Community Care Access Centre (CCAC)
Service Referral Format Specification
Organization:
Ontario Association of Community
Care Access Centres (OACCAC)
Division:
Business Solutions
Version:
2.18 (BTS Portal)
Version Date:
April 12, 2012
Prepared By:
Ion Moraru
Updated By:
Ellen Hsu
Arthur Bydon
Manuel Ng, N. Purvis
Version:
Service Offer and Service Referral Format Specification
2.18
Version Date: April 12, 2012
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
in ServiceOffer and ServiceOfferResponse elements
Added OrganizationCode to Service Offer and
ServiceOfferResponse elements
Date: May 19, 2010
2
Guy Fortin
Version:
Service Offer and Service Referral Format Specification
Version
No.
Version Date
2.18
Version Date: April 12, 2012
Summary of Change
Changed
by/Input from
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
instructions to to ServiceElement
Deleted ServiceTypeDescription and
ServiceDeliveryTypeDescription from Service element
Added ServiceLocation element to Service element
Deleted ServiceDeliveryLocationCode, Authorization
element, AuthorizingCaseManagerFIrstName and
Date: May 19, 2010
3
Guy Fortin
Version:
Service Offer and Service Referral Format Specification
Version
No.
Version Date
2.18
Version Date: April 12, 2012
Summary of Change
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
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
Date: May 19, 2010
4
Changed
by/Input from
Version:
Service Offer and Service Referral Format Specification
Version
No.
Version Date
2.18
Version Date: April 12, 2012
Summary of Change
Changed
by/Input from
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
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
Date: May 19, 2010
5
Guy Fortin
Version:
Service Offer and Service Referral Format Specification
Version
No.
Version Date
2.18
Version Date: April 12, 2012
Summary of Change
Changed
by/Input from
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
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
Date: May 19, 2010
6
Version:
Service Offer and Service Referral Format Specification
Version
No.
Version Date
2.18
Version Date: April 12, 2012
Summary of Change
-
-
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,
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
Date: May 19, 2010
Changed
by/Input from
7
Ion Moraru
Version:
Service Offer and Service Referral Format Specification
2.18
Version Date: April 12, 2012
Version
No.
Version Date
Summary of Change
Changed
by/Input from
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.
Service Referral:
Removed Contract Name, Removed dates and
description from active risk codes. Renamed
ProviderStaffName to AssignedStaffName,
ProviderStaffPhoneNumber to
AssignedStaffPhoneNumber. Added OfferDate.
ServiceReferralUpdate:
Removed ContractName, RoomNumber. Added
CMReassessmentDate, ProviderEndDate,OfferDate,
AssignedStaffName, AssignedStaffPhoneNumber, School
and ActiveRiskCodes.
2.10
June 12, 2009
Remove Service Referral Update, Service Offer and
Offer Response
Mary Lou Smith
Ion Moraru
Combined Service Referral Update with Service
Referral
Added PreferredName and Health Card elements to the
Client elelment
2.11
Sep 1, 2009
Update to following after QA Testing:
Ellen Hsu
2.1 CcacCode, Referral Type, Request Type
2.2 ServiceTypeCode, ServiceDeliveryType,
UnitOfService, ServiceDeliveryLocationCode
Appendix B ‘Home Care’ change to ‘Home’
2.12
Sep. 22, 2009
Changed the data type for NumberOfHoursPerVisit and
QuantityOfService
Ion Moraru
2.13
Oct 6, 2009
Add <Salutation>, <Phone> and <WorkPhone> to
<PersonalContacts>
Ellen Hsu
2.14
December 9, 2009
Add Sender and Destination elements that describe the
participants in the message exchange.
Arthur Bydon
Date: May 19, 2010
8
Version:
Service Offer and Service Referral Format Specification
2.18
Version Date: April 12, 2012
Version
No.
Version Date
Summary of Change
Changed
by/Input from
2.15
March 26, 2010
Added Allergies, SafetyIssues, BillingCodes
Arthur Bydon
2.15
March 29, 2010
Add Description to Frequency Day of the Week
selection, Number of Hours per Visit, Recurrence
Number and Recurrence Period.
Ellen Hsu
Update Appendix A: Service Type Codes, Service
Delivery Location, Service Specialty, Service Delivery
Type
Change field length of IsPrimary in Active Diagnosis and
Personal Contacts from 1 to 5
2.15
April 30, 2010
Add Authorization Sender
Change Client Phone
Add Additional Information for Diagnoses
Ellen Hsu
2.15
May 4, 2010
Add room number and country in Address
Ellen Hsu
Add Mailing Addresses and Cancelled Frequency
Add extension to Client Phone, Personal Contact
Phone, Medical Contact Phone
2.15
May 10, 2010
Update Home Mailing Address (Building name) for
active Correspondent.
Ellen Hsu
2.15
May 18, 2010
Delete OrganizationName
Ellen Hsu
Add ServicePriorityRating, Caseload Employee,
ClientPhone Phone, PersonalContacts Contact,
ActiveRiskCodes RiskCodeItem, ServicePlanSummary
Service, EquipmentMedicalSupplies Item
Change from Mandatory “Yes” to “No”:
OfferDateTime, DateServiceRequiredBy,
RequiredFirstVisitDate, Frequencies, SchoolAddress,
Allergies, SafetyIssues
Change PreferredLanguage to
PreferredLanguageOfService
2.15
May 19, 2010
Date: May 19, 2010
Change <ContactFirstName> to <ContatFirstName> in
<MedicalContacts><Physician>
9
Ellen Hsu
Version:
Service Offer and Service Referral Format Specification
2.18
Version Date: April 12, 2012
Version
No.
Version Date
Summary of Change
Changed
by/Input from
2.16
June 11, 2010
Added “FrequencyId” attribute to the Frequency
element
Manuel Ng
July 28, 2010
Updated ContractCode type and size to match the
schema
Arthur Bydon
August 26, 2010
Added ServiceAssignmentId field
Arthur Bydon
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
April 10, 2012
Add IsClusterCare indicator
B. Fu
2.17
2.18
Date: May 19, 2010
10
Version:
Service Offer and Service Referral Format Specification
2.18
Version Date: April 12, 2012
Table of Contents
1.
Purchased Service Referral .................................................................................... 12
1.1 Brief Description
High Level Structure of the Service Referral
2.
Service Referral Elements ...................................................................................... 13
2.1
2.2
2.3
2.4
2.5
2.6
3.
12
12
ServiceReferral element detail
Service element detail
Frequency element detail
ServiceRecipient element detail
Client element detail
2.5.1 Address element detail
ServicePlanSummary element detail
13
18
22
24
24
32
33
Appendix A - Service attribute values ..................................................................... 35
3.1
3.2
3.3
Service Type Codes
Service Delivery Location
Specialty
35
36
36
4.
Appendix B - Service Delivery Type ....................................................................... 38
5.
Appendix C - ISO 639-2 Language Codes ............................................................. 44
Date: May 19, 2010
11
Version:
Service Offer and Service Referral Format Specification
2.18
Version Date: April 12, 2012
1. Purchased Service Referral
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 another Service Referral (for Frequency Update) to the
Provider with a set of Frequency elements containing the appropriate changes.
This document specifies the information and associated format of Service Referral.
High Level Structure of the Service Referral
The Service Referral and Service Referral Update are XML documents that share the
following high level element structure:
Figure 1 Service Referral
ServiceReferral / ServiceReferralUpdate
Contains 1
Service
Contains 1 to several
Frequency
Contains 1
May contain 1
ServiceRecipient
ServicePlanSummary
Contains 1
Client
As the diagram above depicts, a ServiceReferral and ServiceReferralUpdate element contain one
Service element, one ServiceRecipient element and possibly one ServicePlanSummary element.
The Service element itself contains one to many Frequency elements and the ServiceRecipient
element contains a single Client element. These are the principal elements that make up a
Service Referral and there is a section below to more fully specify each of them.
Date: May 19, 2010
12
Version:
Service Offer and Service Referral Format Specification
2.18
Version Date: April 12, 2012
2. Service Referral Elements
The following tables detail the fields contained within the elements that make up a Service Referral as
outlined in Figure 2 in a previous section. The Service Referral Update is a subset of the Service Referral
and is documented in the following chapter.
2.1 ServiceReferral element detail
Name
Version (Attribute of ServiceReferral
element)
Field
Length
(chars)
Type
Mandatory
Description
?
Max 10
Alpha /
num
Yes
The version of the schema that
this element adheres to. E.g.
"1.0". This is required for the
receiving provider to correctly
interpret the information being
provided by the CCAC
36
Alpha/
Num
(GUID)
Yes
The unique identifier of the
message that can be used for
tracking
Sender (parent element)
-
-
Yes
A group of elements and
attributes identifying the sender of
the document.
Destination (parent element)
-
-
Yes
A group of elements and
attributes identifying the recipient
of the document
Organization (child element of
Sender or Destination)
-
-
Yes
Identifies the organization sending
or receiving the document
Code (attribute of Organization)
50
Alpha/
Num
Yes
Specifies the unique code of the
sender or the recipient
organization
Type (attribute of Organization)
150
Alpha/
Num
Yes
Specifies the type of the sender
organization. Valid content is:
“CCAC”
“Provider”
“Vendor”
MessageTrackingId
Date: May 19, 2010
13
Version:
Service Offer and Service Referral Format Specification
Name
Field
Length
(chars)
Name (child of Organization)
Type
2.18
Version Date: April 12, 2012
Mandatory
Description
?
250
Alpha
No
The name of the sender or the
recipient organization
-
-
Yes
Specifies the owner organization
of the sender or the recipient
Code (attribute of
OwnerOrganization)
50
Alpha/
Num
Yes
Specifies the unique code of the
sender or the recipient owner
organization
Type (attribute of
OwnerOrganization)
150
Alpha/
Num
No
Specifies the type of the sender or
the recipient owner organization.
Valid content is “CCAC”,
“Provider” or “Vendor”. If not
provided the “CCAC” type is
assumed.
Name (child element of
OwnerOrganization)
250
Alpha
No
The name of the sender or the
recipient owner organization
ProviderAssignmentId
25
Alpha /
num
Yes
A CCAC assigned number that
uniquely identifies this item
ServiceAssignmentId
25
Alpha /
Num
(GUID)
Yes
A CCAC assigned number that
uniquely identifies service
assignment for the referral. This
number can be retrieved from the
ServiceReferral and
ServiceFrequencyUpdate
messages
Max 25
Alpha /
num
No
The unique identifier for the Offer
associated with this Referral
10
Num
Yes
A unique number assigned to
Vendor by local CCAC. Reference
may be “provider” or “vendor”
organization
OwnerOrganization (child of
Organization)
OfferId
OrganizationCode
Date: May 19, 2010
14
Version:
Service Offer and Service Referral Format Specification
Name
Field
Length
(chars)
Type
2.18
Version Date: April 12, 2012
Mandatory
Description
?
TransmissionDateTime
14
Date
Yes
Date and Time (yyyy-mmddThh:mm) when the Referral
was sent by the CCAC to the
Provider
OfferDateTime
10
DateTi
me
No
Date and time when service was
offered
2-4
Alpha
Yes
A unique number for the CCAC.
Valid values are: "ESC" |"SW"
| "WW" | "HNHB" | "CW" |
"MH" |"TC" | "CENT"|
"CE"| "SE" | "CHAM"|
"NSM"| "NE" | "NW"
Num
Yes
A code that identifies this Referral
and quoted by the provider in their
Billing Invoice
Alpha /
num
Yes
Contract Number assigned to
Service Provider by the CCAC
when the contract was entered
into
BillingCodes (element)
No
List of Billing Codes that may be
applied to the services provided
BillingCode (element)
No
Billing Code group containing the
code and description
Code
Yes
The code assigned based on the
contracted service
Description
Yes
The descriptive name of the billing
code
Yes
Categorizes the referral into
"HomeCare", "School", or
"Children’s Treatment Network"
CcacCode
BillingReferenceNumber
ContractCode
ReferralType
Date: May 19, 2010
12
Max 20
Max 100
Alpha /
num
15
Version:
Service Offer and Service Referral Format Specification
Name
Field
Length
(chars)
RequestType
NotificationNotes
ServiceInstructions (element)
Type
2.18
Version Date: April 12, 2012
Mandatory
Description
?
Max 25
Alpha
Yes
Defines the type of action for the
Referral; can be set to one of the
following values: "New",
"Update", “FrequencyUpdate”
250
Alpha /
num
No
Additional information the CCAC
would like the provider to know
about the Service Referral
-
Eleme
nt
Yes
Contains all of the fields that
provide instructions for this
service
(The elements should be in this
order)
FocusOfIntervention
250
Alpha /
num
Yes
Ensures that the CCAC and the
provider have a common
understanding of the needs of the
client. For clients who have been
assessed using the RAI-HC
instrument, the focus of
intervention will have been
informed by the CAPS output of
the assessment.
In the absence of client / referral
level service planning
documentation, the client’s needs
are documented for each service,
and are shared with the assigned
provider.
ServicePlanGoals
Date: May 19, 2010
250
Alpha /
num
16
Yes
A list of specific, measurable,
acceptable (to client/family),
realistic, time limited goals, to be
achieved through the service
provider’s intervention(s)
Version:
Service Offer and Service Referral Format Specification
Name
Field
Length
(chars)
Treatment Orders
ProviderInstructions
Date: May 19, 2010
250
250
Type
2.18
Version Date: April 12, 2012
Mandatory
Description
?
Alpha /
num
Alpha
17
Yes
No
Reference to any medical
referral(s) that relate to the
required treatment(s)
Should also include references to
a prescription, if a prescription is
being sent as part of the referral
package
Specific instructions to the
provider from the CCAC.
Version:
Service Offer and Service Referral Format Specification
2.18
Version Date: April 12, 2012
2.2 Service element detail
Name
Field Length
(chars)
Type
ServiceTypeCode
Max 30
Alpha
Yes
Identifies the general service to be
delivered to the client; See
Description of Service Type Codes
in Appendix A for list of valid values
ServiceDeliveryType
Max 50
Alpha
Yes
Identifies a more specific service
within the general ServiceType to
be delivered to the client; See
Service Delivery Type Code in
Appendix B for list of valid values
UnitOfService
Max 10
Alpha
Yes
Code assigned by CCAC for the
units in which the service is to be
delivered (e.g., HOUR, VISIT)
SpecialtyCode
Max 50
Alpha
No
Optional information that identifies
a specialty associated with the
Service Type; See Appendix A for
list of valid values
ServiceDeliveryLocationCode
Max 50
Alpha
No
The location where the service is to
be delivered; See Service Location
in Appendix B for list of valid values
DateServiceRequiredBy
10
Date
No
Date (yyyy-mm-dd) that the service
must be started by
RequiredFirstVisitDate
10
Date
No
Date (yyyy-mm-dd) that first visit
must occur on
ProviderEndDate
14
Date
No
Date and time when the Provider
assignment will end (Used mostly
on FrequencyUpdates)
CMReassessmentDate
10
Date
No
Date when CM Reassessment is
due (Used mostly on
FrequencyUpdates)
Date: May 19, 2010
18
Mandatory Description
?
Version:
Service Offer and Service Referral Format Specification
Name
2.18
Version Date: April 12, 2012
Field Length
(chars)
Type
5
Boolea
n
No
If present and true indicates that
this service referral is a cluster
care service referral
GeographicArea
250
Alpha /
num
No
CCACs can further define contracts
specific to a geographic area, or a
local contract distinction.
A geographic area is a named area
that represents some part of the
whole area serviced by the CCAC.
A CCAC may define this area in
terms of North / South / East / West
or cities and towns within the
geographical boundaries of the
CCAC. Alternately, the geographic
area may be defined as the area
services by one branch of the
CCAC.
Where providers are contracted for
specific parts of the geographic
area of the whole CCAC, this
geographic area distinction is used.
LocalDistinction
250
Alpha /
num
No
In addition to geographic areas,
contracts can be further defined by
other locally defined distinctions.
The local distinction will be used by
CCACs who have separate
contracts for specific client groups,
such as Children / Adults / ABI
distinctions for OT.
ServicePriorityRating
50
Alpha
Yes
Service Priority
e.g. High, Moderate
AssignedStaffName
50
Alpha
No
Name of the Assigned Staff
member
-
eleme
nt
No
Phone number for the assigned
staff member
15
Alpha /
Num
Yes
Telephone number
IsClusterCare
AssignedStaffPhoneNumber
TelephoneNumber
Date: May 19, 2010
19
Mandatory Description
?
Version:
Service Offer and Service Referral Format Specification
Name
Extension
Authorization (element)
AuthorizingCaseManagerName
InitialOfferContactName
ReferralTeam
ReferralCaseload
Type
10
Alpha /
Num
No
Extension of the Telephone
Number
-
eleme
nt
Yes
This element defines the service
dates and amounts that have been
authorized by the CCAC case
manager; it contains the following
fields ...
50
Alpha
Yes
The name of the Case Manager
that authorized this service
50
Alpha
No
The name of the person
responsible for this offer
50
Alpha
No
Team name responsible for the
Client (referral).
20
Alpha
No
Caseload name responsible for the
Client (referral).
eleme
nt
No
Collection of employee names
responsible for the caseload.
Typically this is a one or two
item collection.
eleme
nt
No
Employee responsible for the
Caseload.
Alpha
No
Employee name responsible for the
Caseload.
eleme
nt
No
The name of the sender of this
referral or person who sent the
original Offer
Alpha
No
For new referral, it is the name of
person who sent the original Offer.
For update referral, it is the name of
the person who update the referral
Employee
50
Sender
50
Name
Date: May 19, 2010
Version Date: April 12, 2012
Field Length
(chars)
CaseloadStaff
Name
2.18
20
Mandatory Description
?
Version:
Service Offer and Service Referral Format Specification
Name
2.18
Version Date: April 12, 2012
Field Length
(chars)
Type
Frequencies
-
eleme
nt
No
Frequency
-
eleme
nt
No
Frequency for the Service (see
Frequency element below for
details)
-
eleme
nt
No
Frequency cancelled for the
Service
StartDate
10
Date
Yes
The date (yyyy-mm-dd) when the
cancelled Frequency starts
EndDate
10
Date
No
The expected date (yyyy-mm-dd)
when the cancelled Frequency
ends
ServiceDeliveryUnit
6
Alpha
Yes
Unit of Service Delivered in Visits or
Hours
CancellationReason
50
Alpha
No
Reason for the cancellation
Quantity
5
Num
Yes
Number of Visits or Hours
cancelled
LastUpdateDate
10
Date
No
Date of the last update for the
Cancellation
FrequencyPeriodCancellations
Date: May 19, 2010
21
Mandatory Description
?
The Frequency for the Service
Version:
Service Offer and Service Referral Format Specification
2.18
Version Date: April 12, 2012
2.3 Frequency element detail
Name
FrequencyId
(attribute)
Field
Length
(chars)
36
Type
Mandatory Description
?
Alpha /
Num
Yes
(GUID)
Type
Summary
15
Alpha
Yes
The unique identifier of the frequency.
The field must match one of the existing
frequency identifier used in CCAC
system.
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
6
Num(6,2)
No
Number of hours or visits authorized
PreferredTime
20
Alpha
No
Time of day that visit is preferred by the
client
StartDate
10
Date
Yes
The date (yyyy-mm-dd) when this
Frequency starts
EndDate
10
Date
No
The expected date (yyyy-mm-dd) when
this Frequency ends
ReccurenceTimes
4
No
Weekly frequency (e.g. Two visits per day
= 2)
UnitOfService
Date: May 19, 2010
Num
22
Version:
Service Offer and Service Referral Format Specification
Version Date: April 12, 2012
Name
Field
Length
(chars)
Interval
4
Num
No
No. of repeats (e.g. Every two days = 2)
RecurrenceNumber
4
Num
No
Current not in use. Value = 0
RecurrencePeriod
4
Num
No
Current not in use. Value = 0
Weekday1
4
Num
No
Number of visits on Monday.
Weekday2
4
Num
No
Number of visits on Tuesday.
Weekday3
4
Num
No
Number of visits on Wednesday.
Weekday4
4
Num
No
Number of visits on Thursday.
Weekday5
4
Num
No
Number of visits on Friday.
Weekday6
4
Num
No
Number of visits on Saturday.
Weekday7
4
Num
No
Number of visits on Sunday.
NumberOfHoursPerVi
sit
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: May 19, 2010
Type
2.18
Mandatory Description
?
23
Version:
Service Offer and Service Referral Format Specification
2.18
Version Date: April 12, 2012
2.4 ServiceRecipient element detail
The role of the ServiceRecipient element is to specify the entity that will be receiving the
Service. Initially this element will only contain a single Client element, Code and Description.
In the future it is envisioned that different types of recipients will need to be supported. For
example, allow for the specification of groups of people to be served by a single service (e.g.
people located in a specific building, service that is targeted towards serving the fluctuating
needs of a community within a retirement home etc).
Although not strictly required today, the ServiceRecipient element is being included in the
specification to avoid having to make basic changes to the format in the future once multiple
recipient types are supported.
Name
Field
Length
(chars)
Type
Mandatory? Description
Code
10
Alpha/Num
No
The MIS Standards code pertaining to
the service recipient
Description
250
Alpha/Num
No
The descriptive name of the code
2.5 Client element detail
The Client element provides information about the person that is to receive the service.
Name
Field
Length
(chars)
IsSmoker (attribute)
Type
Mandatory Description
?
Attribute
No
If present, indicates this client is a smoker
ClientIdentifier
15
Alpha /
num
Yes
An identifier that uniquely identifies this
client to the CCAC
FirstName
25
Alpha
No
Client’s legal first name
SurName
25
Alpha
Yes
Client legal last name / surname
PreferredName
25
Alpha
No
Client preferred name
Date: May 19, 2010
24
Version:
Service Offer and Service Referral Format Specification
Name
2.18
Version Date: April 12, 2012
Field
Length
(chars)
Type
80
Alpha
No
Language in which the client would prefer
to communicate for service provision; see
Appendix C for list of valid ISO 639-2
codes
-
element
No
Client's Health Card information (will be
blank until approved)
HCN
10
Numeric
Yes
Health Card Number
VC
2
Alpha
Yes
Version Code
ExpiryDate
-
DateTime
No
HC expiry date
Name
50
Alpha
No
Client name if different than Surname
DateOfBirth
10
Date
Yes
Date of client's birth (yyyy-mm-dd)
Gender
25
Alpha
Yes
One of : "Male" "Female"
"Undifferentiated" "Unknown"
MaritalStatus
20
Alpha
Yes
One of: "NeverMarried" "Married"
"Divorced" "Widowed" "Other"
LivingArrangement
30
Alpha
Yes
MailingAddresses
-
element
No
Address (element)
-
element
No
The mailing address (see Address
element below for details)
ClientAddress (element)
-
element
No
The client's address (see Address
element below for details)
ClientPhone (element)
-
element
Yes
A list of client phone numbers
PreferredLanguageOfServi
ce
HealthCard (element)
Date: May 19, 2010
Mandatory Description
?
25
General category of who the client lives
with in their permanent residence; one of:
"Alone" "With Spouse/Partner Only"
"With Spouse/Partner and Other(s)" "With
Child" "With Sibling(s)"
A list of mailing addresses for the
client. If Correspondent of Personal
Contacts is active, the Mailing address
is the Correspondent Address.
Version:
Service Offer and Service Referral Format Specification
Name
Field
Length
(chars)
Phone
Type
2.18
Version Date: April 12, 2012
Mandatory Description
?
element
Yes
Client phone number
TelephoneNumber
15
Alpha /
Num
Yes
Telephone number
Extension
10
Alpha /
Num
No
Extension of the Telephone Number
PhoneLocation
20
Alpha
Yes
“Primary”|”Treatment”
-
element
No
A list of contacts for the client. Made
up of the following attributes ...
-
element
No
Personal Contact information
IsPrimary
5
Boolean
No
Set to TRUE if this contact is the primary
contact
FirstName
25
Alpha
Yes
Client’s legal first name
Surname
25
Alpha
Yes
Client legal last name / surname
ClientRelationship
250
Alpha /
num
Yes
The relationship of the contact to the
client; one of: "Aunt" "Brother in Law"
"Brother" "Child" "Father" "Daughter in
Law" "Daughter" "Father in Law" "Foster
Parent" "Friend" "Grandchild"
Grandparent" "Mother in Law" "Mother"
"Neighbor" "Niece/Nephew" "Other"
"Other Relative" "Sibling " "Son In Law"
"Sister" "Sister in Law" "Son"
"Spouse/Life Partner" "Step Daughter"
"Step Parent" "Step Son" "Uncle"
PersonalContacts
(element)
Contact
Date: May 19, 2010
26
Version:
Service Offer and Service Referral Format Specification
Name
2.18
Version Date: April 12, 2012
Field
Length
(chars)
Type
Mandatory Description
?
Role
250
Alpha /
num
Yes
Non-legal role(s) which the contact has in
relation to the client; As many as of the
following as applicable: "Care Giver"
"Informal" "Caregiver - Formal"
"Correspondent" "Emergency Contact"
"Land Lord / Land Lady" "Lawyer " "Next
of Kin" "ODSP Contact" "Parole Officer"
"Superintendent" "Teacher" "Telephone
Contact" "Translator"
LegalRole
250
Alpha /
num
Yes
Legal role(s) that the contact has in
relation to the client; As many as of the
following as applicable: "Legal Guardian"
"POA - Finances and Property" "POA Personal Care" "Public Guardian Trustee –
Finances" "Public Guardian TrusteePersonal Care" "Public Trustee"
"Substitute Decision Maker"
ContactComments
512
Alpha /
num
No
Additional information related to the
contact. This field can be used to identify
times of day when the contact can be
reached at the given phone number, and
to include additional phone numbers and
when to use them.
For contacts that live outside of Canada,
the country calling information should be
included in this field
25
Alpha
No
-
element
No
The personal contact's phone number
TelephoneNumber
15
Alpha /
Num
Yes
Telephone number
Extension
10
Alpha /
Num
No
Extension of the Telephone Number
Salutation
Phone
Date: May 19, 2010
27
The salutation of the personal contact.
Version:
Service Offer and Service Referral Format Specification
Name
2.18
Version Date: April 12, 2012
Field
Length
(chars)
Type
-
element
No
The personal contact's work phone
number
TelephoneNumber
15
Alpha /
Num
Yes
Telephone number
Extension
10
Alpha /
Num
No
Extension of the Telephone Number
10
Date
Yes
The date when the client was admitted to
the CCAC
-
element
No
Demographic information about the
school, if applicable. Made up of the
following attributes ...
250
Alpha /
num
Yes
Name of school from a provincial list of
schools
SchoolAddress (element)
-
element
No
The school's address (see Address
element below for details)
SchoolPhone
-
element
No
The school's phone number
TelephoneNumber
15
Alpha /
Num
Yes
Telephone number
Extension
10
Alpha /
Num
No
Extension of the Telephone Number
MedicalContacts
(element)
-
element
No
The list of medical contacts
Physician (element)
-
element
No
The list of Physicians that are
attending to the client. Its made up of
the list following attributes
25
Alpha
No
The type of Physician; one of: "Family"
"Attending" "Referring" "Specialist"
WorkPhone
ClientAdmitDate
School (element)
SchoolName
TypeOfContact
(Attribute)
Date: May 19, 2010
Mandatory Description
?
28
Version:
Service Offer and Service Referral Format Specification
Name
ContatFirstName
Field
Length
(chars)
Type
25
Alpha
2.18
Version Date: April 12, 2012
Mandatory Description
?
Yes
Contacts first name
(Element misspelled, will be fixed in future
release)
ContactSurName
25
Alpha
Yes
Contacts last name
ContactAddress
(subelement)
-
element
No
The contact's address (see Address
element below for details)
ContactPhone
-
element
Yes
The contact's phone number
TelephoneNumber
15
Alpha /
Num
Yes
Telephone number
Extension
10
Alpha /
Num
No
Extension of the Telephone Number
-
element
No
A list of the Physician's specialties (from
a provincially maintained table of
specialties); Each Specialty contains the
following attributes...
50
Alpha
No
The description of the specialty
-
element
No
The list of client Risk Codes.
-
element
No
Risk Code contains the following
attributes ...
RiskCode
10
Alpha /
num
Yes
Risk code that identifies a risk of
importance related to the client
AditionalInformation
250
Alpha /
Num
Yes
The comments about Risk Code
-
element
No
The client's primary diagnosis. This
information is not provided for nonmedical services. Made up of the
following attributes ...
Specialities
(subelement)
SpecialtyDescription
ActiveRiskCodes
(element)
RiskCodeItem
ActiveDiagnoses
(element)
Date: May 19, 2010
29
Version:
Service Offer and Service Referral Format Specification
Name
2.18
Version Date: April 12, 2012
Field
Length
(chars)
Type
IsPrimary (attribute)
5
Boolean
No
If present indicates that this is the primary
diagnosis
DiagnosisCode
10
Alpha /
num
No
The ICD-9 diagnostic code (note in the
future will evolve to ICD-10)
DiagnosisDescription
250
Alpha /
num
Yes
The ICD-9 description of the diagnosis or
a freeform description entered by the
CCAC
DiagnosisDate
10
Date
Yes
Date when diagnosis was made (yyyymm-dd)
AdditionalInformation
250
Alpha /
Num
Yes
The comments about Diagnosis
-
element
No
The list of surgical procedures that the
client has undergone.
No
A Surgery, made up of the following
attributes ...
SurgicalProcedures
(element) (move to client)
Mandatory Description
?
Surgery (element)
ProcedureCode
10
Alpha /
num
No
The ICD-9 surgical procedure code (note
in the future will evolve to ICD-10)
ProcedureDescription
250
Alpha /
num
Yes
The ICD-9 surgical procedure description
or a freeform description entered by the
CCAC
ProcedureDate
10
Date
Yes
Date when client underwent the
procedure (yyyy-mm-dd)
-
Element
No
Collection of client allergies
-
Element
No
100
Alpha /
num
No
Allergies
Allergy
Category
Date: May 19, 2010
30
The category of allergy, i.e. one of
'Animal', 'Drug', 'Environmental', 'Food',
'Unknown' or 'Unable to Assess'
Version:
Service Offer and Service Referral Format Specification
Name
2.18
Version Date: April 12, 2012
Field
Length
(chars)
Type
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
No
Collection of safety issue that the
provider needs to be aware of
-
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
SafetyIssues
SafetyIssue
Date: May 19, 2010
Mandatory Description
?
31
Version:
Service Offer and Service Referral Format Specification
2.5.1
2.18
Version Date: April 12, 2012
Address element detail
The Address element defines all of the fields available for specifying a physical address.
Name
Field
Length
(chars)
Type
Mandatory
?
AddressSummary
250
Alpha /
Num
No
Type
50
Alpha
Yes (for Client)
No (for
School)
BuildingName
50
Alpha
No
Description
A summary field that contains the entire
address
The type of address that is being specified;
one of "Home" | "Mailing" | "Shipping" |
"Other" | "Present Location"
Used for organizational addresses:
Name of LTC home / Retirement home /
hospital in which the client resides
Or
Name of active Correspondent of Personal
Contacts and the Building name (separated
by a comma). Mailing address is the
Correspondent Address.
RoomNumber
6
Alpha /
num
No
The room number if applicable
SuiteNumber
6
Alpha /
num
No
The suite number if applicable
StreetNumber
6
Alpha /
num
No
The associated street number
StreetName
100
Alpha /
num
Yes
The name of the street the client resides at
PostalCode
10
Alpha /
num
Yes
The associated postal code
City
50
Alpha /
num
Yes
The associated city
Date: May 19, 2010
32
Version:
Service Offer and Service Referral Format Specification
Name
Field
Length
(chars)
Type
2.18
Version Date: April 12, 2012
Mandatory
?
Description
Province
25
Alpha /
num
No
Value of "Ontario" is implied if not present
Country
20
Alpha
No
The associated country
Directions
250
Alpha /
num
No
The intent is to provide any necessary
information to assist the service provider to
drive to the client address. This could
include closest major intersection to the
address being recorded or other driving
instructions
AdditionalInfo
250
No
Additional information that has been
entered with regard to this address
Alpha /
Num
2.6 ServicePlanSummary element detail
The SerivcePlanSummary element provides an overview of the client's entire service plan
including all services, equipment and supplies as well as primary diagnosis.
Name
Field
Length
(chars)
Type
OtherActiveServices
(element)
-
element
No
A list of all other active purchased
services in the client's service plan.
Service (element)
-
element
No
Other active purchased services in the
client's service plan (including this
service).
Max 30
Alpha
Yes
Identifies the general service to be delivered
to the client; See Appendix A for list of valid
values
ServiceTypeCode
Date: May 19, 2010
Mandatory Description
?
33
Version:
Service Offer and Service Referral Format Specification
Name
2.18
Version Date: April 12, 2012
Field
Length
(chars)
Type
Max 50
Alpha
Yes
Identifies a more specific service within the
general ServiceType to be delivered to the
client; See Appendix B for list of valid values
10
Date
Yes
The date that this service started (yyyy-mmdd)
-
element
No
A list of equipment and supplies that the
client has had for the last month
-
element
No
Equipment and supplies that the client
has had for the last month
Max 50
Alpha
Yes
A description of the item
ItemQuantity
6
Num
Yes
The number of items purchased, rented, or
finance charged. If the item type is rental or
finance-charge the quantity will always be 1.
ItemStartDate
10
Date
Yes
Date Equipment rental started (yyyy-mmdd)
ItemEstimatedEn
dDate
10
Date
Yes
Date Equipment rental ended (yyyy-mm-dd)
ItemStatus
10
Alpha
Yes
New | Approved | Ordered | Cancelled
ServiceDeliveryType
StartDate
EquipmentMedicalSu
pplies (element)
Item
ItemDescription
Date: May 19, 2010
Mandatory Description
?
34
Version:
Service Offer and Service Referral Format Specification
Version Date: April 12, 2012
3. Appendix A - Service attribute values
3.1 Service Type Codes
The following table provides a list of the values for Service Type Codes
Table 1 Service Type Codes
Service
Type
Code
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
Date: May 19, 2010
Description
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
35
2.18
Version:
Service Offer and Service Referral Format Specification
Version Date: April 12, 2012
3.2 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
3.3 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
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
Date: May 19, 2010
36
2.18
Version:
Service Offer and Service Referral Format Specification
Specialty
Code
CONT
Description
Nursing - Continence
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: May 19, 2010
37
2.18
Version Date: April 12, 2012
Version:
Service Offer and Service Referral Format Specification
2.18
Version Date: April 12, 2012
4. Appendix B - 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
Correlating Service attributes
Service
Type
Service Delivery Type Code
Specialty
Unit of
Delivery
Service Location
ENT
ENT
ENT
ENT
Children’s Treatment Network
Referrals
Visit dietician - Children's
Treatment Network
Visit OT - Children's Treatment
Network
Visit PT - Children's Treatment
Network
Hourly speech - CTN
Visit speech - Children's Treatment
Network
Visit social work - Children's
Treatment Network
Home Care Referrals
Ambulance trip - one way
Hourly attendant care
Visit attendant care
Visit Adult Day Program accessed
via CCAC
Hourly ENT home care
Hourly ENT Palliative Home Care
Visit ENT combined nursing &
therapy day clinic
Visit ENT combined nursing &
therapy day/night clinic
Visit ENT home care
Visit ENT nursing only clinic
Visit ENT Palliative Home Care
ENT
Visit ENT primary care practice
Visit
ENT
Visit ENT Residential Hospice
Hourly Children's Enhanced Respite
home care
Visit Psychogeriatric Resource
Coordination home care
Hourly Homemaking - Caregiver
Visit
Home
Home
Home
Combined Day
Clinic
Combined
Day/Night Clinic
Home
Nursing Day Clinic
Home
Primary Care
Practice
Residential
Hospice
Hour
Home
Visit
Hour
Home
Home
NUT
OT
PT
SP
SP
SW
AMB
AT
AT
DP
ENT
ENT
ENT
ER
GER
HOM
Date: May 19, 2010
Palliative
Visit
Home
Visit
Home
Visit
Hour
Home
Home
Visit
Home
Visit
Home
Visit
Hour
Visit
Home
Home
Home
Visit
Hour
Hour
Visit
Palliative
Homemaking –
38
Visit
Visit
Visit
visit
Version:
Service Offer and Service Referral Format Specification
Service
Type
HOM
HOM
HOM
HOM
HOM
HOM
HOM
HOM
LAB
MOW
Service Delivery Type Code
Respite home care
Hourly Homemaking - Combined
personal support & housekeeping
home care
Hourly Homemaking - Housekeeping
home care
Hourly Personal Support Home Care
Hourly Personal Support Residential
Hospice
Visit Homemaking - Combined
home care
Visit Homemaking - Housekeeping
home care
Visit Homemaking - Respite home
care
Specialty
Caregiver Respite
Combined Personal
Support and
Housekeeping
Homemaking Housekeeping
Homemaking Personal Support
Homemaking Personal Support
Combined Personal
Support and
Housekeeping
Homemaking Housekeeping
Homemaking Caregiver Respite
Homemaking Personal Support
Version Date: April 12, 2012
Unit of
Delivery
Home
Hour
Home
Hour
Hour
Home
Residential
Hospice
Visit
Home
Visit
Home
Visit
Home
Visit
Visit
Visit
Home
Home
Home
Hour
Visit
Hour
Home
Home
Home
Combined Day
Clinic
Combined
Day/Night Clinic
Home
Nursing Day Clinic
Home
Phone
Primary Care
Practice
Residential
Hospice
Combined Day
Clinic
Combined
Day/Night Clinic
Home
Home
NUR
NUR
NUR
NUR
NUR
NUR
Shift nursing primary care practice
Hour
NUR
Shift Nursing Residential Hospice
Visit nursing combined therapy &
nursing day clinic
Visit nursing combined therapy &
nursing day/night clinic
Visit nursing Continence home care
Visit nursing home care
Hour
NUR
NUR
NUR
NUR
NUR
Date: May 19, 2010
Hour
Palliative
Hour
Hour
Hour
Hour
Hour
Visit
Nursing - Continence
39
Service Location
Hour
Visit Personal Support home care
Visit Lab home care
Meals on Wheels CCAC
Hourly Nurse Practitioner home
care
Visit Nurse Practitioner home care
Hourly nursing home care
Shift nursing combined therapy &
nursing day clinic
Shift nursing combined therapy &
nursing day/night clinic
Shift nursing home care
Shift nursing nursing only day clinic
Shift Nursing Palliative Home Care
Shift nursing phone call
NP
NP
NUR
2.18
Visit
Visit
Visit
Version:
Service Offer and Service Referral Format Specification
Service
Type
NUR
NUR
NUR
NUR
NUR
NUR
NUT
NUT
NUT
NUT
NUT
NUT
NUT
OT
OT
OT
OT
OT
OT
OT
PAS
PHA
PHA
PHY
PHY
PM
PSM
PSM
PSY
PT
PT
Service Delivery Type Code
Visit
Visit
Visit
Visit
nursing IV home care
nursing nursing only day clinic
Nursing Palliative Home Care
nursing phone call
Visit nursing primary care practice
Visit nursing Wound Care home
care
Hourly dietician home care
Visit dietician phone call
Visit dietician combined nursing &
therapy day clinic
Visit dietician combined nursing &
therapy day/night clinic
Visit dietician home care
Specialty
Nursing - IV
Palliative
Version Date: April 12, 2012
Unit of
Delivery
Visit
Visit
Visit
Visit
Visit
Nursing - Wound Care
2.18
Visit
Hour
Visit
Visit
Visit
Visit
Service Location
Home
Nursing Day Clinic
Home
Phone
Primary Care
Practice
Home
Home
Phone
Combined Day
Clinic
Combined
Day/Night Clinic
Home
Residential
Hospice
Visit Dietician Residential Hospice
Visit dietician therapy only day
clinic
Visit OT phone call
Visit OT combined nursing &
therapy day clinic
Visit OT combined nursing &
therapy day/night clinic
Visit OT home care
Visit OT home care hourly
Visit
Visit OT Residential Hospice
Visit OT therapy only day clinic
Visit Pastoral Care home care
Hourly Pharmacy Consultation
home care
Visit Pharmacy Consultation home
care
Visit Physician home care
Visit Physician Palliative Home Care
Visit paramedical
Pain & Sympton Mgmt phone call
Visit Pain & Sympton Mgmt home
care
Visit Psychologist home care
Hourly PT home care
Visit PT combined nursing &
Visit
Visit
Visit
Therapy Day Clinic
Phone
Combined Day
Clinic
Combined
Day/Night Clinic
Home
Home
Residential
Hospice
Therapy Day Clinic
Home
Hour
Home
Visit
Visit
Visit
Visit
Visit
Home
Home
Home
Home
Phone
Visit
Visit
Hour
Visit
Home
Home
Home
Combined Day
Date: May 19, 2010
Visit
Visit
Visit
Visit
Visit
Hour
Palliative
40
Version:
Service Offer and Service Referral Format Specification
Service
Type
PT
PT
PT
PT
Service Delivery Type Code
therapy day clinic
Visit PT combined nursing, therapy
day/night clinic
Visit PT home care
Visit PT phone call
Visit PT Pulmonary Rehab Home
Care
Specialty
Version Date: April 12, 2012
Unit of
Delivery
Visit
Visit
Visit
PT - Pulmonary
Rehab
2.18
Clinic
Combined
Day/Night Clinic
Home
Phone
Visit
Visit
Hour
RT
RT
Visit PT Residential Hospice
Visit PT therapy only day clinic
Hourly RT home care
Visit RT combined nursing, therapy
day clinic
Visit RT combined nursing, therapy
day/night clinic
Visit RT home care
RT
RT
SH
SP
SP
Visit RT Residential Hospice
Visit RT therapy only day clinic
Supportive Housing
Hourly speech home care
Hourly speech therapy clinic
Visit
Visit
Visit
Hour
Hour
Home
Residential
Hospice
Therapy Day Clinic
Home
Combined Day
Clinic
Combined
Day/Night Clinic
Home
Residential
Hospice
Therapy Day Clinic
Home
Home
Therapy Day Clinic
SP
Visit Communicate Device Assistant
Home Care
Visit
Home
Visit
Home
Combined Day
Clinic
Combined
Day/Night Clinic
Home
Phone
Residential
Hospice
Therapy Day Clinic
Home
Combined Day
Clinic
Combined
Day/Night Clinic
Home
PT
PT
RT
RT
SP
SP
SP
SP
SP
SP
SP
SW
SW
SW
SW
Visit speech augmentative
communication home care
Visit speech combined nursing,
therapy day clinic
Visit speech combined nursing,
therapy day/night clinic
Visit speech home care
Visit speech phone call
Visit
Visit
Visit
Speech Communicative
Device Assistant
Speech Augmentative
Communication
Visit
Visit
Visit
Visit
Visit speech Residential Hospice
Visit speech therapy only day clinic
Hourly social work home care
Visit social work combined nursing,
therapy day clinic
Visit social work combined nursing,
therapy day/night clinic
Visit social work home care
Date: May 19, 2010
Visit
Service Location
Visit
Visit
Hour
Visit
Visit
Visit
41
Version:
Service Offer and Service Referral Format Specification
Service
Type
SW
SW
SW
TRANS
ENT
Service Delivery Type Code
Specialty
Visit social work phone call
Visit social work Residential
Hospice
Visit social work therapy clinic
Transportation home care
School Referrals
Version Date: April 12, 2012
Unit of
Delivery
Visit
Visit
Visit
Visit
HOM
Visit ENT private/home school
Hourly Personal Support
Private/Home School
NUR
Hourly nursing private/home school
Hour
NUR
Hourly nursing public school
Hour
NUR
Shift nursing private/home school
Hour
NUR
Shift nursing public school
Hour
NUR
Visit nursing private/home school
Visit
NUR
Visit
NUT
Visit nursing public school
Hourly dietician private/home
school
NUT
Hourly dietician public school
Hour
NUT
Visit dietician private/home school
Visit
NUT
Visit dietician public school
Visit
OT
Hourly OT private/home school
Hour
OT
Hourly OT public school
Hour
OT
Visit OT private/home school
Visit
OT
Visit OT public school
Visit
PT
Hourly PT private/home school
Hour
PT
PT
Hourly PT public school
Visit PT private/home school
Hour
Visit
Date: May 19, 2010
Visit
Homemaking Personal Support
Hour
Hour
42
2.18
Service Location
Phone
Residential
Hospice
Therapy Day Clinic
Home
Private/Home
School
Private/Home
School
Private/Home
School
Publicly Funded
School
Private/Home
School
Publicly Funded
School
Private/Home
School
Publicly Funded
School
Private/Home
School
Publicly Funded
School
Private/Home
School
Publicly Funded
School
Private/Home
School
Publicly Funded
School
Private/Home
School
Publicly Funded
School
Private/Home
School
Publicly Funded
School
Private/Home
Version:
Service Offer and Service Referral Format Specification
Service
Type
Service Delivery Type Code
Specialty
Version Date: April 12, 2012
Unit of
Delivery
PT
Visit PT public school
Visit
SP
Hourly speech private/home school
Hour
SP
Hourly speech public school
Hour
SP
Visit speech private/home school
Visit
SP
Visit speech public school
Visit
Date: May 19, 2010
43
2.18
Service Location
School
Publicly Funded
School
Private/Home
School
Publicly Funded
School
Private/Home
School
Publicly Funded
School
Version:
Service Offer and Service Referral Format Specification
5. Appendix C - ISO 639-2 Language Codes
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
Value
Date: May 19, 2010
44
2.18
Version Date: April 12, 2012
Version:
Service Offer and Service Referral Format Specification
Australian Languages
Code
ISO
639-2
AUS
Austronesian (Other)
MAP
Avaric
AVA
Avestan
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
Value
Date: May 19, 2010
45
2.18
Version Date: April 12, 2012
Version:
Service Offer and Service Referral Format Specification
Buginese
Code
ISO
639-2
BUG
Bulgarian
BUL
Buriat
BUA
Burmese
MYA
Caddo
CAD
Cantonese
QYU
Carib
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)
CRP
Value
Date: May 19, 2010
46
2.18
Version Date: April 12, 2012
Version:
Service Offer and Service Referral Format Specification
Code
ISO
639-2
CPE
Value
Creoles And Pidgins, EnglishBased (Other)
Creoles And Pidgins, FrenchBased (Other)
Creoles And Pidgins,
Portuguese-Based (Other)
Crimean Tatar
Date: May 19, 2010
CPF
CPP
CRH
Croatian
HRV
Cushitic (Other)
CUS
Czech
CES
Dakota
DAK
Danish
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
47
2.18
Version Date: April 12, 2012
Version:
Service Offer and Service Referral Format Specification
Ewondo
Code
ISO
639-2
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
Ga
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
Value
Date: May 19, 2010
48
2.18
Version Date: April 12, 2012
Version:
Service Offer and Service Referral Format Specification
Haitian Creole
Code
ISO
639-2
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
Ido
IDO
Igbo
IBO
Ijo
IJO
Iloko
ILO
Inari Sami
SMN
Indic (Other)
INC
Indo-European (Other)
INE
Indonesian
IND
Ingush
INH
Interlingua (International
Auxiliary Lang. Assoc.)
Interlingue
INA
Inuktitut
IKU
Inupiaq
IPK
Iranian (Other)
IRA
Irish
GLE
Iroquoian Languages
IRO
Italian
ITA
Japanese
JPN
Value
Date: May 19, 2010
ILE
49
2.18
Version Date: April 12, 2012
Version:
Service Offer and Service Referral Format Specification
Javanese
Code
ISO
639-2
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
Kazakh
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
Value
Date: May 19, 2010
50
2.18
Version Date: April 12, 2012
Version:
Service Offer and Service Referral Format Specification
Kru
Code
ISO
639-2
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
Luba-Lulua
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
Value
Date: May 19, 2010
51
2.18
Version Date: April 12, 2012
Version:
Service Offer and Service Referral Format Specification
Malagasy
Code
ISO
639-2
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
Moksha
MDF
Moldavian
MOL
Mongo
LOL
Mongolian
MON
Mon-Khmer (Other)
MKH
Mossi
MOS
Multiple Languages
MUL
Munda Languages
MUN
Nahuatl
NAH
Value
Date: May 19, 2010
52
2.18
Version Date: April 12, 2012
Version:
Service Offer and Service Referral Format Specification
Nauru
Code
ISO
639-2
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
Ojibwa
OJI
Old Church Slavonic
CHU
Oriya
ORI
Oromo
ORM
Osage
OSA
Ossetic
OSS
Value
Date: May 19, 2010
53
2.18
Version Date: April 12, 2012
Version:
Service Offer and Service Referral Format Specification
Otomian Languages
Code
ISO
639-2
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
Samoan
SMO
Sandawe
SAD
Sango
SAG
Value
Date: May 19, 2010
54
2.18
Version Date: April 12, 2012
Version:
Service Offer and Service Referral Format Specification
Sanskrit
Code
ISO
639-2
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
Value
Date: May 19, 2010
55
2.18
Version Date: April 12, 2012
Version:
Service Offer and Service Referral Format Specification
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
Value
Date: May 19, 2010
56
2.18
Version Date: April 12, 2012
Version:
Service Offer and Service Referral Format Specification
Tonga (Tonga Islands)
Code
ISO
639-2
TON
Tsimshian
TSI
Tsonga
TSO
Tswana
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
Value
Date: May 19, 2010
57
2.18
Version Date: April 12, 2012
Version:
Service Offer and Service Referral Format Specification
Xhosa
Code
ISO
639-2
XHO
Yakut
SAH
Yao
YAO
Yapese
YAP
Yiddish
YID
Yoruba
YOR
Yupik Languages
YPK
Zande
ZND
Zapotec
ZAP
Zazaki
ZZA
Zenaga
ZEN
Zhuang
ZHA
Zulu
ZUL
Zuni
ZUN
Value
Date: May 19, 2010
58
2.18
Version Date: April 12, 2012
Version:
Service Offer and Service Referral Format Specification
Date: May 19, 2010
59
2.18
Version Date: April 12, 2012