Community Care Access Centre (CCAC)
Service Offer and Service Offer Response Format Specification
Date: September 10, 2013
Organization:
Ontario Association of Community
Care Access Centres (OACCAC)
Division:
Business Solutions
Version:
2.13
Version Date:
June 26, 2012
Prepared By:
Ion Moraru
Updated By:
Arthur Bydon
Ellen Hsu, N. Purvis
1
Community Care Access Centre (CCAC)
Service Offer and Service Referral Format Specification
Revision Log
Version
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 chapter
Guy Fortin
Added ProviderEndDate to the Service Referral
Authorization element
Remove Id attribute from Frequency element (this will
not be supported day-1 - but may be added in a future
version)
Added OfferId to ServiceOffer element
Added ServiceOfferResponse element
2.1
December 4, 2007
Change several Optional fields to be Mandatory
Change ProviderContractCode to ContractCode
Move ServiceResponseTime from Service element to
ServiceOffer element
Remove RiskCodeLastUpdated and RiskCodeUpdatedBy
fields from ClientRiskCodes element
Renamed PrimaryDiagnosis to Diagnosis (to allow for all
diagnosis to be provided in the future)
Added IsPrimary attribute to Diagnosis to indicate the
primary diagnosis
Added to DiagnosisDescription and SurgicalDescription
to indicate that CCAC can also enter freeform text
Add a Date and Time description in Chapter 2
Added appendix to list of valid language codes and
reduced PreferredLanguage attributes to 3 bytes
Renamed TransmissionDate to TransmissionDateTime
Date: September 10, 2013
2
Guy Fortin
Community Care Access Centre (CCAC)
Service Offer and Service Referral Format Specification
Version
No.
Version Date
Summary of Change
Changed
by/Input from
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 element
Combined 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 Offer
Renamed TransmissionDateTime to
OfferTransmissionDateTime (time when Offer was sent
to Provider)
Added ResponsePersonName, ResponsePersonPhone,
AssignedStaffName, and AssignedStaffPhone to
OfferResponse
Added ServiceOrderId to ServiceReferral element
Added OfferId to ServiceReferral element
Changed ReferralType, FocusOfIntervention and
TreatmentOrders from optional to Mandatory
Added AuthorizingCaseManagerName and Provider
Date: September 10, 2013
3
Guy Fortin
Community Care Access Centre (CCAC)
Service Offer and Service Referral Format Specification
Version
No.
Version Date
Summary of Change
Changed
by/Input from
instructions to to ServiceElement
Deleted ServiceTypeDescription and
ServiceDeliveryTypeDescription from Service element
Added ServiceLocation element to Service element
Deleted ServiceDeliveryLocationCode, Authorization
element, AuthorizingCaseManagerFIrstName and
Surname from Service element
Added Summary to Frequency element
Changed QuantityOfService from Mandatory to Optional
in Frequency element
Deleted PreferredDaysOfWeek and RepeatRate from
Frequency element
Added Interval, RecurrenceNumber, RecurrencePeriod,
Weekday1, ... Weekday7, NumberOfHoursPerVisit and
AdditionalDetails to Frequency element
Changed Name, Lang, DOB, Gender, Marital Status, and
Living Arrangement from optional to Mandatory
Change ClientRelationship, Role and Legal Role to
Mandatory in PersonalContacts elements
Added IsPrimary to PersonalContacts element
Deleted CcacCode and SpecialStatus from Client
Demographics element
Deleted ClientCharacterisitics from Client element and
added IsSmoker Boolean to Client element
Renamed ClientContacts element to PersonalContacts
in Client element
Changed SchoolPhone from element to a Number
Added a Physician element inside the MedicalContacts
element
Changed TypeOfContact from element to attribute for
Date: September 10, 2013
4
Community Care Access Centre (CCAC)
Service Offer and Service Referral Format Specification
Version
No.
Version Date
Summary of Change
Changed
by/Input from
Physician
Change ContactPhone from an element to a number
Moved GeographicArea and LocalDistinction from
Client to Service for both Offer and Referral
Deleted IsActive and RiskCodeDescription from
ClientRiskCodes
Changed TelephoneNumber from an element to an
Alpha / num in PhoneContact element
Deleted ContactType from PhoneContact element
Rename OtherServices element to OtherActiveServices
in ServicePlanSummary element and add a subordinate
Service element
Rename AdmitDate to StartDate in OtherActiveServices
element
Add a subordinate Item element to
EquipmentMedicalSupplies element
Deleted ItemType, ItemOrderType, ItemDeliveryDate,
and ItemRentalPeriod (promoted Start and End date)
from EquipmentMedicalSupplies element
Added ItemStatus to EquipmentMedicalSupplies
element
Moved Diagnosis element and Surgery element from
ServicePlanSummary element to Client element
Added ContractCode to ServiceReferral element (for
ServiceReferral Update)
Added AuthorizingCaseManagerName,
GeographicalArea, nad LocalDistinction to
Authorization element (for ServiceReferral Update)
Made StreetName, PostalCode City, and Directions
mandatory in Address element
Deleted ClientDemographics element and promoted
Firstname, Surname, etc. to Client Element for
Date: September 10, 2013
5
Community Care Access Centre (CCAC)
Service Offer and Service Referral Format Specification
Version
No.
Version Date
Summary of Change
Changed
by/Input from
ServiceReferral and ServiceReferralUpdate
Added an optional Province element to all of the
Address specifications
Added 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 element
Added AdditionalInfo, Comments, and FreeLine to
AddressLocation element
Added OfferAddressInstructions to Client element
Added ContractName to ServiceReferral and
SeriveReferralUpdateRequest element
Changed 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 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
ClientAddress
Address Type optional for School, and Physician
Date: September 10, 2013
6
Guy Fortin
Community Care Access Centre (CCAC)
Service Offer and Service Referral Format Specification
Version
No.
Version Date
Summary of Change
Changed
by/Input from
element
Made Physician Contact Address Optional
Made Physician ContractPhone Mandatory
Added RiskCodeDescription to ClientRiskCodes element
Made Diagnoses Mandatory
Made DiagnosisCode and ProcedureCode Optional
Made ServicePlanGoals Mandatory
Renamed EstimatedEndDate to ItemEstimatedEndDate
Added 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
Guy Fortin
-
-
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 nonmeidcal 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 ServiceOfferRequest
Added Provider Notification Notes, School Name,
Date: September 10, 2013
7
Ion Moraru
Community Care Access Centre (CCAC)
Service Offer and Service Referral Format Specification
Version
No.
Version Date
Summary of Change
Changed
by/Input from
Referral Type to Service element for
ServiceOfferRequest
Added Risk Codes and Active Diagnosis to Client
element for ServiceOfferRequest
Added new Authorization element to
ServiceOfferRequest, ServiceReferral and
ServiceReferralUpdate
ServiceOrderId renamed to ProviderAssignmentId in
ServiceReferral and ServiceReferralUpdate.
ProviderStaffName and ProviderStaffPhoneNumber
added to ServiceReferral
UnitOfService and SpecialtyCode added to the Service
element for ServiceReferral and ServiceReferralUpdate
2.9
June 06, 2008
Service Offer Request:
Ion Moraru
Added School Name, Referral Type, ServiceInstructions
(Focus of Interventions, ServicePlan Goal, Treatment
Orders, ProviderInstructions). Removed dates and
description from active risk codes, Contract Name.
2.10
February 11, 2010
Add sender and destination.
Arthur Bydon
Add Allegies and Safety Issues.
2.10
March 5, 2010
Add Description to Frequency Day of the Week
selection and Number of Hours per Visit.
Ellen Hsu
Update Appendix A: Service Type Codes, Service
Delivery Location, Service Specialty, Service Delivery
Type
2.10
March 15, 2010
Change name of element:
ServiceFrequencies to Frequencies
ActiveClientRiskCodes to ActiveRiskCodes
RiskCode to RiskCodeItem
Arthur Bydon
2.10
March 25, 2010
Change Description to Recurrence Number and
Recurrence Period
Ellen Hsu
Date: September 10, 2013
8
Community Care Access Centre (CCAC)
Service Offer and Service Referral Format Specification
Version
No.
Version Date
Summary of Change
Changed
by/Input from
2.11
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 20, 2012
ICCP: Addition of Care Pathway processing
N. Purvis
Sections: 2.2, 2.5,
February 28, 2012
ICCP: update to xml for Care Pathways
N. Purvis
Sections: 2.2, 2.5,
February 29, 2012
ICCP: update to xml for Billing Codes
N. Purvis
Sections: 2.3
March 1, 2012
ICCP: update to xml for Discharge Disposition
N. Purvis
Sections: 2.5
March 8, 2012
ICCP: addition of Integration Code to Care Pathways
Section: 2.5
N. Purvis
March 13, 2012
ICCP: latest updates to Care Pathways post Dev.
Review
N. Purvis
Section: 2.5
April 10, 2012
Add IsClusterCare
B. Fu
June 25, 2012
TFS: 14356
K. Guy
Updates throughout to change terminology from
“Care” Pathway to “Outcome-Based” Pathway
June 26, 2012
Date: September 10, 2013
Section 2.5 - Outcome-Based Pathway Element names
changed from “Outcome-Based” to “Care” and spaces
removed.
9
K. Guy
Community Care Access Centre (CCAC)
Service Offer and Service Referral Format Specification
Version
No.
Version Date
Summary of Change
Changed
by/Input from
June 26, 2012
TFS 14509, 14510
K. Guy
Major version published
Date: September 10, 2013
10
Community Care Access Centre (CCAC)
Service Offer and Service Referral Format Specification
Table of Contents
1.
2.
3.
Service Offer........................................................................................................... 12
1.1
Brief Description
12
1.2
High Level Structure of the Service Offer
12
Service Offer Elements ........................................................................................... 13
2.1
ServiceOffer element detail
13
2.2
Service element detail
17
2.3
ServiceRecipient element detail
21
2.4
Client element detail
21
2.4.1 AddressLocation element detail
23
2.5
Outcome-Based Pathway Assignment element detail
24
2.6
Frequency element detail
28
Service Offer Response Elements .......................................................................... 30
3.1
4.
5.
ServiceOfferResponse element detail
30
Appendix A - Service attribute values ..................................................................... 33
4.1
Service Type Codes
33
4.2
Service Delivery Location
34
4.3
Specialty
34
4.4
Service Delivery Type
36
Appendix B - ISO 639-2 Language Codes.............................................................. 44
Date: September 10, 2013
11
Community Care Access Centre (CCAC)
Service Offer and Service Referral Format Specification
1. Service Offer
1.1 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 a Service Referral Update to the Provider and re-send the set
of Frequency elements with the appropriate changes.
This document specifies the information and associated format of the Service Offer.
1.2 High Level Structure of the Service Offer
The Service Offer is an XML document with the following high level element structure:
Figure 1 Service Offer Structure
ServiceOffer
Contains 1
Contains 1
Service
ServiceRecipient
Contains 1
Contains 1 to several
Client
Frequency
As the diagram above depicts, a ServiceOffer element contains one Service element and one
ServiceRecipient 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 Offer and there is a section
below to more fully specify each of them.
Date: September 10, 2013
12
Community Care Access Centre (CCAC)
Service Offer and Service Referral Format Specification
2. Service Offer Elements
The following tables detail the fields contained within the elements that make up a Service Offer as
outlined in the structure diagram in the previous section. A ServiceOffer may result in a
ServiceOfferResponse being sent by the Provider to the CCAC (see next chapter for a specification of the
SerivceOfferResponse)
A note about Date and Time specification:
All dates and times contained in the specification adhere to the W3C Universal Time Code (UTC)
standard and are formatted as follows:

date: yyyy-mm-dd (size 10 bytes); e.g. 2007-11-21

datetime: yyyy-mm-ddThh:mm[:ssTZD]; (size 16 bytes - if omitting ss and TZD - and 25 bytes
with ss and TZD); e.g. 2007-11-21T14:56:19-05:00 (for EST timezone)

time: hh:mm[:ssTZD] (size 5 - if omitting ss and TZD - and 14 bytes with ss and TZD); e.g.
14:56:19-05:00
Where "yyyy" represents the year, "mm" the month from 01 through 12, "dd" the day of the month,
"T" separates the date from the time, "hh" the hour from 00 through 24, "mm" the minutes, "ss" the
seconds and TZD represents the timezone which reflect the times difference relative to GMT, so it
can range from +12:00 to -13:00; both "ss" and TZD are optional; TZD is not yet supported by this
specification.
2.1 ServiceOffer element detail
Name
Version (Attribute of ServiceOffer
element)
Field
Type
Length
(bytes)
Mandatory? Description
Max 10
Alpha /
num
Yes
The version of the Schema that this
ServiceOffer element adheres to. E.g.
"1.0". This is required for the receiving
provider to correctly interpret the
information being provided by the
CCAC
Sender
-
Element
Yes
A group of elements and attributes
identifying the sender of the
document.
Destination
-
Element
Yes
A group of elements and attributes
identifying the recipient of the
document
Date: September 10, 2013
13
Community Care Access Centre (CCAC)
Service Offer and Service Referral Format Specification
Name
Field
Type
Length
(bytes)
Organization (child element of
Sender or Destination)
Mandatory? Description
-
Element
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
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
-
Element
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
OfferId
25
Alpha /
num
Yes
A unique identifier for this Offer (which
was provider in the ServiceOffer)
TransmissionDateTime
25
Date
Yes
Date and Time (yyyy-mm-ddThh:mm)
when the Offer was sent by the CCAC
to the Provider
ContractCode
Max 15
Num
Yes
Contract Number assigned to Service
Provider by the CCAC when the
contract was entered into
BillingCodes
-
Element
Yes
Collection of Billing Codes
OwnerOrganization (child of
Organization)
Date: September 10, 2013
14
Community Care Access Centre (CCAC)
Service Offer and Service Referral Format Specification
Name
Field
Type
Length
(bytes)
BillingCode
Mandatory? Description
-
Element
No
The active billing codes and
descriptions for the provider contract
Code
20
Alpha /
Num
Yes
The possible billing code for provided
service(s)
Description
250
Alpha /
Num
Yes
The descritption 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]
Service
-
Element
Yes
See Service element details
ServiceReceipient
-
Element
Yes
See ServiceRecipient element details
OfferResponse
-
Element
Yes
The criteria describing the offer
response timelines
ServiceResponseType
Max 15
Alpha
Yes
The type of the response required of
the Provider, valid values are:
"Regular" | "Urgent". Each provider
contract has required response times
specified for the provider to indicate
that they Accept or Refuse a new
service offer. There is one response
time for offers flagged as Urgent, and
another response time as Regular;
ResponseTimeForOffer
16
Alpha
Yes
The amount of time for the Provider
to respond to the CCAC with either an
Accept or Refuse to this offer
This is based on the value of
ServiceResponseTime and the
corresponding maximum response
time agreed to in the provider contract
Date: September 10, 2013
15
Community Care Access Centre (CCAC)
Service Offer and Service Referral Format Specification
Name
Field
Type
Length
(bytes)
Mandatory? Description
ServiceResponseTimeComments
250
Alpha /
num
No
Additional CCAC comments
pertaining to the required response
time
ResponseDueDateTime
25
DateTime
No
Date and Time (yyyy-mmddTHH:mm:ss) when the Offer
response is due at the CCAC.
5
Boolean
No
If present and true indicates that this
offer is a cluster care offer
IsClusterCare
Date: September 10, 2013
16
Community Care Access Centre (CCAC)
Service Offer and Service Referral Format Specification
2.2 Service element detail
Name
Field
Length
(bytes)
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
More specifically identifies the
service within the general
ServiceType to be delivered to the
client; See Appendix B for list of
valid values
UnitOfService
Max 6
Alpha
Yes
The unit in which the service is to
be delivered (e.g., HOUR, VISIT,
SHIFT);
SpecialtyCode
Max 50
Alpha
No
Optional information that identifies
a specialty that is associated with
the Service Type; See Appendix A
for a list of valid values
ServiceDeliveryLocationCode
Max 50
Alpha
No
The location where the service is to
be delivered; See Appendix A for
list of valid values
ServicePriorityRating
Max 15
Alpha
No
Element
Yes
ServiceInstructions
Type
Mandatory? Description
The service priority rating is an
indicator of how urgently the client
requires the selected service; valid
values are: Very High | High |
Moderate | Mid/Low
Contains all of the fields that
provide instructions for this
service
(The elements should be in this
order)
Date: September 10, 2013
17
Community Care Access Centre (CCAC)
Service Offer and Service Referral Format Specification
Name
Field
Length
(bytes)
FocusOfIntervention
250
Type
Mandatory? Description
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)
Treatment Orders
250
Alpha /
num
Yes
Reference to any medical
referral(s) that relate to the
required treatment(s)
ProviderInstructions
Authorization
250
-
Should also include references to a
prescription, if a prescription is
being sent as part of the referral
package
Specific instructions to the provider
from the CCAC.
Alpha
No
Element
Yes
This element defines the service
dates and amounts that have been
authorized by the CCAC case
manager; it contains the following
fields ...
OfferDate
10
DateTime
Yes
Date and time (yyyy-mmddTHH:mm:ss) when this offer was
created
DateServiceRequired
10
Date
No
Date (yyyy-mm-dd) when service
is required to start
Date: September 10, 2013
18
Community Care Access Centre (CCAC)
Service Offer and Service Referral Format Specification
Name
Field
Length
(bytes)
Type
Mandatory? Description
RequiredFirstVisitDate
10
Date
No
Date (yyyy-mm-dd) that first visit
must occur on
ProviderEndDate
10
Date
Yes
Expected end date (yyyy-mm-dd)
for the service
AuthorizingCaseManagerName
50
Alpha
Yes
The name of the Case Manager
that authorized this service
OfferContactName
50
Alpha
No
The name of the person
responsible for this offer
OfferingTeam
50
Alpha
No
Team name responsible for this
offer
ReferralTeam
50
Alpha
No
Team name responsible for the
Client (referral).
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
The employee assigned to the
caseload
Alpha
Yes
Employee responsible for the
Caseload.
Element
No
Sender of the offer
Alpha
Yes
The CCAC Staff Name of the
person who Selected the Send
Offer action in CHRIS
Element
Yes
Name
50
Sender
Name
CarePathways
Date: September 10, 2013
50
19
Community Care Access Centre (CCAC)
Service Offer and Service Referral Format Specification
Name
Field
Length
(bytes)
CarePathwayAssignment
Type
Mandatory? Description
Element
No
See Outcome-Based Pathway
Assignment element details
A collection of Outcome-Based
Pathway Assignments for the
Service
Frequencies
Frequency
Element
Yes
Element
No
See Frequencys element details
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.
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.
ProviderNotificationNotes
250
Alpha /
num
No
Additional notes associated with
the offer notification
ReferralType
20
Alpha
Yes
Values: Home, School and CTN
SchoolName
50
Alpha
No
The name of the school for the
School referral
Date: September 10, 2013
20
Community Care Access Centre (CCAC)
Service Offer and Service Referral Format Specification
2.3 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.
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.
2.4 Client element detail
The Client element provides information about the person that is to receive the service. Note that, to
protect the client's personal information, their name and street number are not provided in the Offer.
This information will only be provided in the Service Referral after the Offer has been accepted by
the Provider.
Name
Field Type
Length
(bytes)
Mandatory Description
?
AddressLocation
-
Element
No
See AddressLocation element detail
PreferredLanguageOfService
3
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
ActiveRiskCodes
-
Element
Yes
A collection of Active Risk Codes
associated with this client
RiskCodeItem
-
Element
No
Code
10
Alpha /
num
Yes
Risk code that identifies a risk of
importance related to the client
AdditionalInformation
250
Alpha
Yes
Additional comments about the risk.
Date: September 10, 2013
21
Community Care Access Centre (CCAC)
Service Offer and Service Referral Format Specification
Name
Field Type
Length
(bytes)
Mandatory Description
?
ActiveDiagnosis
-
Element
Yes
A collection of active diagnoses at the
time of offer
Diagnosis
-
Element
No
The client's diagnosis. This information is
not provided for non-medical services.
Made up of the following elements ...
IsPrimary (attribute)
5
Boolean
No
If present indicates that this is the
primary diagnosis
Code
10
Alpha /
num
No
The ICD-9 diagnostic code (note in the
future will evolve to ICD-10)
Description
250
Alpha /
num
No
The ICD-9 description of the diagnosis or
a freeform description entered by the
CCAC
Date
10
Date
No
Date when diagnosis was made (yyyymm-dd)
Allergies
-
Element
Yes
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
-
Element
Yes
Collection of safety issue that the
provider needs to be aware of
SafetyIssues
Date: September 10, 2013
22
Community Care Access Centre (CCAC)
Service Offer and Service Referral Format Specification
Name
Field Type
Length
(bytes)
SafetyIssue
Mandatory Description
?
-
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
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
2.4.1
AddressLocation element detail
The Address element defines all of the fields available for specifying a physical address.
Name
Field
Length
(bytes)
Type
Mandatory
?
Description
AddressSummary
500
Alpha /
Num
No
A summary field that contains the entire
address
BuildingName
50
Alpha
No
Used for organizational addresses
Name of LTC home / Retirement home /
hospital in which the client resides
SuiteNumber
6
Alpha /
num
No
The suite number if applicable
StreetNumber
6
Alpha /
num
No
The associated street number
100
Alpha /
num
Yes
The name of the street the client resides
at
StreetName
Date: September 10, 2013
23
Community Care Access Centre (CCAC)
Service Offer and Service Referral Format Specification
Name
Field
Length
(bytes)
Type
Mandatory
?
Description
PostalCode
10
Alpha /
num
Yes
The associated postal code
City
50
Alpha /
num
Yes
The associated city
Province
25
Alpha /
num
No
Value of "Ontario" is implied if not
present
Directions
250
Alpha /
num
No
The intent is to provide any necessary
information to assist the service provider
to get to the client location. This could
include closest major intersection to the
location being recorded or other driving
instructions
AdditionalInfo
250
Alpha /
Num
No
Additional information that has been
entered with regard to this address
2.5 Outcome-Based Pathway Assignment element detail
Name
CarePathwayTitle
Field
Length
(bytes)
Type
Mandatory
?
100
Alpha /
num
Yes
Description
Title of the Outcome-Based Pathway
[ICC_Care_Paths].[Title]
CarePathwayDocum
entURL
255
Alpha /
num
No
URL of the published Outcome-Based
Pathway Best Practices document for this
Outcome-Based Pathway
[ICC_Care_Paths].[Document_Url]
CarePathwayDescrip
tion
255
Alpha /
num
No
Description of the Outcome-Based Pathway
[ICC_Care_Paths].[Description]
Date: September 10, 2013
24
Community Care Access Centre (CCAC)
Service Offer and Service Referral Format Specification
Name
CarePathwayCode
Field
Length
(bytes)
Type
Mandatory
?
20
Alpha /
num
No
Description
Code identifying the Outcome-Based
Pathway
[ICC_Care_Paths].[Care_Path_Code]
CarePathwayStartDa
te
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]
PathwayEndDate
10
Date
No
The date (yyyy-mm-dd) when the OutcomeBased Pathway is ended
[ICC_Care_Path_Assignments].[End_Date]
CarePathwayComm
ents
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
Date: September 10, 2013
25
Community Care Access Centre (CCAC)
Service Offer and Service Referral Format Specification
Name
IsCancelled
Field
Length
(bytes)
Type
Mandatory
?
1
Bit
No
Description
Indicator that the Outcome-Based Pathway
has been cancelled
[ICC_Care_Path_Assignments].[Is_Cancelle
d]
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
IntegrationCode
250
10
Alpha /
num
No
Alpha /
num
No
Comments associated with the Discharge
[ICC_Care_Path_Assignments].[Discharge_
Comment]
Integration Code assigned to the Discharge
Disposition
[Discharge_Dispositions].[Integration_Code]
LastUpdateDate
10
Date
No
Date of the last update for the OutcomeBased Pathway Assignment
[ICC_Care_Path_Assignments].[Last_Update
_Date]
CarePathwayAssign
mentGuid
CarePathwayAssign
mentMilestones
CarePathwayAssignmen
tMilestone
Title
100
Uniqu
e
identifi
er
No
Eleme
nt
No
Eleme
nt
No
Alpha /
num
No
Unique identifier of the Outcome-Based
Pathway Assignment
[ICC_Care_Path_Assignments].[RowGuid]
A collection of Milestones for the OutcomeBased Pathway Assignment – Service
Referral and Frequency changes only
Milestone title
[ICC_Care_Path_Events].[Title]
Date: September 10, 2013
26
Community Care Access Centre (CCAC)
Service Offer and Service Referral Format Specification
Name
Description
Field
Length
(bytes)
Type
Mandatory
?
500
Alpha /
num
No
Description
Milestone description
[ICC_Care_Path_Events].[Description]
MilestoneDate
10
Date
No
Milestone date
[ICC_Care_Path_Assignment_Milestones].[M
ilestone_Date]
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].[L
ast_Update_Date]
MilestoneGuid
Date: September 10, 2013
Uniqu
e
identifi
er
No
Unique identifier of the Milestone
[ICC_Care_Path_Assignment_Milestones].[R
owGuid]
27
Community Care Access Centre (CCAC)
Service Offer and Service Referral Format Specification
2.6 Frequency element detail
Name
Type (attribute)
Summary
Field
Length
(bytes)
15
Type
Mandatory Description
?
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 period
Daily = 1 day
Weekly = 1 week (Monday to Sunday)
Monthly = 1 calendar month
Custom = no fixed period
Block = no fixed period
An English description of the frequency
element
250
Alpha
Yes
Max 6
Alpha
Yes
Code assigned by CCAC for the units in
which the service is to be delivered
(e.g., HOUR, VISIT);
QuantityOfService
5
Num
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
ReccurenceTimes
4
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.
UnitOfService
Date: September 10, 2013
Num
28
Community Care Access Centre (CCAC)
Service Offer and Service Referral Format Specification
Name
Field
Length
(bytes)
Type
Mandatory Description
?
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
Service Pathway Document
URL
200
Alpha /
num
No
URL of the published Service Pathway
instruction document for this Service
Pathway
Date: September 10, 2013
29
Community Care Access Centre (CCAC)
Service Offer and Service Referral Format Specification
3. Service Offer Response Elements
The following tables detail the fields contained within the elements that make up a Service Offer
Response. The ServiceOfferResponse is contained within a single element.
3.1 ServiceOfferResponse element detail
Name
Field
Type
Length
(bytes)
Version (Attribute of ServiceOffer
element)
Mandatory?
Description
10
Alpha /
num
Yes
The version of the
Schema that this
ServiceOffer element
adheres to. E.g. "1.0". This
is required for the
receiving provider to
correctly interpret the
information being provided
by the CCAC
Sender
-
Element
Yes
A group of elements and
attributes identifying the
sender of the document.
Destination
-
Element
Yes
A group of elements and
attributes identifying the
recipient of the
document
Organization
-
Element
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
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
Date: September 10, 2013
30
Community Care Access Centre (CCAC)
Service Offer and Service Referral Format Specification
Name
Field
Type
Length
(bytes)
OwnerOrganization (child of
Organization)
Mandatory?
Description
-
Element
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
OfferId
25
Alpha /
num
Yes
A unique identifier for this
Offer (which was provider
in the ServiceOffer)
ContractCode
15
Num
Yes
Contract Number assigned
to Service Provider by the
CCAC when the contract
was entered into
-
Element
Yes
The offer acceptance
status. The element will
contain either Accept or
Refuse child.
Element
Yes, if offer is
accepted
Status
Accept
Date: September 10, 2013
31
The presence of the
element indicates that the
offer is accepted
Community Care Access Centre (CCAC)
Service Offer and Service Referral Format Specification
Name
Field
Type
Length
(bytes)
Refuse
Element
RefuseReason
Mandatory?
Description
Yes, if the offer
is refused
The presence of the
element indicates that the
offer is refused. If this
element is present, Refuse
Reason and
EarliestAcceptDate
elements can be included
in the response.
Yes, if the offer
is refused
EarliestAcceptDate
10
Date
No
Comments
250
Alpha /
num
No
-
Element
-
Name
50
Alpha
Yes
Phone
15
Alpha /
num
No
ResponsePerson
Date: September 10, 2013
32
one of:
- Evening Refusal
- Gender
- Geographic location
- Language
- No available staff
- Past History with Client
- Risk to provider
- Shift Request
- Specialty Request
- Time/day specific
- Weather
- Weekend Refusal
- Other
Date when the Provider
can accept the offer.
Comments about the offer
response
The name of the person in
the Provider organization
that that is responding to
this Offer
The telephone number of
the person in the Provider
organization that that is
responding to this Off
Community Care Access Centre (CCAC)
Service Offer and Service Referral Format Specification
4. Appendix A - Service attribute values
4.1 Service Type Codes
The following table provides a list of the values for Service Type Codes
Table 1 Service Type Codes
AMB
AT
DP
ENT
ER
GER
HOM
LAB
MOW
NP
NUR
NUT
ODB
OT
PAS
PHA
PHY
PM
PSM
PSY
PT
RT
SH
SP
SW
TRANS
Service Type Codes
Ambulance Services - CCAC
Attendant Care - CCAC
Adult Day Program - CCAC
Enterostomal Therapy
Children's Enhanced Respite Service
Psychogeriatric Resource Coord - CCAC
Home Support (Homemaking)
Laboratory Services - CCAC
Meals on Wheels - CCAC
Nurse Practitioner
Nursing
Nutritional Services
Ontario Drug Benefit
Occupational Therapy
Pastoral Care
Pharmacy Consultation
Physician
Paramedical Services - CCAC
Palliative Pain & Symptom Mgmt
Psychology
Physiotherapy
Respiratory Therapy
Supportive Housing - CCAC
Speech/Language Pathology
Social Work
Transportation - CCAC
Date: September 10, 2013
33
Community Care Access Centre (CCAC)
Service Offer and Service Referral Format Specification
4.2 Service Delivery Location
The following table provides a list of the values for the Service Delivery Location:
Table 2 Service Delivery Location
Service Delivery
Location
CombinedDayClinic
CombinedDayNightClinic
Home
NursingDayClinic
Phone
PrimaryCarePractice
PrivateHomeSchool
PubliclyFundedSchool
ResidentialHospice
TherapyDayClinic
Description
Combined Day Clinic
Combined Day/Night Clinic
Home
Nursing Day Clinic
Phone
Primary Care Practice
Private/Home School
Publicly Funded School
Residential Hospice
Therapy Day Clinic
4.3 Specialty
The following table provides a list of the values for Specialty:
Table 3 Service Delivery Specialty
Specialty
Code
Description
ASSISTANT
AUG
BEHAV
CDA
CFSCS
CFSE
CFSFV
CHE
CIA
COGASS
COMB
CONT
Therapy Assistant
Speech - Augmentative Communication
Behaviour Therapy
Speech - Communicative Device Assistant
CFS - Caregiver Support & Respite
CFS - Escort
CFS - Friendly Visit
Nursing - Chemotherapy
SW - Client Intervention & Assistance
Cognitive Assessment
Combined Personal Support and Housekeeping
Nursing - Continence
Date: September 10, 2013
34
Community Care Access Centre (CCAC)
Service Offer and Service Referral Format Specification
Specialty
Code
Description
DIA
Nursing - Dialysis
FALLS
FOOT
GER
GERASS
GRP
GRPAS
HK
IV
MDGRP
Falls Assessment
Foot Care
Geriatric
Geriatric Assessment
Group
Group by Therapy Assistant
Homemaking - Housekeeping
Nursing - IV
Meals/Dining - Congregate Dining
MEDMGMT
MH
PAL
Nursing - Medication Management
Nursing - Mental Health
Palliative
PALASS
PR
PS
PSEX
RES
RN
RPN
Palliative Assessment
PT - Pulmonary Rehab
Homemaking - Personal Support
Personal Support Exercise Program
Homemaking - Caregiver Respite
Nursing - RN
Nursing - RPN
STROKE
Specialized Stroke Rehabilitation
WND
WNDASS
Wound Care
Wound Care Assessment
Date: September 10, 2013
35
Community Care Access Centre (CCAC)
Service Offer and Service Referral Format Specification
4.4 Service Delivery Type
The following table provides the Service Delivery Type Code, as well as Specialty, Unit of Delivery, and
Service Location, by Service Type Code
Table 4 Correlating Service attributes
Service
Type
Service Delivery Type Code
Specialty
Unit of
Delivery
Service Location
Children’s Treatment Network
Referrals
NUT
Visit dietician - Children's
Treatment Network
Visit
Home
OT
Visit OT - Children's Treatment
Network
Visit
Home
PT
Visit PT - Children's Treatment
Network
Visit
Home
SP
Hourly speech - CTN
Hour
Home
SP
Visit speech - Children's Treatment
Network
Visit
Home
SW
Visit social work - Children's
Treatment Network
Visit
Home
Home Care Referrals
AMB
Ambulance trip - one way
Visit
Home
AT
Hourly attendant care
Hour
Home
AT
Visit attendant care
Visit
Home
DP
Visit Adult Day Program accessed
via CCAC
Visit
Home
ENT
Hourly ENT home care
Hour
Home
ENT
Hourly ENT Palliative Home Care
Hour
Home
ENT
Visit ENT combined nursing &
therapy day clinic
Visit
Combined Day
Clinic
ENT
Visit ENT combined nursing &
therapy day/night clinic
Visit
Combined
Day/Night Clinic
Date: September 10, 2013
Palliative
36
Community Care Access Centre (CCAC)
Service Offer and Service Referral Format Specification
Service
Type
Service Delivery Type Code
Specialty
Unit of
Delivery
Service Location
ENT
Visit ENT home care
Visit
Home
ENT
Visit ENT nursing only clinic
Visit
Nursing Day Clinic
ENT
Visit ENT Palliative Home Care
visit
Home
ENT
Visit ENT primary care practice
Visit
Primary Care
Practice
ENT
Visit ENT Residential Hospice
Visit
Residential
Hospice
ER
Hourly Children's Enhanced Respite
home care
Hour
Home
GER
Visit Psychogeriatric Resource
Coordination home care
Visit
Home
HOM
Hourly 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
HOM
Hourly Homemaking - Housekeeping
home care
Homemaking Housekeeping
Hour
Home
HOM
Hourly Personal Support Home Care
Homemaking Personal Support
Hour
Home
HOM
Hourly Personal Support Residential
Hospice
Homemaking Personal Support
Hour
Residential
Hospice
HOM
Visit Homemaking - Combined
home care
Combined Personal
Support and
Housekeeping
Visit
Home
HOM
Visit Homemaking - Housekeeping
home care
Homemaking Housekeeping
Visit
Home
HOM
Visit Homemaking - Respite home
care
Homemaking Caregiver Respite
Visit
Home
HOM
Visit Personal Support home care
Homemaking Personal Support
Visit
Home
LAB
Visit Lab home care
Visit
Home
Date: September 10, 2013
Palliative
37
Community Care Access Centre (CCAC)
Service Offer and Service Referral Format Specification
Service
Type
Service Delivery Type Code
Specialty
Unit of
Delivery
Service Location
MOW
Meals on Wheels CCAC
Visit
Home
NP
Hourly Nurse Practitioner home
care
Hour
Home
NP
Visit Nurse Practitioner home care
Visit
Home
NUR
Hourly nursing home care
Hour
Home
NUR
Shift 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
NUR
Shift nursing nursing only day clinic
Hour
Nursing Day Clinic
NUR
Shift Nursing Palliative Home Care
Hour
Home
NUR
Shift nursing phone call
Hour
Phone
NUR
Shift nursing primary care practice
Hour
Primary Care
Practice
NUR
Shift Nursing Residential Hospice
Hour
Residential
Hospice
NUR
Visit nursing combined therapy &
nursing day clinic
Visit
Combined Day
Clinic
NUR
Visit nursing combined therapy &
nursing day/night clinic
Visit
Combined
Day/Night Clinic
NUR
Visit nursing Continence home care
Visit
Home
NUR
Visit nursing home care
Visit
Home
NUR
Visit nursing IV home care
Visit
Home
NUR
Visit nursing nursing only day clinic
Visit
Nursing Day Clinic
NUR
Visit Nursing Palliative Home Care
Visit
Home
NUR
Visit nursing phone call
Visit
Phone
NUR
Visit nursing primary care practice
Visit
Primary Care
Practice
Date: September 10, 2013
Palliative
Nursing - Continence
Nursing - IV
Palliative
38
Community Care Access Centre (CCAC)
Service Offer and Service Referral Format Specification
Service
Type
Service Delivery Type Code
NUR
Visit nursing Wound Care home
care
NUT
Specialty
Service Location
Visit
Home
Hourly dietician home care
Hour
Home
NUT
Visit dietician phone call
Visit
Phone
NUT
Visit 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
NUT
Visit Dietician Residential Hospice
Visit
Residential
Hospice
NUT
Visit dietician therapy only day
clinic
Visit
Therapy Day Clinic
OT
Visit OT phone call
Visit
Phone
OT
Visit OT combined nursing &
therapy day clinic
Visit
Combined Day
Clinic
OT
Visit OT combined nursing &
therapy day/night clinic
Visit
Combined
Day/Night Clinic
OT
Visit OT home care
Visit
Home
OT
Visit OT home care hourly
Hour
Home
OT
Visit OT Residential Hospice
Visit
Residential
Hospice
OT
Visit OT therapy only day clinic
Visit
Therapy Day Clinic
PAS
Visit Pastoral Care home care
Visit
Home
PHA
Hourly Pharmacy Consultation
home care
Hour
Home
PHA
Visit Pharmacy Consultation home
care
Visit
Home
PHY
Visit Physician home care
Visit
Home
PHY
Visit Physician Palliative Home Care
Visit
Home
Date: September 10, 2013
Nursing - Wound Care
Unit of
Delivery
Palliative
39
Community Care Access Centre (CCAC)
Service Offer and Service Referral Format Specification
Service
Type
Service Delivery Type Code
Specialty
Unit of
Delivery
Service Location
PM
Visit paramedical
Visit
Home
PSM
Pain & Sympton Mgmt phone call
Visit
Phone
PSM
Visit Pain & Sympton Mgmt home
care
Visit
Home
PSY
Visit Psychologist home care
Visit
Home
PT
Hourly PT home care
Hour
Home
PT
Visit PT combined nursing &
therapy day clinic
Visit
Combined Day
Clinic
PT
Visit PT combined nursing, therapy
day/night clinic
Visit
Combined
Day/Night Clinic
PT
Visit PT home care
Visit
Home
PT
Visit PT phone call
Visit
Phone
PT
Visit PT Pulmonary Rehab Home
Care
Visit
Home
PT
Visit PT Residential Hospice
Visit
Residential
Hospice
PT
Visit PT therapy only day clinic
Visit
Therapy Day Clinic
RT
Hourly RT home care
Hour
Home
RT
Visit RT combined nursing, therapy
day clinic
Visit
Combined Day
Clinic
RT
Visit RT combined nursing, therapy
day/night clinic
Visit
Combined
Day/Night Clinic
RT
Visit RT home care
Visit
Home
RT
Visit RT Residential Hospice
Visit
Residential
Hospice
RT
Visit RT therapy only day clinic
Visit
Therapy Day Clinic
SH
Supportive Housing
Visit
Home
SP
Hourly speech home care
Hour
Home
SP
Hourly speech therapy clinic
Hour
Therapy Day Clinic
Date: September 10, 2013
PT - Pulmonary
Rehab
40
Community Care Access Centre (CCAC)
Service Offer and Service Referral Format Specification
Service
Type
Service Delivery Type Code
Specialty
Unit of
Delivery
Service Location
SP
Visit Communicate Device Assistant
Home Care
Speech Communicative
Device Assistant
Visit
Home
SP
Visit speech augmentative
communication home care
Speech Augmentative
Communication
Visit
Home
SP
Visit 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
Home
SP
Visit speech phone call
Visit
Phone
SP
Visit speech Residential Hospice
Visit
Residential
Hospice
SP
Visit speech therapy only day clinic
Visit
Therapy Day Clinic
SW
Hourly social work home care
Hour
Home
SW
Visit 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
Home
SW
Visit social work phone call
Visit
Phone
SW
Visit social work Residential
Hospice
Visit
Residential
Hospice
SW
Visit social work therapy clinic
Visit
Therapy Day Clinic
TRANS
Transportation home care
Visit
Home
Visit
Private/Home
School
School Referrals
ENT
HOM
Visit ENT private/home school
Hourly Personal Support
Date: September 10, 2013
Homemaking -
41
Hour
Private/Home
Community Care Access Centre (CCAC)
Service Offer and Service Referral Format Specification
Service
Type
Service Delivery Type Code
Private/Home School
Specialty
Unit of
Delivery
Personal Support
Service Location
School
NUR
Hourly nursing private/home school
Hour
Private/Home
School
NUR
Hourly nursing public school
Hour
Publicly Funded
School
NUR
Shift nursing private/home school
Hour
Private/Home
School
NUR
Shift nursing public school
Hour
Publicly Funded
School
NUR
Visit nursing private/home school
Visit
Private/Home
School
NUR
Visit nursing public school
Visit
Publicly Funded
School
NUT
Hourly dietician private/home
school
Hour
Private/Home
School
NUT
Hourly dietician public school
Hour
Publicly Funded
School
NUT
Visit dietician private/home school
Visit
Private/Home
School
NUT
Visit dietician public school
Visit
Publicly Funded
School
OT
Hourly OT private/home school
Hour
Private/Home
School
OT
Hourly OT public school
Hour
Publicly Funded
School
OT
Visit OT private/home school
Visit
Private/Home
School
OT
Visit OT public school
Visit
Publicly Funded
School
PT
Hourly PT private/home school
Hour
Private/Home
School
PT
Hourly PT public school
Hour
Publicly Funded
School
Date: September 10, 2013
42
Community Care Access Centre (CCAC)
Service Offer and Service Referral Format Specification
Service
Type
Service Delivery Type Code
Specialty
Unit of
Delivery
Service Location
PT
Visit PT private/home school
Visit
Private/Home
School
PT
Visit PT public school
Visit
Publicly Funded
School
SP
Hourly speech private/home school
Hour
Private/Home
School
SP
Hourly speech public school
Hour
Publicly Funded
School
SP
Visit speech private/home school
Visit
Private/Home
School
SP
Visit speech public school
Visit
Publicly Funded
School
Date: September 10, 2013
43
Community Care Access Centre (CCAC)
Service Offer and Service Referral Format Specification
5. Appendix B - ISO 639-2 Language Codes
Value
Afar
Code
ISO
639-2
AAR
Abkhazian
ABK
Achinese
ACE
Acoli
ACH
Adangme
ADA
Adyghe
ADY
Afrihili
AFH
Afrikaans
AFR
Afro-Asiatic (Other)
AFA
Ainu
AIN
Akan
AKA
Akkadian
AKK
Albanian
SQI
Aleut
ALE
Algonquian Languages
ALG
Altaic (Other)
TUT
Amharic
AMH
Angika
ANP
Apache Languages
APA
Arabic
ARA
Aramaic
ARC
Arapaho
ARP
Araucanian
ARN
Arawak
ARW
Argonese
ARG
Armenian
HYE
Aromanian
RUP
Artificial (Other)
ART
Assamese
ASM
Asturian
AST
Athapascan Languages
ATH
Australian Languages
AUS
Austronesian (Other)
MAP
Avaric
AVA
Date: September 10, 2013
44
Community Care Access Centre (CCAC)
Service Offer and Service Referral Format Specification
Value
Avestan
Code
ISO
639-2
AVE
Awadhi
AWA
Aymara
AYM
Azerbaijani
AZE
Balinese
BAN
Baltic (Other)
BAT
Baluchi
BAL
Bambara
BAM
Bamileke Languages
BAI
Banda
BAD
Bantu (Other)
BNT
Basa
BAS
Bashkir
BAK
Basque
EUS
Batak (Indonesia)
BTK
Beja
BEJ
Belarusian
BEL
Bemba
BEM
Bengali
BEN
Berber (Other)
BER
Bhojpuri
BHO
Bihari
BIH
Bikol
BIK
Bini
BIN
Bislama
BIS
Blin
BYN
Bokmål, Norwegian
NOB
Bosnian
BOS
Braj
BRA
Breton
BRE
Buginese
BUG
Bulgarian
BUL
Buriat
BUA
Burmese
MYA
Caddo
CAD
Cantonese
QYU
Date: September 10, 2013
45
Community Care Access Centre (CCAC)
Service Offer and Service Referral Format Specification
Value
Carib
Code
ISO
639-2
CAR
Catalan
CAT
Caucasian (Other)
CAU
Cebuano
CEB
Celtic (Other)
CEL
Central American Indian (Other)
CAI
Chagatai
CHG
Chamic Languages
CMC
Chamorro
CHA
Chechen
CHE
Cherokee
CHR
Cheyenne
CHY
Chibcha
CHB
Chichewa
NYA
Chinese
ZHO
Chinook Jargon
CHN
Chipewyan
CHP
Choctaw
CHO
Chuukese
CHK
Chuvash
CHV
Classical Nepal Bhasa
NWC
Coptic
COP
Cornish
COR
Corsican
COS
Cree
CRE
Creek
MUS
Creoles And Pidgins (Other)
Creoles And Pidgins, EnglishBased (Other)
Creoles And Pidgins, FrenchBased (Other)
Creoles And Pidgins,
Portuguese-Based (Other)
Crimean Tatar
CRP
Croatian
HRV
Cushitic (Other)
CUS
Czech
CES
Dakota
DAK
Date: September 10, 2013
CPE
CPF
CPP
CRH
46
Community Care Access Centre (CCAC)
Service Offer and Service Referral Format Specification
Value
Danish
Code
ISO
639-2
DAN
Dargwa
DAR
Dari
PRS
Dayak
DAY
Delaware
DEL
Dhivehi
DIV
Dinka
DIN
Dogri
DOI
Dogrib
DGR
Dravidian (Other)
DRA
Duala
DUA
Dutch
NLD
Dyula
DYU
Dzongkha
DZO
Eastern Frisian
FRS
Efik
EFI
Egyptian (Ancient)
EGY
Ekajuk
EKA
Elamite
ELX
English
ENG
Erzya
MYV
Esperanto
EPO
Estonian
EST
Ewe
EWE
Ewondo
EWO
Fang
FAN
Fanti
FAT
Faroese
FAO
Fijian
FIJ
Filipino; Pilipino
FIL
Finnish
FIN
Finno-Ugrian (Other)
FIU
Fon
FON
French
FRA
Friulian
FUR
Fulah
FUL
Date: September 10, 2013
47
Community Care Access Centre (CCAC)
Service Offer and Service Referral Format Specification
Value
Ga
Code
ISO
639-2
GAA
Gaelic
GLA
Gallegan
GLG
Ganda
LUG
Gayo
GAY
Gbaya
GBA
Geez
GEZ
Georgian
KAT
German
DEU
Germanic (Other)
GEM
Gikuyu
KIK
Gilbertese
GIL
Gondi
GON
Gorontalo
GOR
Gothic
GOT
Grebo
GRB
Greek
ELL
Guarani
GRN
Gujarati
GUJ
Gwich'in
GWI
Haida
HAI
Haitian Creole
HAT
Hausa
HAU
Hawaiian
HAW
Hebrew
HEB
Herero
HER
Hiligaynon
HIL
Himachali
HIM
Hindi
HIN
Hiri Motu
HMO
Hittite
HIT
Hmong
HMN
Hungarian
HUN
Hupa
HUP
Iban
IBA
Icelandic
ISL
Date: September 10, 2013
48
Community Care Access Centre (CCAC)
Service Offer and Service Referral Format Specification
Value
Ido
Code
ISO
639-2
IDO
Igbo
IBO
Ijo
IJO
Iloko
ILO
Inari Sami
SMN
Indic (Other)
INC
Indo-European (Other)
INE
Indonesian
IND
Ingush
Interlingua (International
Auxiliary Lang. Assoc.)
Interlingue
INH
Inuktitut
IKU
Inupiaq
IPK
Iranian (Other)
IRA
Irish
GLE
Iroquoian Languages
IRO
Italian
ITA
Japanese
JPN
Javanese
JAV
Judeo-Arabic
JRB
Judeo-Persian
JPR
Kabardian
KBD
Kabyle
KAB
Kachin
KAC
Kalaallisut
KAL
Kalmyk
XAL
Kamba
KAM
Kannada
KAN
Kanuri
KAU
Karachay-Balkar
KRC
Kara-Kalpak
KAA
Karelian
KRL
Karen
KAR
Kashmiri
KAS
Kashubian
CSB
Kawi
KAW
Date: September 10, 2013
INA
ILE
49
Community Care Access Centre (CCAC)
Service Offer and Service Referral Format Specification
Value
Kazakh
Code
ISO
639-2
KAZ
Khasi
KHA
Khmer
KHM
Khoisan (Other)
KHI
Khotanese
KHO
Kimbundu
KMB
Kinyarwanda
KIN
Kirghiz
KIR
Klingon
TLH
Komi
KOM
Kongo
KON
Konkani
KOK
Korean
KOR
Kosraean
KOS
Kpelle
KPE
Kru
KRO
Kumyk
KUM
Kurdish
KUR
Kurukh
KRU
Kutenai
KUT
Kwanyama
KUA
Ladino
LAD
Lahnda
LAH
Lamba
LAM
Lao
LAO
Latin
LAT
Latvian
LAV
Lezghian
LEZ
Limburgish
LIM
Lingala
LIN
Lithuanian
LIT
Lojban
JBO
Low German
NDS
Lower Sorbian
DSB
Lozi
LOZ
Luba-Katanga
LUB
Date: September 10, 2013
50
Community Care Access Centre (CCAC)
Service Offer and Service Referral Format Specification
Value
Luba-Lulua
Code
ISO
639-2
LUA
Luiseno
LUI
Lule Sami
SMJ
Lunda
LUN
Luo (Kenya And Tanzania)
LUO
Lushai
LUS
Luxembourgish
LTZ
Macedonian
MKD
Madurese
MAD
Magahi
MAG
Maithili
MAI
Makasar
MAK
Malagasy
MLG
Malay
MSA
Malayalam
MAL
Maltese
MLT
Manchu
MNC
Mandar
MDR
Mandarin
QCM
Mandingo
MAN
Manipuri
MNI
Manobo Languages
MNO
Manx
GLV
Maori
MRI
Marathi
MAR
Mari
CHM
Marshall
MAH
Marwari
MWR
Masai
MAS
Mayan Languages
MYN
Mende
MEN
Micmac
MIC
Minangkabau
MIN
Mirandese
MWL
Miscellaneous Languages
MIS
Mohawk
MOH
Date: September 10, 2013
51
Community Care Access Centre (CCAC)
Service Offer and Service Referral Format Specification
Value
Moksha
Code
ISO
639-2
MDF
Moldavian
MOL
Mongo
LOL
Mongolian
MON
Mon-Khmer (Other)
MKH
Mossi
MOS
Multiple Languages
MUL
Munda Languages
MUN
Nahuatl
NAH
Nauru
NAU
Navajo
NAV
Ndonga
NDO
Neapolitan
NAP
Nepal Bhasa
NEW
Nepali
NEP
Nias
NIA
Niger-Kordofanian (Other)
NIC
Nilo-Saharan (Other)
SSA
Niuean
NIU
N'Ko
NQO
No linguistic content
ZXX
Nogai
NOG
Norse, Old
NON
North American Indian (Other)
NAI
North Ndebele
NDE
Northern Frisian
FRR
Northern Sami
SME
Northern Sotho
NSO
Norwegian
NOR
Norwegian Nynorsk
NNO
Nubian Languages
NUB
Nyamwezi
NYM
Nyankole
NYN
Nyoro
NYO
Nzima
NZI
Occitan
OCI
Date: September 10, 2013
52
Community Care Access Centre (CCAC)
Service Offer and Service Referral Format Specification
Value
Ojibwa
Code
ISO
639-2
OJI
Old Church Slavonic
CHU
Oriya
ORI
Oromo
ORM
Osage
OSA
Ossetic
OSS
Otomian Languages
OTO
Pahlavi
PAL
Palauan
PAU
Pali
PLI
Pampanga
PAM
Pangasinan
PAG
Papiamento
PAP
Papuan (Other)
PAA
Persian
FAS
Philippine (Other)
PHI
Phoenician
PHN
Pohnpeian
PON
Polish
POL
Portuguese
POR
Prakrit Languages
PRA
Punjabi
PAN
Pushto
PUS
Quechua
QUE
Raeto-Romance
ROH
Rajasthani
RAJ
Rapanui
RAP
Rarotongan
RAR
Romance (Other)
ROA
Romanian
RON
Romany
ROM
Rundi
RUN
Russian
RUS
Salishan Languages
SAL
Samaritan Aramaic
SAM
Sami Languages
SMI
Date: September 10, 2013
53
Community Care Access Centre (CCAC)
Service Offer and Service Referral Format Specification
Value
Samoan
Code
ISO
639-2
SMO
Sandawe
SAD
Sango
SAG
Sanskrit
SAN
Santali
SAT
Sardinian
SRD
Sasak
SAS
Scots
SCO
Selkup
SEL
Semitic (Other)
SEM
Serbian
SRP
Serer
SRR
Shan
SHN
Shona
SNA
Sichuan Yi
III
Sicilian
SCN
Sidamo
SID
Sign Languages
SGN
Siksika
BLA
Sindhi
SND
Sinhalese
SIN
Sino-Tibetan (Other)
SIT
Siouan Languages
SIO
Skolt Sami
SMS
Slave (Athapascan)
DEN
Slavic (Other)
SLA
Slovak
SLK
Slovenian
SLV
Sogdian
SOG
Somali
SOM
Songhai
SON
Soninke
SNK
Sorbian Languages
WEN
South American Indian (Other)
SAI
South Ndebele
NBL
Southern Altai
ALT
Date: September 10, 2013
54
Community Care Access Centre (CCAC)
Service Offer and Service Referral Format Specification
Value
Southern Sami
Code
ISO
639-2
SMA
Southern Sotho
SOT
Spanish
SPA
Sranan Togo
SRN
Sukuma
SUK
Sumerian
SUX
Sundanese
SUN
Susu
SUS
Swahili
SWA
Swati
SSW
Swedish
SWE
Swiss German
GSW
Syriac
SYR
Tagalog
TGL
Tahitian
TAH
Tai (Other)
TAI
Tajik
TGK
Tamashek
TMH
Tamil
TAM
Tatar
TAT
Telugu
TEL
Tereno
TER
Tetum
TET
Thai
THA
Tibetan
BOD
Tigre
TIG
Tigrinya
TIR
Timne
TEM
Tiv
TIV
Tlingit
TLI
Tok Pisin
TPI
Tokelau
TKL
Tonga (Nyasa)
TOG
Tonga (Tonga Islands)
TON
Tsimshian
TSI
Tsonga
TSO
Date: September 10, 2013
55
Community Care Access Centre (CCAC)
Service Offer and Service Referral Format Specification
Value
Tswana
Code
ISO
639-2
TSN
Tumbuka
TUM
Tupi languages
TUP
Turkish
TUR
Turkmen
TUK
Tuvalu
TVL
Tuvinian
TYV
Twi
TWI
Udmurt
UDM
Ugaritic
UGA
Ukrainian
UKR
Umbundu
UMB
Undetermined
UND
Upper Sorbian
HSB
Urdu
URD
Uyghur
UIG
Uzbek
UZB
Vai
VAI
Venda
VEN
Vietnamese
VIE
Volapuk
VOL
Votic
VOT
Wakashan Languages
WAK
Walamo
WAL
Walloon
WLN
Waray
WAR
Washo
WAS
Welsh
CYM
Western Frisian
FRY
Wolof
WOL
Xhosa
XHO
Yakut
SAH
Yao
YAO
Yapese
YAP
Yiddish
YID
Yoruba
YOR
Date: September 10, 2013
56
Community Care Access Centre (CCAC)
Service Offer and Service Referral Format Specification
Value
Yupik Languages
Code
ISO
639-2
YPK
Zande
ZND
Zapotec
ZAP
Zazaki
ZZA
Zenaga
ZEN
Zhuang
ZHA
Zulu
ZUL
Zuni
ZUN
Date: September 10, 2013
57