1 of 57 Health Professions Database Minimum Data Set (Formerly Known as the Allied Health Human Resources Database Minimum Data Set) Version 2.0 May 2010 Strategy Forecasting and Modelling Unit Health Human Resources (HHR) Policy Branch, HHR Strategy Division, Ministry of Health and Long-Term Care Queen s Printer for Ontario, 2010 The Health Human Resources Database (HPDDB) Minimum Data Set (MDS) Document was produced by the Province of Ontario as represented by the Ministry of Health and Long-Term Care, in consultation with the HPDB MDS Working Group.
2 of 57 Terms of Use Thank you for your interest in the Health Professions Database (HPDB) Minimum Data Set (MDS) Document ( the Document ) produced by the Province of Ontario. The Province of Ontario is providing you with a copy of the Document, subject to the following Terms of Use: 1. You may only use the Document for purposes related to health human resources (HHR) planning. 2. You may reproduce the Document in whole or in part for purposes related to HHR planning noting the appropriate references. 3. If you use or reproduce the Document for HHR planning, you must reproduce all copyright notices that appear on the original, and acknowledge the contribution of the Ontario Ministry of Health and Long- Term Care. 4. In addition to paragraph 3, above, if you alter the contents of the Document, you must also provide the following notice: This [insert title of document] modifies the Health Professions Database (HPDB) Minimum Data Set (MDS) Document originally produced by the Province of Ontario. The modifications expressed in this document are the views of [insert third party name] and do not necessarily reflect those of the Province of Ontario. 5. Despite anything contained in the paragraphs above, you or any third parties you contract with to help you achieve your HHR planning mandate must not use the Document for commercial purposes. By accepting this Document as provided to you by the Province of Ontario, you are deemed to have accepted these Terms of Use. If you have any questions, please contact the Health Human Resources Policy Branch, Ontario Ministry of Health and Long-Term Care at forecasting@healthforceontario.ca.
3 of 57 Table of Contents Terms of Use 2 Minimum Data Set 4 Introduction 6 Purpose 6 HPDB MDS Working Group Members 7 Data Elements and Values 8 1 - Identifiers, Registration, Demographics 8 2 - Geography and Certification 12 3 - Education 19 4 - Employment 30 4.1 - Employment Historical 30 4.2 - Current Employment Individual Based 32 4.3 - Current Employment Site Based 38
4 of 57 Minimum Data Set DATA ELEMENTS Identifiers, Registration and Demographics 1. Unique Identifier Number (de-identified) 2. Registration Status 3. Registration Inactive Status Reason 4. Class of Registration 5. Sex 6. Year of Birth 7. Languages of Care Geography and Certification 8. Primary Postal Code of Residence 9. Primary Province or Territory or State of Residence 10. Primary Country of Residence 11. Province or Territory of Registration (Default Value) 12. Year of Initial Registration to Practise in Ontario 13. Concurrent Province or Territory or State of Registration 14. Concurrent Country of Registration 15. Most Recent Previous Province or Territory or State of Practice 16. Most Recent Previous Country of Practice 17. Last Year of Practice in Previous Province or Territory or State or Country 18. Specialty Certification 19. Year of Specialty Certification Education 20. Bridging Program Completion 21. Year of Completion Bridging Program 22. Level of Education in Profession 23. Year of Graduation from Education in Profession 24. Canadian Educational Institution of Education in Profession at Graduation 25. Province or Territory or State at Graduation from Education in Profession 26. Country of Graduation from Education in Profession 27. Highest Level of Education Outside of the Profession 28. Field of Study for Highest Education Outside of the Profession 29. Year of Graduation from Education Outside of the Profession 30. Province or Territory or State of Graduation from Highest Education Outside of Profession 31. Country of Graduation from Education Outside of Profession
5 of 57 Employment Historical 32. Country of First Time Practising in Profession 33. Province or Territory or State of First Time Practising in Profession 34. First Year of Practising in Profession 35. First Canadian Location of Practice in Profession 36. Year of First Canadian Practice in Profession Current Employment Individual Based 37. Practice Status 38. Full Time/Part Time/Casual Work Preference 39. Agency Nurse 40. Number of Practice Weeks in the Past 12 Months 41. Average Number of Weekly Practice Hours in the Past 12 Months 42. Average Number of Weekly On-Call Hours in the Past 12 Months 43. Proportion of Average Weekly Practice Hours on Direct Professional Services 44. Proportion of Average Weekly Practice Hours on Teaching 45. Proportion of Average Weekly Practice Hours on Clinical Education 46. Proportion of Average Weekly Practice Hours on Research 47. Proportion of Average Weekly Practice Hours on Administration 48. Proportion of Average Weekly Practice Hours on All Other Activities Current Employment Site Based 49. More Than Three Practice Sites 50. Employment Category 51. Full-Time/Part-Time/Casual Status 52. Practice Setting 53. Postal Code of Practice Site 54. Province or Territory or State of Practice Site 55. Country of Practice Site 56. Primary Role 57. Area of Practice Activity 58. Practice Specialty 59. Client Age Range
6 of 57 Introduction The healthcare system relies on a number of health professionals with unique expertise to provide services that meet the health needs of Ontarians. In the past, we did not have a good grasp on the profile of these professions. For example, we knew very little about how many people were practising in these professions, where they were working, and whether Ontario had the right combination of these professionals to meet future needs. The Health Professions Database is a significant step towards having a truly representative snapshot of Ontario s regulated healthcare workforce. As part of the provincial government s health human resources (HHR) strategy, called HealthForceOntario, the Ministry of Health and Long-Term Care (Ministry) and the health regulatory Colleges of Ontario worked together to create the Health Professions Database (HPDB) Minimum Data Set (MDS). This MDS defines the information and the standards required for health human resources planning in Ontario. It ensures the collection of standard, consistent and comparable demographic, registration, geographic, educational and employment information on all health professionals, which provides Ontario with the evidence to ensure that Ontarians have access to the right number and mix of qualified health professionals when and where they are needed. Success of the HPDB is dependant upon the support and commitment of key stakeholders such as the regulatory Colleges who are the stewards of data on their members. The Ministry would like to thank the MDS Working Group members for participating and providing their valuable feedback to create the HPDB minimum data set. Purpose The MDS identifies the list of standardized data elements and associated values with definitions to collectively comprise the data standard for the HPDB. This is a dynamic document that will be reviewed to ensure ongoing relevancy of the data elements for HHR planning. Acknowledgement Portions of text in this document have been taken or adapted from the Canadian Institute for Health Information, Medical Laboratory Technologists, Medical Radiation Technologists, Occupational Therapists, Physiotherapists and Pharmacists Database Data Dictionary (Ottawa: CIHI, 2007), Statistics Canada and the Ministry of Citizenship and Immigration.
7 of 57 HPDB MDS Working Group Members Colleen Myrie Sharon Cole Bob Wilkins Joel Friedman Maria Simas Tom Amsden Joyce Quan Greg Moor David McDonald Nancy Storey Jill Moriarty Heena Vyas Corinne Flitton Tami Hynes Marjory Embree Lynn Yawney Caroline Morris Deborah Adams Gina Dawe Pam Marler Keisha Simpson Murray Turnour Della Croteau Wendy Davidson Shilo Tooze Gnana Fernando Janice Carson-Golden Ania Walsh Emily Cheung Alice Wang Brent Knowles Elizabeth Good Wai Chung Amy Shen Jennifer Iannetta Ekta Khullar Richard Fung Anshoo Kamal Hussein Lalani College of Audiologists and Speech-Language Pathologists of Ontario College of Chiropodists of Ontario College of Chiropodists of Ontario College of Chiropractors of Ontario College of Chiropractors of Ontario College of Dental Hygienists of Ontario College of Dental Hygienists of Ontario Royal College of Dental Surgeons of Ontario College of Dental Technologists of Ontario College of Denturists of Ontario College of Denturists of Ontario College of Dietitians of Ontario College of Massage Therapists of Ontario College of Massage Therapists of Ontario College of Massage Therapists of Ontario College of Medical Laboratory Technologists of Ontario College of Medical Radiation Technologists of Ontario College of Midwives of Ontario College of Midwives of Ontario College of Occupational Therapists of Ontario College of Opticians of Ontario College of Optometrists of Ontario Ontario College of Pharmacists Ontario College of Pharmacists College of Physiotherapists of Ontario College of Psychologists of Ontario College of Respiratory Therapists of Ontario College of Respiratory Therapists of Ontario College of Traditional Chinese Medicine of Ontario College of Traditional Chinese Medicine of Ontario College of Nurses of Ontario Ontario Ministry of Health and Long-Term Care Ontario Ministry of Health and Long-Term Care Ontario Ministry of Health and Long-Term Care Ontario Ministry of Health and Long-Term Care Ontario Ministry of Health and Long-Term Care Ontario Ministry of Health and Long-Term Care Ontario Ministry of Health and Long-Term Care Ontario Ministry of Health and Long-Term Care
8 of 57 1. Identifiers, Registration, Demographics Data Element Definition Valid Values Collection 1. Unique Identification Number (de-identified) The number that uniquely identifies individual member records across all of the Colleges. Each College to create a unique identifier across all Colleges based on an algorithm that the Ministry provides using unique characteristics: Full Name, Full Birth Date, Sex Implemented by the College at the time of initial registration. Format: Alphanumerical characters including special characters: / and +. Length: 22 Rationale: This information distinguishes a unique individual across all Colleges. It provides the opportunity for updating or refreshing record level data in accordance with a prescribed timeframe and linkage to historical information for statistical trending purposes. This will enhance comparability because it will identify health professionals that hold multiple registrations and/or switch careers. 2. Registration Status An active member identifies a professional who has officially acquired credentials to practise in the profession and is able to practise in the profession at minimum in some capacity. Inactive member identifies a professional who can no longer practise. 1: Active Able to practise the profession in full or any one capacity (e.g. clinical, research, teaching, health promotion etc.). 2: Inactive No longer able to practise the profession in any capacity. College Value Format: 9, Length: 1 Rationale: The categorization of active or inactive status of registration for health professionals in Ontario identifies the real and potential workforce.
9 of 57 Data Element Definition Valid Values Collection 3. Registration Inactive Status Reason Provides information on the type of attrition. NOTE: For resigned members, this data element is optional for Colleges to report into the HPDB. 01: Retired No longer part of the labour force. 02: Left the Country Left Canada for another country. 03: Left the Province Left Ontario for another province or territory in Canada. 04: Changing Profession Left profession for another profession. 05: Leave On leave from practising in the profession. 06: Resigned Not Specified 07: Other (Suspended, Revoked, Deceased) 98: Not Applicable (for those with an Active Registration Status only) 99: Unknown Format: 99 Length: 2 Rationale: Measures the rate of attrition for health professionals by type (e.g. retiring or leaving the province). member resigns or goes inactive.
10 of 57 Data Element Definition Valid Values Collection 4. Class of Registration The type of certificate of registration issued by the College to a member. Classes may include General, Restricted, Academic, Transitional or another class established by the College s regulation on registration. 01: Practice Has met basic requirements of the profession and is able to practise in the profession in Ontario. 02: Academic Practice - Appointed as a faculty member in an approved university/college program in the profession and able to practise the profession. 03: Non-Practising Member of the College who may be using knowledge in the profession in research, teaching etc. but cannot perform any of the controlled acts. 04: Educational Practising under supervision and working towards meeting basic requirements of profession while Enrolled in an education program Waiting to write professional exam or, Obtaining clinical experience. 98: Not Applicable (for those who do not have an Active Registration Status) Note: 99: Unknown is not a valid value for this data element Format: 99 Length: 2 Rationale: To account for the different class of certificates held by health professionals and identify the real and potential workforce. College Value
11 of 57 Data Element Definition Valid Values Collection 5. Sex The sex at birth of member. M: Male F: Female Initial Registration Format: A Length: 1 6. Year of Birth Year of birth of member. Numeric YYYY Initial Registration NOTE: The value 9998: Not Applicable and 9999: Unknown is not a valid value for the data element. Format: 9999 Length: 4 Rationale: Necessary for the calculation of age related workforce indicators (e.g. the average age of health professionals). 7. Languages of Care Languages in which the member can provide ISO 639-2 Language codes Registration and professional services. 999: Unknown (Available only for levels 2-5) Collect up to 5 languages Format: AAA or 999 Length: 3 Rationale: Measures the supply of health professionals who are able to provide care to various special populations in Ontario in a specific language.
12 of 57 2. Geography and Certification 8. Primary Postal Code of Residence - The postal code of the primary home address for 6 months plus 1 day or if split evenly within a year then the address at the time of registration or renewal. 'NAN ANA' (Canada) or 11111 (USA) 999996: Outside Canada or the US 999999: Unknown = Blank NOTE: The value 999998: Not Applicable is not valid for this data element. If the member is living outside of Canada or the US then the data element should be mapped to 999996: Outside Canada or the US. Registration and Format: AAAAAA or 999999 Length: 6 Rationale: Combined with postal code of practice site, provides an indication of the relationship between where health professionals live and where they work. Also, measures the geographic distribution of health professionals in Ontario and informs on the mobility of the profession across the province (e.g. across Counties and LHINs). 9. Primary Province or Territory or State of Residence The primary province or territory (if Canada) or state (if USA) of residence for 6 months plus 1 day or if split evenly within a year then the province or territory or state at the time of registration or renewal. ISO 3166-2 Province/Territory/State codes 96: Outside Canada or the US 99: Unknown = Blanks Registration and Format: AA or 99 Length: 2 Rationale: Measures the number of health professionals that reside outside of Ontario and provides their distribution across Canada and the USA. Combined with other data elements, informs on the mobility of the profession.
13 of 57 10. Primary Country of Residence - Country of residence for 6 months plus 1 day or if split evenly within a year then the country at the time of registration or renewal. ISO 3166-1 Country codes 999: Unknown Registration and Format: AAA or 999 Length: 3 Rationale: Measures the number of health professionals that reside outside of Canada but are registered in Ontario. 11. Province or Territory of Registration The province or territory ON: Ontario of current registration. 98: Not Applicable (Only a valid value if Registration Status is mapped to 2: Inactive ). College Default Value Format: AA or 99 Length: 2 Rationale: Informs on the current registration location of health professionals. For the HPDB, Ontario is the primary registration location. 12. Year of Initial Registration to Practise in Ontario The first Numeric YYYY College Value year that the individual registered to practise the profession in Ontario. 9998: Not Applicable (for students/interns) 9999: Unknown Format: 9999 Length: 4 Rationale: In combination with other factors (e.g. year of graduation), it will determine the time it takes a graduate to enter practice.
14 of 57 13. Concurrent Province or Territory or State of Registration - Other provinces or territories (if Canada) or states (if in USA) where a member is registered to practise in the specific profession. ISO 3166-2 Province/Territory/State codes 96: Outside Canada or the US 98: Not Applicable 99: Unknown =Blank Registration and Collect a maximum of 3 Format: AA Length: 2 Rationale: Estimates potential labour mobility by measuring the proportion of health professionals that are concurrently registered in other locations in Canada and the USA. 14. Concurrent Country of Registration - Countries where member ISO 3166-1 Country codes Registration and is registered to practise in the specific profession. 98: Not Applicable Collect a maximum of 3 99: Unknown =Blank Format: AAA Length: 3 Rationale: Estimates potential labour mobility by measuring the proportion of health professionals that are concurrently registered in other countries.
15 of 57 15. Most Recent Previous Province or Territory or State of Practice Most recent previous province or territory (if Canada) or state (if USA) of practise in which the majority of employed/selfemployed activity occurred. ISO 3166-2 Province/Territory/State codes 96: Outside Canada or the US 98: Not Applicable 99: Unknown = Blank Registration Format: AA Length: 2 Rationale: Measures in-migration of health professional from specific provinces, territories or states (if USA). 16. Most Recent Previous Country of Practice - Most recent ISO 3166-1 Country codes previous country of practice in which the majority of employed/selfemployed activity occurred. 998: Not Applicable Registration 999: Unknown = Blank Format: AAA Length 3 Rationale: Measures in-migration of health professionals and identifies the country from which they emigrated. 17. Last Year of Practice in Previous Province or Territory or Numeric 'YYYY' State or Country - The last year that the member practised outside of Ontario in the previous location. 9998: Not Applicable Registration 9999: Unknown = Blank Format: 9999 Length: 4 Rationale: Measures the time it takes a health professional to transition to a new location when combined with initial year of practice in Ontario.
16 of 57 18. Specialty Certification - A particular subject area or branch of the profession for which the member has been certified. 0000: General MLT 0001: Biochemistry MLT 0002: Immunology MLT 0003: Hematology MLT 0004: Histology MLT 0005: Microbiology MLT 0006: Transfusion Science MLT 0007: Cytogenetics Genetics MLT 0008: Molecular Genetics Genetics MLT 0009: Cytology MLT 0050: Magnetic Resonance MRT 0051: Nuclear Medicine MRT 0052: Radiation Therapy MRT 0053: Radiography MRT 0100: General Dental Hygienists 0101: Restorative Dental Hygiene - Dental Hygienists Registration and Collect maximum of 10
17 of 57 18. Specialty Certification - continued 0149: No Specialty Dentists 0150: Endodontics Dentists 0151: Oral and Maxillofacial Surgery Dentists 0152: Oral Pathology Dentists 0153: Oral Radiology Dentists 0154: Oral Medicine Dentists 0155: Orthodontics Dentists 0156: Paediatric Dentistry - Dentists 0157: Periodontics Dentists 0158: Prosthodontics Dentists 0159: Public Health Dentistry Dentists 0160: Dental Anaesthesia Dentists 0200: Adult Nurse Practitioners 0201: Paediatric Nurse Practitioners 0202: Primary Health Care Nurse Practitioners Registration and Collect maximum of 10
18 of 57 18. Specialty Certification continued 9998: Not Applicable 9999: Unknown Format: 9999 Length: 4 Registration and Collect maximum of 10 NOTE: Blank defaults to 9998: Not Applicable for all health professions except: MLTs, MRTs, Dental Hygienists, Dentists and Nurse Practitioners. For MLTs, MRTs, Dental Hygienists, Dentists and Nurse Practitioners blanks default to 9999: Unknown. Rationale: To identify the certified specialties of health professionals and their possible specialized areas of practice. 19. Year of Specialty Certification - The completion year of the Numeric 'YYYY' specialty certificate. 9998: Not Applicable 9999: Unknown Registration and Collect maximum of 10 Format: 9999 Length: 4 NOTE: Blank defaults to 9998: Not Applicable for all health professions except: MLTs, MRTs, Dental Hygienists, Dentists and Nurse Practitioners. For MLTs, MRTs, Dental Hygienists, Dentists and Nurse Practitioners blanks default to 9999: Unknown. Rationale: Measures the length of time required to obtain each certification and the work-life span of health professionals.
19 of 57 3. Education 20. Bridging Program Completion - Completed a program that serves internationally educated individuals to help them achieve licensure commensurate with their skills, education and experience. This is achieved through profession-specific training that bridges the gap between the skills, education and experience of internationally educated individuals and the requirements of the regulators. Training provided can include prior learning assessment, exam preparation, mentoring opportunities, occupation-specific language instruction and workplace experience. 1: Yes 2: No 8: Not Applicable 9: Unknown = Blank Format: 9 Length: 1 Initial Registration Definition developed in collaboration with the Ministry of Citizenship and Immigration. Rationale: Measures the number of health professionals that have completed bridging programs and helps to gauge their success 21. Year of Completion of Bridging Program - The year that the Numeric YYYY bridging program was completed. 9998: Not Applicable Initial Registration 9999: Unknown =Blank Format: 9999 Length: 4 Rationale: Measures the length of time between the completion of the bridging program and initial registration to practise in Ontario.
20 of 57 22. Level of Education in Profession The level of education the individual has completed in the profession. 01: Diploma - Diploma or equivalent conferred by a community college, university or comparable institution. 02: Baccalaureate - An undergraduate degree conferred by a university or comparable institution. 03: Master - A graduate level university degree. 04: Professional Doctorate - A first professional degree conferred by a university or comparable institution. 05: Doctorate - A post-graduate level university degree. 07: Entry to Practice Post Diploma Certificate/Courses A university level certificate or collection of university level courses obtained after completion of (at minimum) an undergraduate degree. This certificate/these courses is/are a mandatory entry to practice requirement into the profession. Continuing education certificates and courses are not included within this definition. 06: None of the Above - The individual has completed a level of education in the profession that is not listed above. 98: Not Applicable 99: Unknown = Blank Format: 99 Length: 2 Sourced from Canadian Institute for Health Information, Medical Laboratory Technologists, Medical Radiation Technologists, Occupational Therapists, Physiotherapists and Pharmacists Database Data Dictionary (Ottawa: CIHI, 2007). Initial Registration and Collect for each level of education (up to 5 levels) Rationale: Measures the levels of education health professionals acquire throughout their career to inform on initial education and continuing education patterns
21 of 57 23. Year of Graduation from Education in Profession Year of graduation from education program in profession Numeric YYYY 998: Not Applicable (For Students and Interns) 999: Unknown = Blank Initial Registration and Collect for each level of education (up to 5 levels) Format: 9999 Length: 4 Rationale: Measures the time required to achieve each level of education and informs on the sequencing. 24. Canadian Educational Institution of Education in Profession List of Educational Institutions in Canada from Statistics at Graduation - Name of the institution at graduation from the Canada** education program in profession. PCC: Private Career College OOC: Out of Country Registration and Collect for each level of education (up to 5 levels). 998: Not Applicable 999: Unknown = Blank Format: AAA or 999 Length: 3 ** Post-Secondary Student Information System (PSIS) Postsecondary Institutions in Canada PSIS Code and Name Rationale: Measures the availability of programs and identifies the sources of supply for health professionals in Ontario.
22 of 57 25. Province or Territory or State at Graduation from Education in Profession Province or territory (if Canada) or state (if USA) of graduation from education program in profession. ISO 3166-2 Province/Territory/State codes 96: Outside Canada or the US 98: Not Applicable (For Students and Interns) 99: Unknown = Blank Registration and Collect for each level of education (up to 5 levels). Format: AA or 99 Length: 2 Rationale: Measures mobility of health professionals to pursue education and informs on the relationship between their location of education and current practice location. 26. Country of Graduation from Education in Profession - Country ISO 3166-1 Country codes Registration and of graduation from education in profession. 998: Not Applicable (For Students or Interns) 999: Unknown = Blank Collect for each level of education (up to 5 Format: AAA or 999 levels). Length: 3 Rationale: Measures the number of internationally educated health professionals in the Ontario practice pool and international migration trends.
23 of 57 27. Highest Level of Education Outside of the Profession - Highest education completed outside of the profession. 01: Diploma - A diploma or equivalent conferred by a community college, university or comparable institution. 02: Baccalaureate - An undergraduate degree conferred by a university or comparable institution. 03: Master - A graduate level university degree conferred by a university or comparable institution. 04: Professional Doctorate - A first professional degree conferred by a university or comparable institution. 05: Doctorate - A post-graduate level university degree. 06: None of the Above 98: Not Applicable 99: Unknown = Blank Format: 99 Length: 2 Rationale: Identifies and monitors the level of education attained outside of the profession and informs on potential career changes. Registration and
24 of 57 28. Field of Study for Highest Education Outside of the Profession Field of study for highest education outside of the profession. 01: General Rehabilitation Science - Comprises of any program that includes a systematic study of the physical and psychosocial dimensions of human function throughout the lifespan of individuals with impairments, disabilities and/or handicaps. 02: Medical Laboratory Science - Comprises of any program that prepares individuals to conduct and supervise complex medical tests, clinical trials and research experiments; manage clinical laboratories; and consult with physicians and clinical researchers on diagnoses, disease causation and spread, and research outcomes. 03: Mathematics, Computer Information Sciences - Comprises of any general program that focuses on the analysis of quantities, magnitudes, forms and their relationships, using symbolic logic and language or any general program that focuses on computing, computer science and information science and systems as part of a broad and/or interdisciplinary program. 04: Health Administration/Management - Comprises of any program that prepares individuals to develop, plan, and manage health care operations and services within health care facilities and across health care systems. 05: Public Administration - Comprises of instructional programs that prepare individuals to analyze, manage and deliver public programs and services. Registration and
25 of 57 28. Field of Study for Highest Education - continued 06: Public Health - Comprises of any program that generally prepares individuals to plan, manage and evaluate public health care services and to function as public health officers. 07: Kinesiology and Exercise Science - Comprises of any scientific program that focuses on the anatomy, physiology, biochemistry and biophysics of human movement, and applications to exercise and therapeutic rehabilitation. 08: Gerontology - Comprises of any program that focuses on the human aging process and aged human populations, using the knowledge and methodologies of the social sciences, psychology and the biological and health sciences. 09: Psychology - Comprises of any instructional programs that focus on the scientific study of the behaviour of individuals, independently or collectively, and the physical and environmental bases of mental, emotional and neurological activity. 10: Health Professions and Related Clinical Sciences - Comprises of any instructional programs that prepare individuals to practise as licensed professionals and assistants in the health care professions and focus on the study of related clinical sciences. Registration and
26 of 57 28. Field of Study for Highest Education - continued 11: Biological and Biomedical Sciences - Comprises of any instructional programs that focus on the biological sciences and the non-clinical biomedical sciences, and that prepare individuals for research and professional careers as biologists and biomedical scientists. 12: Physical Sciences - Comprises of any instructional programs that focus on the scientific study of inanimate objects, processes of matter and energy, and associated phenomena. 13: Social Sciences, Arts and Humanities - Comprises of any instructional programs that focus on the systematic study of social systems, social institutions, and social behaviour or independent or individualized studies in the liberal arts subjects, the humanities disciplines, literature, history and the general curriculum. 14: Education - Comprises of any instructional programs that focus on the theory and practice of learning and teaching, and related research, administrative and support services. 15: Law - Comprises of any instructional programs that prepare individuals for the legal profession, for related support professions and professional legal research, and focus on the study of legal issues in non-professional programs. Registration and
27 of 57 28. Field of Study for Highest Education - continued 16: Business, Management, Marketing and Related - Comprises of any instructional programs that prepare individuals to perform managerial, technical support, and applied research functions related to the operation of commercial and non-profit enterprises and the buying and selling of goods and services. 17: Engineering - Comprises of any instructional programs that prepare individuals to apply mathematical and scientific principles to the solution of practical problems. 18: Other Field of Study - Any program not mentioned above. 98: Not Applicable 99: Unknown = Blank Format: 99 Length: 2 Rationale: Informs on the skills and knowledge of health professionals and potential career changes. Sourced from Classification of Instructional Programs, Canada 2000 by Statistics Canada at Source http://stds.statcan.ca/english/cip/cip_6digit_details.asp?code Registration and
28 of 57 29. Year of Graduation from Education Outside of the Profession Year of graduation from highest education outside of the profession. Numeric YYYY 9998: Not Applicable 9999: Unknown = Blank Registration and Format: 9999 Length: 4 Rationale: Informs on the sequencing of education and the continuing education trends for health professionals. 30. Province or Territory or State of Graduation from Highest ISO 3166-2 Province/Territory/State codes Education Outside of the Profession - Province or territory (if Canada) or state (if USA) of graduation from the highest education 96: Outside Canada or the US outside of the profession. 98: Not Applicable (No Education Outside of the Profession) Registration and 99: Unknown = Blank Format: AA or 99 Length: 2 Rationale: Measures the mobility of health professionals across Canada and the USA to obtain education and assists in understanding career changes linked with inter-provincial migration and mobility between Canada and the USA.
29 of 57 31. Country of Graduation from Highest Education Outside of the Profession - Country of graduation from the highest education outside of the profession. ISO 3166-1 Country codes 998: Not Applicable 999: Unknown = Blank Format: AAA or 999 Length: 3 Rationale: Identifies potential career changes for internationally educated health professionals and informs on migration trends. Registration and
30 of 57 4. Employment 4.1 Employment Historical Data Element Definition Valid Values Collection 32. Country of First Time Practising in Profession - The first country in which a member began practising in the profession after completing education in the profession as required by that jurisdiction. ISO 3166-1 Country codes 998: Not Applicable 999: Unknown = Blank Initial Registration Format: AAA or 999 Length: 3 Rationale: Identifies the first location of practice in profession and international migration trends of the health profession. 33. Province or Territory or State of First Time Practising in ISO 3166-2 Province/Territory/State codes Profession - The first province or territory (if Canada) or state (if USA) in which a member began practising in the profession after completing 96: Outside Canada and the US education in the profession as required by that jurisdiction. 99: Unknown = Blank Initial Registration Format: AA or 99 Length: 2 NOTE: 98: Not Applicable is not a valid value for this data element. Rationale: For those that practised initially in Canada or USA, identifies the initial location of practice as a health professional and allows analysis of interprovincial migration and mobility between the USA and Canada.
31 of 57 34. First Year of Practising in Profession - The year in which a member began practising in the profession in the first location of practice after completing education in the profession as required by that jurisdiction. Numeric YYYY 9999: Unknown Format: 9999 Length: 4 Initial Registration NOTE: 9998: Not Applicable is not a valid value for this data element. Rationale: Provides a baseline indication of initial entry into the profession. Year of initial practice acts as a proxy indicator for length of time in the workforce and, in combination with other data elements on education, informs on transitions into and out of the work-life cycle. 35. First Canadian Location of Practice in Profession - If the first If Data Element 32 is not Canada then the member must fill Initial Registration practice location in profession is outside of Canada, the first province out this data element. or territory in which a member began practising in the profession in Canada. ISO 3166-2 Province/Territory codes 99: Unknown = Blank Format: AA or 99 Length: 2 Rationale: Identifies the initial Canadian location of practice as an internationally educated health professional and informs on the mobility of internationally educated health professionals. 36. Year of First Canadian Practice in Profession The year in Numeric YYYY Initial Registration which a member began practising in the profession in Canada. 9999: Unknown = Blank Format: 9999 Length: 4 Rationale: Provides a baseline indication of initial entry into the Canadian workforce and acts as a proxy indicator for length of time in the workforce. This data element informs on transitions into and out of the workforce for health professionals immigrating to Canada.
32 of 57 4.2 Current Employment Individual Based 37. Practice Status - Describes practice status in profession. 01: Practising in profession in some capacity 02: Working outside of the profession and seeking work in profession 03: Working outside of the profession and not seeking work in profession 04: Not working and seeking work in profession 05: Not working and not seeking work in profession 06: On Leave - not practising in profession because on leave 98: Not Applicable (For Students and Interns) 99: Unknown = Blank Format: 99 Length: 2 Rationale: Identifies the real and potential workforce and labour force participation rate for health professions.
33 of 57 38. Full Time/Part-Time/Casual Work Preference The status most preferred by the health professional with respect to working in the profession. 1: Full-Time - Prefer to have regular work at 30 hours or more per week. 2: Part-Time - Prefer to have regular work hours at less than 30 hours per week. 3: Casual Prefer to work with no pre-determined fixed number of hours per week. 8: Not Applicable 9: Unknown = Blank Format: 9 Length: 1 Rationale: Measures at what level the health professional prefers to participate in the workforce to give an indication of labour supply.
34 of 57 39. Agency Nurse To determine if the nurse works for a nurse staffing agency. 1: Yes 2: No 8: Not Applicable (for all health professionals except nurses) 9: Unknown Format : 9 Length: 1 Note: For the College of Nurses of Ontario blank values will default to 9: Unknown. For all other Colleges, blank values will default to 8: Not Applicable. Rationale: Identifies nurse employment patterns and geographic distribution. 40. Number of Practice Weeks in the Past 12 Months - Number of WW practice weeks in the past 12 months across all practice settings excluding vacation, on-call time and sick and leave time greater than 98: Not Applicable one week. Note that at least 1 practice day in a week constitutes a week of practice. 99: Unknown = Blank Format: 99 Length: 2 Rationale - Provides a measure of time spent practising by a health professional throughout a typical year.
35 of 57 41. Average Number of Weekly Practice Hours in the Past 12 Months - Average number of practice hours per week across all practice sites. Hours indicated are inclusive of all practice hours (e.g. travel time to various settings, preparation and service provision, time spent working during on-call hours). Hours should exclude any volunteer, extra-curricular time outside of the profession or any on-call hours where the individual was not working. Numeric HHH 998: Not Applicable 999: Unknown = Blank Format: 999 Length 3 Sourced from Canadian Institute for Health Information, Medical Laboratory Technologists, Medical Radiation Technologists, Occupational Therapists, Physiotherapists and Pharmacists Database Data Dictionary (Ottawa: CIHI, 2007). Rationale: Provides a measure of how many hours a health professional spends practising across all practice sites to build an understanding of workload and actual availability of services. 42. Average Number of Weekly On-Call Hours in the Past 12 Months - Average number of on-call hours per week across all practice sites. Hours indicated are inclusive of all on-call hours (worked and not worked). Numeric HHH 98: Not Applicable 99: Unknown = Blank Format: 99 Length: 2 Rationale: Provides a measure of how many hours a health professional spends on-call to build an understanding of workload and burden, which can inform recruitment and retention issues. 43. Proportion of Average Weekly Practice Hours on Direct Numeric % Professional Services - Proportion of the average practice hours spend per week on direct health professional services across all 998: Not Applicable practice sites (e.g. conducting tests, patient care, health promotion, dispensing/building/repairing health apparatuses). This excludes 999: Unknown = Blank clinical education hours (providing professional services while teaching). Format: 999 Length: 3 Rationale: Provides a measure of how many hours are spent on direct professional services giving an indication of availability of services.
36 of 57 44. Proportion of Average Weekly Practice Hours on Teaching - Proportion of the average practice hours spent per week across all practice sites on teaching to prepare students for a health profession (e.g. post-secondary) excluding clinical education (providing professional services while teaching). Numeric % 998: Not Applicable 999: Unknown = Blank Format: 999 Length: 3 Rationale: Provides a measure of how many hours are spent on teaching giving an indication of availability of services. 45. Proportion of Average Weekly Practice Hours on Clinical Numeric % Education - Proportion of the average practice hours spent per week on clinical education only (e.g. providing direct professional services 998: Not Applicable while teaching) across all practice sites. 999: Unknown = Blank Format: 999 Length: 3 Rationale: Provides a measure of how many weekly practice hours are spent on clinical education to build an understanding of workload and training capacity. 46. Proportion of Average Weekly Practice Hours on Research - Numeric % Proportion of the average practice hours spent per week across all practice sites conducting research in profession. 998: Not Applicable 999: Unknown = Blank Format: 999 Length: 3 Rationale: Provides a measure of how many hours are spent on research giving an indication of availability of services.
37 of 57 47. Proportion of Average Weekly Practice Hours on Administration - Proportion of the average practice hours spent per week across all practice sites on administration in profession. Numeric % 998: Not Applicable 999: Unknown = Blank Format: 999 Length: 3 Rationale: Provides a measure of how many hours are spent on administration giving an indication of availability of services. 48. Proportion of Average Weekly Practice Hours on All Other Numeric % Activities - Proportion of the average practice hours spent per week across all practice sites on all other activities in profession excluding 998: Not Applicable direct professional services, teaching, research and administration. 999: Unknown = Blank Format: 999 Length: 3 Rationale: To capture the time spent outside of the four above-mentioned categories.
38 of 57 4.3 Current Employment Site Based 49. More Than Three Practice Sites 1: Yes 2: No 8: Not Applicable 9: Unknown = Blank Format: 9 Length: 1 Rationale Informs on whether health professions provide services at more than three practice sites.
39 of 57 50. Employment Category- The official employment category per site. 01: Permanent - Status with employer is permanent with an indeterminate duration (no specified end date) of employment and guaranteed or fixed practice hours per week. 02: Temporary - Status with employer is temporary with fixed duration of employment, based on a defined start and end date, and guaranteed or fixed practice hours per week. 03: Casual - Status with employer is on an as-needed basis, with employment that is not characterized by a guaranteed or fixed number of hours per week. There is no arrangement between employer and employee that the employee will be called to work on a regular basis. 04: Self-Employed - A person who operates his or her own economic enterprise in the profession. The individual may be the owner of a business or professional practice, or an individual in a business relationship in which he or she agrees to perform specific work for a payer in return for payment. 98: Not Applicable 99: Unknown = Blank Format: 99 Length: 2 Sourced from Canadian Institute for Health Information, Medical Laboratory Technologists, Medical Radiation Technologists, Occupational Therapists, Physiotherapists and Pharmacists Database Data Dictionary (Ottawa: CIHI, 2007) and adapted from Statistics Canada Labour Force Glossary: http://www.statcan.ca/english/freepub/71-222-xie/2004000/glossary.htm. Rationale: Informs on the stability of the workforce and the employment patterns of health professionals. Collect up to 3 employment categories.
40 of 57 51. Full -Time/Part-Time/Casual Status - The official status of employment or the usual hours of practice at the site. 1: Full-Time - Official status with employer is full-time or equivalent, or usual hours of practice are equal to or greater than 30 hours per week. 2: Part-Time - Official status with employer is part-time, or usual hours of practice are less than 30 hours per week. 3: Casual - Status with employer is on an as-needed basis, with employment that is not characterized by a guaranteed or fixed number of hours per week. There is no arrangement between employer and employee that the employee will be called to work on a regular basis. 8: Not Applicable 9: Unknown = Blank Format: 9 Length: 1 Sourced from Canadian Institute for Health Information, Medical Laboratory Technologists, Medical Radiation Technologists, Occupational Therapists, Physiotherapists and Pharmacists Database Data Dictionary (Ottawa: CIHI, 2007) and Statistics Canada Glossary: http://www.statcan.ca/english/freepub/71-222-xie/2004000/glossary.htm. Rationale: Measures the stability of the workforce, the patterns in practice levels and the level of labour-force participation. Collect up to 3.
41 of 57 52. Practice Setting - The setting where a member primarily practises. 01: Hospital - A health care facility that offers a range of in-patient and outpatient health care services (e.g. medical, surgical, psychiatry etc.) available to the target population. Includes specialty and complex continuing care hospitals not otherwise classified. 02: Rehabilitation Facility - A health care facility that has as its primary focus the post-acute, inpatient and outpatient rehabilitation of individuals. 03: Mental Health and Addiction Facility - A health care facility that has as its primary focus the acute or post-acute, inpatient and/or outpatient care of individuals with mental health issues and illness and/or addictions. 04: Residential/Long-Term Care Facility * - A long-term care facility designed for people who require the availability of 24-hour nursing care and supervision within a secure setting. In general, long-term care facilities offer high levels of personal care and support. These facilities include nursing homes, municipal homes and charitable homes. 05: Assisted Living Residence/Supportive Housing * - A retirement home or supportive housing that provides varying degrees of care to assist individuals/couples to live independently. Services include home making, meal preparation, low to daily personal care and availability of a personal support worker or staff on a 24-hour basis. These facilities include group homes, retirement homes, community care homes, lodges, supportive housing and congregate living setting. Collect up to 3 settings.
42 of 57 52. Practice Setting - continued 06: Community Health Centre (CHC) ** - A CHC employs physicians and other interdisciplinary providers, such as nurse practitioners, nurses, mental health counsellors, chiropodists, community workers and dietitians to serve high-risk communities and populations who may have trouble accessing health services because of language, culture, physical disabilities, socioeconomic status or geographic isolation. CHC s emphasize health promotion, disease prevention and chronic disease management based on local population health needs. The organization must be recognized as a CHC and there are 54 CHCs throughout Ontario (May 2008). http://www.health.gov.on.ca/english/public/contact/chc/chc_mn.html 07: Family Health Teams (FHTs) ** - A Family Health Team is a group that includes physicians and other interdisciplinary providers, such as nurse practitioners, nurses, pharmacists, mental health workers, and dietitians. The FHT provides comprehensive primary health care (PHC) services. The FHT provides services on a 24/7 basis through a combination of regular office hours, after-hours services, and access to a registered nurse through the Telephone Health Advisory Service (THAS). The FHT emphasizes health promotion, disease prevention and chronic disease management based on local population health needs. The FHT must enrol patients. The group must be recognized as a FHT and there are 150 FHTs in Ontario (2008). http://www.health.gov.on.ca/transformation/fht/fht_mn.html 08: Group Health Centre (Sault St. Marie) ** - An interdisciplinary practice in Sault Ste. Marie that includes physicians, nurse practitioners, dietitians, pharmacists, physiotherapists, and many other providers. The group provides comprehensive primary health care (PHC) services. The services are provided on a 24/7 basis through a combination of regular office hours, after-hours services, and access to a registered nurse through the Telephone Health Advisory Service (THAS). The group emphasizes health promotion, disease prevention and chronic disease management based on local population health needs. The group must enroll patients. Collect up to 3 settings.
43 of 57 52. Practice Setting - continued 09: Nurse Practitioner Led Clinic ** - This clinic is led by a nurse practitioner and provides primary health care in collaboration with family physicians, and other interdisciplinary health care providers. The focus of the clinic is on comprehensive primary health care services in areas where access to family health care is limited. 10: Other Group Practice Office - A community based group (not already noted) professional practice or clinic that is composed of two or more health professionals working together to deliver health services. Clients typically come to the professionals location to receive services. Other administrative support staff may also be involved; however, the health professionals are the focus of service provision. 11: Solo Practice Office - A community-based professional practice/business composed of a single practitioner who delivers health services. Clients typically come to the professional s location to receive services. Administrative support staff may also be involved; however, the health professional is the focus of service provision. Client s Environment - The professional travels to one or more sites that may be the client s home, school and/or workplace environment to provide services (e.g. Homecare or CCAC contracts). 12: Client s Environment The professional travels to one or more sites that may be the client s home, school and/or workplace environment to provide services (e.g. Homecare or CCAC contracts). 13: Post-Secondary Educational Institution - A post-secondary institution, either a university or equivalent institution or a college or equivalent institution, with a primary focus on the delivery of education. Collect up to 3 settings.
44 of 57 52. Practice Setting - continued 14: Preschool/School System/Board of Education - A preschool or elementary or secondary school (or equivalent institution), or the associated school board (or equivalent entity) that has responsibility for the governance and management of education funding issued by provincial governments. 15: Children Treatment Centres (CTC) * - This centre is a community-based organization that serves children with physical disabilities and multiple special needs. The centre provides physiotherapy, occupational therapy and speech therapy along with other additional services. There are 19 CTCs in Ontario. http://www.health.gov.on.ca/english/public/program/ltc/21_other.html 16: Association/Government/ Regulatory Organization/Non-Government Organization (e.g. Diabetes Association) - An organization or government that deals with regulation, advocacy, policy development, program development, research and/or the protection of the public, at a national, provincial/territorial, regional or municipal level. 17: Board of Health or Public Health Laboratory or Public Health Unit - A public health laboratory or official health unit that administers health promotion and disease prevention programs to inform the public about healthy life-styles, communicable disease control including education in STDs/AIDS, immunization, food premises inspection, healthy growth and development including parenting education, health education for all age groups and selected screening services. 18: Community Care Access Centre (CCACs) - A local organization that assists its clients to access government-funded home care services and longterm care homes. The organization helps people to navigate the array of community support and health agencies in their communities. Collect up to 3 settings.
45 of 57 52. Practice Setting - continued 19: Community Pharmacy - A retail setting where drugs and related products are distributed primarily through direct face-to-face client contact (e.g. Shoppers Drug Mart). 20: Other Community-Based Pharmacist Practice - Pharmacist practice, not otherwise classified, that delivers onsite or offsite community-based, directclient-care, pharmacy services. 21: Cancer Centre - A facility that specializes in services related to the treatment, prevention and research of cancer. 22: Independent Health Facility - Refers to a stand-alone facility or clinic offering specialized or broadly based imaging services. 23: Mobile Imaging Unit - Refers to a facility that is transported to various sites and offers specialized or broadly based imaging services. 24: Centralized Diagnostic Laboratory Facility - A laboratory (public or community) that serves as the centralized focus of specialized or broadly based human health related diagnostic laboratory services, as part of a distributed system that includes collection, transportation, testing and results reporting. Excludes any public health or blood transfusion service laboratory. 25: Freestanding Diagnostic Laboratory - A stand-alone laboratory providing specialized or broadly based human health related diagnostic laboratory services including collection, testing and results reporting. Excludes any public health or blood transfusion service laboratory. Collect up to 3 settings.
46 of 57 52. Practice Setting - continued 26: Specimen Collection Centre - A site providing human health related testing and/or specimen procurement (e.g. specimen collection station, patient service centre, or any laboratory focused on specimen procurement only). Excludes any public health or blood transfusion service procurement sites. 27: Blood Transfusion Centre - Refers to a facility that collects, screens, tests, processes, stores and/or supplies blood, blood products, or its alternatives for the purposes of transfusion (e.g. Canadian Blood Services). 28: Dental Laboratory An independent dental laboratory that specializes in the design, construction, repair or alteration of a dental prosthetic, restorative or orthodontic device. 29: Dental Practice Laboratory A dental laboratory within an established dental practice that specializes in the design, construction, repair or alteration of a dental prosthetic, restorative or orthodontic device. 30: Other Laboratory Facility - Other laboratory not otherwise listed. 31: TeleHealth Ontario and Telephone Health Advisory Services - A program that provides free, confidential 24/7 service that provides Ontario residents with easy access to health information. 32: Spa - A facility that focuses on providing services related to health, fitness, beauty and relaxation. 33: Health Related Business/Industry - A business or industry whose focus of activities is not in the direct delivery of health care services, but rather the health of workers, health-related product development or the selling of healthrelated products (e.g. medical device companies, pharmaceutical companies). Collect up to 3 settings.
47 of 57 52. Practice Setting - continued 34: Other Place of Work - Place of work is none of the above. 35: Diabetes Education Centre (DEC) A DEC, usually staffed by nurses and dietitians, provides education and support to people with diabetes, their families, friends and community agencies. Collect up to 3 settings. 36: Correctional Facility A stand-alone organization/facility that has as its primary focus the treatment and rehabilitation of persons detained or on probation due to a criminal act. 37: Remote Nursing Station A remote and or rural stand-alone centre that has nurses as the on-site managers and practitioners. 98: Not Applicable 99: Unknown = Blank Format: 99 Length: 2 Sourced from Canadian Institute for Health Information, Medical Laboratory Technologists, Medical Radiation Technologists, Occupational Therapists, Physiotherapists and Pharmacists Database Data Dictionary (Ottawa: CIHI, 2007) unless otherwise stated. * Adapted from Ministry of Health and Long-Term Care Website. ** Sourced from the Primary Health Care and Family Health Teams Branch, Ministry of Health and Long- Term Care Rationale: Informs on where health professionals practise based on the sectors and facilities and identifies cross-sector mobility.
48 of 57 53. Postal Code of Practice Site The postal code or zip code for a member s practice site. The postal code or zip code reflects the site where service is delivered, if 'NAN ANA' (Canada) or 11111 (USA) 999996: Outside Canada or the US Collects up to three. applicable. If not applicable, (e.g. if the health professional provides services in the client s environment or has multiple practice settings) provide the employer or business office postal code or zip code. The site where service is delivered refers to the location where the member is directly engaged in the practice of their profession. 999998: Not Applicable 999999: Unknown = Blank Format: AAAAAA or 999999 Length: 6 Rationale: Postal code of practice sites informs on the geographic distribution of health professionals and the availability of services by location. Also, in combination with postal code of residence informs on the relationship between area of residence and work. 54. Province or Territory or State of Practice Site - Province or territory (if Canada) or state (if in USA) of the practice site where the member engages in employed/self-employed activity. ISO 3166-2 Province/Territory/State codes 96: Outside Canada or the US Collects up to three. 98: Not Applicable 99: Unknown = Blank Format: AA or 99 Length: 2 Rationale: Identifies the provinces, territories and/or states where a health professional provides services. Also, informs on labour mobility and the shared pool of resources available across provincial boundaries and the USA border.
49 of 57 55. Country of Practice Site - Country of practice site where the member engages in employed/self-employed activity. ISO 3166-1 Country codes 998: Not Applicable 999: Unknown = Blank Collects up to 3. Format: AAA or 999 Length: 3 Rationale: Identifies the countries where a health professional provides services and informs on the international mobility of health professionals. 56. Primary Role - Main role of the member at the 01: Manager - Major role is in the management of a particular team/group practice site of employed/self-employed activity. that delivers services. 02: Owner/Operator * - An individual who is the owner of a practice site and who may or may not manage or supervise the operation at that site. 03: Service Provider - Major role is in the delivery of professional services specific to the profession. 04: Consultant - Major role is the provision of expert guidance and consultation, without direct patient-care, to a third-party. 05: Administrator A person whose primary role is involved in administration, planning and organizing. 06: Instructor/Educator - Major role is as an educator for a particular target group. 07: Researcher - Major role is in knowledge development and dissemination of research. Collects up to 3.
50 of 57 56. Primary Role - continued 08: Quality Management Specialist - Major role is the assurance and control of the quality of procedures and/or equipment. 09: Sales Person Major role is in the sales of health related services and products. 98: Not Applicable 99: Unknown = Blank Format: 99 Length: 2 Definitions adopted from Canadian Institute for Health Information, Medical Laboratory Technologists, Medical Radiation Technologists, Occupational Therapists, Physiotherapists and Pharmacists Database Data Dictionary (Ottawa: CIHI, 2007) unless otherwise stated. Collects up to 3. *Definition developed in collaboration with the College of Dental Technologists of Ontario. Rationale: Identifies role of a health professional within each practice site and helps to identify those in direct service provision roles. 57. Area of Practice Activity - The major focus of Areas of Service Provision - Services provided for a client(s) primarily within activities in which the member primarily provides the areas of: services at each practice site. This represents the area of practice that best addresses the member s 001: General Service Provision * - Services provided primarily to clients activities. across a range of service and/or consultation areas specific to the profession (e.g. general rehabilitation, laboratory work etc.).. Collects up to 3. 002: Critical Care * - Services provided primarily to clients dealing with serious life-threatening and/or medically complex conditions who require constant care, observation and specialized monitoring and therapies. 003: Acute Care * - Services provided primarily to clients who have an acute medical condition or injury that is generally of a short duration. This includes surgical and peri-operative care.
51 of 57 57. Area of Practice Activity - continued 004: Continuing Care * Services provided primarily to clients with continuing health conditions for extended periods of time (e.g. long-term care or home care). 005: Comprehensive Primary Care * Services provided primarily to a range of clients, possibly at first-contact, to identify, prevent, diagnose and/or treat health conditions (e.g. oral care, foot care, etc.). 006: Chronic Disease Prevention and Management * Services are provided primarily to address chronic diseases early in the disease cycle to prevent disease progression and reduce potential health complications. Diseases can include diabetes, hypertension, congestive heart failure, asthma, chronic lung disease, renal failure, liver disease and rheumatoid and osteoarthritis. 007: Public Health - Services are provided primarily with the purpose of improving the health of populations through the functions of health promotion, health protection, health surveillance and population health assessment. 008: Mental Health and Addiction - Services provided primarily to clients with a variety of mental health and addiction conditions. 009: Primary Maternity Care ** - Services provided primarily to assess and monitor women during pregnancy, labour, and the post-partum period and of their newborn babies, the provision of care during normal pregnancy, labour, and post-partum period, and to conduct spontaneous normal vaginal deliveries. 010: Cancer Care - Services provided primarily to clients with a variety of cancer and cancer related illnesses.. Collects up to 3.
52 of 57 57. Area of Practice Activity - continued 011: Geriatric Care - Services provided primarily to care for elderly persons and to treat diseases associated with aging through short-term, intermediate or long-term treatment/interventions. 012: Palliative Care - Services provided primarily to clients with the aim of relieving suffering and improving the quality of life for persons who are living with or dying from advanced illness or who are bereaved. 013: Other Area of Service/Consultation - Other area of service/consultation not otherwise listed. 100: Areas of Consultation - Expert consultation is provided on the profession related to medical and/or legal matters. 101: Areas of Administration - Focus of activities is management or administration. 102: Areas of Quality Management - Focus of activities is on the assurance of the operational integrity, based on compliance with staffing, technical and organizational requirements. 103: Areas of Post-Secondary Education - Focus of activities is directed at providing post-secondary teaching to individuals registered in formal education programs. 104: Areas of Research - Focus of activities is in knowledge development and dissemination of research including clinical and non-clinical. 105: Areas of Sales - Focus of activities is in the sales and/or service of health related apparatuses or equipment.. Collects up to 3.
53 of 57 57. Area of Practice Activity - continued 106: Other Areas - Other area of activity not otherwise listed.. 107: Emergency Care provided to patients who have immediate medical problems, frequently before complete clinical or diagnostic information is available, in a comprehensive emergency department or an urgent care centre. Collects up to 3. 108: Infectious Disease Prevention and Control Services are provided to primarily prevent and control health-care associated infections and other epidemiological significant organisms. This includes providing services to reduce the risk, spread and incidence of infections in populations. This includes pandemic planning. 998: Not Applicable 999: Unknown = Blank Format: 999 Length: 3 Definitions adopted from Canadian Institute for Health Information, Medical Laboratory Technologists, Medical Radiation Technologists, Occupational Therapists, Physiotherapists and Pharmacists Database Data Dictionary (Ottawa: CIHI, 2007) unless otherwise stated. *Definition sourced from Ontario Ministry of Health and Long-Term Care. **Definition sourced from College of Midwives of Ontario. Rationale: Identifies the broad areas of care that health professionals are providing to Ontarians.
54 of 57 58. Practice Specialty - The specialty the member is certified and practising within. 0000: General MLT 0001: Biochemistry MLT 0002: Immunology MLT 0003: Hematology MLT 0004: Histology MLT 0005: Microbiology MLT 0006: Transfusion Science MLT 0007: Cytogenetics - Genetics MLT 0008: Molecular Genetics Genetics MLT 0009: Cytology MLT 0050: Magnetic Resonance MRT 0051: Nuclear Medicine MRT 0052: Radiation Therapy MRT 0053: Radiography - MRT Collects up to 3 practice specialties.
55 of 57 58. Practice Specialty - continued 0100: General Dental Hygienists 0101: Restorative Dental Hygiene - Dental Hygienists 0149: No Specialty Dentists Collects up to 3 practice specialties. 0150: Endodontics Dentists 0151: Oral and Maxillofacial Surgery Dentists 0152: Oral Pathology Dentists 0153: Oral Radiology Dentists 0154: Oral Medicine Dentists 0155: Orthodontics Dentists 0156: Paediatric Dentistry - Dentists 0157: Periodontics Dentists 0158: Prosthodontics Dentists 0159: Public Health Dentistry Dentists 0160: Dental Anaesthesia Dentists 0200: Adult Nurse Practitioners 0201: Paediatric Nurse Practitioners
56 of 57 58. Practice Specialty - continued 0202: Primary Health Care Nurse Practitioners 9998: Not Applicable 9999: Unknown Collects up to 3 practice specialties. Format: 9999 Length: 4 NOTE: Blank defaults to 9998: Not Applicable for all health professions except: MLTs, MRTs, Dental Hygienists, Dentists and Nurse Practitioners. For MLTs, MRTs, Dental Hygienists, Dentists and Nurse Practitioners blanks default to 9999: Unknown. Rationale: Informs on the specialties that health professionals are practising in comparison to their certified specialties.
57 of 57 59. Client Age Range The main age range of clients that the member provides services to at each practice site. 1: Paediatrics - Paediatric clients that are between the ages of 0 to 17 years. 2: Adults - Adult clients that are between the ages of 18 and 64 years inclusive. 3: Seniors - Adult clients that are 65 years of age and older. 4: All Ages - Clients across all age ranges. 8: Not Applicable 9: Unknown = Blank Format: 9 Length: 1 Definitions adopted from Canadian Institute for Health Information Physiotherapists Database Data Dictionary (Ottawa: CIHI, 2007). Rationale: Identifies the populations that use health care services by volume, sector, location and care type. Collects up to 3.