive assessment of the strengths, preferences, and needs of adults in both community and residential hospice and palliative care settings 2   http://catalog.interrai.org/

ISO 3166-1 Codes for the Representation of Names of Countries (ISO 3166-1alpha-3 code set) Information: Data Content A standardized code set for representing countries that will ensure completeness and foster interoperability. 3   www.iso.org/
ISO 3166-2 Codes for the Representation of Names of Country Subdivisions Information: Data Content A standardized code set for representing subdivisions (i.e. provinces, states, territories) that will ensure completeness and foster interoperability. 3   www.iso.org/
ISO 639-2 Codes for the Representation of Languages Information: Data Content A standardized code set for representing communication languages that will ensure completeness and foster interoperability. 3   http://www.loc.gov/
LOINC Logical Observation Identifiers Names and Codes Information: Data Content A common language (set of identifiers, names, and codes) for clinical and laboratory observations. The overall scope is anything that can be tested, measured, or observed about a patient (e.g. observations, clinical documents, lab test and results).

3   https://loinc.org/

OCAN Ontario Common Assessment of Need Information: Data Structure A comprehensive assessment of the needs for people with severe mental health problems.
OCAN is an Ontario extension which includes:
- Camberwell Assessment of Need - Clinical Version (CAN-C)
- Camberwell Assessment of Need Short Appraisal Schedule - Patient Self-Assessment (CANSAS-P)
- additional Ontario data elements and two additional Ontario specific domains (other dependants and other addictions domains)
3   https://www.ccim.on.ca/
http://www.kcl.ac.uk/
http://www.kcl.ac.uk/
OMD CDS OntarioMD Electronic Medical Records (EMR), Core Data Set Information: Data Content OntarioMD EMR specification defines functional and non-functional requirements for an EMR offering in Ontario. It contains several individual EMR specifications that collectively represent the major components of Ontario EMR Specification.

OntarioMD core data set (CDS) specifies the sub-set of patient administrative and medical data that can be transferred between two EMR systems enabling the continuity of care and as defined in the CDS XSD Schema.
3   https://www.ontariomd.ca/
pan-Canadian Immunization Subset pan-Canadian Immunization Subset (SNOMED CT) Information: Data Content The vaccine terminology SNOMED CT subsets that provide a standardized way for systems to capture, store, retrieve and transmit immunization information.
3   https://infocentral.infoway-inforoute.ca/
pCLOCD Pan-Canadian LOINC Observation Code Database Information: Data Content A pan-Canadian terminology that supports the standardization for disparate lab tests (both ordering and reporting ones) across multiple organizations and platforms allowing for comparability and analysis of consolidated lab data.
It contains :
- LOINC records that are applicable for electronic communication in Canada
- Additional attributes and fields outside of the LOINC framework to support Canadian naming conventions
- Codes for tests performed in Canada but not yet defined within the LOINC database as published by Regenstrief Institute
3   https://infocentral.infoway-inforoute.ca/
PHC EMR CS Primary Health Care Electronic Medical Record Content Standard Information: Data Structure The PHC EMR CS includes priority data elements commonly collected through EMRs at the point of care in a standardized way, such as Health Concern, Social Behaviour and Reason for Visit. The standard is supported by code sets, which are not visible to end users but enable the collection of structured, comparable EMR data for improved clinical care and health system use. 1   https://secure.cihi.ca/

PHC Reference Sets Primary Health Care Reference Sets Information: Data Content

The PHC Reference Sets provide a standardized way for systems to capture, store, retrieve and transmit health information. It supports the Primary Health Care Electronic Medical Content Standard and includes the following:

  • Client Demographic Information
  • Provider Information
  • Encounter Information
  • Laboratory Information
  • Medication and Vaccine Information
  • Observation Information
  • Intervention Information
1   https://infocentral.infoway-inforoute.ca/

RAI HC Resident Assessment Instrument Home Care Information: Data Structure RAI HC identifies the preferences, needs and strengths of home care clients (including those with chronic needs and post-acute clients). 3   https://secure.cihi.ca/
RAI MDS 2.0 Resident Assessment Instrument Minimum Data Set 2.0 Information: Data Structure RAI MDS 2.0 is used to enable comprehensive, standardized evaluation of the needs, strengths, and preferences of persons in complex continuing care hospitals/units, as well as persons living in residential care settings such as nursing homes and personal care homes (including short stay and respite residents). 3   https://secure.cihi.ca/
RAI MH Resident Assessment Instrument Mental Health Information: Data Structure RAI MH provides a unique standardized assessment system for mental health, used by hospitals with designated adult inpatient mental health beds as well as by specialty and provincial psychiatric hospitals. 3   https://secure.cihi.ca/
SNOMED-CT Systemized Nomenclature of Medicine Clinical Terms Information: Data Content The SNOMED CT Core terminology provides a common language that enables a consistent way of capturing, sharing and aggregating health data across specialties and sites of care. 3   https://infocentral.infowayinforoute.ca/
UCUM Unified Code for Units of Measure Information: Data Content A code system intended for unambiguous representation of units of measures used in international science, engineering, and business. It facilitates unambiguous electronic communication of quantities together with their units.
3   http://unitsofmeasure.org/
CCOW Clinical Application Context Management Technology: App Integration The HL7 CCOW Context Management Architecture (CMA) enables heterogeneous applications to share the patient, user (and other) context data describing a common clinical context. The standard emphasizes the policies, protocols, software interfaces, and responsibilities applications must implement and adhere to as participants in a shared context session. CCOW standards specify technology-neutral architectures, component interfaces, and data definitions as well as an array of interoperable technology-specific mappings of these architectures, interfaces, and definitions. Requires re-evaluation   http://www.hl7.org/
CeRx Electronic Drug Messaging Standard Information: Data Messaging The CeRx specification is focused on the development of electronic messages that support e-prescribing and, more importantly, enable the establishment of complete, electronically accessible patient drug profiles e.g. all drugs all people. Requires re-evaluation   https://infocentral.infoway-inforoute.ca/
GMDN Global Medical Device Nomenclature Information: Data Content The Global Medical Device Nomenclature (GMDN) is a comprehensive system of internationally recognised coded descriptors in the format of preferred terms with definitions used to generically identify medical devices and related health care products. The GMDN is a system, as defined in the ISO 15225 standard, having a general structure of three levels. Each level differs in the breadth of the sets of devices represented by the terms defined within that level.
Requires re-evaluation   https://www.gmdnagency.org/
HL7 Health Level Seven (HL7) Information: Data Messaging Health Level Seven (HL7) is a family of standards whose primary focus is to enable dynamic interoperability among different health service software applications. First developed in 1987, HL7 has become the global de facto standard for the electronic exchange of clinical and administrative data in health services. HL7 standards promote standardization, reduced optionality of protocols and data structures for exchanging key sets of health data at the application level - the seventh level of ISO's open systems model.
Requires re-evaluation   http://www.hl7.org/
ICNP v0.1 International Classification of Nursing Practice v0.1 Information: Data Structure ICNP is a compositional terminology for nursing practice that facilitates the development of and the cross-mapping among local terms and existing terminologies. ICNP consists of terms that are used to describe nursing phenomena, nursing actions and nursing outcomes. Requires re-evaluation   http://www.icn.ch/
ICPC-2 International Classification of Primary Care v2 Information: Data Structure ICPC-2 classifies patient data and clinical activity in the domains of General/Family Practice and primary care, taking into account the frequency distribution of problems seen in these domains. It allows classification of the patient’s reason for encounter (RFE), the problems/diagnosis managed, interventions, and the ordering of these data in an episode of care structure. Requires re-evaluation   http://www.ph3c.org/
IHE XDM Integrating the Healthcare Enterprise (IHE) Cross-Enterprise Document Media Interchange Profile Technology: App Integration Cross-Enterprise Document Sharing (XDS) is focused on providing a standards-based specification for managing the sharing of documents between any healthcare enterprise, ranging from a private physician office to a clinic to an acute care in-patient facility and personal health record systems. This is managed through federated document repositories and a document registry to create a longitudinal record of information about a patient within a given clinical affinity domain. Requires re-evaluation   http://wiki.ihe.net/
NeCST National Electronic Claims Standard Information: Data Structure NeCST provides a set of generic electronic claim (e-claim) data messages that correspond to the data exchanges between providers and payors. These include: eligibility, authorization, coverage extension, pre-determination, invoice adjudication, and payment and statement of financial activity. It facilitates the collection of core encounter information to the electronic health record and to knowledge-based administration and decision-making activities, while at the same time affording various benefits to the health care system, including potential cost reduction. Requires re-evaluation   https://infocentral.infoway-inforoute.ca/
CAN-C Camberwell Assessment of Need - Clinical Version Information: Data Structure The CAN-C is the core assessment instrument for the Community Mental Health Common Assessment. The purpose of the CAN-C is to:
- Identify individual needs and match appropriate services
- Identify service gaps
- Provide aggregate clinical data to inform organizational, regional and provincial planning
- Facilitate multi-agency communication
Retired Have been replaced by a better method, concept or another OHISC recommended standard http://www.rcpsych.ac.uk/
CINOT Children in Need of Treatment Information: Data Content The CINOT program provides dental care to children with urgent needs and whose parent(s) declare financial hardship. Urgent needs include large lesions, infection, trauma, pathology, or irreversible periodontal disease. This database includes both demographic and treatment data. Retired No longer in the scope of OHISC's recommendations http://www.mhp.gov.on.ca/
DAD Discharge Abstract Database Information: Data Content DAD is a national program and related database, managed by the Canadian Institute for Health Information (CIHI), which contains data on hospital discharges across Canada, including demographic, administrative and clinical data for hospital discharges (inpatient acute, chronic, rehabilitation) and day surgeries. Retired No longer in the scope of OHISC's recommendations https://www.cihi.ca/

DNS Domain Name System Technology: App Integration Domain Name System (DNS) is a concept that defines how the Internet is segmented into domains so that it can be maintained and explored in a distributed manner. Retired No longer in the scope of OHISC's recommendations  
HTML HyperText Markup Language v4.01 Technology: App Integration The hypertext markup language (HTML) is a method of specifying how text (and other software objects) should be displayed on an Internet browser.
Retired No longer in the scope of OHISC's recommendations  
IRIS Immunization Record Information System Information: Data Content The Immunization Record Information System (IRIS) is an application in support of a program administered by Ontario’s Public Health Units and the Ministry of Health and Long-Term Care to record and track the immunization status of school-aged children and children in licensed child care facilities. Retired No longer in the scope of OHISC's recommendations  
ISO/IEC 17799 Code of Practice for Information Security Management Process ISO/IEC 17799 will enable health information custodians and their agents to assess, in a uniform way, the risks to information in their custody and to assess their compliance with the security requirements of the Personal Health Information Protection Act, 2004 (PHIPA). An information security standard for Ontario will create an environment of trust necessary to enable the evolution of e-Health. Retired No longer in the scope of OHISC's recommendations  
LDAP Lightweight Directory Access Protocol v3.0 Technology: App Integration The Lightweight Directory Access Protocol (LDAP) is both a specification for building a directory (with its own database and structuring conventions) and a protocol for accessing, adding and modifying this directory. Retired No longer in the scope of OHISC's recommendations  
NACRS National Ambulatory Care Reporting System Information: Data Content The National Ambulatory Care Reporting System (NACRS) is a national program and related database managed by the Canadian Institute of Health Information (CIHI). It captures information on patient visits to hospital and community-based ambulatory care facilities, including day surgery, outpatient clinics and emergency departments. The NACRS database includes demographic, clinical, financial, administrative, and service-specific data elements for day surgery and emergency. Retired No longer in the scope of OHISC's recommendations https://www.cihi.ca/
NOC-S National Occupational Classification - Statistics Information: Data Content Statistics Canada's occupational classification for 2006 is called the National Occupational Classification for Statistics 2006 (NOC-S 2006) to distinguish it from the National Occupational Classification (NOC) put out by the Department of Human Resources and Social Development Canada. (The two classifications differ only in the aggregation structure of the classification). Both provide a complete listing of all the categories under which Canadian jobs are classified and their descriptions. The first use of the NOC-S 2006 was in the 2006 Census of Population. Retired No longer suitable for new implementations http://www.statcan.gc.ca/
NRS National Rehabilitation Reporting System Information: Data Content The National Rehabilitation Reporting System (NRS) is a database managed by the Canadian Institute for Health Information (CIHI) contains clinical data collected from participating adult inpatient rehabilitation facilities across Canada. The data set includes: socio-demographic, administrative (referral, admission and discharge), health characteristics, activities and participation, and interventions data elements. Data is collected at the time of admission and discharge by service providers in participating facilities. There is also an optional post-discharge follow-up data collection process. Retired No longer in the scope of OHISC's recommendations https://www.cihi.ca/
NTP Network Time Protocol v3.0 Technology: Network NTP or network time protocol is a set of protocols that enable a network server to calibrate the system clock of computers to within 100 milliseconds of accuracy by connecting it to the Coordinated Universal Time (UTC). Retired No longer in the scope of OHISC's recommendations  
OCCPS/CCRS Ontario Chronic Care Patient System / Continuing Care Reporting System Information: Data Content The Ontario Chronic Care Patient System (OCCPS) is a system for collecting and reporting data on chronic care patients in Ontario. Nursing staff or other health providers conduct assessments of individuals in designated beds, whether in free-standing chronic or long-term care facilities, or in hospitals. The data are collected using the Resident Assessment Instrument (RAI) Minimum Data Set, (MDS 2.0), © interRAI 1997, 1999, modified by CIHI for the Continuing Care Reporting System (CCRS). The data set includes demographics, cognitive and behavioural data, physical functioning, medication use, nutritional status, and special treatments and procedures. Retired No longer in the scope of OHISC's recommendations https://www.cihi.ca/
OCRDS Ontario Care Request Data Standard
(formerly known as Request and Clinical Care Data Set (RCCDS))
Information: Data Content Currently there is no consistency across the province in the data set and data definitions used when requesting care and capturing clinical data in the Continuing Care sector. This results in delays and inequality in client access to needed services due to process inefficiencies, multiple requests for the same client to provide pertinent profile information, lack of clarity in communication, and data inconsistencies. This makes it very labour intensive to exchange data about a client and to create a complete profile of the client and the care he or she has received. Retired Have been replaced by a better method, concept or another OHISC recommended standard  
OHCIDD Ontario Health Client Identification Data Dictionary Information: Data Content This document presents standardized data naming conventions and formats for client identification and demographic data. It is meant to set a direction for applying common data definitions and formats for health information systems in Ontario that will be exchanging demographic data with other healthcare providers and institutions. Retired Have been replaced by a better method, concept or another OHISC recommended standard  
OHRS/MIS Ontario Healthcare Reporting Standard / MIS Standard Information: Data Content OHRS is a framework that defines the standards for collecting and reporting financial and statistical information related to the day to day operation of Ontario health care facilities under the Canadian Generally Accepted Accounting Principles (GAAP). Additionally the OHRS contains a set of business rules that standardized the method of collection, use and reporting of data across all healthcare provider organizations in Ontario. Retired No longer in the scope of OHISC's recommendations https://hsimi.on.ca/
OID Position Paper:
Deploying Object Identifiers in Ontario
Process This position provides direction about how the deployment of object identifiers (OIDs) in Ontario’s health care systems should be managed. It informs readers about the need for unique identification of object and object classes within the health care system. It proceeds to describe the concept of object identifiers (OIDs) and how these can be used in the Ontario health care system. Retired No longer in the scope of OHISC's recommendations  
OLIS Ontario Laboratories Information System Interface Specifications Information: Data Messaging OLIS is laboratory information domain repository for the province of Ontario. The specifications in this document are intended to allow any conformance-tested Laboratory Information System (LIS), Hospital Information System (HIS), or Clinical Management System (CMS) to exchange laboratory information with any other such system through OLIS using standardized messages and nomenclatures so that all parties can communicate in a clear, unambiguous manner. Retired No longer in the scope of OHISC's recommendations https://www.ehealthontario.on.ca/
OLIS Nom. Ontario Laboratories Information
Nomenclature Standard
Information: Data Content Currently there is no broadly accepted nomenclature for communicating laboratory test requests and results in Canada. A standard nomenclature will enable providers to make the same test request to all laboratories and facilitate a common understanding of the results produced by different laboratories. It will also enable accurate management reporting. Retired No longer in the scope of OHISC's recommendations https://www.ehealthontario.on.ca/
OLTCCS Ontario Long-Term Care Classification System Information: Data Content Ontario’s long-term care facility resident classification system (OLTCCS) is based on a similar system developed in Alberta. The classification system is used to identify the nursing and personal care needs of long-term care facility residents from the documentation in each resident’s care plan. Each facility is assigned a case mix measure, which is a measure of the actual care requirements of all the residents in the facility. The case mix measure is used by the Ontario Ministry of Health and Long-Term Care for funding purposes and to make comparisons between long-term care facilities. Retired No longer in the scope of OHISC's recommendations  
PSA Position Paper:
Privacy and Security Conceptual Architecture
Process This document summarizes the Ontario Privacy and Security Architecture Working Group's concerns with the Canada Health Infoway privacy and security conceptual architecture. Retired No longer in the scope of OHISC's recommendations  
SMTP Simple Mail Transfer Protocol Technology: Network Simple Mail Transfer Protocol (SMTP) is a basic standard for most email systems sending messages over the Internet. It is a text-based protocol that specifies how an email message is ‘pushed’ from the sender to a receiver (client-to-server or server-to-server). Retired No longer in the scope of OHISC's recommendations  
SSL Secure Socket Layer v3.0 Technology: Network Secure Sockets Layer (SSL) was developed by Netscape for transmitting private documents via the Internet. SSL’s role in information transfer is to secure the connection between sender and receiver. While it is primarily associated with secure websites (which are accessed through HTTPS://), it can be used to support any upper layer protocols that send and receive data (e.g. LDAP queries, SMTP initialization of email correspondence). SSL works by using a protocol for authenticating and encrypting data that is transferred over the SSL connection. Retired No longer in the scope of OHISC's recommendations  
TCP/IP Transmission Control Protocol/ Internet Protocol v4.0 Technology: Network The transmission control protocol (TCP) and Internet protocol (IP) suite is at the core of the transfer of data over the World Wide Web (Internet). TCP is a connection-oriented protocol, which means that it negotiates the rules for transmission between the sender and receiver before any data is sent. Retired No longer in the scope of OHISC's recommendations  
VPN, IP Network Operating Standards: Virtual Private Networks, Firewalls, Internet Protocol Technology: Network Minimum security standards for firewall and VPN services are necessary to ensure that a common level of security to sensitive healthcare applications and data is in place. Retired No longer in the scope of OHISC's recommendations  
WHIC-CDM Western Health Information Collaborative - Chronic Disease Management Infostructure Project Information: Data Content The project identified the following goals for improving chronic disease management service delivery:
I. Improve self-care through such means as person education, monitoring and communication.
II. Improve service provider performance through feedback and / or reports on the person’s progress in relation to individualized goals.
III. Improve communications, continuity and coordination of services between person, physician, disease management organizations and other disease management service providers.
IV. Improve access to services.
Retired Have been replaced by a better method, concept or another OHISC recommended standard  
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