pic pic pic Health Human Resources Minimum Data Set Guide—Text File Format Standards and Data Submission Our Vision Better data. Better decisions. Healthier Canadians. Our Mandate To lead the development and maintenance of comprehensive and integrated health information that enables sound policy and effective health system management that improve health and health care. Our Values Respect, Integrity, Collaboration, Excellence, Innovation Table of Contents Preface..........................................................................................................................................iii Foreword ....................................................................................................................................... v This Guide ............................................................................................................................... v Section 1: Introduction .................................................................................................................. 1 1.1 Background .................................................................................................................... 1 1.2 Purpose of the Guide ..................................................................................................... 3 1.3 CIHI’s Data Quality Framework ...................................................................................... 3 Accuracy ........................................................................................................................ 3 Comparability ................................................................................................................. 3 Relevance ...................................................................................................................... 4 Timeliness ...................................................................................................................... 4 Usability .......................................................................................................................... 4 Section 2: Health Human Resources Minimum Data Set ............................................................. 5 2.1 Purpose of the Health Human Resources Minimum Data Set ....................................... 5 2.2 Health Human Resources Minimum Data Set................................................................ 5 2.3 Health Human Resources Minimum Data Set—Core Subset of Data Elements ......... 10 Section 3: Health Human Resources Data Dictionary ................................................................ 11 3.1 Purpose of the Health Human Resources Data Dictionary .......................................... 11 3.2 Health Human Resources Data Dictionary................................................................... 11 Section 4: Health Human Resources Data Technical and Submission Specifications ............... 28 4.1 Purpose of the Health Human Resources Data Technical and Submission Specifications Section .................................................................................................. 28 4.2 Data Technical Specifications ...................................................................................... 28 File Characteristics ....................................................................................................... 28 Record Layout .............................................................................................................. 28 Data Technical Specifications ...................................................................................... 29 4.3 Data Submission Specifications ................................................................................... 41 Guidelines for Data Submission ................................................................................... 42 Data Acceptance Rules or Edit Checks ....................................................................... 43 File Layout and File Submission .................................................................................. 43 Example File Name ...................................................................................................... 45 Record Layout .............................................................................................................. 45 Sample Control Record ................................................................................................ 46 Record Layout .............................................................................................................. 47 4.4 Other Potential Data Sources....................................................................................... 47 Health Human Resources Minimum Data Set Guide—Text File Format Section 5: Appendices ................................................................................................................ 48 Appendix A—Canadian Province/Territory Codes ................................................................ 48 Appendix B—Country Codes ................................................................................................ 49 Appendix C—Post-Secondary Canadian Education Institution Codes ................................. 56 Appendix D—Education Field of Study Codes...................................................................... 63 Appendix E—Employment Organization Type Codes .......................................................... 65 Appendix F—Submitting Organization Identifier Codes ........................................................ 66 Appendix G—Other Potential Data Sources ......................................................................... 67 Appendix H—CIHI Core Subset of Data Elements ............................................................... 68 References.................................................................................................................................. 71 ii Version 2.0 | July 2012 Health Human Resources Minimum Data Set Guide—Text File Format Preface The Canadian Institute for Health Information (CIHI) is an independent, pan-Canadian, not-forprofit organization working to improve the health of Canadians and the health care system by providing quality health information. CIHI’s mandate, as established by Canada’s health ministers, is to coordinate the development and maintenance of a common approach to health information for Canada. To meet this mandate, CIHI’s core functions include the coordination and promotion of national health information standards and health indicators, the development and management of health databases and registries, the funding and facilitation of population health research and analysis, the coordination and development of education sessions and conferences, and the production and dissemination of health information research and analysis. The Health Human Resources Minimum Data Set Guide—Text File Format is one example of a common approach in the development of national health information standards. Any questions regarding this guide or establishing a database should be directed to Program Specialist, Health Human Resources Canadian Institute for Health Information 495 Richmond Road, Suite 600 Ottawa, Ontario K2A 4H6 Phone: 613-241-7860 Email: [email protected] Version 2.0 | July 2012 iii Health Human Resources Minimum Data Set Guide—Text File Format Foreword Health care provider groups should review this document carefully prior to undertaking any work related to database system development. This Guide The Health Human Resources Minimum Data Set Guide—Text File Format includes some background information, the Health Human Resources Minimum Data Set, the Health Human Resources Data Dictionary and the Health Human Resources Data Technical and Submission Specifications and Appendices. Version 2.0 | July 2012 v Health Human Resources Minimum Data Set Guide—Text File Format Section 1: Introduction The Health Human Resources Minimum Data Set Guide—Text File Format, referred to as “the guide” throughout this document, was developed to assist organizations in developing HHR databases that are consistent with national standards and that provide opportunities to make comparisons between jurisdictions and professions. The guide is not intended to provide the steps to build a database; rather, it introduces the standards to be used for collecting, processing and reporting health human resources data. The Health Human Resources Minimum Data Set Guide—Text File Format is divided into five sections: Section 1 includes pertinent background information and the purpose of the guide, and introduces CIHI’s Data Quality Framework. Section 2 explains the purpose of the Health Human Resources Minimum Data Set (HHR MDS) and summarizes the minimum data set—the list of data elements—and corresponding permissible values and introduces a core subset of data elements. Section 3 comprises the Health Human Resources Data Dictionary (HHR DD), which defines each data element and corresponding values and includes a statement indicating the rationale for inclusion of the data element in the minimum data set. Section 4 sets out the Health Human Resources Data Technical and Submission Specifications (HHR DTSS), which relate to collecting and processing a record on each individual registrant. It includes the purpose of the data technical specifications and the record layout for each data element, including the representation class, the permissible values and/or format. It also includes information on data submission specifications for both the receiving and submitting organizations. The last section provides information on other potential sources of data as an alternative to establishing a national or centralized database. Section 5 includes the appendices. 1.1 Background The collection and reporting of health human resources (HHR) data helps governments to, among other things, plan for the numbers of needed health care providers and understand their distribution to inform their recruitment and retention strategies. Various other stakeholder groups also benefit from access to data, including the federal government, health care provider organizations, health care service delivery organizations and the Canadian public. Version 2.0 | July 2012 1 Health Human Resources Minimum Data Set Guide—Text File Format Stakeholders have investigated and articulated the issues surrounding data collection and reporting. For example, under the direction of the Conference of Deputy Ministers of Health, the Advisory Committee on Health Delivery and Human Resources developed A Framework for Collaborative Pan-Canadian Health Human Resource Planning1 to facilitate pan-Canadian HHR planning. This framework outlined some of the issues relating to HHR data: HHR planning has tended to focus on a few health care occupations, rather than on the full health care workforce; Planning has been conducted with limited data; All jurisdictions have been investing resources in developing HHR data, which without collaboration could lead to duplication and lack of data comparability; and There is a lack of high-quality, timely and comparable data on all major health care occupations. The framework also outlined some of the issues relating to HHR data standards: A lack of national data standards, including common definitions and approaches to collecting data; and Inconsistent data on HHR productivity, workload and utilization. The framework’s Action Plan stated the need to develop “a minimum data set . . . to guide HHR data collection and standards for collecting comparable data on new professional groups.”2 Some work has already been done to address this objective. In 2004, CIHI consulted major stakeholders to identify and validate HHR priority information needs and related indicators and to ascertain which data elements should be collected in a standardized fashion across Canada. From this, CIHI identified the general data needed to support the information-based functions of HHR (monitoring, evaluation, planning and policy research) and published it in the Guidance Document for the Development of Data Sets to Support Health Human Resources Management in Canada,3 which was released in February 2005. From 2004 to 2008, CIHI developed five HHR databases on pharmacists, occupational therapists, physiotherapists, medical radiation technologists and medical laboratory technologists. These new databases complement existing HHR databases on physicians, registered nurses (including nurse practitioners), licensed practical nurses and registered psychiatric nurses. In addition, CIHI also maintains a database of aggregate data on 18 other health care professions, which includes information related to workforce supply, training/graduates, gender and age. CIHI also maintains and supports other databases, such as health spending databases—for example, the National Health Expenditure Database (NHEX) and the Canadian MIS Database (CMDB)—and health services databases—for example, the Discharge Abstract Database (DAD) and the National Ambulatory Care Reporting System (NACRS). In total, CIHI maintains and supports 30 databases, giving CIHI extensive experience in the development and maintenance of databases and standards including health, financial and statistical standards. 2 Version 2.0 | July 2012 Health Human Resources Minimum Data Set Guide—Text File Format 1.2 Purpose of the Guide Some health care provider groups who do not currently provide data to CIHI have expressed interest in developing databases themselves that are comparable nationally and are consistent with CIHI standards. As such, CIHI developed the guide to assist these organizations so that they are able to populate and build a database by incorporating health human resources standards that are consistent with CIHI standards. The guide was created using a common approach in the development of health information standards related to health human resources. It contains the HHR MDS needed for relevant analysis of HHR supply only. It does not contain data elements related to HHR requirements (needs data). The HHR MDS complements the table “Priority Information Needs, Indicators and the Data Elements Required to Support Compilation of Health Human Resources Information in Canada,” which can be found in the Guidance Document for the Development of Data Sets to Support Health Human Resources Management in Canada;3 as well, it is consistent, to the extent possible, with the minimum data sets, data dictionaries, and data technical and submission specifications of current CIHI data holdings. These standards could be used to assist those organizations that would like to collect health care provider data to collect data themselves and to align current data holdings with comparable national standards. 1.3 CIHI’s Data Quality Framework CIHI has a framework for data quality in which data are evaluated for accuracy, comparability, relevance, timeliness and usability. The HHR MDS found in Section 2 of this document has been designed with a view to collecting data that meets these five criteria. Accuracy HHR data sets are expected to have a high degree of accuracy. Accuracy can be maintained by limiting the scope of data collected to information that is normally reported as a condition of licensure or data that is well understood and that does not place a high response burden on those who report. Variables that require estimation (for example, average hours of work) will normally have a higher margin of error than variables based on objective standards (such as exact recorded hours). Consequently, objective and readily available information is preferred in HHR databases. Comparability Data that is comparable and relevant across provinces/territories and within the majority of workforce participants is preferred to data that applies to only a relatively small number of the workforce. When considering the appropriateness of data elements such as second or third employment (Employment category), or education beyond the level required as a condition of practice (Education category), it is advisable to consider the proportion of the workforce to which Version 2.0 | July 2012 3 Health Human Resources Minimum Data Set Guide—Text File Format the data elements will apply. If only a small proportion of registered health care providers have secondary employment or supplementary education, for example, the comparability of that data will be limited and the value of collecting the data should be carefully considered. Relevance The data elements and their definitions, including the associated permissible values listed in the HHR Data Dictionary in Section 3 of this document, have been included with a view to capturing key characteristics of the HHR workforce. They are meant to apply to a number of different health care occupations and the range of data elements collected may not be the same for each occupation. Data elements within the category of Identifiers and Demographics Information should normally be available for all persons registered in the database. In the Education category, post-basic education will be relevant in some occupations but not in others. In its record-level data sets, CIHI normally limits analysis of employment characteristics to just primary employment, without examining secondary or other employments. Analysis of data in the Education category is normally limited to education required for licensure or entry to practice. The highest level of post-basic education is important in occupations where educational standards are evolving but may have limited analytical value in occupations where there is a fixed level of education required for licensure and where advanced education may be characteristic of those who are employed in administrative or teaching positions. Timeliness HHR supply databases maintained by CIHI are normally updated annually with data supplied by health care provider associations/societies or licensing bodies. Most data from these organizations is based on their internal reporting requirements for renewal of licenses or memberships and usually is obtained from questionnaires sent to members of the occupation on fixed dates. Experience has shown that several months are required for quality checking and validation of data, including follow-ups with individual respondents when necessary. Therefore, it could take an organization close to a year to release data after it has been collected. Usability Usability of HHR databases is a function of data content and the information requirements of stakeholders. Planning and monitoring of the HHR workforce are the main purposes of HHR databases. The information framework and variables suggested in this document, combined with accurate reporting, should provide databases that are usable for planning purposes. Additional information requirements for individual occupations can be incorporated in databases if data of acceptable quality is available. 4 Version 2.0 | July 2012 Health Human Resources Minimum Data Set Guide—Text File Format Section 2: Health Human Resources Minimum Data Set 2.1 Purpose of the Health Human Resources Minimum Data Set The Health Human Resources Minimum Data Set (HHR MDS) contains data elements considered relevant for analyses of HHR supply. At this point, it does not include data elements associated with the demand or requirements for HHR. CIHI developed the HHR MDS within the framework of priority information needs identified in the Guidance Document for the Development of Data Sets to Support Health Human Resources Management in Canada. The HHR MDS aims to provide standards based on ISO 11179 compliance recommendations that will assist health care provider organizations in yielding standardized comparative data and reports on demographic, geographic, education, employment and migration information for health care providers in Canada. 2.2 Health Human Resources Minimum Data Set Presented in Table 1 below are 84 data elements that make up the HHR MDS. These data elements are grouped into six categories: Identifiers and Demographic Information; Geography and Related; Education; Employment, Both Historical and Current (General and Specific); Migration; and Other. It should be noted that the list of data elements presented in the HHR MDS below is not all inclusive; it identifies only those data elements that may be compared at a national level. Additionally, some of the data elements presented below may not be applicable to each health care provider group. For data elements that are not included in the HHR MDS and which organizations wish to include in their own minimum data sets, regarding naming convention guidelines, data formats, data types, permissible values, missing values and default values for invalid values, please direct your inquiries to [email protected]. Version 2.0 | July 2012 5 Health Human Resources Minimum Data Set Guide—Text File Format Table 1: Health Human Resources Minimum Data Set Data Element Permissible Value(s) Identifiers and Demographic Information Provider Registration Identifier Number (National or Provincial/Territorial Registration Number or Suitable Alternative) Provider Gender Code Female Male Undifferentiated Not Applicable Unknown Provider Birth Year Date (Four-Digit Year) Not Applicable Unknown Provider Birth Province Code (Canadian Province/Territory Codes) Not Applicable Unknown Provider Birth Country Code (Country Codes) Not Applicable Unknown Geography and Related Provider History Residence Province Code (Canadian Province/Territory Codes) Not Applicable Unknown Provider History Residence Country Code (Country Codes) Not Applicable Unknown Provider Registration Province Code (Canadian Province/Territory Codes) Provider Concurrent Registration Province Code (Canadian Province/Territory Codes) Not Applicable Unknown 6 Provider Previous Registration Province Code (Canadian Province/Territory Codes) Not Applicable Unknown Provider Previous Registration Country Code (Country Codes) Not Applicable Unknown Provider Initial Registration Province Code (Canadian Province/Territory Codes) Not Applicable Unknown Provider Initial Registration Year Date (Four-Digit Year) Not Collected Unknown Version 2.0 | July 2012 Health Human Resources Minimum Data Set Guide—Text File Format Table 1: Health Human Resources Minimum Data Set (cont’d) Data Element Permissible Value(s) Education Provider Basic Education Level Code Equivalency Certificate Diploma Baccalaureate Master’s Doctorate Not Applicable Unknown Provider Basic Education Graduation Year Date (Four-Digit Year) Not Applicable Unknown Provider Basic Education Graduation Institution Code (Canadian Institution Education Codes) Other Canadian Institution Non-Canadian Institution Not Applicable Unknown Provider Basic Education Graduation Province Code (Canadian Province/Territory Codes) Non-Canadian Location Not Applicable Unknown Provider Basic Education Graduation Country Code (Country Codes) Not Applicable Unknown Provider Post-Basic Education Level Code 1, 2, 3 Diploma Post-Secondary Certificate Baccalaureate Master’s Doctorate Not Applicable Unknown Provider Post-Basic Education Graduation Year Date 1, 2, 3 (Four-Digit Year) Not Applicable Unknown Provider Post-Basic Education Graduation Institution Code 1, 2, 3 (Canadian Education Institution Codes) Other Canadian Institution Non-Canadian Institution Not Applicable Unknown Provider Post-Basic Education Graduation Province Code 1, 2, 3 (Canadian Province/Territory Codes) Non-Canadian Location Not Applicable Unknown Version 2.0 | July 2012 7 Health Human Resources Minimum Data Set Guide—Text File Format Table 1: Health Human Resources Minimum Data Set (cont’d) Data Element Permissible Value(s) Provider Post-Basic Education Graduation Country Code 1, 2, 3 (Country Codes) Not Applicable Unknown Provider Education Outside Domain Education Level Code 1, 2, 3 Diploma Post-Secondary Certificate Baccalaureate Master’s Doctorate Not Applicable Unknown Provider Education Outside Domain Education Field Code 1, 2, 3 (Education Field of Study Codes) Not Applicable Unknown Provider Education Outside Domain Graduation Year Date 1, 2, 3 (Four-Digit Year) Not Applicable Unknown Provider Education Outside Domain Graduation Province Code 1, 2, 3 (Canadian Province/Territory Codes) Non-Canadian Location Not Applicable Unknown Provider Education Outside Domain Graduation Country Code 1, 2, 3 (Country Codes) Not Applicable Unknown Employment—Historical Provider Employment Initial Province Code (Canadian Province/Territory Codes) Not Applicable Unknown Provider Employment Initial Year Date (Four-Digit Year) Not Applicable Unknown Employment—Current General Provider Employment Status Code 8 Employed in Current Provider Role Type Employed in Current Provider Role Type on Leave Employed Outside of Current Provider Role Type Retired Unemployed Not Applicable Unknown Version 2.0 | July 2012 Health Human Resources Minimum Data Set Guide—Text File Format Table 1: Health Human Resources Minimum Data Set (cont’d) Data Element Permissible Value(s) Provider Other Occupation Activity Status Code Seeking Employment Only in Current Provider Role Type Seeking Employment Only in Occupations Outside the Current Provider Role Type Seeking Employment in Any Occupation Not Seeking Employment Not Applicable Unknown Provider Employment Annual Earned Hours (Four-Digit Hours) Not Applicable Unknown Provider Employment Sector Code Public Private Mix Not Applicable Unknown Employment—Current Specific Provider Employment Category Code (for First, Second and Third Employment) Permanent Employee Temporary Employee Casual Employee Self-Employed Other—Not Elsewhere Classified Not Applicable Unknown Provider Employment Full-Time/Part-Time Status Part-Time (for First, Second and Third Employment) Full-Time Not Applicable Unknown Provider Employment Province Code (for First, Second and Third Employment) (Canadian Province/Territory Codes) Non-Canadian Location Not Applicable Unknown Provider Employment Country Code (for First, Second and Third Employment) (Country Codes) Not Applicable Unknown Provider Employment Postal Code (for First, Second and Third Employment) (Six-Digit Postal Code Assigned by Canada Post) Not Applicable Unknown Provider Employment Organization Type Code (for First, Second and Third Employment) (Employment Organization Type Codes) Not Applicable Unknown Version 2.0 | July 2012 9 Health Human Resources Minimum Data Set Guide—Text File Format Table 1: Health Human Resources Minimum Data Set (cont’d) Data Element Permissible Value(s) Provider Employment Multiple Site Indicator (for First, Second and Third Employment) Yes No Not Applicable Unknown Provider Employment Position Code (for First, Second and Third Employment) Manager Supervisor Staff Consultant Educator Researcher Sales Other Not Applicable Unknown Migration Provider History Employment Country Code (Country Codes) Not Applicable Unknown Provider History Employment Postal Code (Six-Digit Postal Code Assigned by Canada Post) Not Applicable Unknown Provider History Previous Employment Province Code (Canadian Province/Territory Codes) Non-Canadian Location Not Applicable Unknown Provider History Previous Employment Country Code (Country Codes) Not Applicable Unknown Provider History Previous Employment Postal Code (Six-Digit Postal Code Assigned by Canada Post) Not Applicable Unknown Other Organization Registration Number Type Code Active, Full Active, Other Inactive 2.3 Health Human Resources Minimum Data Set—Core Subset of Data Elements Of the HHR MDS data elements listed in Table 1 above, CIHI has identified a core subset of data elements that are collected across its HHR databases. Please refer to Appendix H for the list. 10 Version 2.0 | July 2012 Health Human Resources Minimum Data Set Guide—Text File Format Section 3: Health Human Resources Data Dictionary 3.1 Purpose of the Health Human Resources Data Dictionary The purpose of this section of the guide is to provide the definitions for each data element, the corresponding permissible values and a brief rationale for inclusion of the data element in the HHR MDS. 3.2 Health Human Resources Data Dictionary In Table 2 below, the data elements are presented in the same order and under the same six categories as found in the HHR MDS. The field number for each data element is included. In the areas of education and employment, some of the data elements relate to three field numbers, which are all provided. These field numbers correspond to those listed in Table 3 (Health Human Resources Data Technical Specifications), found in Section 4 of this document. Table 2: Health Human Resources Data Dictionary Data Element—Definition Permissible Value(s) Identifiers and Demographic Information The number and demographic characteristics of health care providers who are registered or licensed or who otherwise are part of the available health workforce provide important information. For example, they permit an examination of how age and sex can influence workforce participation. 1. Provider Registration Identifier Number (National or Provincial/Territorial Registration Number or A lifetime registration number, or suitable alternative, Suitable Alternative) that uniquely identifies a health care provider within a particular jurisdiction. This number is a lifetime unique identifier assigned by the submitting organization for administrative purposes. Rationale: This number is needed to uniquely identify a professional within a particular jurisdiction and to follow changes specific to that individual over time. A unique individual identifier is important for analyses of health care provider supply and characteristics. A national unique identifier allows for unduplicated counts of providers who may register in more than one province/territory. If a national unique identifier is not available, a provincial/territorial identifier should be used. 2. Provider Gender Code The reported sexual category of a registrant, at the time of registration or renewal, used for administrative purposes. Female—An individual who reports belonging to the cultural gender role distinction of female. Male—An individual who reports belonging to the cultural gender role distinction of male. Undifferentiated—An individual whose gender cannot be uniquely defined as male or female, such as hermaphrodite. Not Applicable—Data element is collected but does not apply or is not collected and/or not submitted. Unknown—Data collector or data submitter is unable to obtain the required information for a specific data element. Rationale: Necessary for the calculation of gender-related workforce indicators (for example, proportion of the workforce that is female). Version 2.0 | July 2012 11 Health Human Resources Minimum Data Set Guide—Text File Format Table 2: Health Human Resources Data Dictionary (cont’d) Data Element—Definition Permissible Value(s) 3. (Four-Digit Year) Provider Birth Year Date Year of birth of the registrant. Not Applicable—Data element is collected but does not apply or is not collected and/or not submitted. Unknown—Data collector or data submitter is unable to obtain the required information for a specific data element. Rationale: Necessary for the calculation of age-related workforce indicators (for example, the average age of the workforce). 4. 5. Provider Birth Province Code The Canadian province/territory of birth of the registrant. (Canadian Province/Territory Codes) Provider Birth Country Code The country of birth of the registrant. (Country Codes) Not Applicable—Data element is collected but does not apply or is not collected and/or not submitted. Unknown—Data collector or data submitter is unable to obtain the required information for a specific data element. Not Applicable—Data element is collected but does not apply or is not collected and/or not submitted. Unknown—Data collector or data submitter is unable to obtain the required information for a specific data element. Rationale: Necessary for the analysis of the immigration patterns of the workforce. Information on a registrant’s province/territory and country of birth can be used (in comparison with other data elements) to assess the internationally educated workforce. Geography and Related Geography is important in a country the size of Canada, and understanding the distribution of health personnel (for example, in terms of rural or urban choice of practice/employment setting) and how this distribution relates to geography is important to workforce planning and policy development. 6. 7. Provider History Residence Province Code The Canadian province/territory of residence at the time of registration or renewal. (Canadian Province/Territory Codes) Provider History Residence Country Code The country of residence at the time of registration or renewal. (Country Codes) Non Applicable—Data element is collected but does not apply or is not collected and/or not submitted. Unknown—Data collector or data submitter is unable to obtain the required information for a specific data element. Not Applicable—Data element is collected but does not apply or is not collected and/or not submitted. Unknown—Data collector or data submitter is unable to obtain the required information for a specific data element. Rationale: Necessary for analysis of the geographical distribution of the workforce. Information on a registrant’s province/territory and country of residence can be used (in comparison with other data elements such as Provider Registration Province Code) to reduce the level of double-counting of registrants registered in more than one Canadian jurisdiction. 8. 12 (Canadian Province/Territory Codes) Provider Registration Province Code The Canadian province/territory of current registration at the time of registration or renewal. Version 2.0 | July 2012 Health Human Resources Minimum Data Set Guide—Text File Format Table 2: Health Human Resources Data Dictionary (cont’d) Data Element—Definition Permissible Value(s) 9. (Canadian Province/Territory Codes) Provider Concurrent Registration Province Code The Canadian province/territory of the secondary registration at the time of registration or renewal with the current registration or renewal. Not Applicable—Data element is collected but does not apply or is not collected and/or not submitted. Unknown—Data collector or data submitter is unable to obtain the required information for a specific data element. 10. Provider Previous Registration Province Code The Canadian province/territory of the previous registration in another Canadian province/territory at the time of registration or renewal. (Canadian Province/Territory Codes) 11. Provider Previous Registration Country Code The country of the previous registration at the time of registration or renewal. (Country Codes) 12. Provider Initial Registration Province Code The first Canadian province/territory in which a registrant became registered in Canada with a Canadian province/territory health care provider regulatory body or professional association. (Canadian Province/Territory Codes) 13. Provider Initial Registration Year Date The first year in which a registrant became registered in Canada with a Canadian province/territory health care provider regulatory body or professional organization. (Four-Digit Year) Not Applicable—Data element is collected but does not apply or is not collected and/or not submitted. Unknown—Data collector or data submitter is unable to obtain the required information for a specific data element. Not Applicable—Data element is collected but does not apply or is not collected and/or not submitted. Unknown—Data collector or data submitter is unable to obtain the required information for a specific data element. Not Applicable—Data element is collected but does not apply or is not collected and/or not submitted. Unknown—Data collector or data submitter is unable to obtain the required information for a specific data element. Not Applicable—Data element is collected but does not apply or is not collected and/or not submitted. Unknown—Data collector or data submitter is unable to obtain the required information for a specific data element. Rationale: Provides a baseline indication of initial entry into the health care provider workforce within Canada. Information on a registrant’s current/concurrent/previous province/territory of registration can be used (in comparison with other data elements) to reduce the level of double-counting of registrants registered in more than one Canadian jurisdiction and about the extent to which health care providers provide services outside the province/territory or country in which they reside. Education Monitoring basic information on the education attainment of the workforce can allow for the examination of the sequencing and timing of different educational attainments (for example, initial education in the profession of interest, highest education in the profession of interest and highest education outside of the profession of interest) of the workforce. Year of graduation for basic education in the profession is also used to generate an indicator for the maximum length of time in the workforce (in other words, the number of years since graduation from basic education in the profession). Looking at province/territory of graduation allows for the examination of a jurisdiction’s capacity to retain health care providers trained in the jurisdiction and can also be used to target recruitment efforts (for example, to specific Canadian schools, provinces or countries). Version 2.0 | July 2012 13 Health Human Resources Minimum Data Set Guide—Text File Format Table 2: Health Human Resources Data Dictionary (cont’d) Data Element—Definition Permissible Value(s) 14. Provider Basic Education Level Code Initial post-secondary education program used to prepare a health care provider for practice. This refers to initial education in the health care provider profession used, in whole or in part, for consideration of licensure (regulatory body) or registration (mandatory or voluntary membership association) as a health care provider in Canada. Equivalency Certificate—Equivalency Certificate, below the level of a baccalaureate, conferred by a college or university (or comparable institution). This refers to direct-entry diplomas resulting from programs completed at a Canadian hospital or equivalent. This refers to direct-entry diplomas resulting from programs completed at a Canadian community college and collège d’enseignement général et professionnel (cégep). Diploma—Diploma below the level of a baccalaureate, conferred by a college or university (or comparable institution). Baccalaureate—An undergraduate degree conferred by a university or comparable institution. This refers to direct-entry degrees in the health care provider profession. Master’s—A graduate-level professional university degree or equivalency degree. This refers to direct-entry degrees in the health care provider profession. Doctorate—A post-graduate-level professional university degree or equivalency degree. This refers to direct-entry degrees in the health care provider profession. Not Applicable—Data element is collected but does not apply or is not collected and/or not submitted. Unknown—Data collector or data submitter is unable to obtain the required information for a specific data element. Rationale: This data element is used to monitor changes in the basic educational attainment of the workforce. A range of levels is included to accommodate situations where basic education may differ from the Canadian standard (usually diploma or baccalaureate), or cases where post-graduate degrees qualify as entry-level without having to complete a diploma program. Entry-level education in this context is the initial education required by the health care provider to practise as a health care provider in Canada. Entry-level education will vary among health care provider professions. 15. Provider Basic Education Graduation Year Date Year of completion of basic education program used to prepare a health care provider for entry into practice. (Four-Digit Year) Not Applicable—Data element is collected but does not apply or is not collected and/or not submitted. Unknown—Data collector or data submitter is unable to obtain the required information for a specific data element. Rationale: Collecting this information permits an examination of the sequencing and timing of different educational attainments (initial education in the profession of interest, highest education in the profession of interest and highest education outside of the profession of interest) of the workforce. Year of graduation for basic education in the profession can also be used to generate an indicator for the maximum length of time in the workforce (meaning the number of years since graduation from basic education in the profession). 14 Version 2.0 | July 2012 Health Human Resources Minimum Data Set Guide—Text File Format Table 2: Health Human Resources Data Dictionary (cont’d) Data Element—Definition Permissible Value(s) 16. Provider Basic Education Graduation Institution Code Name of Canadian college or university of completion of initial education program used to prepare a health care provider for practice. (Canadian Education Institution Codes) Other Canadian Institution—Other Canadian institution of graduation for basic education not otherwise specified. Non-Canadian Institution—Institution of graduation was outside of Canada. Not Applicable—Data element is collected but does not apply or is not collected and/or not submitted. Unknown—Data collector or data submitter is unable to obtain the required information for a specific data element. 17. Provider Basic Education Graduation Province Code Canadian province/territory of completion of initial post-secondary education used to prepare a health care provider for practice. (Canadian Province/Territory Codes) Non-Canadian Location—Location of graduation was outside of Canada. Not Applicable—Data element is collected but does not apply or is not collected and/or not submitted. Unknown—Data collector or data submitter is unable to obtain the required information for a specific data element. 18. Provider Basic Education Graduation Country Code Name of country of completion of initial education program used to prepare a health care provider for practice. (Country Codes) Not Applicable—Data element is collected but does not apply or is not collected and/or not submitted. Unknown—Data collector or data submitter is unable to obtain the required information for a specific data element. Rationale: Collecting the Canadian institution name of graduation, or country of graduation, permits the identification of the college/university/institution where basic education in the health care provider profession was completed. It allows monitoring of the composition of the workforce in terms of place of education (Canadian versus international) and analysis of provincial/territorial capacity to retain provincial/territorial graduates. 19. 24. 29. Provider Post-Basic Education Level Code 1, 2, 3 Other post-secondary education achieved in the health care provider profession, which resulted in a diploma or a degree. (This includes any post-basic health care provider profession education leading to a diploma or a degree, for example, “laddering,” “upgrade” or degree completion education.) 1, 2, 3 Version 2.0 | July 2012 Diploma—Diploma below the level of a baccalaureate, conferred by a college or university (or comparable institution). Post-Secondary Certificate—Non-diploma/degree certificate or equivalent conferred by a college or university (or comparable institution). Baccalaureate—An undergraduate degree conferred by a university or comparable institution. This refers to direct-entry degrees in the health care provider profession. Master’s—A graduate-level professional university degree or equivalency degree. This refers to direct-entry degrees in the health care provider profession. Doctorate—A post-graduate-level professional university degree or equivalency degree. This refers to direct-entry degrees in the health care provider profession. Not Applicable—Data element is collected but does not apply or is not collected and/or not submitted. Unknown—Data collector or data submitter is unable to obtain the required information for a specific data element. 15 Health Human Resources Minimum Data Set Guide—Text File Format Table 2: Health Human Resources Data Dictionary (cont’d) Data Element—Definition Permissible Value(s) Rationale: This data element is used to monitor changes in the educational attainment of the workforce. 20. 25. 30. Provider Post-Basic Education (Four-Digit Year) Graduation Year Date 1, 2, 3 Not Applicable—Data element is collected but does not Year of completion of post-basic education in apply or is not collected and/or not submitted. health care provider profession. 1, 2, 3 Unknown—Data collector or data submitter is unable to obtain the required information for a specific data element. Rationale: Collecting the year of completion of other education in the health care provider profession permits monitoring trends in the sequencing and timing of the health care provider educational attainments. 21. 26. 31. Provider Post-Basic Education Graduation Institution Code 1, 2, 3 Name of Canadian institution of completion of post-basic education in health care provider profession. 1, 2, 3 (Canadian Education Institution Codes) Other Canadian Institution—Other Canadian institution of graduation for post-basic education not otherwise specified. Non-Canadian Institution—Institution of graduation was outside of Canada. Not Applicable—Data element is collected but does not apply or is not collected and/or not submitted. Unknown—Data collector or data submitter is unable to obtain the required information for a specific data element. 22. 27. 32. Provider Post-Basic Education Graduation Province Code 1, 2, 3 Canadian province/territory of completion of post-basic education in health care provider profession. 1, 2, 3 (Canadian Province/Territory Codes) Non-Canadian Location—Location of graduation was outside of Canada. Not Applicable—Data element is collected but does not apply or is not collected and/or not submitted. Unknown—Data collector or data submitter is unable to obtain the required information for a specific data element. 23. 28. 33. Provider Post-Basic Education Graduation Country Code 1, 2, 3 Name of country of completion of post-basic education in health care provider profession. 1, 2, 3 (Country Codes) Not Applicable—Data element is collected but does not apply or is not collected and/or not submitted. Unknown—Data collector or data submitter is unable to obtain the required information for a specific data element. Rationale: Collecting the Canadian institution, or country of graduation, permits the identification of the location where post-basic education in health care provider profession was completed and allows monitoring of the Canadian- versus internationally educated composition of the workforce and analysis of provincial/territorial capacity to retain provincial/territorial graduates (for provinces/territories with education programs). 16 Version 2.0 | July 2012 Health Human Resources Minimum Data Set Guide—Text File Format Table 2: Health Human Resources Data Dictionary (cont’d) Data Element—Definition Permissible Value(s) Other Education 34. 39. 44. Provider Education Outside Domain Education Level Code 1, 2, 3 Level of post-secondary education obtained in a field of study outside the health care provider profession. Education may have been acquired prior to or subsequent to entrance into the health care provider profession. 1, 2, 3 Diploma—Diploma or equivalent, below the level of a baccalaureate, conferred by a college or university (or comparable institution). This refers to education outside of the health care provider profession. Post-Secondary Certificate—Non-diploma/degree certificate or equivalent conferred by a college or university (or comparable institution). This refers to education outside of the health care provider profession. Baccalaureate—An undergraduate degree conferred by a university or comparable institution. This refers to education outside of the health care provider profession. Master’s—A graduate-level university degree or equivalent degree. This refers to education outside of the health care provider profession. Doctorate—A post-graduate-level university degree or equivalent degree. This refers to education outside of the health care provider profession. Not Applicable—Data element is collected but does not apply or is not collected and/or not submitted. Unknown—Data collector or data submitter is unable to obtain the required information for a specific data element. Rationale: This data element is used to identify and monitor the level of educational attainment outside the field of the health care provider profession and to augment a health care provider’s education profile. 35. 40. 45. Provider Education Outside Domain Education Field Code 1, 2, 3 Field of study other than that related to a health care provider profession. 1, 2, 3 Reflects education outside of basic and post-basic health care provider profession education. (Education Field of Study Codes) Not Applicable—Data element is collected but does not apply or is not collected and/or not submitted. Unknown—Data collector or data submitter is unable to obtain the required information for a specific data element. Rationale: Collecting the field of study associated with education completed outside of the health care provider profession allows for analysis of the type of post-secondary training that a professional has obtained outside of their primary health discipline. 36. 41. 46. Provider Education Outside Domain Graduation Year Date 1, 2, 3 Year of completion of education in a field other than that related to the health care provider profession. 1, 2, 3 (Four-Digit Year) Not Applicable—Data element is collected but does not apply or is not collected and/or not submitted. Unknown—Data collector or data submitter is unable to obtain the required information for a specific data element. Rationale: Collecting the year of completion of education in a field other than that related to the health care provider profession permits monitoring trends in the sequencing and timing of different educational attainment outside the field of the professional’s primary health discipline. Version 2.0 | July 2012 17 Health Human Resources Minimum Data Set Guide—Text File Format Table 2: Health Human Resources Data Dictionary (cont’d) Data Element—Definition Permissible Value(s) 37. 42. 47. Provider Education Outside Domain Graduation Province Code 1, 2, 3 Canadian province/territory in which education was completed in a field of study other than that related to the health care provider profession. 1, 2, 3 (Canadian Province/Territory Codes) Non-Canadian Location—Location of graduation was outside of Canada. Not Applicable—Data element is collected but does not apply or is not collected and/or not submitted. Unknown—Data collector or data submitter is unable to obtain the required information for a specific data element. 38. 43. 48. Provider Education Outside Domain Graduation Country Code 1, 2, 3 Country in which education was completed in a field of study other than that related to the health care provider profession. 1, 2, 3 (Country Codes) Not Applicable—Data element is collected but does not apply or is not collected and/or not submitted. Unknown—Data collector or data submitter is unable to obtain the required information for a specific data element. Rationale: Collecting the province/territory and country of graduation permits the identification of where education outside the health care provider profession was completed and allows monitoring of the education composition (Canadian versus international) of the workforce and analysis of provincial/territorial capacity to retain provincial/territorial graduates. Employment An understanding of employment characteristics, as well as the nature of labour force participation of health care personnel (for example, whether personnel are working full-time or part-time), can help inform policy decisions from the national/provincial/ territorial level (for example, more educational seats to produce more health care personnel could be funded) to the site of employment (for example, more full-time positions could be made available). Employment—Historical 49. Provider Employment Initial Province Code (Canadian Province/Territory Codes) The first province/territory in which a registrant began Not Applicable—Data element is collected but does not working as a health care provider in Canada. apply or is not collected and/or not submitted. Unknown—Data collector or data submitter is unable to obtain the required information for a specific data element. Rationale: Identifies the initial Canadian jurisdiction of employment as a health care provider. 50. Provider Employment Initial Year Date The year in which a registrant began working as a health care provider in the primary health discipline in Canada for the first time. (Four-Digit Year) Not Applicable—Data element is collected but does not apply or is not collected and/or not submitted. Unknown—Data collector or data submitter is unable to obtain the required information for a specific data element. Rationale: Provides a baseline indication of initial entry into the Canadian health care provider occupation workforce. Year of initial employment can be used to generate a proxy indicator for length of time in the workforce (for example, years since initial employment as a health care provider) and, in combination with other data elements on education, can be used to examine transitions into and out of the work lifecycle. 18 Version 2.0 | July 2012 Health Human Resources Minimum Data Set Guide—Text File Format Table 2: Health Human Resources Data Dictionary (cont’d) Data Element—Definition Permissible Value(s) Employment—Current General 51. Provider Employment Status Code At the time of registration or renewal, registrant’s work status (employed or unemployed). Employed in Current Provider Role Type— Employed in an occupation directly related to health care provider practice.* Employed in Current Provider Role Type on Leave— Employed in an occupation directly related to health care provider practice,* and not working as a result of an official leave (for example, maternity/paternity leave, leave of absence, etc.). Employed Outside of Current Provider Role Type— Employed in an occupation unrelated to health care provider practice.* Retired—Withdrawn from occupation, point where employment has ended. Unemployed—Not employed. Not Applicable—Data element is collected but does not apply or is not collected and/or not submitted. Unknown—Data collector or data submitter is unable to obtain the required information for a specific data element. * The scope defining employment directly related to practice is determined by the individual licensing/ membership organizations. Rationale: Necessary for the calculation of work status–related employment indicators (for example, proportion of the workforce employed in an occupation directly related to the health care provider practice but currently on leave). 52. Provider Other Occupation Activity Status Code Seeking Employment Only in Current Provider Role Activity status of registrants not currently employed in Type—Currently unemployed or employed in a non– health care provider occupation and seeking employment the occupation or not employed. in a health care provider occupation as a health care provider or in a health care provider–related field. Seeking Employment Only in Occupations Outside the Current Provider Role Type—Currently unemployed or employed in a health care provider occupation as a health care provider or in a health care provider–related field and seeking employment in a non– health care provider occupation or health care provider– related field. Seeking Employment in Any Occupation—Currently unemployed and seeking employment in a health care provider occupation as a health care provider, in a health care provider–related field or in an occupation other than health care provider. Not Seeking Employment—Not currently employed and not seeking employment. Not Applicable—Data element is collected but does not apply or is not collected and/or not submitted. Unknown—Data collector or data submitter is unable to obtain the required information for a specific data element. Rationale: Collection of this information permits the differentiation between those registrants (either an employee or self-employed) who are employed or unemployed. Capturing this data element provides opportunities to estimate the available registered workforce in different ways. When assessed in combination with other data elements, an estimation of the capacity of the available workforce can be determined. Version 2.0 | July 2012 19 Health Human Resources Minimum Data Set Guide—Text File Format Table 2: Health Human Resources Data Dictionary (cont’d) Data Element—Definition Permissible Value(s) 53. Provider Employment Annual Earned Hours The total annual earned hours of work in all employment(s) in the health care provider occupation. Earned hours include worked and benefit hours for which personnel have received or will i receive salaries. (Four-Digit Hours) Not Applicable—Data element is collected but does not apply or is not collected and/or not submitted. Unknown—Data collector or data submitter is unable to obtain the required information for a specific data element. Rationale: Collection of earned hours can be a measure of capacity (available supply of personnel) and can be used to estimate the number of full-time equivalents in relation to comparable head count data. The collection of these data elements is especially important in situations of casual or self-employed work arrangements, where the parameters of worked, benefit and purchased hours are not prescribed by an employer/employment contract. 54. Provider Employment Sector Code Public—Refers to health care spending by governments and government agencies. It is subdivided into four levels: provincial government sector, federal direct sector, municipal government sector and social security funds.ii Private—Includes out-of-pocket expenditures made by individuals for health care goods and services; the health insurance claims paid to individuals by commercial and not-for-profit insurance firms, as well as the cost of administering those claims; non-patient revenues received by health care institutions, such as donations and investment income; private spending on healthrelated capital construction and equipment; and health research funded by private sources.ii Mix of Public and Private—Includes work in both the public and private sectors. Not Applicable—Data element is collected but does not apply or is not collected and/or not submitted. Unknown—Data collector or data submitter is unable to obtain the required information for a specific data element. Rationale: Necessary for the calculation of sector-related employment indicators (for example, proportion of the workforce employed in the public sector). i. ii. 20 Canadian Institute for Health Information. Standards for Management Information Systems in Canadian Health Service Organizations [CD]. Ottawa, ON: CIHI; 2011. Canadian Institute for Health Information. National Health Expenditures Trends, 1975 to 2010. Ottawa, ON: CIHI; 2010. http://www.cihi.ca. Accessed September 22, 2011. Version 2.0 | July 2012 Health Human Resources Minimum Data Set Guide—Text File Format Table 2: Health Human Resources Data Dictionary (cont’d) Data Element—Definition Permissible Value(s) Employment—Current Specific First Employment—The employment, with an employer or in a self-employed arrangement, that is associated with the highest number of usual weekly earned hours. Second Employment—The employment, with an employer or in a self-employed arrangement, that is associated with the second highest number of usual weekly earned hours. Third Employment—The employment, with an employer or in a self-employed arrangement, that is associated with the third highest number of usual weekly earned hours. Earned hours include worked and benefit hours. (Note: Earned hours also include purchased hours. However, in this context, earned hours would be self-reported by the health care provider and not the health care organization. As such, health care service providers would report all of their hours whether or not they were hired by a third-party payer.) Worked hours include regular scheduled hours, overtime, call back, coffee breaks and worked statutory holiday hours. Worked hours do not include the lunch hour and standby hours. Benefit hours include vacation, statutory holiday, sick leave, education hours received and the percentage of gross pay received in lieu of benefits, which may be paid to part-time staff. Knowledge of whether or not health care personnel have more than one employer is useful in workforce planning, especially in conjunction with data on permanent/casual and full-time/part-time employment. Where persons have more than one employer, data on a second employment provides a more complete picture of workforce characteristics. Similar information on tertiary employers can be collected if relevant for the organizations that collect health care provider data for a third employment. In occupations where this may be a common practice, it would be useful in workforce planning. 55. 63. 72. Provider Employment Category Code (for First, Second and Third Employment) Employment category at the time of registration or renewal, for first employment. First employment refers to the employment, with an employer or in a self-employed arrangement, that is associated with the highest number of usual weekly earned hours. Employment category at the time of registration or renewal, for second employment. Second employment refers to the employment, with an employer or in a self-employed arrangement, that is associated with the second highest number of usual weekly earned hours. Employment category at the time of registration or renewal, for third employment. Third employment refers to the employment, with an employer or in a self-employed arrangement, that is associated with the third highest number of usual weekly earned hours. Version 2.0 | July 2012 Permanent Employee—Status with employer is permanent with an indeterminate duration (no specified end date) of employment and guaranteed or fixed hours of work per week. Temporary Employee—Status with employer is temporary with fixed duration of employment, based on a defined start and end date, and guaranteed or fixed hours of work per week. Casual Employee—Status with employer is on an as-needed basis, with employment that is not characterized by a guaranteed or fixed number of hours per week. Self-Employed—A person who engages independently in the profession, operating his or her own economic enterprise. The individual may be the working owner of an incorporated or unincorporated business or professional practice, or an individual in a business relationship characterized by a verbal or written agreement(s) in which the self-employed individual agrees to perform specific work for a payer in return for payment. Other—Not Elsewhere Classified—Provider employment category, not elsewhere classified. Not Applicable—Data element is collected but does not apply or is not collected and/or not submitted. Unknown—Data collector or data submitter is unable to obtain the required information for a specific data element. 21 Health Human Resources Minimum Data Set Guide—Text File Format Table 2: Health Human Resources Data Dictionary (cont’d) Data Element—Definition Permissible Value(s) Rationale: The employment category permits the differentiation between those in an employee–employer work relationship and those who are self-employed. For registrants in an employee–employer work relationship, the distinction between permanent, temporary and casual employment (in combination with other data elements such as employment status and hours worked) provides an indication of changes in the conditions of employment for a profession (for example, a change to more temporary rather than permanent work arrangements with employers). When assessed in combination with other data elements, an estimation of the capacity of the available workforce can be determined. 56. 64. 72. Provider Employment Full-Time/ Part-Time Status (for First, Second and Third Employment) At the time of registration or renewal, for first employment, the official full-time/part-time status of an individual with an employer. If the official status is unknown, the classification is based on usual earned hours. First employment refers to the employment, with an employer or in a self-employed arrangement, that is associated with the highest number of usual weekly earned hours. At the time of registration or renewal, for second employment, the official fulltime/part-time status of an individual with an employer. If the official status is unknown, the classification is based on usual earned hours. Second employment refers to the employment, with an employer or in a self-employed arrangement, that is associated with the second highest number of usual weekly earned hours. At the time of registration or renewal, for third employment, the official full-time/part-time status of an individual with an employer. If the official status is unknown, the classification is based on usual earned hours. Third employment refers to the employment, with an employer or in a self-employed arrangement, that is associated with the third highest number of usual weekly earned hours. Part-Time—Official status with employer is part-time or usual hours of work are less than 30 hours per week.iii Full-Time—Official status with employer is full-time or equivalent or usual hours of work are equal to or greater than 30 hours per week.iii Not Applicable—Data element is collected but does not apply or is not collected and/or not submitted. Unknown—Data collector or data submitter is unable to obtain the required information for a specific data element. Rationale: For those in an employee–employer relationship or self-employed, this data element permits identification of some basic conditions of employment. When assessed in combination with other data elements, such as annual earned hours, an estimation of the potential capacity of the available workforce can be determined (for example, calculating full-time equivalents [FTEs]). iii. Definitions of “full-time” and “part-time” are adapted from Statistics Canada. Full-time employment—persons who usually work 30 hours or more per week at their main or only job. Part-time employment—persons who usually work less than 30 hours per week at their main or only job. Source: Statistics Canada. The Canadian Labour Market at a Glance, 2003. http://www.statcan.ca. Updated November 18, 2004. Accessed August 12, 2005. 22 Version 2.0 | July 2012 Health Human Resources Minimum Data Set Guide—Text File Format Table 2: Health Human Resources Data Dictionary (cont’d) Data Element—Definition Permissible Value(s) 57. 65. 73. Provider Employment Province Code (for First, Second and Third Employment) The Canadian province/territory of first, second, third employment at the time of registration or renewal. First employment refers to the employment, with an employer or in a self-employed arrangement, that is associated with the highest number of usual weekly earned hours. Second employment refers to the employment, with an employer or in a selfemployed arrangement, that is associated with the second highest number of usual weekly earned hours. Third employment refers to the employment, with an employer or in a self-employed arrangement, that is associated with the third highest number of usual weekly earned hours. (Canadian Province/Territory Codes) Non-Canadian Location—Registrant is employed outside of a Canadian province/territory. Not Applicable—Data element is collected but does not apply or is not collected and/or not submitted. Unknown—Data collector or data submitter is unable to obtain the required information for a specific data element. 58. 66. 74. Provider Employment Country Code (for First, Second and Third Employment) The country of first, second or third employment at the time of registration or renewal. First employment refers to the employment, with an employer or in a self-employed arrangement, that is associated with the highest number of usual weekly earned hours. Second employment refers to the employment, with an employer or in a self-employed arrangement, that is associated with the second highest number of usual weekly earned hours. Third employment refers to the employment, with an employer or in a self-employed arrangement, that is associated with the third highest number of usual weekly earned hours. (Country Codes) Not Applicable—Data element is collected but does not apply or is not collected and/or not submitted. Unknown—Data collector or data submitter is unable to obtain the required information for a specific data element. Rationale: Necessary for analysis of the geographical distribution of the workforce. Information on a registrant’s location of employment is used (in comparison with other elements) to reduce the level of double-counting of registrants registered in more than one Canadian jurisdiction. Collecting a location for up to three employments (first, second and third) provides an indication of the proportion of the workforce registering and or living in Canada but conducting most of their employment activity outside of Canada. Version 2.0 | July 2012 23 Health Human Resources Minimum Data Set Guide—Text File Format Table 2: Health Human Resources Data Dictionary (cont’d) Data Element—Definition Permissible Value(s) 59. 67. 75. (Six-Digit Postal Code Assigned by Canada Post) Not Applicable—Data element is collected but does not apply or is not collected and/or not submitted. Unknown—Data collector or data submitter is unable to obtain the required information for a specific data element. Provider Employment Postal Code (for First, Second and Third Employment) At the time of registration or renewal, the postal code assigned by Canada Post for registrant’s first, second and/or third employment. The postal code reflects the service delivery–level worksite when available, with employer or business office postal code provided as an alternate (for example, if employer or business office location is different than service delivery– level worksite, and only the employer or business office postal code is available). Service delivery–level worksite refers to the location where the registrant is directly engaged in their health care provider area of practice: direct service, administration, education, research or sales. First employment refers to the employment, with an employer or in a self-employed arrangement, that is associated with the highest number of usual weekly earned hours. Second employment refers to the employment, with an employer or in a selfemployed arrangement, that is associated with the second highest number of usual weekly earned hours. Third employment refers to the employment, with an employer or in a self-employed arrangement, that is associated with the third highest number of usual weekly earned hours. Rationale: Full postal code is collected in order to examine geographic distribution at all of the desired units of analysis (national, provincial/territorial and sub-provincial/territorial area) and to investigate geographic concepts relevant to health planning (for example, urban and rural distribution of the health workforce). 24 Version 2.0 | July 2012 Health Human Resources Minimum Data Set Guide—Text File Format Table 2: Health Human Resources Data Dictionary (cont’d) Data Element—Definition Permissible Value(s) 60. 68. 76. (Employment Organization Type Codes) Not Applicable—Data element is collected but does not apply or is not collected and/or not submitted. Unknown—Data collector or data submitter is unable to obtain the required information for a specific data element. Provider Employment Organization Type Code (for First, Second and Third Employment) The place of employment for a registrant’s first, second and/or third employment, whether an employee or self-employed, at the time of registration or renewal. This is at the service delivery–level. Service delivery–level refers to the location where the registrant is directly engaged in their health care provider area of practice: direct service, administration, information systems, education, research or sales. First employment refers to the employment, with an employer or in a self-employed arrangement, that is associated with the highest number of usual weekly earned hours. Second employment refers to the employment, with an employer or in a self-employed arrangement, that is associated with the second highest number of usual weekly earned hours. Third employment refers to the employment, with an employer or in a self-employed arrangement, that is associated with the third highest number of usual weekly earned hours. Rationale: This data element provides an indication of the setting in which the professional engages in employment activity and permits monitoring of changes in the setting of employment activity over time. Collection of this element allows an examination of, among other information, the number of professionals engaged in employment activity in the community versus a hospital or residential care setting. 61. 69. 77. Provider Employment Multiple Employment Site Indicator (for First, Second and Third Employment) An indicator that specifies whether or not a registrant works at more than one site of practice for a single employer within a given employment. First employment refers to the employment, with an employer or in a self-employed arrangement, that is associated with the highest number of usual weekly earned hours. Second employment refers to the employment, with an employer or in a self-employed arrangement, that is associated with the second highest number of usual weekly earned hours. Yes No Not Applicable—Data element is collected but does not apply or is not collected and/or not submitted. Unknown—Data collector or data submitter is unable to obtain the required information for a specific data element. Third employment refers to the employment, with an employer or in a self-employed arrangement, that is associated with the third highest number of usual weekly earned hours. Rationale: Collection of this data element allows for the identification of registrants working at different work sites for the same employer, that is, within a single employment. It distinguishes those who work at multiple sites within a single employment from those who work at multiple sites because they hold more than one employment (meaning two or more separate employers). Version 2.0 | July 2012 25 Health Human Resources Minimum Data Set Guide—Text File Format Table 2: Health Human Resources Data Dictionary (cont’d) Data Element—Definition Permissible Value(s) 62. 70. 78. Manager—Major role is in management. Role may involve the management of a particular program, as in a first-level management position, up to the senior most management positions. Supervisor—Major role is in the supervision of staff. Staff—Major role is in the provision of direct health care provider services.* (Includes relief staff.) Consultant—Major role is to provide advice on health care provider profession and/or services. (Includes applications specialist.) Educator—Major role is as an educator for a particular target group. Researcher—Major role is in knowledge development and dissemination of research. Sales—Major role is in sales. Other—Position that is not otherwise identified. Not Applicable—Data element is collected but does not apply or is not collected and/or not submitted. Unknown—Data collector or data submitter is unable to obtain the required information for a specific data element. Provider Employment Position Code (for First, Second and Third Employment) At the time of registration or renewal, the main role within the first employment (for registrants with multiple roles within first employment, reflects the role associated with the most worked hours). First employment refers to the employment, with an employer or in a self-employed arrangement, that is associated with the highest number of usual weekly earned hours. Second employment refers to the employment, with an employer or in a self-employed arrangement, that is associated with the second highest number of usual weekly earned hours. Third employment refers to the employment, with an employer or in a self-employed arrangement, that is associated with the third highest number of usual weekly earned hours. * Direct health care provider services refers to direct involvement in the performance of health care provider procedures. Rationale: This data element provides an indication of the role that the professional plays within an employment setting. It allows for a more precise differentiation of those professionals primarily involved in direct service provision compared with those professionals involved in other roles, for example, as educators. Migration Migration is defined as movement between countries (emigration, immigration), between provinces/territories within Canada, or between communities within a province/territory. Migration can also be inferred by comparing present location with location of graduation. (Country Codes) 79. Provider History Employment Country Code The country in which a registrant began working as a Not Applicable—Data element is collected but does not health care provider. apply or is not collected and/or not submitted. Unknown—Data collector or data submitter is unable to obtain the required information for a specific data element. 26 80. Provider History Employment Postal Code The postal code in which a registrant began working as a health care provider in Canada. (Six-Digit Postal Code Assigned by Canada Post) Not Applicable—Data element is collected but does not apply or is not collected and/or not submitted. Unknown—Data collector or data submitter is unable to obtain the required information for a specific data element. 81. Provider History Previous Employment Province Code The previous province/territory in which a registrant was working as a health care provider in Canada. (Canadian Province/Territory Codes) Non-Canadian Location—Registrant is employed outside of a Canadian province/territory. Not Applicable—Data element is collected but does not apply or is not collected and/or not submitted. Unknown—Data collector or data submitter is unable to obtain the required information for a specific data element. Version 2.0 | July 2012 Health Human Resources Minimum Data Set Guide—Text File Format Table 2: Health Human Resources Data Dictionary (cont’d) Data Element—Definition Permissible Value(s) 82. Provider History Previous Employment Country Code The previous country in which a registrant was working as a health care provider. (Country Codes) Not Applicable—Data element is collected but does not apply or is not collected and/or not submitted. Unknown—Data collector or data submitter is unable to obtain the required information for a specific data element. 83. Provider History Previous Employment (Six-Digit Postal Code Assigned by Canada Post) Postal Code Not Applicable—Data element is collected but does not The previous postal code in which a registrant began apply or is not collected and/or not submitted. working as a health care provider in Canada. Unknown—Data collector or data submitter is unable to obtain the required information for a specific data element. Rationale: Information about migration is important to understand movements of members of the workforce between Canada and other countries and to understand interprovincial/-territorial migration trends. Information on movements from or to rural and urban areas can also be tracked if sufficient information is available (postal code of employment can be converted to urban and rural geographic classifications). Other Active and inactive employment status contains information about whether or not health care providers are active in their profession. For inactive personnel, when combined with other data elements, contains reasons for leaving the workforce (other than migration). 84. Organization Registration Number Type Code At the time of registration or renewal, the class of license/registration issued to a registrant by a regulatory body or other professional organization. Active, Full—Refers to a general professional practice licence or registration type with no limitations, restrictions or conditions. Includes professional practice licences that authorize a registrant, based on the assessment and issuance by a regulatory body, to engage in professional practice, as defined by the relevant laws, regulations and/or policies associated with a specific jurisdiction. Active, Other—Refers to professional practice licences or membership types with special conditions not otherwise specified (for example, provisional and restricted licence types). Includes professional practice licences that authorize a registrant, based on the assessment and issuance by a regulatory body, to engage in professional practice, as defined by the relevant laws, regulations and/or policies associated with a specific jurisdiction. Inactive—Type of registration that does not permit a registrant to engage in professional practice without further consideration and/or licensure by the regulatory body, within a particular jurisdiction, as defined by the relevant laws, regulations and/or policies associated with a specific jurisdiction. Rationale: Collection of permits separating the short-term licence component of the workforce where required for analysis, monitoring of workforce transitions from active to inactive, as well as more accurate reporting of attrition (for example, the collection of inactive data allows for the differentiation of registrants maintaining registration but changing from active to inactive, from registrants who are registered and do not re-register). Version 2.0 | July 2012 27 Health Human Resources Minimum Data Set Guide—Text File Format Section 4: Health Human Resources Data Technical and Submission Specifications 4.1 Purpose of the Health Human Resources Data Technical and Submission Specifications Section The purpose of this section of the guide is to provide The technical specifications for organizations/jurisdictions wishing to build their own database using standards that are consistent with CIHI health human resources standards; and Data submission specifications for organizations/jurisdictions either receiving or submitting data into a national/centralized database. 4.2 Data Technical Specifications This section deals with file characteristics and record layout. Detailed information about the 84 data elements is presented in Table 3, “Data Technical Specifications.” File Characteristics Registration data is entered into the database in a file that is created—a plain (ASCII) text file without delimiters (such as tabs or commas). The file extension must be .txt. The file consists of detailed records (individual record–level data). If all the data elements listed in the HHR MDS were collected for one health care provider, the record would be 323 characters in length. Each record can potentially describe the demographic, education, employment and geographic characteristics, as well as migration data, of a single health care provider. Record Layout Table 3, below, provides the detailed information required to create records in a sequential file. Notes 1. Data User: Enter the values as provided in Table 3 below, regardless of length; the software should ensure that the lengths for the values of each data element are correct. 2. Vendor: Design the system to ensure that there is padding for each data element to accommodate the various lengths of each of the values. 28 Version 2.0 | July 2012 Health Human Resources Minimum Data Set Guide—Text File Format 3. All Fields: The value/and or format must be provided according to the assigned value: Field 2 (Provider Gender Code)—Assign value of – “F” if registrant is a female; – “M” if registrant is a male; – “UN” if registrant is undifferentiated; – “NA” (not applicable) if the data element is not collected and/or not submitted; and – “UNK” if the gender is unknown (the registrant has not provided the information). Field 3 (Provider Birth Year Date)—Insert 1980 if registrant born that year (4 characters in length). Field 4 (Provider Birth Province Code)—Insert ON if Ontario. If registrant born outside of Canada, insert NA—Not Applicable. Field 14 (Provider Basic Education Level Code)—Insert code CD if the level is a Diploma, POSTG if the level is Doctorate. 4. Definitions Provider Employment Full-Time/Part-Time Status Definitions of “full-time” and “part-time” are adapted from Statistics Canada.iv Full-time employment—Persons who usually work 30 hours or more per week at their main or only job. Part-time employment—Persons who usually work less than 30 hours per week at their main or only job. 5. Missing Values Not Applicable—A data element is collected but is not relevant for the registrant or a data element is not collected and/or not submitted by the organization. Unknown—Information not provided by the registrant for a particular data element. Data Technical Specifications In Table 3 below, the 84 data elements are presented in the same order as found in the HHR MDS and Health Human Resources Data Dictionary (HHR DD). It includes the field number for each data element, the start byte, the length and type for each data element, as well as the values and/or format to be inserted in the text file. iv. Source: Statistics Canada. The Canadian labour market at a glance, 2003. http://www.statcan.ca. Updated November 18, 2004. Accessed August 12, 2005. Version 2.0 | July 2012 29 Health Human Resources Minimum Data Set Guide—Text File Format Table 3: Data Technical Specifications Field Number Data Element Start Byte Length Type Representation Class Layout 1 Provider Registration Identifier Number 1 16 Character Number 2 Provider Gender Code 17 3 Character Code 3 Provider Birth Year Date 20 4 4 Provider Birth Province Code 24 5 Provider Birth Country Code 6 Minimum Maximum Permissible Values Length Length and/or Format 16 16 (National or Provincial/Territorial Registration Number or Suitable Alternative) (Valid Gender in Format A{AA}) 1 1 F: Female M: Male UN: Undifferentiated NA: Not Applicable UNK: Unknown Character Date (Valid Year in Format YYYY) 4 4 Four-Digit Year NA: Not Applicable UNK: Unknown 3 Character Code (Valid Province in Format AA{A}) 2 3 Canadian Province/Territory Codes—Appendix A NA: Not Applicable UNK: Unknown 27 3 Character Code (Valid Country in Format AA{A}) 2 3 Country Codes— Appendix B NA: Not Applicable UNK: Unknown Provider History Residence Province Code 30 3 Character Code (Valid Province in Format AA{A}) 2 3 Canadian Province/Territory Codes—Appendix A NA: Not Applicable UNK: Unknown 7 Provider History Residence Country Code 33 3 Character Code (Valid Country in Format AA{A}) 2 3 Country Codes— Appendix B NA: Not Applicable UNK: Unknown 8 Provider Registration Province Code 36 2 Character Code (Valid Province in Format AA{A}) 2 2 Canadian Province/Territory Codes—Appendix A NA: Not Applicable UNK: Unknown 9 Provider Concurrent Registration Province Code 38 3 Character Code (Valid Province in Format AA{A}) 2 3 Canadian Province/Territory Codes—Appendix A NA: Not Applicable UNK: Unknown 30 Version 2.0 | July 2012 Health Human Resources Minimum Data Set Guide—Text File Format Table 3: Data Technical Specifications (cont’d) Field Number Data Element Start Byte Length Type Representation Class Layout Minimum Maximum Permissible Values Length Length and/or Format 10 Provider Previous Registration Province Code 41 3 Character Code (Valid Province in Format AA{A}) 2 3 Canadian Province/Territory Codes—Appendix A NA: Not Applicable UNK: Unknown 11 Provider Previous Registration Country Code 44 3 Character Code (Valid Country in Format AA{A}) 2 3 Country Codes— Appendix B NA: Not Applicable UNK: Unknown 12 Provider Initial Registration Province Code 47 3 Character Code (Valid Province in Format AA{A}) 2 3 Canadian Province/Territory Codes—Appendix A NA: Not Applicable UNK: Unknown 13 Provider Initial Registration Year Date 50 4 Character Date (Valid Year in Format YYYY) 4 4 Four-Digit Year NA: Not Applicable UNK: Unknown 14 Provider Basic Education Level Code 54 5 Character Code (Valid Education in Format AA{AAA}) 2 5 EC: Equivalency Certificate CD: Diploma BD: Baccalaureate GD: Master’s POSTG: Doctorate NA: Not Applicable UNK: Unknown 15 Provider Basic Education Graduation Year Date 59 4 Character Date (Valid Year in Format YYYY) 2 4 Four-Digit Year NA: Not Applicable UNK: Unknown 16 Provider Basic Education Graduation Institution Code 63 8 Character Code (Valid Institution in Format AA{AAAAA}) 8 8 Canadian Education Institution Codes— Appendix C 00000010: Other Canadian Institution 00000020: NonCanadian Institution NA: Not Applicable UNK: Unknown Version 2.0 | July 2012 31 Health Human Resources Minimum Data Set Guide—Text File Format Table 3: Data Technical Specifications (cont’d) Field Number Data Element Start Byte Length Type Representation Class Layout Minimum Maximum Permissible Values Length Length and/or Format 17 Provider Basic Education Graduation Province Code 71 3 Character Code (Valid Province in Format AA{A}) 2 3 Canadian Province/Territory Codes—Appendix A 20: Non-Canadian Location NA: Not Applicable UNK: Unknown 18 Provider Basic Education Graduation Country Code 74 3 Character Code (Valid Country in Format AA{A}) 2 3 Country Codes— Appendix B NA: Not Applicable UNK: Unknown 19 Provider PostBasic Education Level Code 1 77 5 Character Code (Valid Education in Format AA{AAA}) 2 5 EC: Equivalency Certificate CD: Diploma BD: Baccalaureate GD: Master’s POSTG: Doctorate NA: Not Applicable UNK: Unknown 20 Provider PostBasic Education Graduation Year Date 1 82 4 Character Date (Valid Year in Format YYYY) NA UNK 4 4 Four-Digit Year NA: Not Applicable UNK: Unknown 21 Provider PostBasic Education Graduation Institution Code 1 86 8 Character Code (Valid Institution in Format AA{AAAAA}) 8 8 Canadian Education Institution Codes— Appendix C 00000010: Other Canadian Institution 00000020: NonCanadian Institution NA: Not Applicable UNK: Unknown 22 Provider PostBasic Education Graduation Province Code 1 94 3 Character Code (Valid Province in Format AA{A}) 20 NA UNK 2 3 Canadian Province/Territory Codes—Appendix A 20: Non-Canadian Location NA: Not Applicable UNK: Unknown 23 Provider PostBasic Education Graduation Country Code 1 97 3 Character Code (Valid Country in Format AA{A}) 2 3 Country Codes— Appendix B NA: Not Applicable UNK: Unknown 32 Version 2.0 | July 2012 Health Human Resources Minimum Data Set Guide—Text File Format Table 3: Data Technical Specifications (cont’d) Field Number Data Element Start Byte Length Type Representation Class Layout Minimum Maximum Permissible Values Length Length and/or Format 24 Provider PostBasic Education Level Code 2 100 5 Character Code (Valid Education in Format AA{AAA}) 2 5 EC: Equivalency Certificate CD: Diploma BD: Baccalaureate GD: Master’s POSTG: Doctorate NA: Not Applicable UNK: Unknown 25 Provider PostBasic Education Graduation Year Date 2 105 4 Character Date (Valid Year in Format YYYY) 4 4 Four-Digit Year NA: Not Applicable UNK: Unknown 26 Provider PostBasic Education Graduation Institution Code 2 109 8 Character Code (Valid Institution in Format AA{AAAAA}) 8 8 Canadian Education Institution Codes— Appendix C 00000010: Other Canadian Institution 00000020: NonCanadian Institution NA: Not Applicable UNK: Unknown 27 Provider PostBasic Education Graduation Province Code 2 117 3 Character Code (Valid Province in Format AA{A}) 2 3 Canadian Province/Territory Codes—Appendix A 20: Non-Canadian Location NA: Not Applicable UNK: Unknown 28 Provider PostBasic Education Graduation Country Code 2 120 3 Character Code (Valid Country in Format AA{A}) 2 3 Country Codes— Appendix B NA: Not Applicable UNK: Unknown 29 Provider PostBasic Education Level Code 3 123 5 Character Code (Valid Education in Format AA{AAA}) 2 5 EC: Equivalency Certificate CD: Diploma BD: Baccalaureate GD: Master’s POSTG: Doctorate NA: Not Applicable UNK: Unknown 30 Provider PostBasic Education Graduation Year Date 3 128 4 Character Date (Valid Year in Format YYYY) 4 4 Four-Digit Year NA: Not Applicable UNK: Unknown Version 2.0 | July 2012 33 Health Human Resources Minimum Data Set Guide—Text File Format Table 3: Data Technical Specifications (cont’d) Field Number Data Element Start Byte Length Type Representation Class Layout Minimum Maximum Permissible Values Length Length and/or Format 31 Provider PostBasic Education Graduation Institution Code 3 132 8 Character Code (Valid Institution in Format AA{AAAAA}) 8 8 Canadian Education Institution Codes— Appendix C 00000010: Other Canadian Institution 00000020: NonCanadian Institution NA: Not Applicable UNK: Unknown 32 Provider PostBasic Education Graduation Province Code 3 140 3 Character Code (Valid Province in Format AA{A}) 2 3 Canadian Province/Territory Codes—Appendix A 20: Non-Canadian Location NA: Not Applicable UNK: Unknown 33 Provider PostBasic Education Graduation Country Code 3 143 3 Character Code (Valid Country in Format AA{A}) 2 3 Country Codes— Appendix B NA: Not Applicable UNK: Unknown 34 Provider Education Outside Domain Education Level Code 1 146 5 Character Code (Valid Education Outside Domain in Format AA{AAA}) 2 5 EC: Equivalency Certificate CD: Diploma BD: Baccalaureate GD: Master’s POSTG: Doctorate NA: Not Applicable UNK: Unknown 35 Provider Education Outside Domain Education Field Code 1 151 3 Character Code (Valid Education Outside Domain in Format AA{A}) 2 3 Education Field of Study Codes—Appendix D NA: Not Applicable UNK: Unknown 36 Provider Education Outside Domain Graduation Year Date 1 154 4 Character Date (Valid Year in Format YYYY) 4 4 Four-Digit Year NA: Not Applicable UNK: Unknown 37 Provider Education Outside Domain Graduation Province Code 1 158 3 Character Code (Valid Province in Format AA{A}) 2 3 Canadian Province/Territory Codes—Appendix A 20: Non-Canadian Location NA: Not Applicable UNK: Unknown 34 Version 2.0 | July 2012 Health Human Resources Minimum Data Set Guide—Text File Format Table 3: Data Technical Specifications (cont’d) Field Number Data Element Start Byte Length Type Representation Class Layout Minimum Maximum Permissible Values Length Length and/or Format 38 Provider Education Outside Domain Graduation Country Code 1 161 3 Character Code (Valid Country in Format AA{A}) 2 3 Country Codes— Appendix B NA: Not Applicable UNK: Unknown 39 Provider Education Outside Domain Education Level Code 2 164 5 Character Code (Valid Education Outside Domain in Format AA{AAA}) 2 5 EC: Equivalency Certificate CD: Diploma BD: Baccalaureate GD: Master’s POSTG: Doctorate NA: Not Applicable UNK: Unknown 40 Provider Education Outside Domain Education Field Code 2 169 3 Character Code (Valid Education Outside Domain in Format AA{A}) 2 3 Education Field of Study Codes—Appendix D NA: Not Applicable UNK: Unknown 41 Provider Education Outside Domain Graduation Year Date 2 172 4 Character Date (Valid Year in Format YYYY) 4 4 Four-Digit Year NA: Not Applicable UNK: Unknown 42 Provider Education Outside Domain Graduation Province Code 2 176 3 Character Code (Valid Province in Format AA{A}) 2 3 Canadian Province/Territory Codes—Appendix A 20: Non-Canadian Location NA: Not Applicable UNK: Unknown 43 Provider Education Outside Domain Graduation Country Code 2 179 3 Character Code (Valid Country in Format AA{A}) 2 3 Country Codes— Appendix B NA: Not Applicable UNK: Unknown 44 Provider Education Outside Domain Education Level Code 3 182 5 Character Code (Valid Education in Format AA{AAA}) 2 5 EC: Equivalency Certificate CD: Diploma BD: Baccalaureate GD: Master’s POSTG: Doctorate NA: Not Applicable UNK: Unknown 45 Provider Education Outside Domain Education Field Code 3 187 3 Character Code (Valid Education Outside Domain in Format AA{A}) 2 3 Education Field of Study Codes—Appendix D NA: Not Applicable UNK: Unknown Version 2.0 | July 2012 35 Health Human Resources Minimum Data Set Guide—Text File Format Table 3: Data Technical Specifications (cont’d) Field Number Data Element Start Byte Length Type Representation Class Layout Minimum Maximum Permissible Values Length Length and/or Format 46 Provider Education Outside Domain Graduation Year Date 3 190 4 Character Date (Valid Year in Format YYYY) 2 4 Four-Digit Year NA: Not Applicable UNK: Unknown 47 Provider Education Outside Domain Graduation Province Code 3 194 3 Character Code (Valid Province in Format AA{A}) 2 3 Canadian Province/Territory Codes—Appendix A 20: Non-Canadian Location NA: Not Applicable UNK: Unknown 48 Provider Education Outside Domain Graduation Country Code 3 197 3 Character Code (Valid Country in Format AA{A}) 2 3 Country Codes— Appendix B NA: Not Applicable UNK: Unknown 49 Provider Employment Initial Province Code 200 3 Character Code (Valid Province in Format AA{A}) 2 3 Canadian Province/Territory Codes—Appendix A NA: Not Applicable UNK: Unknown 50 Provider Employment Initial Year Date 203 4 Character Date (Valid Year in Format YYYY) 4 4 Four-Digit Year NA: Not Applicable UNK: Unknown 51 Provider Employment Status Code 207 3 Character Code (Valid Employment Status in Format AA{A}) 2 3 10: Employed in Current Provider Role Type 20: Employed in Current Provider Role Type on Leave 30: Employed Outside of Current Provider Role Type 50: Retired 60: Unemployed NA: Not Applicable UNK: Unknown 36 Version 2.0 | July 2012 Health Human Resources Minimum Data Set Guide—Text File Format Table 3: Data Technical Specifications (cont’d) Field Number Data Element Start Byte Length Type Representation Class Layout Minimum Maximum Permissible Values Length Length and/or Format 52 Provider Other Occupation Activity Status Code 210 3 Character Code (Valid Occupation Activity Status in Format AA{A}) 2 3 10: Seeking Employment Only in Current Provider Role Type 20: Seeking Employment Only in Occupations Outside the Current Provider Role Type 30: Seeking Employment in Any Occupation 40: Not Seeking Employment NA: Not Applicable UNK: Unknown 53 Provider Employment Annual Earned Hours 213 4 Character Number (Valid Number in Format NNNN) 4 4 Four-Digit Hours NA: Not Applicable UNK: Unknown 54 Provider Employment Sector Code 217 3 Character Code (Valid Sector Code in Format AAA) 3 3 PUB: Public PRI: Private MIX: Mix of Public and Private NA: Not Applicable UNK: Unknown 55 Provider Employment Category Code (for First Employment) 220 3 Character Code (Valid Employment Category in Format AA{A}) 2 3 PE: Permanent Employee TE: Temporary Employee CS: Casual Employee SE: Self-Employed OTH: Other—Not Elsewhere Classified NA: Not Applicable UNK: Unknown 56 Provider Employment FullTime/Part-Time Status (for First Employment) 223 3 Character Code (Valid FullTime/PartTime in Format AA{A}) 2 3 PT: Part-Time FT: Full-Time NA: Not Applicable UNK: Unknown 57 Provider Employment Province Code (for First Employment) 226 3 Character Code (Valid Province in Format AA{A}) 2 3 Canadian Province/Territory Codes—Appendix A 20: Non-Canadian Location NA: Not Applicable UNK: Unknown Version 2.0 | July 2012 37 Health Human Resources Minimum Data Set Guide—Text File Format Table 3: Data Technical Specifications (cont’d) Field Number Data Element Start Byte Length Type Representation Class Layout Minimum Maximum Permissible Values Length Length and/or Format 58 Provider Employment Country Code (for First Employment) 229 3 Character Code (Valid Country in Format AA{A}) 2 3 Country Codes— Appendix B NA: Not Applicable UNK: Unknown 59 Provider Employment Postal Code (for First Employment) 232 6 Character Code (Valid Postal Code in Format ANANAN) 6 6 (Six-Digit Postal Code Assigned by Canada Post) NA: Not Applicable UNK: Unknown 60 Provider Employment Organization Type Code (for First Employment) 238 3 Character Code (Valid Position in Format AA{A}) 2 3 Employment Organization Type Codes—Appendix E NA: Not Applicable UNK: Unknown 61 Provider Employment Multiple Site Indicator (for First Employment) 241 3 Character Code (Valid Multiple Site in Format AA{A}) 2 3 10: Yes 20: No NA: Not Applicable UNK: Unknown 62 Provider Employment Position Code (for First Employment) 244 3 Character Code (Valid Position in Format AA{A}) 2 3 10: Manager 15: Supervisor 20: Staff 30: Consultant 40: Educator 50: Researcher 55: Sales OTH: Other NA: Not Applicable UNK: Unknown 63 Provider Employment Category Code (for Second Employment) 247 3 Character Code (Valid Employment Category in Format AA{A}) 2 3 PE: Permanent Employee TE: Temporary Employee CS: Casual Employee SE: Self-Employed OTH: Other—Not Elsewhere Classified NA: Not Applicable UNK: Unknown 64 Provider Employment FullTime/Part-Time Status (for Second Employment) 250 3 Character Code (Valid FullTime/PartTime in Format AA{A}) 2 3 PT: Part-Time FT: Full-Time NA: Not Applicable UNK: Unknown 38 Version 2.0 | July 2012 Health Human Resources Minimum Data Set Guide—Text File Format Table 3: Data Technical Specifications (cont’d) Field Number Data Element Start Byte Length Type Representation Class Layout Minimum Maximum Permissible Values Length Length and/or Format 65 Provider Employment Province Code (for Second Employment) 253 3 Character Code (Valid Province in Format AA{A}) 2 3 Canadian Province/Territory Codes—Appendix A 20: Non-Canadian Location NA: Not Applicable UNK: Unknown 66 Provider Employment Country Code (for Second Employment) 256 3 Character Code (Valid Country in Format AA{A}) 2 3 Country Codes— Appendix B NA: Not Applicable UNK: Unknown 67 Provider Employment Postal Code (for Second Employment) 259 6 Character Code (Valid Postal Code in Format ANANAN) 6 6 (Six-Digit Postal Code Assigned by Canada Post) NA: Not Applicable UNK: Unknown 68 Provider Employment Organization Type Code (for Second Employment) 265 3 Character Code (Valid Position in Format AA{A}) 2 3 Employment Organization Type Codes—Appendix E NA: Not Applicable UNK: Unknown 69 Provider Employment Multiple Site Indicator (for Second Employment) 268 3 Character Code (Valid Multiple Site in Format AA{A}) 2 3 10: Yes 20: No NA: Not Applicable UNK: Unknown 70 Provider Employment Position Code (for Second Employment) 271 3 Character Code (Valid Position in Format AA{A}) 2 3 10: Manager 15: Supervisor 20: Staff 30: Consultant 40: Educator 50: Researcher 55: Sales OTH: Other NA: Not Applicable UNK: Unknown 71 Provider Employment Category Code (for Third Employment) 274 3 Character Code (Valid Employment Category in Format AA{A}) 2 3 PE: Permanent Employee TE: Temporary Employee CS: Casual Employee SE: Self-Employed OTH: Other—Not Elsewhere Classified NA: Not Applicable UNK: Unknown Version 2.0 | July 2012 39 Health Human Resources Minimum Data Set Guide—Text File Format Table 3: Data Technical Specifications (cont’d) Field Number Data Element Start Byte Length Type Representation Class Layout Minimum Maximum Permissible Values Length Length and/or Format 72 Provider Employment FullTime/Part-Time Status (for Third Employment) 277 3 Character Code (Valid FullTime/PartTime Status in Format AA{A}) 2 3 PT: Part-Time FT: Full-Time NA: Not Applicable UNK: Unknown 73 Provider Employment Province Code (for Third Employment) 280 3 Character Code (Valid Province in Format AA{A}) 2 3 Canadian Province/Territory Codes—Appendix A 20: Non-Canadian Location NA: Not Applicable UNK: Unknown 74 Provider Employment Country Code (for Third Employment) 283 3 Character Code (Valid Country in Format AA{A}) 2 3 Country Codes— Appendix B NA: Not Applicable UNK: Unknown 75 Provider Employment Postal Code (for Third Employment) 286 6 Character Code (Valid Postal Code in Format ANANAN) 6 6 (Six-Digit Postal Code Assigned by Canada Post) NA: Not Applicable UNK: Unknown 76 Provider Employment Organization Type Code (for Third Employment) 292 3 Character Code (Valid Position in Format AA{A}) 2 3 Employment Organization Type Codes—Appendix E NA: Not Applicable UNK: Unknown 77 Provider Employment Multiple Site Indicator (for Third Employment) 295 3 Character Code (Valid Multiple Site in Format AA{A}) 2 3 10: Yes 20: No NA: Not Applicable UNK: Unknown 78 Provider Employment Position Code (for Third Employment) 298 3 Character Code (Valid Position in Format AA{A}) 2 3 10: Manager 15: Supervisor 20: Staff 30: Consultant 40: Educator 50: Researcher 55: Sales OTH: Other NA: Not Applicable UNK: Unknown 79 Provider History Employment Country Code 301 3 Character Code (Valid Country in Format AA{A}) 2 3 Country Codes— Appendix B NA: Not Applicable UNK: Unknown 40 Version 2.0 | July 2012 Health Human Resources Minimum Data Set Guide—Text File Format Table 3: Data Technical Specifications (cont’d) Field Number Data Element Start Byte Length Type Representation Class Layout Minimum Maximum Permissible Values Length Length and/or Format 80 Provider History Employment Postal Code 304 6 Character Code (Valid Postal Code in Format ANANAN) 6 6 (Six-Digit Postal Code Assigned by Canada Post) NA: Not Applicable UNK: Unknown 81 Provider History Previous Employment Province Code 310 3 Character Code (Valid Province in Format AA{A}) 2 3 Canadian Province/Territory Codes—Appendix A 20: Non-Canadian Location NA: Not Applicable UNK: Unknown 82 Provider History Previous Employment Country Code 313 3 Character Code (Valid Country in Format AA{A}) 2 3 Country Codes— Appendix B NA: Not Applicable UNK: Unknown 83 Provider History Previous Employment Postal Code 316 6 Character Code (Valid Postal Code in Format ANANAN) 6 6 (Six-Digit Postal Code Assigned by Canada Post) NA: Not Applicable UNK: Unknown 84 Organization Registration Number Type Code 322 2 Character Code (Valid Registration Number in Format AA) 2 2 14: Active, Full 24: Active, Other 34: Inactive 4.3 Data Submission Specifications The purpose of this section of the document is to provide the data submission specifications for data submission into a national/centralized database. This section includes information on the following: Data Submission Specifications – Guidelines for data submission – Data acceptance rules or edit checks – File layout and file submission – Record layout Other Potential Data Sources Submitting organizations submitting data to a national or centralized database may wish to adopt the specifications as outlined in this document, which are consistent with CIHI’s HHR data standards. Version 2.0 | July 2012 41 Health Human Resources Minimum Data Set Guide—Text File Format Guidelines for Data Submission The submitting organizations may consist of provincial regulatory bodies (supplying licensing membership data for their respective province) and/or national/provincial professional organizations. Annual Collection Date An annual collection date should be established between the receiving and submitting organizations so that data can be provided annually by selecting a point-in-time data collection date. It is customary for jurisdictions to have different registration periods. As such, a point-intime collection date should be chosen that will encompass the majority of registrations for a calendar year. The data provided should include all registrations received or submitted between the start of the submitting organization’s registration period and the point-in-time collection date (inclusive) of the data submission year. Note: It is crucial for submitting organizations to make a copy of their text file when point-in-time data is captured. After submitting to the receiving organization, changes may be required as a result of possible errors or anomalies, depending on the data acceptance rules or edit checks established by the receiving organization. In this way, the submitting organization can make the necessary changes and updates to the original data file. While submitting organizations may want to apply updates and changes to their current database, for data submission purposes, it is important that the original data file (that is, the file with the point-in-time data collection) is updated and resubmitted without including any new registrations that have occurred after the point-in-time collection date. Doing so will capture the workforce on that particular day and will allow for trending year over year. Deadline for Submission Typically, it is best to determine a deadline for submission period for the initial file submission, that is, version 01 of the text file. A period of one month is usually an acceptable timeframe. For example, if the point-in-time data collection date is August 1, then the first submission should occur anytime between August 1 and August 31 of the respective data submission year. Note: Submitting organizations should expect that there will be multiple versions of the initial file during the period of correction due to errors and anomalies. It could take several months until the file is error-free. Records for Submission The target population for the national/centralized database would be all health care providers from the submitting organizations and should include, at minimum, Active registrations, but may also include both Active and Inactive registrations from the submitting organizations, depending on the requirements established by the receiving/submitting organizations. Active: Refers to a professional practice licence or registration type that authorizes a registrant, based on the assessment and issuance by a regulatory body, to engage in professional practice, as defined by the relevant laws, regulations and/or policies associated with a specific jurisdiction. 42 Version 2.0 | July 2012 Health Human Resources Minimum Data Set Guide—Text File Format Inactive: Refers to a type of registration that does not permit a registrant to engage in professional practice without further consideration and/or licensure by the regulatory body, within a particular jurisdiction, as defined by the relevant laws, regulations and/or policies associated with that jurisdiction. Data Acceptance Rules or Edit Checks Data acceptance rules or edit checks should be established by the receiving organization and should at minimum contain the following: Data should be edited at source and only error-free data should be submitted. Error-free data: – Conforms to the physical record and file layout as defined in this document; and – Contains only valid values or codes as defined in the Record Layout. Blank values for data elements are not acceptable, as this will most likely cause errors during submission, depending on the validation rules or edits checks established by the receiving organization. A submission file should contain only registration data for the period established between the receiving and submitting organizations. Data should be submitted in a file of fixed record length. All data records submitted should be validated against the edit checks and validation rules established by the receiving organization. A control record should be present at the start of the data file. The control record is a summary of the file contents and functions as a reference for verification of individual records. A validation rule should be established by the receiving organization so that if any component of the control record is incorrect, the submitted data file would be rejected until the file is corrected and resubmitted. The receiving organization should inform the submitting organizations of any errors or anomalies detected based on the established validation rules or edit checks. At that point, the submitting organization should correct those errors or anomalies and then resubmit corrected records by resubmitting the entire data file (a file that contains both corrected records plus all of the original records that were without errors). File Layout and File Submission File Characteristics Registration data should be submitted in a file that would consist of the following: A control record—This record describes the contents of the file. It is the first record in the file and is 323 characters in length. Detailed records (individual record–level data)—These records would be 323 characters in length based on the HHR MDS. Each record describes the demographic, education, employment and geographic characteristics, as well as migration characteristics of a single health care provider. Version 2.0 | July 2012 43 Health Human Resources Minimum Data Set Guide—Text File Format Note: If a profession chooses not to collect all data elements in the HHR MDS, then the record length and field numbers would be different than those listed in the HHR MDS, HHR DD and HHR DTSS. Organizations would have to readjust the start bytes to match the data elements collected. For example, if an organization chooses not to collect data elements 80 through 83, then data element 84 (Organization Registration Number Type Code) would become the last data element, making it number 80. As such, it would now have a start byte of 304 and the record length for each registrant would now be 305 rather than 323. If, however, a profession does not collect all data elements when first establishing its database but knows that these data elements will be collected in the future, the database can be built with all the data elements listed in the HHR MDS but the data elements not collected at the beginning would be coded as Not Applicable. Each record must start on a new line. The file to be created should be a plain (ASCII) text file without delimiters (such as tabs or commas)—The file extension must be .txt. Files should be submitted using a secure mode of transmission, such as the electronic Data Submission Services (eDSS). If using this mode of transmission, the file must be zipped with a .zip file extension. File Naming Convention File names should be standardized to facilitate the receipt and processing of health care provider data. The file name indicates the database name, profession, current data year, submitting organization and file version. The file name layout could be as follows: Table 4: File Layout 44 Field Value and/or Valid Format Description Occupation Identification Code ABC “ABC” for Health Care Provider Profession.* Data Year YYYY (format) The data collection year for submission. Submitting Organization Identifier AA999 (format) See Appendix F for values A five-character code assigned to the submitting organization. File Version Number 99 (format) Indicates which version of the file is being submitted. The first file to be submitted for a given data submission year should have a file version number of 01. Subsequent iterations of the file would have a version number incremented by one each time the file is submitted (for example, 02, 03). Filename Extension .txt The file name extension must be .txt. This extension indicates a text file. Version 2.0 | July 2012 Health Human Resources Minimum Data Set Guide—Text File Format Example File Name ABC2012AB00101.txt This example identifies the file as a health care provider profession file for the year 2012 and from the submitting organization AB001—Alberta Health Care Provider Organization, and it is the first iteration of the file to be received from the submitting organization. * ABC would be replaced with an abbreviation specific to the profession. The abbreviation can be established by the profession itself. For example: MLT: Medical Laboratory Technologist MRT: Medical Radiation Technologist OCC: Occupational Therapist PHY: Physiotherapist PHA: Pharmacist Data Submission and Transmission To satisfy national and provincial privacy legislation, it is suggested that all data files are submitted using the electronic Data Submission Services (eDSS) facility. The eDSS permits online transmission of electronic files via the internet and facilitates the establishment of a secure encrypted session between the receiving organization and the submitting organizations for the purpose of data transfer. Although eDSS is a preferred method to send and receive data, for submitting organizations without sufficient infrastructure, submission of data on hard media (e.g. CD, memory stick) is an alternative mode of transmission but it should be sent by registered mail or bonded courier service. Whether using eDSS or an alternate mode of transmission, it is suggested that all files be encrypted and password-protected to ensure the confidentiality and security of record-level data. Record Layout Control Record Format When submitting a file to the receiving organization, it is best that a control record is entered at the start of each file that is submitted to the receiving organization. The control record describes the contents of the file using a standardized naming convention based on CIHI’s data standards. The type and format of information in the control record is outlined in the table below. Version 2.0 | July 2012 45 Health Human Resources Minimum Data Set Guide—Text File Format Table 5: Control Record Format Field Number Data Element Start Byte Length Type Values and/or Format 1 Occupation Abbreviation 1 3 Character ABC 2 Submitting 4 Organization Identifier 5 Character Format is AA999 See Appendix F for values 3 Data Year 9 4 Character (YYYY) The data collection year for submission. 4 Number of Records 13 6 Numeric The total number of records in the file (NOT including the control record). 5 File Creation Date 19 8 Date (YYYYMMDD) The date the file was created. 6 Provider Registration Identifier 27 1 Character R (Registration Number) or S (Substitute Number) 7 Filler 28 296 Character Xs are added to the end of the record so that the control record is the same length as the detail records. Total Length of a Record 323 Note Provider Registration Identifier. Unique registration identifier for profession ABC may be included in one of two ways: The actual registration number may be used, or A substitute (dummy) number may be used. It is left to the discretion of the submitting organization as to whether it supplies actual or substitute (dummy) numbers. However, regardless of the type provided, the number for each respective registrant must be the same year-on-year. If dummy numbers are supplied, they must remain consistent year-on-year for each individual registrant. In other words, a registrant should receive a unique lifetime ID. For example, the number assigned to a returning registrant should be the same as the previous number the registrant had received. When a registrant no longer registers with the province, the number assigned to this individual must not be recycled and given to another registrant. This requirement enables an organization to conduct longitudinal analysis on the data. Sample Control Record Flat Data File Format ABCAB001201200075020120820Rxxxxxxxxxxxxxxxxxxxxx……… 46 Occupation Abbreviation Submitting Organization Current Identifier Data Year Provincial Unique Identification/Registration Number Type— Number of File Creation Date Registration (R) Records (YYYYMMDD) or Substitute (S) ABC AB001 000750 2012 20120820 R Filler Xs Version 2.0 | July 2012 Health Human Resources Minimum Data Set Guide—Text File Format This sample control record indicates that ABC Profession is Health Care Provider AB001 Submitted by health care provider organization AB001 2012 Data collection year is 2012 000750 750 records in the file (NOT including the control record) 20120820 File was created on August 20, 2012 R The registration numbers are actual registration numbers Xs… The control record is padded with a filler of 296 characters Record Layout Refer to Table 3 (“Data Technical Specifications”) in Section 4.2 for the detailed information required to create records for each registrant in a sequential file suitable for processing. 4.4 Other Potential Data Sources For those organizations unable to establish their own database and reporting system, refer to Appendix G for other potential sources of data. Version 2.0 | July 2012 47 Health Human Resources Minimum Data Set Guide—Text File Format Section 5: Appendices Appendix A—Canadian Province/Territory Codes Code Canadian Province/Territory NL Newfoundland and Labrador PE Prince Edward Island NS Nova Scotia NB New Brunswick QC Quebec ON Ontario MB Manitoba SK Saskatchewan AB Alberta BC British Columbia YT Yukon NT Northwest Territories NU Nunavut Sources Canadian Postal Guide. http://www.canadapost.ca/tools/pg/manual/PGaddress-e.asp#1380608. ISO 3166-2:1998. Codes for the Representation of Names of Countries and Their Subdivisions— Part 2: Country Subdivision Code. 48 Version 2.0 | July 2012 Health Human Resources Minimum Data Set Guide—Text File Format Appendix B—Country Codes The table below is sorted by country. Country Code Afghanistan AFG Åland Islands ALA Albania ALB Algeria DZA American Samoa ASM Andorra AND Angola AGO Anguilla AIA Antarctica* ATA Antigua and Barbuda ATG Argentina ARG Armenia ARM Aruba ABW Australia AUS Austria AUT Azerbaijan AZE Bahamas BHS Bahrain BHR Bangladesh BGD Barbados BRB Belarus BLR Belgium BEL Belize BLZ Benin BEN Bermuda BMU Bhutan BTN Bolivia, Plurinational State of BOL Bonaire, Sint Eustatius and Saba BES Bosnia and Herzegovina BIH Botswana BWA Bouvet Island* BVT Brazil BRA British Indian Ocean Territory* IOT Brunei Darussalam BRN Bulgaria BGR Burkina Faso BFA Burundi BDI Cambodia KHM Version 2.0 | July 2012 49 Health Human Resources Minimum Data Set Guide—Text File Format 50 Country Code Cameroon CMR Canada CAN Cape Verde CPV Cayman Islands CYM Central African Republic CAF Chad TCD Chile CHL China CHN Christmas Island* CXR Cocos (Keeling) Islands* CCK Colombia COL Comoros COM Congo COG Congo, The Democratic Republic of the Congo COD Cook Islands COK Costa Rica CRI Côte d’Ivoire CIV Croatia HRV Cuba CUB Cyprus CYP Czech Republic CZE Denmark DNK Djibouti DJI Dominica DMA Dominican Republic DOM Ecuador ECU Egypt EGY El Salvador SLV Equatorial Guinea GNQ Eritrea ERI Estonia EST Ethiopia ETH Faeroe Islands FRO Falkland Islands (Malvinas) FLK Fiji FJI Finland FIN France FRA French Guiana GUF French Polynesia PYF French Southern Territories* ATF Gabon GAB Version 2.0 | July 2012 Health Human Resources Minimum Data Set Guide—Text File Format Country Code Gambia GMB Georgia GEO Germany DEU Ghana GHA Gibraltar GIB Greece GRC Greenland GRL Grenada GRD Guadeloupe GLP Guam GUM Guatemala GTM Guernsey GGY Guinea GIN Guinea-Bissau GNB Guyana GUY Haiti HTI Heard Island and McDonald Islands* HMD Holy See (Vatican City State) VAT Honduras HND Hong Kong HKG Hungary HUN Iceland ISL India IND Indonesia IDN Iran, Islamic Republic of IRN Iraq IRQ Ireland IRL Isle of Man IMN Israel ISR Italy ITA Jamaica JAM Japan JPN Jersey JEY Jordan JOR Kazakhstan KAZ Kenya KEN Kiribati KIR Korea, Democratic People’s Republic PRK Korea, Republic of KOR Kuwait KWT Kyrgyzstan KGZ Version 2.0 | July 2012 51 Health Human Resources Minimum Data Set Guide—Text File Format 52 Country Code Lao People’s Democratic Republic LAO Latvia LVA Lebanon LBN Lesotho LSO Liberia LBR Libya LBY Liechtenstein LIE Lithuania LTU Luxembourg LUX Macao MAC Macedonia, The former Yugoslav Republic of MKD Madagascar MDG Malawi MWI Malaysia MYS Maldives MDV Mali MLI Malta MLT Marshall Islands MHL Martinique MTQ Mauritania MRT Mauritius MUS Mayotte MYT Mexico MEX Micronesia, Federated States of FSM Moldova, Republic of MDA Monaco MCO Mongolia MNG Montenegro MNE Montserrat MSR Morocco MAR Mozambique MOZ Myanmar MMR Namibia NAM Nauru NRU Nepal NPL Netherlands NLD Netherlands Antilles ANT New Caledonia NCL New Zealand NZL Nicaragua NIC Niger NER Version 2.0 | July 2012 Health Human Resources Minimum Data Set Guide—Text File Format Country Code Nigeria NGA Niue NIU Norfolk Island NFK Northern Mariana Islands MNP Norway NOR Oman OMN Pakistan PAK Palau PLW Palestinian Territory, Occupied PSE Panama PAN Papua New Guinea PNG Paraguay PRY Peru PER Philippines PHL Pitcairn PCN Poland POL Portugal PRT Puerto Rico PRI Qatar QAT Réunion REU Romania ROU Russian Federation RUS Rwanda RWA Saint Barthélemy BLM Saint Helena, Ascension and Tristan de Cunha SHN Saint Kitts and Nevis KNA Saint Lucia LCA Saint Martin MAF Saint Pierre and Miquelon SPM Saint Vincent and the Grenadines VCT Samoa WSM San Marino SMR Sao Tome and Principe STP Saudi Arabia SAU Senegal SEN Serbia SRB Seychelles SYC Sierra Leone SLE Singapore SGP Slovakia SVK Slovenia SVN Version 2.0 | July 2012 53 Health Human Resources Minimum Data Set Guide—Text File Format 54 Country Code Solomon Islands SLB Somalia SOM South Africa ZAF South Georgia and the South Sandwich Islands SGS Spain ESP Sri Lanka LKA South Sudan SSD Sudan SDN Suriname SUR Svalbard and Jan Mayen Islands SJM Swaziland SWZ Sweden SWE Switzerland CHE Syrian Arab Republic SYR Taiwan, Province of China TWN Tajikistan TJK Tanzania, United Republic of TZA Thailand THA Timor-Leste TLS Togo TGO Tokelau TKL Tonga TON Trinidad and Tobago TTO Tunisia TUN Turkey TUR Turkmenistan TKM Turks and Caicos Islands TCA Tuvalu TUV Uganda UGA Ukraine UKR United Arab Emirates ARE United Kingdom of Great Britain and Northern Ireland GBR United States USA United States Minor Outlying Islands UMI Uruguay URY Uzbekistan UZB Vanuatu VUT Venezuela, Bolivarian Republic of VEN Viet Nam VNM Virgin Islands, British VGB Virgin Islands, U.S. VIR Version 2.0 | July 2012 Health Human Resources Minimum Data Set Guide—Text File Format Country Code Wallis and Futuna Islands WLF Western Sahara ESH Yemen YEM Zambia ZMB Zimbabwe ZWE Note * Uninhabited territories or territories with no permanent population, http://en.wikipedia.org/wiki/Dependent_area. Sources ISO 3166-1 (April 2011—alpha 3 representation) and United Nations Statistics Division, http://millenniumindicators.un.org. Version 2.0 | July 2012 55 Health Human Resources Minimum Data Set Guide—Text File Format Appendix C—Post-Secondary Canadian Education Institution Codes The table below is sorted by province/territory and post-secondary Canadian education institution code. If the code is not listed in the table below, refer to Statistics Canada’s website. Code Post-Secondary Institution Newfoundland and Labrador 10001000 Memorial University of Newfoundland—Parent Institution 10020000 College of North Atlantic—Parent Institution Prince Edward Island 11001000 University of Prince Edward Island 11011000 Holland College—Parent Institution Nova Scotia 12001000 Acadia University—Parent Institution 12003000 Cape Breton University 12004000 Dalhousie University 12005000 University of King’s College 12006000 Mount St. Vincent University 12008000 NSCAD University 12010000 Université Sainte-Anne—Parent Institution 12011000 St. Francis Xavier University—Parent Institution 12012000 Saint Mary’s University 12022000 Nova Scotia Community Colleges—Parent Institution 12024000 Institute for Human Services Education 12080000 Queen Elizabeth II/Health Sciences Centre—Parent Institution New Brunswick 13002000 Mount Allison University 13003000 University of New Brunswick—Parent Institution 13004000 Université de Moncton—Parent Institution 13005000 St. Thomas University 13018000 New Brunswick Community College—Parent Institution / Collège communautaire du Nouveau Brunswick—Parent Institution 13019000 School of Radiological Technology—Parent Institution Quebec 56 24001000 Bishop’s University—Parent Institution 24002000 McGill University—Parent Institution 24003000 Université de Montréal—Parent Institution 24005000 Université Laval 24006000 Université de Sherbrooke 24007000 Concordia University Version 2.0 | July 2012 Health Human Resources Minimum Data Set Guide—Text File Format Code Post-Secondary Institution 24008000 Université du Québec à Chicoutimi 24009000 Université du Québec à Montréal 24010000 Université du Québec en Abitibi-Témiscamingue 24011000 Université du Québec à Trois-Rivières 24012000 Université du Québec en Outaouais 24013000 Université du Québec, École nationale d’administration publique—Parent Institution 24014000 Institut national de la recherche scientifique 24015000 Université du Québec à Rimouski 24016000 École de technologie supérieure 24017000 Télé-université 24020000 Cégep de l’Abitibi-Témiscamingue 24021000 Cégep Ahuntsic 24022000 Cégep André-Laurendeau 24023000 Cégep de Bois-de-Boulogne 24024000 Cégep de Chicoutimi 24025000 Dawson College 24026000 Cégep de Drummonville 24027000 Cégep Édouard-Montpetit 24028000 Cégep François-Xavier-Garneau 24029000 Cégep de la Gaspésie et des Îles 24030000 Cégep de Grandby-Haute Yamaska 24031000 Cégep de Baie-Comeau 24032000 Cégep John Abbott College 24033000 Cégep régional de Lanaudière à Joliette 24034000 Cégep de Jonquière 24035000 Cégep de La Pocatière 24036000 Champlain Regional College—Parent Institution 24037000 Cégep de Lévis-Lauzon 24038000 Cégep de Limoilou 24039000 Cégep Lionel-Groulx 24040000 Cégep de Maisonneuve 24041000 Cégep de Matane 24042000 Cégep Montmorency 24043000 Cégep de l’Outaouais 24044000 Cégep de la région de Thetford 24045000 Cégep de Rimouski 24046000 Cégep de Rivière-du-Loup 24047000 Cégep de Rosemount 24048000 Cégep de Sainte-Foy 24050000 Cégep de Saint-Hyacinthe 24051000 Cégep de Saint-Jean-sur-Richelieu Version 2.0 | July 2012 57 Health Human Resources Minimum Data Set Guide—Text File Format Code Post-Secondary Institution 24052000 Cégep de Saint-Jerôme 24053000 Cégep de Saint-Laurent 24054000 Cégep de Sept-Îles 24055000 Cégep de Shawinigan 24056000 Cégep de Sherbrooke 24057000 Cégep de Sorel-Tracy 24058000 Cégep de Trois-Rivières 24059000 Cégep de Valleyfield 24060000 Vanier College 24061000 Cégep de Victoriaville 24062000 Cégep du Vieux-Montréal 24063000 Cégep Beauce-Appalaches 24064000 Heritage College 24065000 Cégep Marie-Victorin 24068000 Collège international des Marcellines 24069000 College Mother House 24070000 Centennial College 24071000 Collège d’affaires Ellis 24072000 Collège André-Grasset 24074000 Collège Bart 24079000 Collège Français 24080000 Institut Teccart (2003) 24081000 Collège Jean-de-Brébeuf 24082000 Collège Laflèche 24083000 Collège LaSalle 24087000 Collège Marianopolis 24089000 Collège Mérici 24090000 Campus Notre-Dame-de-Foy 24092000 Collège O’Sullivan de Québec 24093000 Collège préuniversitaire Nouvelles Frontières 24127000 Collège Marie-de-France 24160000 Collège O’Sullivan de Montréal 24400000 Cégep d’Alma 24410000 Cégep Gérald-Godin Ontario 58 35001000 Brock University—Parent Institution 35002000 Carleton University—Parent Institution 35004000 University of Guelph—Parent Institution 35005000 Lakehead University—Parent Institution 35006000 Laurentian University / Université Laurentienne—Parent Institution 35007000 McMaster University—Parent Institution Version 2.0 | July 2012 Health Human Resources Minimum Data Set Guide—Text File Format Code Post-Secondary Institution 35008000 Nipissing University—Parent Institution 35010000 University of Ottawa / Université d’Ottawa—Parent Institution 35011000 Queen’s University—Parent Institution 35012000 Redeemer University College 35014000 Ryerson University—Parent Institution 35015000 University of Toronto—Parent Institution 35016000 Trent University—Parent Institution 35017000 University of Waterloo—Parent Institution 35018000 University of Western Ontario—Parent Institution 35019000 Wilfred Laurier University—Parent Institution 35020000 University of Windsor—Parent University 35021000 York University—Parent Institution 35023000 University of Ontario—Institute of Technology—Parent Institution 35040000 East Ontario School of X-Ray Technology, Kingston General Hospital 35042000 Ontario School of Radiation Therapy, Ontario Cancer Institute 35043000 Collège Boréal d’arts appliqués et de technologie—Parent Institution 35045000 Cité collégiale—Parent Institution 35046000 Algonquin College of Applied Arts and Technology 35047000 Cambrian College of Applied Arts and Technology 35048000 Centennial College of Applied Arts and Technology 35051000 Conestoga College Institute of Technology and Advanced Learning 35052000 Confederation College of Applied Arts and Technology 35053000 Durham College of Applied Arts and Technology 35054000 Fanshawe College of Applied Arts and Technology 35055000 George Brown College of Applied Arts and Technology 35056000 Georgian College of Applied Arts and Technology 35057000 Loyalist College of Applied Arts and Technology 35058000 Mohawk College of Applied Arts and Technology 35059000 Niagara College of Applied Arts and Technology 35061000 Lambton College of Applied Arts and Technology 35062000 Humber College Institute of Technology and Advanced Learning 35063000 Northern College of Applied Arts and Technology—Parent Institution 35064000 St. Clair College of Applied Arts and Technology 35065000 St. Lawrence College of Applied Arts and Technology—Parent Institution 35066000 Sault College of Applied Arts and Technology—Parent Institution 35067000 Seneca College of Applied Arts and Technology 35068000 Sheridan College Institute of Technology and Advanced Learning 35069000 Sir Sandford Fleming College of Applied Arts and Technology 35070000 The Michener Institute, Applied Health Sciences 35072000 Canadian Memorial Chiropractic College 35073000 Canadore College of Applied Arts and Technology Version 2.0 | July 2012 59 Health Human Resources Minimum Data Set Guide—Text File Format Code Post-Secondary Institution 35089000 Northern Ontario School of Medicine—Parent Institution 35090000 Algoma University Manitoba 46001000 Brandon University 46002000 Canadian Mennonite University—Parent Institution 46003000 William and Catherine Booth College 46005000 University of Manitoba—Parent Institution 46006000 University of Winnipeg—Parent Insitution 46016000 Assiniboine Community College 46017000 Red River College—Parent Institution 46018000 University College of the North—Parent Institution 46020000 School of Radiation Therapy at Cancer Care Manitoba 46021000 Winnipeg Technical College 46023000 École technique et professionnelle Saskatchewan 47004000 University of Regina—Parent Institution 47005000 University of Saskatchewan—Parent Institution 47015000 Saskatchewan Institute of Applied Science and Technology (SIAST)—Parent Institution 47017000 Carlton Trail Regional College 47018000 Cumberland Regional College 47019000 Cypress Hills Regional College 47020000 North West Regional College 47021000 Parkland Regional College 47022000 Prairie West Regional College 47023000 Saskatchewan Indian Institute of Technology 47025000 Southeast Regional College 47026000 Northlands College 47027000 School of Radiation Therapy, Allan Blair Cancer Centre 47028000 Radiation Therapy Program, Saskatoon Cancer Centre 47030000 Great Plains College 47031000 Emmanuel and St. Chad 47033000 St. Andrew’s College 47035000 Briercrest College 47036000 Dumont Technical Institute Alberta 60 48001000 University of Alberta—Parent Institution 48002000 Athabasca University 48005000 University of Calgary 48007000 Canadian University College 48008000 Concordia University College of Alberta 48009000 University of Lethbridge Version 2.0 | July 2012 Health Human Resources Minimum Data Set Guide—Text File Format Code Post-Secondary Institution 48011000 The King’s University College 48013000 St Mary’s University College 48014000 Ambrose University 48015000 Grant MacEwan University 48016000 Mount Royal University 48022000 Bow Valley College 48023000 Olds College 48024000 Lakeland College—Parent Institution 48026000 Grande Prairie Regional College 48027000 Lethbridge College 48028000 Medicine Hat College 48029000 Mount Royal College 48030000 Grant MacEwan College—Parent Institution 48031000 Keyano College 48032000 Red River College 48033000 NAIT—Parent Institution 48034000 Southern Alberta Institute of Technology 48037000 Cross Cancer Institute, School of Radiation Therapy 48038000 Tom Baker Cancer Centre, School of Radiation Therapy 48146000 NorQuest College 48147000 Northern Lakes College 48148000 Portage College 48149000 Alberta Cancer Board School for Radiation 48150000 Banff Centre British Columbia 59001000 University of British Columbia—Parent Institution 59002000 University of Northern British Columbia—Parent Institution 59005000 Royal Roads University 59007000 Simon Fraser University 59008000 Trinity Western University—Parent Institution 59009000 University of Victoria 59023000 British Columbia Institute of Technology 59024000 Capilano College 59026000 College of New Caledonia 59027000 Douglas College 59031000 Selkirk College 59032000 Vancouver Community College—Parent Institute 59033000 Northern Lights College 59034000 Camosun College 59035000 North Island College 59037000 University College of the Fraser Valley Version 2.0 | July 2012 61 Health Human Resources Minimum Data Set Guide—Text File Format Code Post-Secondary Institution 59038000 College of the Rockies 59039000 Emily Carr Institute of Design and Art 59041000 Kwantlen University College 59043000 Nicola Valley Institute of Technology 59044000 Institute of Indigenous Government 59045000 Langara College 59048000 Thompson Rivers University—Parent Institution 59049000 Capilano University 59050000 Okanagan College 59051000 Vancouver Island University 59052000 Emily Carr University of Art and Design 59053000 Kawantlen Polytechnic University 59054000 University of the Fraser Valley Yukon 60001000 Yukon College Northwest Territories 61002000 Aurora College—Parent Institution Nunavut 62001000 Nunavut Arctic College—Parent Institution Source Statistics Canada: The above list has been derived from the Post-Secondary Institution Code Set used by Statistics Canada as part of the Postsecondary Student Information System (PSIS). PSIS is the national survey that enables Statistics Canada to publish information on enrolments and graduates of Canadian post-secondary education institutions. Further information can be obtained from the following website: http://www.statcan.gc.ca/concepts/psis-siep/map-carte-eng.htm. 62 Version 2.0 | July 2012 Health Human Resources Minimum Data Set Guide—Text File Format Appendix D—Education Field of Study Codes The table below is sorted by education field of study code. Code Field of Study 005 Personal Improvement (awareness, self-improvement, interpersonal and social skills, citizenship, health-related knowledge activities) 010 Leisure and Recreational Activities 015 Education 020 Visual and Performing Arts 025 Communications Technologies/Technicians and Support Services 030 Liberal Arts and Sciences, General Studies and Humanities 035 Philosophy and Religious Studies 040 Theology and Religious Vocations 045 History 050 Medieval and Renaissance Studies 055 Holocaust and Related Studies 060 Classical and Ancient Studies 065 English Language and Literature/Letters 070 French Language and Literature/Letters 075 Aboriginal and Foreign Languages, Literatures and Linguistics 080 Social Studies 085 Museology/Museum Studies 090 Intercultural/Multicultural and Diversity Studies 095 Peace Studies and Conflict Resolution 100 International/Global Studies 105 Science, Technology and Society 110 Gerontology 115 Psychology 120 Behavioural Sciences 125 Cognitive Science 130 Biopsychology 135 Area, Ethnic, Cultural and Gender Studies 140 Family and Consumer Sciences/Human Studies 145 Communication, Journalism and Related Programs 150 Legal Professions and Studies 155 Business, Management, Marketing and Related Support Programs 160 Accounting and Computer Science 165 Public Administration and Social Service Professions 170 Physical Sciences 175 Biological and Biomedical Sciences 180 Biological and Physical Sciences 185 Natural Sciences Version 2.0 | July 2012 63 Health Human Resources Minimum Data Set Guide—Text File Format Code Field of Study 190 Nutrition Sciences 195 Neuroscience 200 Science Technologies/Technicians 205 Mathematics and Statistics 210 Mathematics and Computer Science 215 Computer and Information Sciences and Support Services 220 Systems Sciences and Theory 225 Library Science 230 Architecture and Related Services 235 History Preservation and Conservation 240 Engineering 245 Engineering Technologies/Technicians 250 Construction Trades 255 Mechanic and Repair Technologies/Technicians 260 Precision Production 265 Agriculture, Agriculture Operations and Related Sciences 270 Natural Resources and Conservation 275 Health Professions and Related Clinical Sciences 280 Dental, Medical and Veterinary Residency Programs 285 Parks, Recreation, Leisure and Fitness Studies 290 Personal and Culinary Services 295 Security and Protective Services 300 Military Technologies 305 Reserve Entry Scheme for Officers in the Armed Forces 310 Transportation and Materials Moving 315 Multidisciplinary/Interdisciplinary Studies, Other 320 Technology Education/Industrial Arts Program 325 Other, Not Elsewhere Classified Source Statistics Canada, Classification of Instructional Programs, Canada 2000. Further information can be obtained from the following website: http://www.statcan.gc.ca. 64 Version 2.0 | July 2012 Health Human Resources Minimum Data Set Guide—Text File Format Appendix E—Employment Organization Type Codes The table below is sorted by employment organization code. Organizations wanting to include additional organizational types that are specific to their profession need only to assign a code using the same length of characters as noted in the table below. Code Organization Type 010 General Hospital (all areas) 015 Primary Health Care 020 Rehabilitation Hospital/Facility 022 Community Pharmacy 026 Other Pharmacy 030 Mental Health Hospital/Facility 040 Residential Care Facility 045 Assisted Living Residence 050 Continuing Care Facility 055 Home Care Visiting Agency 056 Physicians Office/Other Professional Practice Office 060 Community Health Centre 061 Other Community-Based Pharmacist Practice 062 Group Professional Practice Office/Clinic 065 Solo Professional Practice Office/Business 068 Cancer Care 070 Visiting Agency/Business 074 Public Health 076 Public Health Laboratory/Department/Unit 077 Centralized Diagnostic Laboratory Facility 078 Free-Standing Imaging Facility/Clinic 086 Free-Standing Diagnostic Laboratory 087 Specimen Collection Centre 088 Mobile Imaging Unit 096 Blood Transfusion Centre 097 Other Laboratory Facility 100 Post-Secondary Educational Institution 110 School or School Board 120 Association, Government, Para-Governmental 124 Community Pharmacy Corporate Office 130 Industry, Manufacturing, and Commercial 140 Other, Not Elsewhere Classified Sources Canadian Institute for Health Information, Medical Laboratory Technologist Database, Medical Radiation Technologist Database, Pharmacist Database, Physiotherapist Database and Occupational Therapist Database. Version 2.0 | July 2012 65 Health Human Resources Minimum Data Set Guide—Text File Format Appendix F—Submitting Organization Identifier Codes Corresponding Province/Territory of Data Submission Code Submitting Organization NL001 Newfoundland and Labrador Health Care Provider Organization Newfoundland and Labrador PE001 Prince Edward Island Health Care Provider Organization Prince Edward Island NS001 Nova Scotia Health Care Provider Organization Nova Scotia NB001 New Brunswick Health Care Provider Organization New Brunswick QC001 Quebec Health Care Provider Organization Quebec ON001 Ontario Health Care Provider Organization Ontario MB001 Manitoba Health Care Provider Organization Manitoba SK001 Saskatchewan Health Care Provider Organization Saskatchewan AB001 Alberta Health Care Provider Organization Alberta BC001 British Columbia Health Care Provider Organization British Columbia NT001 Northwest Territories Health Care Provider Organization Northwest Territories YT001 Yukon Health Care Provider Organization Yukon NU001 Nunavut Health Care Provider Organization Nunavut Note A health care provider organization can be a provincial/territorial regulatory body or a national/provincial/territorial professional organization. Source Canadian Institute for Health Information. 66 Version 2.0 | July 2012 Health Human Resources Minimum Data Set Guide—Text File Format Appendix G—Other Potential Data Sources Summary data by occupation is made available on a special request to Statistics Canada. Data can be obtained through two data sources: 1. Labour Force Survey: This is an annual publication. 2. Census: The survey occurs once every five years. Note There may not be total agreement between data sources, as professional organizations may not classify their registrants according to the same occupational categories as those of Statistics Canada. Additionally, these surveys represent only a proportion of the workforce and, therefore, are not representative of total headcounts. Source Statistics Canada. Version 2.0 | July 2012 67 Health Human Resources Minimum Data Set Guide—Text File Format Appendix H—CIHI Core Subset of Data Elements Core Data Elements in the HHR MDS by Category Data Element Permissible Value(s) Identifiers and Demographic Information Provider Registration Identifier Number (National or Provincial/Territorial Registration Number or Suitable Alternative) Provider Gender Code Female Male Undifferentiated Not Applicable Unknown Provider Birth Year Date (Four-Digit Year) Not Applicable Unknown Geography and Related Provider History Residence Province Code (Canadian Province/Territory Codes) Not Applicable Unknown Provider History Residence Country Code (Country Codes) Not Applicable Unknown Provider Registration Province Code (Canadian Province/Territory Codes) Education 68 Provider Basic Education Level Code Equivalency Certificate Diploma Baccalaureate Master’s Doctorate Not Applicable Unknown Provider Basic Education Graduation Year Date (Four-Digit Year) Not Applicable Unknown Provider Basic Education Graduation Institution Code (Canadian Institution Education Codes) Other Canadian Institution Non-Canadian Institution Not Applicable Unknown Provider Basic Education Graduation Province Code (Canadian Province/Territory Codes) Non-Canadian Location Not Applicable Unknown Version 2.0 | July 2012 Health Human Resources Minimum Data Set Guide—Text File Format Data Element Permissible Value(s) Provider Basic Education Graduation Country Code (Country Codes) Not Applicable Unknown Provider Post-Basic Education Level Code 1 Diploma Post-Secondary Certificate Baccalaureate Master’s Doctorate Not Applicable Unknown Provider Education Outside Domain Education Level Code 1 Diploma Post-Secondary Certificate Baccalaureate Master’s Doctorate Not Applicable Unknown Employment—Current General Provider Employment Status Code Employed in Current Provider Role Type Employed in Current Provider Role Type on Leave Employed Outside of Current Provider Role Type Retired Unemployed Not Applicable Unknown Provider Employment Annual Earned Hours (for First Employment) (Four-Digit Hours) Not Applicable Unknown Employment—Current Specific Provider Employment Full-Time/ Part-Time Status (for First Employment) Part-Time Full-Time Not Applicable Unknown Provider Employment Province Code (for First Employment) (Canadian Province/Territory Codes) Non-Canadian Location Not Applicable Unknown Provider Employment Country Code (for First Employment) (Country Codes) Not Applicable Unknown Provider Employment Postal Code (for First Employment) (Six-Digit Postal Code Assigned by Canada Post) Not Applicable Unknown Version 2.0 | July 2012 69 Health Human Resources Minimum Data Set Guide—Text File Format Data Element Permissible Value(s) Provider Employment Organization Type Code (for First Employment) (Employment Organization Type Codes) Not Applicable Unknown Provider Employment Position Code (for First Employment) Manager Supervisor Staff Consultant Educator Researcher Sales Other Not Applicable Unknown Other Organization Registration Number Type Code Active, Full Active, Other Inactive 70 Version 2.0 | July 2012 Health Human Resources Minimum Data Set Guide—Text File Format References 1. Federal/Provincial/Territorial Advisory Committee on Health Delivery and Human Resources, A Framework for Collaborative Pan-Canadian Health Human Resource Planning, from <http://www.hc-sc.gc.ca/hcs-sss/pubs/hhrhs/2007-frame-cadre/ index-eng.php>. 2. Federal/Provincial/Territorial Advisory Committee on Health Delivery and Human Resources, “IV. Objectives and Actions: Goal 1,” A Framework for Collaborative Pan-Canadian Health Human Resource Planning, from <http://www.hc-sc.gc.ca/ hcs-sss/pubs/hhrhs/2007-frame-cadre/index-eng.php#a6>. 3. CIHI, Guidance Document for the Development of Data Sets to Support Health Human Resources Management in Canada, from http://secure.cihi.ca/cihiweb/dispPage.jsp?cw_ page=GR_1213_E>. Version 2.0 | July 2012 71 Production of this report is made possible by financial contributions from Health Canada and provincial and territorial governments. The views expressed herein do not necessarily represent the views of Health Canada or any provincial or territorial government. All rights reserved. The contents of this publication may be reproduced unaltered, in whole or in part and by any means, solely for non-commercial purposes, provided that the Canadian Institute for Health Information is properly and fully acknowledged as the copyright owner. Any reproduction or use of this publication or its contents for any commercial purpose requires the prior written authorization of the Canadian Institute for Health Information. Reproduction or use that suggests endorsement by, or affiliation with, the Canadian Institute for Health Information is prohibited. For permission or information, please contact CIHI: Canadian Institute for Health Information 495 Richmond Road, Suite 600 Ottawa, Ontario K2A 4H6 Phone: 613-241-7860 Fax: 613-241-8120 www.cihi.ca [email protected] © 2013 Canadian Institute for Health Information Cette publication est aussi disponible en français sous le titre Guide du fichier minimal sur les ressources humaines de la santé — fichier texte. Talk to Us CIHI Ottawa 495 Richmond Road, Suite 600 Ottawa, Ontario K2A 4H6 Phone: 613-241-7860 CIHI Montréal 1010 Sherbrooke Street West, Suite 300 Montréal, Quebec H3A 2R7 Phone: 514-842-2226 CIHI Toronto 4110 Yonge Street, Suite 300 Toronto, Ontario M2P 2B7 Phone: 416-481-2002 CIHI St. John’s 140 Water Street, Suite 701 St. John’s, Newfoundland and Labrador A1C 6H6 Phone: 709-576-7006 CIHI Victoria 880 Douglas Street, Suite 600 Victoria, British Columbia V8W 2B7 Phone: 250-220-4100 www.cihi.ca At the heart of data
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