Business Context > Business Data

Business Data

The following tables summarize the provider person and organization/location information currently collected within the PHSD. The amount of provider information returned in a response from a PHSD query depends on the query operation used. Refer to the Practitioner, Healthcaser Service & Location Queries sections for further guidance.

Note that:

• Multiple instances of any given provider identifier may exist in a query response

• Some elements may not be populated in a given query response, based on the data density for the provider

Figure below illustrates the PHSD Data Sources:

Conceptual Data Model

This model is linked to Ontario’s Electronic Health Record (EHR) Conceptual Information Model 2.0 (CIM 2.0). See: https://ehealthontario.on.ca/files/public/support/Architecture/Ontario_EHR_CIM_2.0.pdf

To support the use of structured data through the adoption of data content and health terminology standards in the solution, this CDM also includes high-level entity relationships and attributes discovered in versions of FHIR interoperability standard for patient summary specifications. The model does not repeat the structure of the messages laid out in FHIR. Links to FHIR specs are included for entity definitions and field code values. In any difference of meaning between cited FHIR elements and this model, FHIR is the authoritative voice. This model relies on the following specifications:

• FHIR R4 - The current official version of FHIR as of the time this implementation guide was published.
• International Patient Summary FHIR Implementation Guide - This specification is a key input into the design of the Ontario Patient Summary Implementation Guide.
• Patient Summary - Canadian Edition Release 1 (PS-CA) - The Ontario Patient Summary is intended to be closely aligned to this Pan-Canadian Patient Summary initiative.

Conceptual Data Model ERDs and Metadata

Entity Relationship Diagrams (ERDs) follow. These include:

1. a conceptual high-level ERD for solution data structures for the Release 1 solution, including metadata for each entity,
2. an ERD for the Client & Provider subject area (including metadata for each entity) which is not called out as a FHIR Profile but is included because all other entities in the model are dependent on it,
3. six subject area ERDs, one for each of the six Release 1 Patient Summary profile subject areas; each Subject Area corresponds to a Profile defined for the FHIR International Patient Summary (see http://hl7.org/fhir/uv/ips/ipsStructure.html ), and metadata is included for each attribute, and
4. one non-clinical subject area ERD with metadata for each attribute, for Patient Summary document composition.

Provincial Health Services Directory Conceptual Data Model

Table-Entity Descriptions

Entity Name	Description	FHIR Resource Name
Health Care Provider	Describes a health care provider involved in the delivery of healthcare services. Has professions, areas of practice for which the provider is qualified. May have information on clinician credentialing and privileging as defined by the applicable professional and governing organizations. This includes remote participation (e.g., via tele-health activities such as tele-consultation, home health monitoring.) Includes any information about licensing status and license suspension. May be an author, authenticator or scribe/transcriber of clinical documentation. Has a Unique Provider Identifier, a key assigned by eHealth to uniquely identify each Provider. May have a health system universal ID. May have a license number or national provider identifier (U.S.). May have multiple unique identifiers.	N/A
Health Care Provider Role	A part played by a health care provider (regulated or unregulated) that provides a type of care to a particular health care client. Examples: Acupuncturist Advanced Care Paramedic Audiologist Certified Graduate Nurse Chiropractic Clinical Counsellor Combined Lab and X-Ray Technologist Communicable Disease Case Investigator Counsellor Critical Care Paramedic Dental Assistant Dental Technician Dentist Denturist Emergency Medical Responder Homeopath Home Support Worker Kinesiologist Lab Technician Licensed Practical Nurse Marriage and Family Therapist Medical Doctor Medical Laboratory Technologist Medical Officer of Health Midwife Nuclear Medicine Technologist Occupational Therapist Optician Optometrist Paramedic Practitioner Pharmacist Pharmacy Technician Physiotherapist Personal Support Worker Podiatrist Primary Care Paramedic Psychiatrist Psychologist Psychotherapist Radiation Technologist in Magnetic Resonance Radiation Technologist in Radiation Radiation Technologist in Therapy Recreation Therapist Registered Acupuncturist Registered Clinical Social Worker Registered Dietitian Registered Massage Therapist Registered Midwife Registered Nurse Registered Nurse Practitioner Registered Psychiatric Nurse Respiratory Therapist Social Services Worker Social Worker Speech Language Pathologist Speech Therapist Veterinarian	PractitionerRole
Provider Organization	An organization that provides health care or other health-related services or products. Includes e.g. insurers and transcription services. May have information on service classification e.g. Regional Cancer Centre. Note: For Single Sign on application, a Provider Organization may be a Sponsoring Organization, a Health Care organization that has users that require access to at least one Federated Service	Organization
Provider Person	Describes a health care provider involved in the delivery of healthcare services. Encompasses both professional and non-professional members. Has professions, areas of practice for which the provider is qualified. May have information on clinician credentialing and privileging as defined by the applicable professional and governing organizations. This includes remote participation (e.g., via tele-health activities such as tele-consultation, home health monitoring.) Includes any information about licensing status and license suspension. May be an author, authenticator or scribe/transcriber of clinical documentation. Has a Unique Provider Identifier, a key assigned by eHealth to uniquely identify each Provider. May have a health system universal ID. May have a license number or national provider identifier (U.S.). May have multiple unique identifiers.	Practitioner
Healthcare Service	Action performed with the intention of directly or indirectly improving the health of the person or populations for whom it is provided. Each service may include a range of actions and interactions over time. Classification of types of health care service: Primary care: treatment of chronic illness Family planning • vaccination Secondary care specialist care such as psychiatric and therapeutic care acute care hospital emergency care obstetrics intensive care medical imaging	HealthcareService

Provider Subject Area

• Provider Person: http://ontariohealth.ca/fhir/StructureDefinition/ca-on-phsd-practitioner-response-profile-Practitioner
• Provider Organization: http://ontariohealth.ca/fhir/StructureDefinition/ca-on-phsd-organization-response-profile-Organization
• Healthcare Provider Role: http://ontariohealth.ca/fhir/StructureDefinition/ca-on-phsd-practitioner-response-profile-PractitionerRole
• Location: http://ontariohealth.ca/fhir/StructureDefinition/ca-on-phsd-location-response-profile-Location
• Endpoint: http://ontariohealth.ca/fhir/StructureDefinition/ca-on-phsd-profile-Endpoint-submission

Healthcare Product & Service Subject Area

• Healthcare Service: http://ontariohealth.ca/fhir/StructureDefinition/ca-on-phsd-profile-HealthcareService