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Community Care Access Centre (CCAC)
Service Referral Format Specification
Organization: Ontario Association of Community Care Access Centres (OACCAC)
Division: Business Solutions
Version: 2.19
Version Date: June 26, 2012
Prepared By: Ion Moraru
Updated By: Ellen Hsu
Arthur Bydon
Manuel Ng, N. Purvis
Service Offer and Service Referral Format Specification
Revision LogVersion No.
Version Date Summary of Change Changed by/Input from
1.0 October 26, 2007 First draft Guy Fortin
1.1 October 30, 2007 Remove duplicates from Service Type Table App A
Guy Fortin
2.0 November 2, 2007
Added the Service Referral Update chapterAdded ProviderEndDate to the Service Referral Authorization elementRemove Id attribute from Frequency element (this will not be supported day-1 - but may be added in a future version)Added OfferId to ServiceOffer elementAdded ServiceOfferResponse element
Guy Fortin
2.1 December 4, 2007
Change several Optional fields to be MandatoryChange ProviderContractCode to ContractCodeMove ServiceResponseTime from Service element to ServiceOffer elementRemove RiskCodeLastUpdated and RiskCodeUpdatedBy fields from ClientRiskCodes elementRenamed PrimaryDiagnosis to Diagnosis (to allow for all diagnosis to be provided in the future)Added IsPrimary attribute to Diagnosis to indicate the primary diagnosisAdded to DiagnosisDescription and SurgicalDescription to indicate that CCAC can also enter freeform textAdd a Date and Time description in Chapter 2
Added appendix to list of valid language codes and reduced PreferredLanguage attributes to 3 bytes
Guy Fortin
Date: Mar 8, 2012 2
Service Offer and Service Referral Format Specification
Version No.
Version Date Summary of Change Changed by/Input from
Renamed TransmissionDate to TransmissionDateTime in ServiceOffer and ServiceOfferResponse elements
Added OrganizationCode to Service Offer and ServiceOfferResponse elements
Added RequestType attribute to ServiceReferral element to capture "Initial" and "Resumption" of service
V2.2 February 1, 2008 Changed ContractCode, and ResponseTimeForReferral from optional to Mandatory in ServiceOffer elementCombined AuthorizingCaseManagerFirstname and AuthorizingCaseManagerSurname into AuthorizingCaseManagerName in Authorization element
Changed StreetName, Postal Code and City from optional to Mandatory in PresentAddressLocation element for Client (for Offer)Renamed ResponseTimeForReferral to ResponseTimeForOffer (for Offer element)Renamed ResponseTimeForReferralComments to ServiceResponseTimeComments (for Offer)Moved GeographicArea from Client to Service (for Offer)Changed RequiredFirstVisitDate from Mandatory to Optional in Authorization element of OfferRenamed TransmissionDateTime to OfferTransmissionDateTime (time when Offer was sent to Provider)Added ResponsePersonName, ResponsePersonPhone, AssignedStaffName, and AssignedStaffPhone to OfferResponseAdded ServiceOrderId to ServiceReferral elementAdded OfferId to ServiceReferral elementChanged ReferralType, FocusOfIntervention and TreatmentOrders from optional to Mandatory
Guy Fortin
Date: Mar 8, 2012 3
Service Offer and Service Referral Format Specification
Version No.
Version Date Summary of Change Changed by/Input from
Added AuthorizingCaseManagerName and Provider instructions to to ServiceElementDeleted ServiceTypeDescription and ServiceDeliveryTypeDescription from Service elementAdded ServiceLocation element to Service elementDeleted ServiceDeliveryLocationCode, Authorization element, AuthorizingCaseManagerFIrstName and Surname from Service elementAdded Summary to Frequency elementChanged QuantityOfService from Mandatory to Optional in Frequency elementDeleted PreferredDaysOfWeek and RepeatRate from Frequency elementAdded Interval, RecurrenceNumber, RecurrencePeriod, Weekday1, ... Weekday7, NumberOfHoursPerVisit and AdditionalDetails to Frequency elementChanged Name, Lang, DOB, Gender, Marital Status, and Living Arrangement from optional to MandatoryChange ClientRelationship, Role and Legal Role to Mandatory in PersonalContacts elementsAdded IsPrimary to PersonalContacts elementDeleted CcacCode and SpecialStatus from Client Demographics elementDeleted ClientCharacterisitics from Client element and added IsSmoker Boolean to Client elementRenamed ClientContacts element to PersonalContacts in Client element
Date: Mar 8, 2012 4
Service Offer and Service Referral Format Specification
Version No.
Version Date Summary of Change Changed by/Input from
Changed SchoolPhone from element to a NumberAdded a Physician element inside the MedicalContacts elementChanged TypeOfContact from element to attribute for PhysicianChange ContactPhone from an element to a numberMoved GeographicArea and LocalDistinction from Client to Service for both Offer and ReferralDeleted IsActive and RiskCodeDescription from ClientRiskCodesChanged TelephoneNumber from an element to an Alpha / num in PhoneContact elementDeleted ContactType from PhoneContact elementRename OtherServices element to OtherActiveServices in ServicePlanSummary element and add a subordinate Service elementRename AdmitDate to StartDate in OtherActiveServices elementAdd a subordinate Item element to EquipmentMedicalSupplies elementDeleted ItemType, ItemOrderType, ItemDeliveryDate, and ItemRentalPeriod (promoted Start and End date) from EquipmentMedicalSupplies elementAdded ItemStatus to EquipmentMedicalSupplies elementMoved Diagnosis element and Surgery element from ServicePlanSummary element to Client elementAdded ContractCode to ServiceReferral element (for ServiceReferral Update)Added AuthorizingCaseManagerName,
Date: Mar 8, 2012 5
Service Offer and Service Referral Format Specification
Version No.
Version Date Summary of Change Changed by/Input from
GeographicalArea, nad LocalDistinction to Authorization element (for ServiceReferral Update)Made StreetName, PostalCode City, and Directions mandatory in Address elementDeleted ClientDemographics element and promoted Firstname, Surname, etc. to Client Element for ServiceReferral and ServiceReferralUpdateAdded an optional Province element to all of the Address specificationsAdded full specification of ServiceReferralUpdate element instead of referring to ServiceReferral element (it is a subset)Delete Authorization element and its sub-elements ReassessmentDate, ProviderEndDate, and moved AuthrizingCaseManagerName to ServiceReferralUpdate element
2.3 Feb 21, 2008 Renamed PresentAddressLocation to AddressLocation in Client elementAdded AdditionalInfo, Comments, and FreeLine to AddressLocation elementAdded OfferAddressInstructions to Client elementAdded ContractName to ServiceReferral and SeriveReferralUpdateRequest elementChanged ServiceLocation to Optional (of ServiceReferral)Added CaseManagerReassessmentDate to Service element (of ServiceReferral and ReferralUpdateRequest)Fixed ServiceLocation element to be ServiceDeliveryLocationCode in Service element (of ServiceReferral)Changed IsVeteran and IsSmoker from a field to
Guy Fortin
Date: Mar 8, 2012 6
Service Offer and Service Referral Format Specification
Version No.
Version Date Summary of Change Changed by/Input from
an attribute of the Client element (for ServiceReferral)Made FirstName, PreferredLanguage, ClientAddress, and ClientPhone Optional in Client element (for ServiceReferral and ServiceReferralUpdateRequest)Added AdditionalInfo, Comments, and FreeLine to ClientAddressAddress Type optional for School, and Physician elementMade Physician Contact Address OptionalMade Physician ContractPhone MandatoryAdded RiskCodeDescription to ClientRiskCodes elementMade Diagnoses MandatoryMade DiagnosisCode and ProcedureCode OptionalMade ServicePlanGoals MandatoryRenamed EstimatedEndDate to ItemEstimatedEndDateAdded ServiceDeliveryLocationCode to Service element (ReferralUpdateRequest)
2.4 Feb 21, 2008 Added updated XML Diagrams Guy Fortin
2.5 March 3, 2008 Reflect feedback from CHRIS Team Review- Added ServiceInstructions element to
ServiceReferral and ServiceReferralUpdate and moved ServicePlanGoals and other instructional fields into it
- Removed CaseManagerReassessmentDate (this is for CCAC only) from Service element
- Added DateServiceRequiredBy to Service element and ServiceOffer element
- Made Diagnoses optional (not provided for non-
Guy Fortin
Date: Mar 8, 2012 7
Service Offer and Service Referral Format Specification
Version No.
Version Date Summary of Change Changed by/Input from
meidcal services in Client element- In Address element (for both Referral and Offer):
made Directions optional; deleted Comments; renamed FreeLine to AddressSummary
2.6 March 7, 2008 Renamed ClientReferralCode to BillingReferenceNumber in ServiceReferral and ServiceUpdateReferral element
2.7 April 21, 21 Updated ServiceOfferResponse XML diagram in Appendix C to reflect minor changes in 2.5 of the XML schema (see comments in diagram for details)
2.8 May 27, 2008 Added ResponseDueDateTime to ServiceOfferRequestAdded Provider Notification Notes, School Name, Referral Type to Service element for ServiceOfferRequestAdded Risk Codes and Active Diagnosis to Client element for ServiceOfferRequestAdded new Authorization element to ServiceOfferRequest, ServiceReferral and ServiceReferralUpdateServiceOrderId renamed to ProviderAssignmentId in ServiceReferral and ServiceReferralUpdate.ProviderStaffName and ProviderStaffPhoneNumber added to ServiceReferralUnitOfService and SpecialtyCode added to the Service element for ServiceReferral and ServiceReferralUpdate
Ion Moraru
2.9 June 06, 2008 Service Offer Request:Added School Name, Referral Type, ServiceInstructions (Focus of Interventions,
Ion Moraru
Date: Mar 8, 2012 8
Service Offer and Service Referral Format Specification
Version No.
Version Date Summary of Change Changed by/Input from
ServicePlan Goal, Treatment Orders, ProviderInstructions). Removed dates and description from active risk codes, Contract Name.Service Referral:Removed Contract Name, Removed dates and description from active risk codes. Renamed ProviderStaffName to AssignedStaffName, ProviderStaffPhoneNumber to AssignedStaffPhoneNumber. Added OfferDate.ServiceReferralUpdate:Removed ContractName, RoomNumber. Added CMReassessmentDate, ProviderEndDate,OfferDate, AssignedStaffName, AssignedStaffPhoneNumber, School and ActiveRiskCodes.
2.10 June 12, 2009 Remove Service Referral Update, Service Offer and Offer ResponseCombined Service Referral Update with Service ReferralAdded PreferredName and Health Card elements to the Client elelment
Mary Lou SmithIon Moraru
2.11 Sep 1, 2009 Update to following after QA Testing:2.1 CcacCode, Referral Type, Request Type2.2 ServiceTypeCode, ServiceDeliveryType, UnitOfService, ServiceDeliveryLocationCodeAppendix B ‘Home Care’ change to ‘Home’
Ellen Hsu
2.12 Sep. 22, 2009 Changed the data type for NumberOfHoursPerVisit and QuantityOfService
Ion Moraru
2.13 Oct 6, 2009 Add <Salutation>, <Phone> and <WorkPhone> to <PersonalContacts>
Ellen Hsu
2.14 December 9, Add Sender and Destination elements that Arthur Bydon
Date: Mar 8, 2012 9
Service Offer and Service Referral Format Specification
Version No.
Version Date Summary of Change Changed by/Input from
2009 describe the participants in the message exchange.
2.15 March 26, 2010 Added Allergies, SafetyIssues, BillingCodes Arthur Bydon
2.15 March 29, 2010 Add Description to Frequency Day of the Week selection, Number of Hours per Visit, Recurrence Number and Recurrence Period.Update Appendix A: Service Type Codes, Service Delivery Location, Service Specialty, Service Delivery TypeChange field length of IsPrimary in Active Diagnosis and Personal Contacts from 1 to 5
Ellen Hsu
2.15 April 30, 2010 Add Authorization SenderChange Client PhoneAdd Additional Information for Diagnoses
Ellen Hsu
2.15 May 4, 2010 Add room number and country in AddressAdd Mailing Addresses and Cancelled FrequencyAdd extension to Client Phone, Personal Contact Phone, Medical Contact Phone
Ellen Hsu
2.15 May 10, 2010 Update Home Mailing Address (Building name) for active Correspondent.
Ellen Hsu
2.15 May 18, 2010 Delete OrganizationNameAdd ServicePriorityRating, Caseload Employee, ClientPhone Phone, PersonalContacts Contact, ActiveRiskCodes RiskCodeItem, ServicePlanSummary Service, EquipmentMedicalSupplies ItemChange from Mandatory “Yes” to “No”:OfferDateTime, DateServiceRequiredBy, RequiredFirstVisitDate, Frequencies, SchoolAddress, Allergies, SafetyIssues
Ellen Hsu
Date: Mar 8, 2012 10
Service Offer and Service Referral Format Specification
Version No.
Version Date Summary of Change Changed by/Input from
Change PreferredLanguage to PreferredLanguageOfService
2.15 May 19, 2010 Change <ContactFirstName> to <ContatFirstName> in <MedicalContacts><Physician>
Ellen Hsu
2.16 June 11, 2010 Added “FrequencyId” attribute to the Frequency element
Manuel Ng
July 28, 2010 Updated ContractCode type and size to match the schema
Arthur Bydon
August 26, 2010 Added ServiceAssignmentId field Arthur Bydon
2.17 June 10, 2011 Added “Service Pathway Name”, “Service Pathway Description”, “Service Pathway Document URL” to Frequency Element details section
N. Purvis
August 26, 2011 Updated as per CQ 62801 N. Purvis
February 28, 2012
ICCP – addition of Care Pathways N. Purvis
February 29, 2012
ICCP: update to xml for Billing CodesSections: 2.1
N. Purvis
March 1, 2012 ICCP: update to xml for Discharge DispositionSections: 2.3
N. Purvis
March 8, 2012 ICCP: addition of Integration Code to Care Pathways Section: 2.3
N. Purvis
March 13, 2012 ICCP: latest updates to Care Pathways post Dev. ReviewSection: 2.3
N. Purvis
April 10, 2012 Add IsClusterCare B. Fu
Date: Mar 8, 2012 11
Service Offer and Service Referral Format Specification
Version No.
Version Date Summary of Change Changed by/Input from
2.19 June 26, 2012 Updates to change “Care” Pathway to “Outcome-Based” Pathway in element Description.Removed spaces in Care Pathway element names.
K. Guy
2.19 June 26, 2012 TFS 14507, 14508Major version published
K. Guy
Date: Mar 8, 2012 12
Service Offer and Service Referral Format Specification
Table of Contents1. Purchased Service Referral.....................................................................................12
1.1 Brief Description 12High Level Structure of the Service Referral 12
2. Service Referral Elements.......................................................................................132.1 ServiceReferral element detail 132.2 Service element detail 182.3 Outcome-Based Pathway Assignment element detail 222.4 Frequency element detail 262.5 ServiceRecipient element detail 282.6 Client element detail 28
2.6.1 Address element detail 362.7 ServicePlanSummary element detail 37
3. Appendix A - Service attribute values......................................................................393.1 Service Type Codes 393.2 Service Delivery Location 403.3 Specialty 40
4. Appendix B - Service Delivery Type........................................................................42
5. Appendix C - ISO 639-2 Language Codes..............................................................48
1.Purchased Service Referral1.1 Brief Description
Once it is determined that a Client needs to receive a Purchased Service, the CCAC may issue a Service Offer to the chosen Service Provider for them to Accept or Reject. Once the Offer is accepted, a Service Referral is sent to that Provider to more fully describe the details and the context of the service that is required. Should the need occur to change the Service frequency, the CCAC will send another Service Referral (for Frequency Update) to the Provider with a set of Frequency elements containing the appropriate changes.
This document specifies the information and associated format of Service Referral.
High Level Structure of the Service Referral The Service Referral and Service Referral Update are XML documents that share the following high level element structure:
Figure 1 Service Referral
Date: Mar 8, 2012 13
Service Offer and Service Referral Format Specification
Contains 1 Contains 1
ServicePlanSummary
May contain 1
ServiceReferral / ServiceReferralUpdate
Frequency
Contains 1 to several
Service
Client
Contains 1
ServiceRecipient
As the diagram above depicts, a ServiceReferral and ServiceReferralUpdate element contain one Service element, one ServiceRecipient element and possibly one ServicePlanSummary element. The Service element itself contains one to many Frequency and/or Outcome-Based Pathway elements and the ServiceRecipient element contains a single Client element. These are the principal elements that make up a Service Referral and there is a section below to more fully specify each of them.
Date: Mar 8, 2012 14
Service Offer and Service Referral Format Specification
2.Service Referral ElementsThe following tables detail the fields contained within the elements that make up a Service Referral as outlined in Figure 2 in a previous section. The Service Referral Update is a subset of the Service Referral and is documented in the following chapter.
2.1 ServiceReferral element detail
Name Field Length (chars)
Type
Mandatory?
Description
Version (Attribute of ServiceReferral element)
Max 10 Alpha / num
Yes The version of the schema that this element adheres to. E.g. "1.0". This is required for the receiving provider to correctly interpret the information being provided by the CCAC
MessageTrackingId 36 Alpha/Num
(GUID)
Yes The unique identifier of the message that can be used for tracking
Sender (parent element) - - Yes A group of elements and attributes identifying the sender of the document.
Destination (parent element) - - Yes A group of elements and attributes identifying the recipient of the document
Organization (child element of Sender or Destination)
- - Yes Identifies the organization sending or receiving the document
Code (attribute of Organization) 50 Alpha/Num
Yes Specifies the unique code of the sender or the recipient organization
Date: Mar 8, 2012 15
Service Offer and Service Referral Format Specification
Name Field Length (chars)
Type
Mandatory?
Description
Type (attribute of Organization) 150 Alpha/Num
Yes Specifies the type of the sender organization. Valid content is:“CCAC”“Provider”“Vendor”
Name (child of Organization) 250 Alpha No The name of the sender or the recipient organization
OwnerOrganization (child of Organization)
- - Yes Specifies the owner organization of the sender or the recipient
Code (attribute of OwnerOrganization)
50 Alpha/Num
Yes Specifies the unique code of the sender or the recipient owner organization
Type (attribute of OwnerOrganization)
150 Alpha/Num
No Specifies the type of the sender or the recipient owner organization. Valid content is “CCAC”, “Provider” or “Vendor”. If not provided the “CCAC” type is assumed.
Name (child element of OwnerOrganization)
250 Alpha No The name of the sender or the recipient owner organization
ProviderAssignmentId 25 Alpha / num
Yes A CCAC assigned number that uniquely identifies this item
Date: Mar 8, 2012 16
Service Offer and Service Referral Format Specification
Name Field Length (chars)
Type
Mandatory?
Description
ServiceAssignmentId 25 Alpha / Num (GUID)
Yes A CCAC assigned number that uniquely identifies service assignment for the referral. This number can be retrieved from the ServiceReferral and ServiceFrequencyUpdate messages
OfferId Max 25 Alpha / num
No The unique identifier for the Offer associated with this Referral
OrganizationCode 10 Num Yes A unique number assigned to Vendor by local CCAC. Reference may be “provider” or “vendor” organization
TransmissionDateTime 14 Date Yes Date and Time (yyyy-mm-ddThh:mm) when the Referral was sent by the CCAC to the Provider
OfferDateTime 10 DateTime
No Date and time when service was offered
CcacCode 2 - 4 Alpha Yes A unique number for the CCAC. Valid values are: "ESC" |"SW" | "WW" | "HNHB" | "CW" | "MH" |"TC" | "CENT"| "CE"| "SE" | "CHAM"| "NSM"| "NE" | "NW"
BillingReferenceNumber 12 Num Yes A code that identifies this Referral and quoted by the provider in their Billing Invoice
Date: Mar 8, 2012 17
Service Offer and Service Referral Format Specification
Name Field Length (chars)
Type
Mandatory?
Description
ContractCode Max 20 Alpha / num
Yes Contract Number assigned to Service Provider by the CCAC when the contract was entered into
BillingCodes (element) No List of Billing Codes that may be applied to the services provided
BillingCode (element) No Billing Code group containing the code and description
Code Yes The code assigned based on the contracted service
Description Yes The descriptive name of the billing code
ServiceTypeDeliveryType
500 Alpha / Num
No The Service Type -Service Delivery Type associated to the billing code
[Service_Types].[Service_Type_Desc]
“-“
[Ser_Delivery_Types]. [Ser_Delivery_Type]
ReferralType Max 100
Alpha / num
Yes Categorizes the referral into "HomeCare", "School", or "Children’s Treatment Network"
RequestType Max 25 Alpha Yes Defines the type of action for the Referral; can be set to one of the following values: "New", "Update", “FrequencyUpdate”
Date: Mar 8, 2012 18
Service Offer and Service Referral Format Specification
Name Field Length (chars)
Type
Mandatory?
Description
NotificationNotes 250 Alpha / num
No Additional information the CCAC would like the provider to know about the Service Referral
ServiceInstructions (element) - Element
Yes Contains all of the fields that provide instructions for this service
(The elements should be in this order)
FocusOfIntervention 250 Alpha / num
Yes Ensures that the CCAC and the provider have a common understanding of the needs of the client. For clients who have been assessed using the RAI-HC instrument, the focus of intervention will have been informed by the CAPS output of the assessment.
In the absence of client / referral level service planning documentation, the client’s needs are documented for each service, and are shared with the assigned provider.
ServicePlanGoals 250 Alpha / num
Yes A list of specific, measurable, acceptable (to client/family), realistic, time limited goals, to be achieved through the service provider’s intervention(s)
Date: Mar 8, 2012 19
Service Offer and Service Referral Format Specification
Name Field Length (chars)
Type
Mandatory?
Description
Treatment Orders 250 Alpha / num
Yes Reference to any medical referral(s) that relate to the required treatment(s)
Should also include references to a prescription, if a prescription is being sent as part of the referral package
ProviderInstructions 250 Alpha No Specific instructions to the provider from the CCAC.
Date: Mar 8, 2012 20
Service Offer and Service Referral Format Specification
2.2 Service element detail
Name Field Length (chars)
Type
Mandatory?
Description
ServiceTypeCode Max 30 Alpha Yes Identifies the general service to be delivered to the client; See Description of Service Type Codes in Appendix A for list of valid values
ServiceDeliveryType Max 50 Alpha Yes Identifies a more specific service within the general ServiceType to be delivered to the client; See Service Delivery Type Code in Appendix B for list of valid values
UnitOfService Max 10 Alpha Yes Code assigned by CCAC for the units in which the service is to be delivered (e.g., HOUR, VISIT)
SpecialtyCode Max 50 Alpha No Optional information that identifies a specialty associated with the Service Type; See Appendix A for list of valid values
ServiceDeliveryLocationCode Max 50 Alpha No The location where the service is to be delivered; See Service Location in Appendix B for list of valid values
DateServiceRequiredBy 10 Date No Date (yyyy-mm-dd) that the service must be started by
RequiredFirstVisitDate 10 Date No Date (yyyy-mm-dd) that first visit must occur on
Date: Mar 8, 2012 21
Service Offer and Service Referral Format Specification
Name Field Length (chars)
Type
Mandatory?
Description
ProviderEndDate 14 Date No Date and time when the Provider assignment will end (Used mostly on FrequencyUpdates)
CMReassessmentDate 10 Date No Date when CM Reassessment is due (Used mostly on FrequencyUpdates)
IsClusterCare 5 Boolean
No If present and true indicates that this service referral is a cluster care service referral
GeographicArea 250 Alpha / num
No CCACs can further define contracts specific to a geographic area, or a local contract distinction.A geographic area is a named area that represents some part of the whole area serviced by the CCAC. A CCAC may define this area in terms of North / South / East / West or cities and towns within the geographical boundaries of the CCAC. Alternately, the geographic area may be defined as the area services by one branch of the CCAC.Where providers are contracted for specific parts of the geographic area of the whole CCAC, this geographic area distinction is used.
Date: Mar 8, 2012 22
Service Offer and Service Referral Format Specification
Name Field Length (chars)
Type
Mandatory?
Description
LocalDistinction 250 Alpha / num
No In addition to geographic areas, contracts can be further defined by other locally defined distinctions.The local distinction will be used by CCACs who have separate contracts for specific client groups, such as Children / Adults / ABI distinctions for OT.
ServicePriorityRating 50 Alpha Yes Service Priority e.g. High, Moderate
AssignedStaffName 50 Alpha No Name of the Assigned Staff member
AssignedStaffPhoneNumber - element
No Phone number for the assigned staff member
TelephoneNumber 15 Alpha / Num
Yes Telephone number
Extension 10 Alpha / Num
No Extension of the Telephone Number
Authorization (element) - element
Yes This element defines the service dates and amounts that have been authorized by the CCAC case manager; it contains the following fields ...
AuthorizingCaseManagerName
50 Alpha Yes The name of the Case Manager that authorized this service
InitialOfferContactName 50 Alpha No The name of the person responsible for this offer
ReferralTeam 50 Alpha No Team name responsible for the Client (referral).
Date: Mar 8, 2012 23
Service Offer and Service Referral Format Specification
Name Field Length (chars)
Type
Mandatory?
Description
ReferralCaseload 20 Alpha No Caseload name responsible for the Client (referral).
CaseloadStaff
element
No Collection of employee names responsible for the caseload. Typically this is a one or two item collection.
Employee element
No Employee responsible for the Caseload.
Name 50 Alpha No Employee name responsible for the Caseload.
Senderelement
No The name of the sender of this referral or person who sent the original Offer
Name
50 Alpha No For new referral, it is the name of person who sent the original Offer. For update referral, it is the name of the person who update the referral
CarePathways Element
Yes
CarePathwayAssignment Element
No See Outcome-Based Pathway Assignment element details
A collection of Outcome-Based Pathway Assignments for the Service
Frequencies - element
No The Frequency for the Service
Frequency - element
No Frequency for the Service (see Frequency element below for details)
Date: Mar 8, 2012 24
Service Offer and Service Referral Format Specification
Name Field Length (chars)
Type
Mandatory?
Description
FrequencyPeriodCancellatio
ns
- element
No Frequency cancelled for the Service
StartDate 10 Date Yes The date (yyyy-mm-dd) when the cancelled Frequency starts
EndDate 10 Date No The expected date (yyyy-mm-dd) when the cancelled Frequency ends
ServiceDeliveryUnit 6 Alpha Yes Unit of Service Delivered in Visits or Hours
CancellationReason 50 Alpha No Reason for the cancellation
Quantity 5 Num Yes Number of Visits or Hours cancelled
LastUpdateDate 10 Date No Date of the last update for the Cancellation
2.3 Outcome-Based Pathway Assignment element detail
Name Field Length (bytes)
Type Mandatory?
Description
CarePathwayTitle 100 Alpha / num
Yes Title of the Outcome-Based Pathway
[ICC_Care_Paths].[Title]
Date: Mar 8, 2012 25
Service Offer and Service Referral Format Specification
Name Field Length (bytes)
Type Mandatory?
Description
CarePathwayDocumentURL
255 Alpha / num
No URL of the published Outcome-Based Pathway Best Practices document for this Outcome-Based Pathway
[ICC_Care_Paths].[Document_Url]
CarePathwayDescription
255 Alpha / num
No Description of the Outcome-Based Pathway
[ICC_Care_Paths].[Description]
CarePathwayCode 20 Alpha / num
No Code identifying the Outcome-Based Pathway
[ICC_Care_Paths].[Care_Path_Code]
CarePathwayStartDate
10 Date Yes The date (yyyy-mm-dd) when the Client is first available for this Outcome-Based Pathway
[ICC_Care_Path_Assignments].[Start_Date]
OR
For a Service Offer
[Service_Offers].[Care_Path_Start_Date]
CarePathwayEndDate
10 Date No The date (yyyy-mm-dd) when the Outcome-Based Pathway is ended
[ICC_Care_Path_Assignments].[End_Date]
Date: Mar 8, 2012 26
Service Offer and Service Referral Format Specification
Name Field Length (bytes)
Type Mandatory?
Description
CarePathwayComments
250 Alpha / num
No User entered Outcome-Based Pathway comments
[ICC_Care_Path_Assignments].[Comments]
OR
For a Service Offer
[Service_Offers].[Care_Path_Comments]
AuthorizingCMName
50 Alpha Yes The name of the Case Manager that authorized this Outcome-Based Pathway
[ICC_Care_Path_Assignments].[Authorizing_CM_Employee_Id]
OR
For a Service Offer the name of the Case Manager that Authorized this Service
IsCancelled 1 Bit No Indicator that the Outcome-Based Pathway has been cancelled
[ICC_Care_Path_Assignments].[Is_Cancelled]
DischargeDisposition
100 Alpha / num
No The description of the reason for discharging
[Discharge_Dispositions].[Description]
Based on:[ICC_Care_Path_Assignments].[Discharge_Disposition_Id]
DischargeComment
250 Alpha / num
No Comments associated with the Discharge
[ICC_Care_Path_Assignments].[Discharge_Comment]
Date: Mar 8, 2012 27
Service Offer and Service Referral Format Specification
Name Field Length (bytes)
Type Mandatory?
Description
IntegrationCode 10 Alpha / num
No Integration Code assigned to the Discharge Disposition
[Discharge_Dispositions].[Integration_Code]
LastUpdateDate 10 Date No Date of the last update for the Outcome-Based Pathway Assignment
[ICC_Care_Path_Assignments].[Last_Update_Date]
CarePathwayAssignmentGuid
Unique
identifier
No Unique identifier of the Outcome-Based Pathway Assignment
[ICC_Care_Path_Assignments].[RowGuid]
Care Pathway Assignment Milestones
Element
No A collection of Milestones for the Outcome-Based Pathway Assignment – Service Referral and Frequency changes only
CarePathwayAssignmentMilestone
Element
No
Title 100 Alpha / num
No Milestone title
[ICC_Care_Path_Events].[Title]
Description 500 Alpha / num
No Milestone description
[ICC_Care_Path_Events].[Description]
MilestoneDate 10 Date No Milestone date
[ICC_Care_Path_Assignment_Milestones].[Milestone_Date]
Date: Mar 8, 2012 28
Service Offer and Service Referral Format Specification
Name Field Length (bytes)
Type Mandatory?
Description
IsCancelled 1 Bit No Indicator that the Milestone has been cancelled
[ICC_Care_Path_Assignment_Milestones].[Is_Cancelled]
LastUpdateDate 10 Date No Date of the last update for the Milestone
[ICC_Care_Path_Assignment_Milestones].[Last_Update_Date]
MilestoneGuid Unique
identifier
No Unique identifier of the Milestone
[ICC_Care_Path_Assignment_Milestones].[RowGuid]
Date: Mar 8, 2012 29
Service Offer and Service Referral Format Specification
2.4 Frequency element detail
Name Field Lengt
h (chars
)
Type Mandatory?
Description
FrequencyId (attribute)
36 Alpha / Num
(GUID)
Yes The unique identifier of the frequency. The field must match one of the existing frequency identifier used in CCAC system.
Type 15 Alpha Yes The type of frequency which the case manager has authorized for the selected service / provider
The frequency type defines the frequency period as follows:One-time = no fixed periodDaily = 1 dayWeekly = 1 week (Monday to Sunday)Monthly = 1 calendar monthCustom = no fixed periodBlock = no fixed period
Summary 250 Alpha Yes An English description of the frequency element
UnitOfService Max 6 Alpha Yes Code assigned by CCAC for the units in which the service is to be delivered (e.g., HOUR, VISIT);
QuantityOfService 6 Num(6,2) No Number of hours or visits authorized
PreferredTime 20 Alpha No Time of day that visit is preferred by the client
StartDate 10 Date Yes The date (yyyy-mm-dd) when this Frequency starts
EndDate 10 Date No The expected date (yyyy-mm-dd) when this Frequency ends
Date: Mar 8, 2012 30
Service Offer and Service Referral Format Specification
Name Field Lengt
h (chars
)
Type Mandatory?
Description
ReccurenceTimes 4 Num No Weekly frequency (e.g. Two visits per day = 2)
Interval 4 Num No No. of repeats (e.g. Every two days = 2)
RecurrenceNumber 4 Num No Current not in use. Value = 0
RecurrencePeriod 4 Num No Current not in use. Value = 0
Weekday1 4 Num No Number of visits on Monday.
Weekday2 4 Num No Number of visits on Tuesday.
Weekday3 4 Num No Number of visits on Wednesday.
Weekday4 4 Num No Number of visits on Thursday.
Weekday5 4 Num No Number of visits on Friday.
Weekday6 4 Num No Number of visits on Saturday.
Weekday7 4 Num No Number of visits on Sunday.
NumberOfHoursPerVisit
6 Num(6,2) No Number of hours per visit.
AdditionalDetails 250 Alpha / num
No Any details not captured by the above fields in this frequency
Service Pathway Name
100 Alpha / num
No Name of the Service Pathway Template that this Frequency is part of
Service Pathway Description
250 Alpha / num
No Description of the Service Pathway template that this Frequency is part of
Date: Mar 8, 2012 31
Service Offer and Service Referral Format Specification
Name Field Lengt
h (chars
)
Type Mandatory?
Description
Service Pathway Document URL
200 Alpha / num
No URL of the published Service Pathway instruction document for this Service Pathway
Date: Mar 8, 2012 32
Service Offer and Service Referral Format Specification
2.5 ServiceRecipient element detail The role of the ServiceRecipient element is to specify the entity that will be receiving the Service. Initially this element will only contain a single Client element, Code and Description.
In the future it is envisioned that different types of recipients will need to be supported. For example, allow for the specification of groups of people to be served by a single service (e.g. people located in a specific building, service that is targeted towards serving the fluctuating needs of a community within a retirement home etc).
Although not strictly required today, the ServiceRecipient element is being included in the specification to avoid having to make basic changes to the format in the future once multiple recipient types are supported.
Name Field Leng
th (char
s)
Type Mandatory?
Description
Code 10 Alpha/Num
No The MIS Standards code pertaining to the service recipient
Description 250 Alpha/Num
No The descriptive name of the code
2.6 Client element detail The Client element provides information about the person that is to receive the service.
Name Field Lengt
h (char
s)
Type Mandatory?
Description
IsSmoker (attribute) Attribute No If present, indicates this client is a smoker
Date: Mar 8, 2012 33
Service Offer and Service Referral Format Specification
Name Field Lengt
h (char
s)
Type Mandatory?
Description
ClientIdentifier 15 Alpha / num
Yes An identifier that uniquely identifies this client to the CCAC
FirstName 25 Alpha No Client’s legal first name
SurName 25 Alpha Yes Client legal last name / surname
PreferredName 25 Alpha No Client preferred name
PreferredLanguageOfService
80 Alpha No Language in which the client would prefer to communicate for service provision; see Appendix C for list of valid ISO 639-2 codes
HealthCard (element) - element No Client's Health Card information (will be blank until approved)
HCN 10 Numeric Yes Health Card Number
VC 2 Alpha Yes Version Code
ExpiryDate - DateTime
No HC expiry date
Name 50 Alpha No Client name if different than Surname
DateOfBirth 10 Date Yes Date of client's birth (yyyy-mm-dd)
Gender 25 Alpha Yes One of : "Male" "Female" "Undifferentiated" "Unknown"
MaritalStatus 20 Alpha Yes One of: "NeverMarried" "Married" "Divorced" "Widowed" "Other"
Date: Mar 8, 2012 34
Service Offer and Service Referral Format Specification
Name Field Lengt
h (char
s)
Type Mandatory?
Description
LivingArrangement 30 Alpha Yes General category of who the client lives with in their permanent residence; one of: "Alone" "With Spouse/Partner Only" "With Spouse/Partner and Other(s)" "With Child" "With Sibling(s)"
MailingAddresses - element No A list of mailing addresses for the client. If Correspondent of Personal Contacts is active, the Mailing address is the Correspondent Address.
Address (element)
- element No The mailing address (see Address element below for details)
ClientAddress (element)
- element No The client's address (see Address element below for details)
ClientPhone (element) - element Yes A list of client phone numbers
Phone element Yes Client phone number
TelephoneNumber 15 Alpha / Num
Yes Telephone number
Extension 10 Alpha / Num
No Extension of the Telephone Number
PhoneLocation 20 Alpha Yes “Primary”|”Treatment”
PersonalContacts (element)
- element No A list of contacts for the client. Made up of the following attributes ...
Contact - element No Personal Contact information
Date: Mar 8, 2012 35
Service Offer and Service Referral Format Specification
Name Field Lengt
h (char
s)
Type Mandatory?
Description
IsPrimary 5 Boolean No Set to TRUE if this contact is the primary contact
FirstName 25 Alpha Yes Client’s legal first name
Surname 25 Alpha Yes Client legal last name / surname
ClientRelationship 250 Alpha / num
Yes The relationship of the contact to the client; one of: "Aunt" "Brother in Law" "Brother" "Child" "Father" "Daughter in Law" "Daughter" "Father in Law" "Foster Parent" "Friend" "Grandchild" Grandparent" "Mother in Law" "Mother" "Neighbor" "Niece/Nephew" "Other" "Other Relative" "Sibling " "Son In Law" "Sister" "Sister in Law" "Son" "Spouse/Life Partner" "Step Daughter" "Step Parent" "Step Son" "Uncle"
Role 250 Alpha / num
Yes Non-legal role(s) which the contact has in relation to the client; As many as of the following as applicable: "Care Giver" "Informal" "Caregiver - Formal" "Correspondent" "Emergency Contact" "Land Lord / Land Lady" "Lawyer " "Next of Kin" "ODSP Contact" "Parole Officer" "Superintendent" "Teacher" "Telephone Contact" "Translator"
Date: Mar 8, 2012 36
Service Offer and Service Referral Format Specification
Name Field Lengt
h (char
s)
Type Mandatory?
Description
LegalRole 250 Alpha / num
Yes Legal role(s) that the contact has in relation to the client; As many as of the following as applicable: "Legal Guardian" "POA - Finances and Property" "POA - Personal Care" "Public Guardian Trustee – Finances" "Public Guardian Trustee-Personal Care" "Public Trustee" "Substitute Decision Maker"
ContactComments 512 Alpha / num
No Additional information related to the contact. This field can be used to identify times of day when the contact can be reached at the given phone number, and to include additional phone numbers and when to use them.
For contacts that live outside of Canada, the country calling information should be included in this field
Salutation 25 Alpha No The salutation of the personal contact.
Phone - element No The personal contact's phone number
TelephoneNumber 15 Alpha / Num
Yes Telephone number
Extension 10 Alpha / Num
No Extension of the Telephone Number
WorkPhone - element No The personal contact's work phone number
Date: Mar 8, 2012 37
Service Offer and Service Referral Format Specification
Name Field Lengt
h (char
s)
Type Mandatory?
Description
TelephoneNumber 15 Alpha / Num
Yes Telephone number
Extension 10 Alpha / Num
No Extension of the Telephone Number
ClientAdmitDate 10 Date Yes The date when the client was admitted to the CCAC
School (element) - element No Demographic information about the school, if applicable. Made up of the following attributes ...
SchoolName 250 Alpha / num
Yes Name of school from a provincial list of schools
SchoolAddress (element)
- element No The school's address (see Address element below for details)
SchoolPhone - element No The school's phone number
TelephoneNumber 15 Alpha / Num
Yes Telephone number
Extension 10 Alpha / Num
No Extension of the Telephone Number
MedicalContacts (element)
- element No The list of medical contacts
Physician (element) - element No The list of Physicians that are attending to the client. Its made up of the list following attributes
TypeOfContact (Attribute)
25 Alpha No The type of Physician; one of: "Family" "Attending" "Referring" "Specialist"
Date: Mar 8, 2012 38
Service Offer and Service Referral Format Specification
Name Field Lengt
h (char
s)
Type Mandatory?
Description
ContatFirstName 25 Alpha Yes Contacts first name
(Element misspelled, will be fixed in future release)
ContactSurName 25 Alpha Yes Contacts last name
ContactAddress (subelement)
- element No The contact's address (see Address element below for details)
ContactPhone - element Yes The contact's phone number
TelephoneNumber 15 Alpha / Num
Yes Telephone number
Extension 10 Alpha / Num
No Extension of the Telephone Number
Specialities (subelement)
- element No A list of the Physician's specialties (from a provincially maintained table of specialties); Each Specialty contains the following attributes...
SpecialtyDescription 50 Alpha No The description of the specialty
ActiveRiskCodes (element)
- element No The list of client Risk Codes.
RiskCodeItem - element No Risk Code contains the following attributes ...
RiskCode 10 Alpha / num
Yes Risk code that identifies a risk of importance related to the client
AditionalInformation 250 Alpha / Num
Yes The comments about Risk Code
Date: Mar 8, 2012 39
Service Offer and Service Referral Format Specification
Name Field Lengt
h (char
s)
Type Mandatory?
Description
ActiveDiagnoses (element)
- element No The client's primary diagnosis. This information is not provided for non-medical services. Made up of the following attributes ...
IsPrimary (attribute) 5 Boolean No If present indicates that this is the primary diagnosis
DiagnosisCode 10 Alpha / num
No The ICD-9 diagnostic code (note in the future will evolve to ICD-10)
DiagnosisDescription 250 Alpha / num
Yes The ICD-9 description of the diagnosis or a freeform description entered by the CCAC
DiagnosisDate 10 Date Yes Date when diagnosis was made (yyyy-mm-dd)
AdditionalInformation 250 Alpha / Num
Yes The comments about Diagnosis
SurgicalProcedures (element) (move to client)
- element No The list of surgical procedures that the client has undergone.
Surgery (element)
No A Surgery, made up of the following attributes ...
ProcedureCode 10 Alpha / num
No The ICD-9 surgical procedure code (note in the future will evolve to ICD-10)
ProcedureDescription 250 Alpha / num
Yes The ICD-9 surgical procedure description or a freeform description entered by the CCAC
Date: Mar 8, 2012 40
Service Offer and Service Referral Format Specification
Name Field Lengt
h (char
s)
Type Mandatory?
Description
ProcedureDate 10 Date Yes Date when client underwent the procedure (yyyy-mm-dd)
Allergies - Element No Collection of client allergies
Allergy - Element No
Category 100 Alpha / num
No The category of allergy, i.e. one of 'Animal', 'Drug', 'Environmental', 'Food', 'Unknown' or 'Unable to Assess'
AllergyDescription 250 Alpha / num
No The detailed description of the allergy, for example, 'Animal dander', 'Animal hair', 'Bee pollen', etc.
StartDate 10 Date No The known date when the allergy started
EndDate 10 Date No The known date when the allergy ended, if applicable
AdditionalInformation 500 Alpha / num
No Any additional information pertaining to this allergy
SafetyIssues - Element No Collection of safety issue that the provider needs to be aware of
SafetyIssue - Element No
IssueDescription 250 Alpha / num
No The description of the active safety issue, for example
StartDate 10 Date No The date when the safety issue becomes relevant
Date: Mar 8, 2012 41
Service Offer and Service Referral Format Specification
Name Field Lengt
h (char
s)
Type Mandatory?
Description
EndDate 10 Date No The date when the safety issue stops being relevant
AdditionalInformation 500 Alpha / num
No Any additional information pertaining to this safety issue
Date: Mar 8, 2012 42
Service Offer and Service Referral Format Specification
2.6.1 Address element detail The Address element defines all of the fields available for specifying a physical address.
Name Field Length (chars)
Type Mandatory?
Description
AddressSummary 250 Alpha / Num
No A summary field that contains the entire address
Type 50 Alpha Yes (for Client)
No (for School)
The type of address that is being specified; one of "Home" | "Mailing" | "Shipping" | "Other" | "Present Location"
BuildingName 50 Alpha No Used for organizational addresses:Name of LTC home / Retirement home / hospital in which the client resides
Or
Name of active Correspondent of Personal Contacts and the Building name (separated by a comma). Mailing address is the Correspondent Address.
RoomNumber 6 Alpha / num
No The room number if applicable
SuiteNumber 6 Alpha / num
No The suite number if applicable
StreetNumber 6 Alpha / num
No The associated street number
StreetName 100 Alpha / num
Yes The name of the street the client resides at
PostalCode 10 Alpha / num
Yes The associated postal code
Date: Mar 8, 2012 43
Service Offer and Service Referral Format Specification
Name Field Length (chars)
Type Mandatory?
Description
City 50 Alpha / num
Yes The associated city
Province 25 Alpha / num
No Value of "Ontario" is implied if not present
Country 20 Alpha No The associated country
Directions 250 Alpha / num
No The intent is to provide any necessary information to assist the service provider to drive to the client address. This could include closest major intersection to the address being recorded or other driving instructions
AdditionalInfo 250 Alpha / Num
No Additional information that has been entered with regard to this address
2.7 ServicePlanSummary element detail The SerivcePlanSummary element provides an overview of the client's entire service plan including all services, equipment and supplies as well as primary diagnosis.
Name Field Lengt
h (chars
)
Type Mandatory?
Description
OtherActiveServices (element)
- element No A list of all other active purchased services in the client's service plan.
Service (element)
- element No Other active purchased services in the client's service plan (including this service).
Date: Mar 8, 2012 44
Service Offer and Service Referral Format Specification
Name Field Lengt
h (chars
)
Type Mandatory?
Description
ServiceTypeCode Max 30 Alpha Yes Identifies the general service to be delivered to the client; See Appendix A for list of valid values
ServiceDeliveryType
Max 50 Alpha Yes Identifies a more specific service within the general ServiceType to be delivered to the client; See Appendix B for list of valid values
StartDate 10 Date Yes The date that this service started (yyyy-mm-dd)
EquipmentMedicalSupplies (element)
- element No A list of equipment and supplies that the client has had for the last month
Item - element No Equipment and supplies that the client has had for the last month
ItemDescription
Max 50 Alpha Yes A description of the item
ItemQuantity 6 Num Yes The number of items purchased, rented, or finance charged. If the item type is rental or finance-charge the quantity will always be 1.
ItemStartDate 10 Date Yes Date Equipment rental started (yyyy-mm-dd)
ItemEstimatedEndDate
10 Date Yes Date Equipment rental ended (yyyy-mm-dd)
ItemStatus 10 Alpha Yes New | Approved | Ordered | Cancelled
Date: Mar 8, 2012 45
Service Offer and Service Referral Format Specification
3.Appendix A - Service attribute values3.1 Service Type Codes
The following table provides a list of the values for Service Type Codes
Table 1 Service Type CodesService Type Code
Description
AMB Ambulance Services - CCACAT Attendant Care - CCACDP Adult Day Program - CCACENT Enterostomal TherapyER Children's Enhanced Respite ServiceGER Psychogeriatric Resource Coord - CCACHOM Home Support (Homemaking)LAB Laboratory Services - CCACMOW Meals on Wheels - CCACNP Nurse PractitionerNUR NursingNUT Nutritional ServicesODB Ontario Drug BenefitOT Occupational TherapyPAS Pastoral CarePHA Pharmacy ConsultationPHY PhysicianPM Paramedical Services - CCACPSM Palliative Pain & Symptom MgmtPSY PsychologyPT PhysiotherapyRT Respiratory TherapySH Supportive Housing - CCACSP Speech/Language PathologySW Social WorkTRANS Transportation - CCAC
Date: Mar 8, 2012 46
Service Offer and Service Referral Format Specification
3.2 Service Delivery Location The following table provides a list of the values for the Service Delivery Location:
Table 2 Service Delivery Location
3.3 SpecialtyThe following table provides a list of the values for Specialty:
Table 3 Service Delivery SpecialtySpecialty Code DescriptionASSISTANT Therapy AssistantAUG Speech - Augmentative CommunicationBEHAV Behaviour TherapyCDA Speech - Communicative Device AssistantCFSCS CFS - Caregiver Support & RespiteCFSE CFS - EscortCFSFV CFS - Friendly VisitCHE Nursing - ChemotherapyCIA SW - Client Intervention & AssistanceCOGASS Cognitive AssessmentCOMB Combined Personal Support and Housekeeping
Date: Mar 8, 2012 47
Service Delivery Location Description
CombinedDayClinic Combined Day ClinicCombinedDayNightClinic Combined Day/Night Clinic
Home HomeNursingDayClinic Nursing Day ClinicPhone PhonePrimaryCarePractice Primary Care PracticePrivateHomeSchool Private/Home SchoolPubliclyFundedSchool Publicly Funded SchoolResidentialHospice Residential HospiceTherapyDayClinic Therapy Day Clinic
Service Offer and Service Referral Format Specification
Specialty Code DescriptionCONT Nursing - ContinenceDIA Nursing - DialysisFALLS Falls AssessmentFOOT Foot CareGER GeriatricGERASS Geriatric AssessmentGRP GroupGRPAS Group by Therapy AssistantHK Homemaking - HousekeepingIV Nursing - IVMDGRP Meals/Dining - Congregate DiningMEDMGMT Nursing - Medication ManagementMH Nursing - Mental HealthPAL PalliativePALASS Palliative AssessmentPR PT - Pulmonary RehabPS Homemaking - Personal SupportPSEX Personal Support Exercise ProgramRES Homemaking - Caregiver RespiteRN Nursing - RNRPN Nursing - RPNSTROKE Specialized Stroke RehabilitationWND Wound CareWNDASS Wound Care Assessment
Date: Mar 8, 2012 48
Service Offer and Service Referral Format Specification
4.Appendix B - Service Delivery TypeThe following table provides the Service Delivery Type Code, as well as Specialty, Unit of Delivery, and Service Location, by Service Type Code
Correlating Service attributesServi
ce Type
Service Delivery Type Code Specialty Unit of
Delivery
Service Location
Children’s Treatment Network Referrals
NUTVisit dietician - Children's Treatment Network Visit Home
OTVisit OT - Children's Treatment Network Visit Home
PTVisit PT - Children's Treatment Network Visit Home
SP Hourly speech - CTN Hour Home
SPVisit speech - Children's Treatment Network Visit Home
SWVisit social work - Children's Treatment Network Visit HomeHome Care Referrals
AMB Ambulance trip - one way Visit HomeAT Hourly attendant care Hour HomeAT Visit attendant care Visit Home
DPVisit Adult Day Program accessed via CCAC Visit Home
ENT Hourly ENT home care Hour Home
ENTHourly ENT Palliative Home Care Palliative Hour Home
ENTVisit ENT combined nursing & therapy day clinic Visit
Combined Day Clinic
ENTVisit ENT combined nursing & therapy day/night clinic Visit
Combined Day/Night Clinic
ENT Visit ENT home care Visit Home
ENT Visit ENT nursing only clinic VisitNursing Day Clinic
ENT Visit ENT Palliative Home Care Palliative visit Home
ENT Visit ENT primary care practice VisitPrimary Care Practice
ENT Visit ENT Residential Hospice VisitResidential Hospice
Date: Mar 8, 2012 49
Service Offer and Service Referral Format Specification
Service
Type
Service Delivery Type Code Specialty Unit of
Delivery
Service Location
ERHourly Children's Enhanced Respite home care Hour Home
GERVisit Psychogeriatric Resource Coordination home care Visit Home
HOMHourly Homemaking - Caregiver Respite home care
Homemaking – Caregiver Respite Hour Home
HOM
Hourly Homemaking - Combined personal support & housekeeping home care
Combined Personal Support and Housekeeping Hour Home
HOMHourly Homemaking - Housekeeping home care
Homemaking - Housekeeping Hour Home
HOMHourly Personal Support Home Care
Homemaking - Personal Support Hour Home
HOMHourly Personal Support Residential Hospice
Homemaking - Personal Support Hour
Residential Hospice
HOMVisit Homemaking - Combined home care
Combined Personal Support and Housekeeping Visit Home
HOMVisit Homemaking - Housekeeping home care
Homemaking - Housekeeping Visit Home
HOMVisit Homemaking - Respite home care
Homemaking - Caregiver Respite Visit Home
HOMVisit Personal Support home care
Homemaking - Personal Support Visit Home
LAB Visit Lab home care Visit HomeMOW Meals on Wheels CCAC Visit Home
NPHourly Nurse Practitioner home care Hour Home
NPVisit Nurse Practitioner home care Visit Home
NUR Hourly nursing home care Hour Home
NURShift nursing combined therapy & nursing day clinic Hour
Combined Day Clinic
NUR
Shift nursing combined therapy & nursing day/night clinic Hour
Combined Day/Night Clinic
NUR Shift nursing home care Hour Home
NURShift nursing nursing only day clinic Hour
Nursing Day Clinic
NUR Shift Nursing Palliative Home Palliative Hour Home
Date: Mar 8, 2012 50
Service Offer and Service Referral Format Specification
Service
Type
Service Delivery Type Code Specialty Unit of
Delivery
Service Location
CareNUR Shift nursing phone call Hour Phone
NURShift nursing primary care practice Hour
Primary Care Practice
NURShift Nursing Residential Hospice Hour
Residential Hospice
NURVisit nursing combined therapy & nursing day clinic Visit
Combined Day Clinic
NUR
Visit nursing combined therapy & nursing day/night clinic Visit
Combined Day/Night Clinic
NURVisit nursing Continence home care
Nursing - Continence Visit Home
NUR Visit nursing home care Visit HomeNUR Visit nursing IV home care Nursing - IV Visit Home
NURVisit nursing nursing only day clinic Visit
Nursing Day Clinic
NURVisit Nursing Palliative Home Care Palliative Visit Home
NUR Visit nursing phone call Visit Phone
NURVisit nursing primary care practice Visit
Primary Care Practice
NURVisit nursing Wound Care home care
Nursing - Wound Care Visit Home
NUT Hourly dietician home care Hour HomeNUT Visit dietician phone call Visit Phone
NUTVisit dietician combined nursing & therapy day clinic Visit
Combined Day Clinic
NUT
Visit dietician combined nursing & therapy day/night clinic Visit
Combined Day/Night Clinic
NUT Visit dietician home care Visit Home
NUTVisit Dietician Residential Hospice Visit
Residential Hospice
NUTVisit dietician therapy only day clinic Visit
Therapy Day Clinic
OT Visit OT phone call Visit Phone
OTVisit OT combined nursing & therapy day clinic Visit
Combined Day Clinic
OT Visit OT combined nursing & Visit Combined
Date: Mar 8, 2012 51
Service Offer and Service Referral Format Specification
Service
Type
Service Delivery Type Code Specialty Unit of
Delivery
Service Location
therapy day/night clinic Day/Night ClinicOT Visit OT home care Visit HomeOT Visit OT home care hourly Hour Home
OT Visit OT Residential Hospice VisitResidential Hospice
OT Visit OT therapy only day clinic VisitTherapy Day Clinic
PAS Visit Pastoral Care home care Visit Home
PHAHourly Pharmacy Consultation home care Hour Home
PHAVisit Pharmacy Consultation home care Visit Home
PHY Visit Physician home care Visit Home
PHYVisit Physician Palliative Home Care Palliative Visit Home
PM Visit paramedical Visit Home
PSMPain & Sympton Mgmt phone call Visit Phone
PSMVisit Pain & Sympton Mgmt home care Visit Home
PSY Visit Psychologist home care Visit HomePT Hourly PT home care Hour Home
PTVisit PT combined nursing & therapy day clinic Visit
Combined Day Clinic
PTVisit PT combined nursing, therapy day/night clinic Visit
Combined Day/Night Clinic
PT Visit PT home care Visit HomePT Visit PT phone call Visit Phone
PTVisit PT Pulmonary Rehab Home Care
PT - Pulmonary Rehab Visit Home
PT Visit PT Residential Hospice VisitResidential Hospice
PT Visit PT therapy only day clinic VisitTherapy Day Clinic
RT Hourly RT home care Hour Home
RTVisit RT combined nursing, therapy day clinic Visit
Combined Day Clinic
RTVisit RT combined nursing, therapy day/night clinic Visit
Combined Day/Night Clinic
RT Visit RT home care Visit Home
Date: Mar 8, 2012 52
Service Offer and Service Referral Format Specification
Service
Type
Service Delivery Type Code Specialty Unit of
Delivery
Service Location
RT Visit RT Residential Hospice VisitResidential Hospice
RT Visit RT therapy only day clinic VisitTherapy Day Clinic
SH Supportive Housing Visit HomeSP Hourly speech home care Hour Home
SP Hourly speech therapy clinic HourTherapy Day Clinic
SPVisit Communicate Device Assistant Home Care
Speech - Communicative Device Assistant Visit Home
SPVisit speech augmentative communication home care
Speech - Augmentative Communication Visit Home
SPVisit speech combined nursing, therapy day clinic Visit
Combined Day Clinic
SP
Visit speech combined nursing, therapy day/night clinic Visit
Combined Day/Night Clinic
SP Visit speech home care Visit HomeSP Visit speech phone call Visit Phone
SPVisit speech Residential Hospice Visit
Residential Hospice
SPVisit speech therapy only day clinic Visit
Therapy Day Clinic
SW Hourly social work home care Hour Home
SWVisit social work combined nursing, therapy day clinic Visit
Combined Day Clinic
SW
Visit social work combined nursing, therapy day/night clinic Visit
Combined Day/Night Clinic
SW Visit social work home care Visit HomeSW Visit social work phone call Visit Phone
SWVisit social work Residential Hospice Visit
Residential Hospice
SW Visit social work therapy clinic VisitTherapy Day Clinic
TRANS Transportation home care Visit Home
School Referrals
Date: Mar 8, 2012 53
Service Offer and Service Referral Format Specification
Service
Type
Service Delivery Type Code Specialty Unit of
Delivery
Service Location
ENT Visit ENT private/home school VisitPrivate/Home School
HOMHourly Personal Support Private/Home School
Homemaking - Personal Support Hour
Private/Home School
NURHourly nursing private/home school Hour
Private/Home School
NUR Hourly nursing public school HourPublicly Funded School
NURShift nursing private/home school Hour
Private/Home School
NUR Shift nursing public school HourPublicly Funded School
NURVisit nursing private/home school Visit
Private/Home School
NUR Visit nursing public school VisitPublicly Funded School
NUTHourly dietician private/home school Hour
Private/Home School
NUT Hourly dietician public school HourPublicly Funded School
NUTVisit dietician private/home school Visit
Private/Home School
NUT Visit dietician public school VisitPublicly Funded School
OT Hourly OT private/home school HourPrivate/Home School
OT Hourly OT public school HourPublicly Funded School
OT Visit OT private/home school VisitPrivate/Home School
OT Visit OT public school VisitPublicly Funded School
PT Hourly PT private/home school HourPrivate/Home School
PT Hourly PT public school HourPublicly Funded School
PT Visit PT private/home school VisitPrivate/Home School
PT Visit PT public school VisitPublicly Funded School
Date: Mar 8, 2012 54
Service Offer and Service Referral Format Specification
Service
Type
Service Delivery Type Code Specialty Unit of
Delivery
Service Location
SPHourly speech private/home school Hour
Private/Home School
SP Hourly speech public school HourPublicly Funded School
SPVisit speech private/home school Visit
Private/Home School
SP Visit speech public school VisitPublicly Funded School
Date: Mar 8, 2012 55
Service Offer and Service Referral Format Specification
5.Appendix C - ISO 639-2 Language Codes
ValueCode ISO 639-2
Afar AARAbkhazian ABKAchinese ACEAcoli ACHAdangme ADAAdyghe ADYAfrihili AFHAfrikaans AFRAfro-Asiatic (Other) AFAAinu AINAkan AKAAkkadian AKKAlbanian SQIAleut ALEAlgonquian Languages ALGAltaic (Other) TUTAmharic AMHAngika ANPApache Languages APAArabic ARAAramaic ARCArapaho ARPAraucanian ARNArawak ARWArgonese ARGArmenian HYEAromanian RUPArtificial (Other) ARTAssamese ASMAsturian ASTAthapascan Languages ATHAustralian Languages AUS
Date: Mar 8, 2012 56
Service Offer and Service Referral Format Specification
ValueCode ISO 639-2
Austronesian (Other) MAPAvaric AVAAvestan AVEAwadhi AWAAymara AYMAzerbaijani AZEBalinese BANBaltic (Other) BATBaluchi BALBambara BAMBamileke Languages BAIBanda BADBantu (Other) BNTBasa BASBashkir BAKBasque EUSBatak (Indonesia) BTKBeja BEJBelarusian BELBemba BEMBengali BENBerber (Other) BERBhojpuri BHOBihari BIHBikol BIKBini BINBislama BISBlin BYNBokmål, Norwegian NOBBosnian BOSBraj BRABreton BREBuginese BUGBulgarian BUL
Date: Mar 8, 2012 57
Service Offer and Service Referral Format Specification
ValueCode ISO 639-2
Buriat BUABurmese MYACaddo CADCantonese QYUCarib CARCatalan CATCaucasian (Other) CAUCebuano CEBCeltic (Other) CELCentral American Indian (Other) CAIChagatai CHGChamic Languages CMCChamorro CHAChechen CHECherokee CHRCheyenne CHYChibcha CHBChichewa NYAChinese ZHOChinook Jargon CHNChipewyan CHPChoctaw CHOChuukese CHKChuvash CHVClassical Nepal Bhasa NWCCoptic COPCornish CORCorsican COSCree CRECreek MUSCreoles And Pidgins (Other) CRPCreoles And Pidgins, English-Based (Other)
CPE
Creoles And Pidgins, French-Based (Other)
CPF
Date: Mar 8, 2012 58
Service Offer and Service Referral Format Specification
ValueCode ISO 639-2
Creoles And Pidgins, Portuguese-Based (Other)
CPP
Crimean Tatar CRHCroatian HRVCushitic (Other) CUSCzech CESDakota DAKDanish DANDargwa DARDari PRSDayak DAYDelaware DELDhivehi DIVDinka DINDogri DOIDogrib DGRDravidian (Other) DRADuala DUADutch NLDDyula DYUDzongkha DZOEastern Frisian FRSEfik EFIEgyptian (Ancient) EGYEkajuk EKAElamite ELXEnglish ENGErzya MYVEsperanto EPOEstonian ESTEwe EWEEwondo EWOFang FANFanti FAT
Date: Mar 8, 2012 59
Service Offer and Service Referral Format Specification
ValueCode ISO 639-2
Faroese FAOFijian FIJFilipino; Pilipino FILFinnish FINFinno-Ugrian (Other) FIUFon FONFrench FRAFriulian FURFulah FULGa GAAGaelic GLAGallegan GLGGanda LUGGayo GAYGbaya GBAGeez GEZGeorgian KATGerman DEUGermanic (Other) GEMGikuyu KIKGilbertese GILGondi GONGorontalo GORGothic GOTGrebo GRBGreek ELLGuarani GRNGujarati GUJGwich'in GWIHaida HAIHaitian Creole HATHausa HAUHawaiian HAWHebrew HEB
Date: Mar 8, 2012 60
Service Offer and Service Referral Format Specification
ValueCode ISO 639-2
Herero HERHiligaynon HILHimachali HIMHindi HINHiri Motu HMOHittite HITHmong HMNHungarian HUNHupa HUPIban IBAIcelandic ISLIdo IDOIgbo IBOIjo IJOIloko ILOInari Sami SMNIndic (Other) INCIndo-European (Other) INEIndonesian INDIngush INHInterlingua (International Auxiliary Lang. Assoc.)
INA
Interlingue ILEInuktitut IKUInupiaq IPKIranian (Other) IRAIrish GLEIroquoian Languages IROItalian ITAJapanese JPNJavanese JAVJudeo-Arabic JRBJudeo-Persian JPRKabardian KBD
Date: Mar 8, 2012 61
Service Offer and Service Referral Format Specification
ValueCode ISO 639-2
Kabyle KABKachin KACKalaallisut KALKalmyk XALKamba KAMKannada KANKanuri KAUKarachay-Balkar KRCKara-Kalpak KAAKarelian KRLKaren KARKashmiri KASKashubian CSBKawi KAWKazakh KAZKhasi KHAKhmer KHMKhoisan (Other) KHIKhotanese KHOKimbundu KMBKinyarwanda KINKirghiz KIRKlingon TLHKomi KOMKongo KONKonkani KOKKorean KORKosraean KOSKpelle KPEKru KROKumyk KUMKurdish KURKurukh KRUKutenai KUT
Date: Mar 8, 2012 62
Service Offer and Service Referral Format Specification
ValueCode ISO 639-2
Kwanyama KUALadino LADLahnda LAHLamba LAMLao LAOLatin LATLatvian LAVLezghian LEZLimburgish LIMLingala LINLithuanian LITLojban JBOLow German NDSLower Sorbian DSBLozi LOZLuba-Katanga LUBLuba-Lulua LUALuiseno LUILule Sami SMJLunda LUNLuo (Kenya And Tanzania) LUOLushai LUSLuxembourgish LTZMacedonian MKDMadurese MADMagahi MAGMaithili MAIMakasar MAKMalagasy MLGMalay MSAMalayalam MALMaltese MLTManchu MNCMandar MDR
Date: Mar 8, 2012 63
Service Offer and Service Referral Format Specification
ValueCode ISO 639-2
Mandarin QCMMandingo MANManipuri MNIManobo Languages MNOManx GLVMaori MRIMarathi MARMari CHMMarshall MAHMarwari MWRMasai MASMayan Languages MYNMende MENMicmac MICMinangkabau MINMirandese MWLMiscellaneous Languages MISMohawk MOHMoksha MDFMoldavian MOLMongo LOLMongolian MONMon-Khmer (Other) MKHMossi MOSMultiple Languages MULMunda Languages MUNNahuatl NAHNauru NAUNavajo NAVNdonga NDONeapolitan NAPNepal Bhasa NEWNepali NEPNias NIA
Date: Mar 8, 2012 64
Service Offer and Service Referral Format Specification
ValueCode ISO 639-2
Niger-Kordofanian (Other) NICNilo-Saharan (Other) SSANiuean NIUN'Ko NQONo linguistic content ZXXNogai NOGNorse, Old NONNorth American Indian (Other) NAINorth Ndebele NDENorthern Frisian FRRNorthern Sami SMENorthern Sotho NSONorwegian NORNorwegian Nynorsk NNONubian Languages NUBNyamwezi NYMNyankole NYNNyoro NYONzima NZIOccitan OCIOjibwa OJIOld Church Slavonic CHUOriya ORIOromo ORMOsage OSAOssetic OSSOtomian Languages OTOPahlavi PALPalauan PAUPali PLIPampanga PAMPangasinan PAGPapiamento PAPPapuan (Other) PAA
Date: Mar 8, 2012 65
Service Offer and Service Referral Format Specification
ValueCode ISO 639-2
Persian FASPhilippine (Other) PHIPhoenician PHNPohnpeian PONPolish POLPortuguese PORPrakrit Languages PRAPunjabi PANPushto PUSQuechua QUERaeto-Romance ROHRajasthani RAJRapanui RAPRarotongan RARRomance (Other) ROARomanian RONRomany ROMRundi RUNRussian RUSSalishan Languages SALSamaritan Aramaic SAMSami Languages SMISamoan SMOSandawe SADSango SAGSanskrit SANSantali SATSardinian SRDSasak SASScots SCOSelkup SELSemitic (Other) SEMSerbian SRPSerer SRR
Date: Mar 8, 2012 66
Service Offer and Service Referral Format Specification
ValueCode ISO 639-2
Shan SHNShona SNASichuan Yi IIISicilian SCNSidamo SIDSign Languages SGNSiksika BLASindhi SNDSinhalese SINSino-Tibetan (Other) SITSiouan Languages SIOSkolt Sami SMSSlave (Athapascan) DENSlavic (Other) SLASlovak SLKSlovenian SLVSogdian SOGSomali SOMSonghai SONSoninke SNKSorbian Languages WENSouth American Indian (Other) SAISouth Ndebele NBLSouthern Altai ALTSouthern Sami SMASouthern Sotho SOTSpanish SPASranan Togo SRNSukuma SUKSumerian SUXSundanese SUNSusu SUSSwahili SWASwati SSW
Date: Mar 8, 2012 67
Service Offer and Service Referral Format Specification
ValueCode ISO 639-2
Swedish SWESwiss German GSWSyriac SYRTagalog TGLTahitian TAHTai (Other) TAITajik TGKTamashek TMHTamil TAMTatar TATTelugu TELTereno TERTetum TETThai THATibetan BODTigre TIGTigrinya TIRTimne TEMTiv TIVTlingit TLITok Pisin TPITokelau TKLTonga (Nyasa) TOGTonga (Tonga Islands) TONTsimshian TSITsonga TSOTswana TSNTumbuka TUMTupi languages TUPTurkish TURTurkmen TUKTuvalu TVLTuvinian TYVTwi TWI
Date: Mar 8, 2012 68
Service Offer and Service Referral Format Specification
ValueCode ISO 639-2
Udmurt UDMUgaritic UGAUkrainian UKRUmbundu UMBUndetermined UNDUpper Sorbian HSBUrdu URDUyghur UIGUzbek UZBVai VAIVenda VENVietnamese VIEVolapuk VOLVotic VOTWakashan Languages WAKWalamo WALWalloon WLNWaray WARWasho WASWelsh CYMWestern Frisian FRYWolof WOLXhosa XHOYakut SAHYao YAOYapese YAPYiddish YIDYoruba YORYupik Languages YPKZande ZNDZapotec ZAPZazaki ZZAZenaga ZENZhuang ZHA
Date: Mar 8, 2012 69
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