| A | B |
|---|
| Healthcare Practice Environment | A setting or facility where healthcare services are provided to patients. |
| Primary Care | The initial and main source of assistance for patient health concerns. |
| Primary Care Physician (PCP) / General Practitioner (GP) | Any physician who provides first-contact care, routine health services, screening, chronic disease management, and referrals. |
| Family Physician (FP) | A PCP who provides primary care for individuals and families. |
| Minor Ailment | A common or less serious health concern often managed in primary care. |
| Screening Examination | An examination used to detect possible health concerns before symptoms become serious. |
| Chronic Disease Management | Ongoing care and monitoring for long-term health conditions. |
| Vaccination | Administration of a vaccine to help prevent disease. |
| Midwife | A primary care provider who supports pregnancy, childbirth, and related care. |
| Nurse Practitioner (NP) | An advanced practice nurse who can assess, diagnose, treat, and manage patient care. |
| Pharmacist | A healthcare professional who dispenses medications and supports medication management. |
| Dentist | A healthcare professional who provides oral healthcare. |
| Therapist | A healthcare provider who delivers specialized treatment or rehabilitation services. |
| Routine Medical Checkup | A regular visit used to assess general health and identify possible concerns. |
| Prescription Renewal | The process of continuing or updating an existing medication order. |
| Initial Investigation | Early assessment or testing used to explore a patient health complaint. |
| Secondary Care | Medical care provided by specialists or healthcare providers other than the primary caregiver. |
| Specialist | A healthcare provider with advanced training in a specific area of care. |
| Referral | A request from one healthcare provider for a patient to see another provider or specialist. |
| Hospital-Based Clinic | A clinic located within or connected to a hospital. |
| Tertiary Care | Advanced and specialized care usually provided in a hospital after referral. |
| Tertiary Care Centre | A large hospital or health sciences centre that provides advanced specialized services. |
| Academic Health Sciences Centre | A large healthcare centre that combines patient care, education, and research. |
| Intensive Care | Highly specialized care for patients with serious or life-threatening conditions. |
| Quaternary Care | Highly complex and specialized care that extends beyond tertiary care. |
| High-Level (Quaternary) Medical Centre | A specialized healthcare centre that provides highly complex services. |
| Trauma Centre | A specialized centre that provides care for serious injuries. |
| Continuum of Care | The coorination and collaboration among various healthcare professionals and services involved in patient care. |
| Circle of Care | The network of healthcare providers, caregivers, and support staff involved in a patient’s care; can share patient information with implied consent. |
| Health Information Exchange (HIE) | The secure sharing of health information across healthcare organizations and providers. |
| Health Information System Integration | Connecting information systems so health information can move securely between providers and settings. |
| Secure Movement of Health Information | The protected transfer of patient information through the circle of care. |
| Data Management | Processes focused on the proper generation, storage, retrieval, and use of data. |
| Data Quality Management | Activities that support complete, accurate, consistent, and timely healthcare data. |
| Data Quality | The extent to which healthcare data is complete, accurate, consistent, and timely. |
| Health Information Quality Management | Processes used to maintain high-quality health information for care, reporting, and decision-making. |
| Health Information Collection | The process of gathering health data from patients, providers, systems, or organizations. |
| Health Information Reporting | The submission or communication of health data according to required standards or guidelines. |
| Legislation | Laws that govern how health information is collected, used, disclosed, stored, or reported. |
| Regulations | Rules made under legislation that guide health information practices. |
| Ministry of Health | A government body that may guide health information collection and reporting. |
| Community Services Ministry | A government body that may guide data collection and reporting for community services. |
| Canadian Institute for Health Information (CIHI) | A Canadian organization that supports health data collection, reporting, and analysis. |
| Patient Safety Organization | An organization that promotes safer healthcare practices and quality improvement. |
| Reporting Requirement | A rule or guideline that identifies what data must be submitted and how it must be reported. |
| Ontario Mental Health Reporting System (OMHRS) | A reporting system requiring data submission from hospitals providing mental health services. |
| Mood Disturbance, Anxiety, Psychosis, Substance Abuse | Mental health indicators that may be reported in mental health data. |
| Administrative Information | Non-clinical information collected for identification, registration, management, or reporting purposes. |
| Clinical Information | Health information related to patient assessment, diagnosis, treatment, and care. |
| Documentation Requirement | A rule or expectation for what must be recorded in the health record. |
| Inpatient Care | Care provided to a patient admitted to a healthcare facility. |
| Outpatient Care | Care provided to a patient who is not admitted to a healthcare facility. |
| Rehabilitation | Care focused on recovery, function, and independence after illness or injury. |
| Long-Term Care | Ongoing care provided to individuals who need assistance over an extended period. |
| Regulatory Body | An organization that governs a professional group and sets accountability expectations. |
| College of Physicians and Surgeons of Ontario (CPSO) | A regulatory body that provides guidance for physician accountability and recordkeeping. |
| College of Nurses of Ontario (CNO) | A regulatory body that provides guidance for nursing accountability and recordkeeping. |
| Recordkeeping Accountability | The responsibility to document and manage records according to professional and legal expectations. |
| Minimum Documentation Expectations | The basic documentation requirements that must be met in a healthcare setting. |
| By-Laws | Organizational rules that help guide operations and documentation practices. |
| Policies and Procedures | Organizational instructions that guide how documentation and records management are performed. |
| Committee Recommendations | Guidance or rules developed by organizational committees to support documentation practices. |
| Standardized Documentation | Documentation that follows consistent requirements and formats. |
| Effective Communication | Clear exchange of information that supports safe and coordinated patient care. |
| Continuity of Care | Coordinated ongoing care supported by accurate and accessible health information. |
| Canadian Standards Association Model Code (CSA Model Code) | A privacy framework that describes the 10 Fair Information Principles. |
| Fair Information Principles | Ten principles that guide the ethical collection, use, disclosure, and protection of personal information. |
| Accountability | The CSA Model principle that an organization is responsible for personal information under its control. |
| Identifying Purposes | The CSA Model principle that organizations must identify why personal information is being collected. |
| Consent | The CSA Model principle that individuals should consent to the collection, use, and disclosure of personal information. |
| Limiting Collection | The CSA Model principle that only necessary personal information should be collected. |
| Limiting Use, Disclosure, and Retention | The CSA Model principle that personal information should only be used, disclosed, and kept as needed for identified purposes. |
| Accuracy | The CSA Model principle that personal information should be as accurate, complete, and up-to-date as necessary. |
| Safeguards | The CSA Model principle that personal information must be protected with appropriate security measures. |
| Openness | The CSA Model principle that organizations should make their privacy practices available and understandable. |
| Individual Access | The CSA Model principle that individuals should be able to access their own personal information. |
| Challenging Compliance | The CSA Model principle that individuals should be able to question an organization’s compliance with privacy principles. |
| Privacy | The protection of personal information and an individual's rights related to its collection, use, and disclosure. |
| Accountability in Privacy | The responsibility to manage personal information according to privacy principles and legal requirements. |
| Ethical Handling of Personal Information | Responsible and respectful management of personal information according to privacy and accountability principles. |
| Transparency | Being clear and open about how personal information is collected, used, disclosed, and protected. |
| Individual Rights | Rights individuals have over their personal information, including access and privacy protections. |
| Responsible Data Management | Managing data in a way that supports privacy, accountability, security, and ethical use. |
