Program Resources

eFax Configuration Features (Ontario Only)

This article provides an overview of the eFax configuration features for Directory Listings and on the Ocean Healthmap. Note that the Ocean site must first be enabled for eFax.

When a Directory Listing is configured for eFax:

A new 'Mark this listing as an eFax listing' checkbox option will become available.

The 'eReferral button label' field defaults to a new 'Send eReferral via eFax' button label.

The 'Fax' field becomes mandatory to ensure the eFax can be successfully delivered. This field is not mandatory in a non-eFax configuration.

The Directory Listing will display a 'Fax listing' label.

On the Ocean Healthmap

The listing will display the new 'Send eReferral via eFax' button label.

The listing will also display a disclaimer message stating ‘This listing does not update the eRequest status in Ocean. Contact the listing directly as needed for follow-up.’ to inform the sender that the referral is excluded from the regular eReferral notification process.

On the Ocean Healthmap within the ‘New eReferral’ window, the 'Send eReferral via eFax' button will be displayed at the bottom of the window.

Set Up an eFax Directory Listing (Ontario Only)

As Ontario Health works toward province-wide integration of its care coordination system, some receiving sites are not yet able to receive electronic referrals. To ensure referrals can continue without disruption during this transition, Ontario Health is using electronic fax as an interim solution. This allows referrals to be sent in standard, clinician-readable formats until all sites are ready to fully adopt electronic referral capabilities.

Prerequisites

Complete the Set Up Your Site to Receive eConsults and/or eReferrals guide.
Receive confirmation that your Ocean Site has been configured for eFax — this is being coordinated by Ontario Health (OH).

1. Navigate to your Directory Listing Settings

After logging in to the Ocean Portal, open the 'Menu' and select 'Admin'.

In the Admin Settings page, select 'Directory Listings'.

In the Directory Listings page, click 'Edit' on the relevant listing.

2. Configure Your Directory Listing Settings for eFax

In the ‘Listing Information’ tab, check off the ‘Mark this listing as an eFax listing’ checkbox. This checkbox option will display when the Ocean site has been enabled for eFax. Once this has been checked off, the 'eReferral button label' will default to 'Send eReferral via eFax'.

In the ‘Listing Information’ tab, ensure there is a fax number entered. This becomes a mandatory field to ensure the eFax can be successfully delivered when the directory listing is configured for eFax.

In the ‘Enablement’ tab, ensure you click the ‘Apply to Regional Authority’ button and follow the existing process of applying the listing to the Ontario Health eReferral Program Regional Authority.

Click the ‘Save’ button to save your directory listing settings.

Sending an eFax Request (Ontario Only)

Sending an eFax Request

Initiate your eFax request following the standard workflow steps found in the Initiate Your Ocean eReferral support article.

Select your eFax recipient following the standard workflow steps found in the Select an eReferral Recipient support article.

Note that eFax listings will display a ‘Send eReferral via eFax’ button as well as a disclaimer message stating ‘This listing does not update the eRequest status in Ocean. Contact the listing directly as needed for follow-up.’ to inform the sender that the referral is excluded from the regular eReferral notification process.

Complete the referral form and send your eReferral following the standard workflow steps found in the Send Your eReferral support article.

Note that eFax listings will display a ‘Send eReferral via eFax’ button when submitting the referral.

Note that the confirmation window includes a disclaimer ‘This listing does not update the referral via eFax status in Ocean. Contact the listing directly as needed for follow-up.'

Note

eFax requests are externally managed. Once the referral has been successfully delivered to the recipient site’s fax server, it is no longer updated within Ocean.

Any actions taken on the referral after this by the sending site (e.g. cancelling the referral, sending a message in the Messaging pane) will not be received by the recipient site.

Please refer to the ’An eReferral I sent has been marked as 'Externally Managed'. What do I do now?’ section in the What are 'Externally Managed' eReferrals? support article for more details.

View & Track Your Sent eFax eRequest (Ontario Only)

For details on locating the eRequest within native EMR integrations (QHR Accuro, TELUS PS Suite, TELUS Med Access and OSCAR EMRs), please refer to the 'View Your eReferral' step in the View & Track Your eReferral support article.

The below information refers to viewing the eFax eRequest within the Ocean Portal.

View the eFax within the Ocean Portal

In the Ocean Portal, open the Menu in the top left corner, and select ‘eReferrals & eConsults’.

The eFax eRequest is initially sent through to the Provincial Care Coordination Gateway (PCCG), which sends the eRequest to the fax machine for the indicated fax number.

At this time the eRequest will be found in the ‘Sent All’ and ‘Awaiting Response’ folders, with the Status ‘Sent via eFax’.

The eRequest will remain here until the PCCG sends a response back.

Delivery States

If the fax goes through successfully, the PCCG will transmit a ‘Status = Received’ message back to Ocean.

The referral will automatically move from the ‘Awaiting Response’ to the ‘Externally Managed’ folder, and the Status will update to ‘Received and Managed Externally via eFax’. The referral can also still be found in the ‘Sent (All)’ folder.

Within the referral, in the Action menu, the Event Log will display a 'Received' entry showing the fax was successfully delivered to the recipient.

If the fax delivery fails, and the PCCG exhausts its attempts to reach the fax server, the PCCG will transmit a ‘Status = Delivery Failed’ message back to Ocean. This results in a technical decline.

The referral will automatically move from the ‘Awaiting Response’ to the ‘Needs Review’ and ‘Declined’ folders, and the Status will update to ‘Declined via eFax’. The referral can also still be found in the ‘Sent (All)’ folder.

A declination message will also be found in the referral view within the ‘Messaging’ pane.

The message will inform the sending site that the referral was automatically declined due to a technical delivery issue and could not be delivered, and the referral should be sent offline using business contingency practice’.

Note

eFax referrals are externally managed. Once the referral has been successfully delivered to the recipient site’s fax server, it is no longer updated within Ocean.

Any actions taken on the referral after this by the sending site (e.g. cancelling the referral, sending a message in the Messaging pane) will not be received by the recipient site.

Please refer to the ’An eReferral I sent has been marked as 'Externally Managed'. What do I do now?’ section in the What are 'Externally Managed' eReferrals? support article for more details.

Next Steps for a Declined eFax

Note: if your eFax eRequest is declined, you can optionally resubmit or redirect it.

Resubmit (Last Recipient): used to resubmit the referral to the last recipient they were declined from.
Redirect (New Recipient): used to initiate a new referral to a brand new recipient on the Ocean Healthmap, while reusing the patient demographic information and any attachments found in the 'Messaging' area of the original referral (does not need to be another eFax listing).

To resubmit or redirect an eFax Request, you can follow the typical workflow steps found in the How do I Resubmit or Redirect a cancelled/declined eReferral/eConsult? support article.

How long will the eFax/Referral be stored?

Referrals that are in the ‘Declined’ or Externally Managed’ terminal states will follow the standard archival rules. You can refer to How long are eReferrals and eConsults stored after they are sent through Ocean? for full details.

As a Regional Authority Admin, how do I perform 'User Site Validation' for an Ocean Site?

Region-specific Functionality

User Site Validation is currently only applicable in British Columbia. Before enabling User Site Validation for your Regional Authority Ocean Site, please contact your OceanMD Program Account Manager.

Prerequisites

Your Ocean Site must be configured as a Regional Authority by OceanMD.
You must have Site Admin access to the Regional Authority Ocean Site.
'User Site Validation' must be enabled for your Regional Authority Ocean Site.

To perform 'User Site Validation' for an Ocean Site and consequently grant end users with access to advanced features controlled by the Regional Authority, follow the steps below:

Within the Regional Authority Ocean Site, open the 'Menu' and select 'Approvals'.

In the 'Site Licence Approvals' tab, locate the Ocean Site that you would like to validate and click 'Manage'.

If the Ocean Site meets the approval criteria for your Regional Authority program's validation policy, enable the 'Validate this site' checkbox.
Click 'Save'.

Once validated, a validation icon will appear next to the Ocean Site name in the 'Site Licence Approvals' page to indicate that the site has been validated.

As a Regional Authority Admin, how can I enable 'User Site Validation' for the Regional Authority Ocean Site?

Region-specific Functionality

User Site Validation is currently only applicable in British Columbia. Before enabling User Site Validation, please contact your OceanMD Program Account Manager.

In some cases, Regional Authorities may choose to perform a 'User Site Validation' step for Ocean Sites

This optional validation step offers Regional Authority sites an additional degree of control for more advanced features that can impact the user experience for individuals using Ocean under the context of a regional or provincial program.

Enabling Regional Authority 'User Site Validation'

Prerequisites

Your Ocean Site must be configured as a Regional Authority by OceanMD.
You must have Site Admin access to the Regional Authority Ocean Site.
You have contacted your OceanMD Program Account Manager.

Within the Regional Authority Ocean Site, open the 'Menu' and select 'Admin'.

Select 'Regional Authority'.

Under the 'User Site Validation' section, enable the 'Enable site validation' setting.
Click 'Save'.

Once enabled, Regional Authority users with Site Admin access can perform 'User Site Validation' for Ocean Sites within the Regional Authority.

Setting Up your Ocean Site with a FHIR eReferral Integration

This article describes how to set up your Ocean Site with a FHIR eReferral Integration.

Notes

FHIR Patient Engagement integrations are not included in the scope of this article.
Before following the steps in this article, contact your EMR vendor to confirm if a FHIR eReferral Integration exists for your EMR.
To keep the various pieces of information for your integration organized, you may optionally consider using the OceanMD FHIR eReferral Integration Questionnaire.

Step 1: Complete the OceanMD Getting Started Guide

Start by completing the three steps in the OceanMD Getting Started Guide.

This includes: 1) creating your Ocean user account, 2) creating your Ocean Site, and 3) submitting your Ocean request form.

When creating your Ocean user account and Ocean Site, you will be prompted to specify the EMR that you are using. Select 'Other' and then enter the name of your EMR in the field below.

When submitting your Ocean request form, enter the name of your EMR in the 'Additional Details' field.

Step 2: Store your Shared Encryption Key in Ocean Cloud Connect & Enable Ocean Cloud Connect

Prerequisites

This step requires Ocean Site Admin access.

To set up your Ocean Site with a FHIR eReferral Integration, your Ocean Site's Shared Encryption Key must first be stored in Ocean Cloud Connect, and Ocean Cloud Connect must be enabled within your Ocean Site.

Follow the steps outlined in Storing the Shared Encryption Key in Ocean Cloud Connect without a Cloud Connect EMR Integration.

In your Ocean Site, open the 'Menu' and select 'Admin'.

Select 'Site Features'.

Enable the checkbox labeled 'Enable Ocean Cloud Connect'.
Click 'Save Changes'.

Step 3: Add your EMR Vendor Support Site to Your Ocean Site (if applicable)

Prerequisites

This step requires Ocean Site Admin access.

Some EMR vendors offer assistance in configuring the integration in your Ocean Site.

Contact your EMR vendor to find out if they can assist you. If your EMR vendor does offer configuration assistance, follow the steps to Add their Support Site to Your Ocean Site.

Tip: If you are joining the Ocean Provider Network as part of a provincial program initiative, this is a convenient time to add the provincial program Support Site to your Ocean Site too.

Step 4: Configuring the Integration in Your Ocean Site

Prerequisites

This step requires Ocean Site Admin access.

Each FHIR eReferral Integration may support different aspects and functionalities of the Ocean Provider Network. This variance can influence the steps you need to follow to configure the integration in your Ocean Site.

Contact your EMR vendor to learn more about the different aspects and functionalities of the Ocean Provider Network that your integration supports.

Please expand the relevant tab below for instructions specific to the nature of your EMR's FHIR eReferral Integration:

Sending eReferrals

1. Configuring the Integration

Open the 'Menu' and select 'Admin'.

In the Admin Settings page, select 'Integrations'.

Select 'Register an Integration'.

Select 'eReferrals' as the integration type.

Contact your EMR vendor to determine the relevant values and configuration settings for your FHIR eReferral Integration.

Note: For more information about the Configuration Window, including the available settings and permissions for API integrations, refer to the Configuring Settings and Permissions for API Integrations article.
Click 'Save'.
At this point, your Ocean Site's FHIR eReferral Integration has been successfully configured.

2. Generate Ocean OAuth Credentials for your EMR Vendor

In the Admin Settings page, select 'Manage Credentials'.

Select 'Manage OAuth Credentials'.

Enter the password for your Ocean user account and click 'Sign in'.

Enter a name for this set of credentials in the 'Name' field and click 'Add New Credential'.

Tip: We recommend naming your credentials in a way that is related to the integration that they are being used for. For example, if the name of your integration is "Example Integration", you could name your credentials as "Example Integration OAuth Credentials".

Your OAuth Credentials will be generated and added to the table.

Provide these credentials to your EMR vendor so they can configure your EMR to use them when communicating to Ocean.

Receiving eReferrals

1. Find/Add and Claim your Directory Listing

Follow the steps to Find or Add Your Clinic to the Ocean Provider Network.

Follow the steps to Claim Your Directory Listing to Your Ocean Site.

2. Configure the Integration

In the Ocean Portal, open the 'Menu' and select 'Admin'.

In the Admin Settings page, select 'Integrations'.

Select 'Register an Integration'.

Select 'eReferrals' as the integration type.

Contact your EMR vendor to determine the relevant values and configuration settings for your FHIR eReferral Integration.

Note: For more information about the Configuration Window, including the available settings and permissions for API integrations, refer to the Configuring Settings and Permissions for API Integrations article.
Click 'Save'.

3. Link the Integration with your Directory Listing

In the Admin Settings page, select 'Directory Listings'.

Click 'Edit' on the relevant listing.

In the 'Enablement' tab of the Directory Listing, locate the 'Integrations' section.

In the 'External Service Id' field, manually enter the name of the FHIR eReferral Integration that you configured earlier.

In the 'Integration' field, use the dropdown menu to select the FHIR eReferral Integration that you configured earlier.
Click the 'Save' button.

4. Generate Ocean OAuth Credentials for your EMR Vendor

In the Admin Settings page, select 'Manage Credentials'.

Select 'Manage OAuth Credentials'.

Enter the password for your Ocean user account and click 'Sign in'.

Enter a name for this set of credentials in the 'Name' field and click 'Add New Credential'.

Tip: We recommend naming your credentials in a way that is related to the integration that they are being used for. For example, if the name of your integration is "Example Integration", you could name your credentials as "Example Integration OAuth Credentials".

Your OAuth Credentials will be generated and added to the table.

Provide these credentials to your EMR vendor so they can configure your EMR to use them when communicating to Ocean.

Step 5: Link your EMR User Account to your Ocean User Account (if applicable)

Some EMRs support the ability for users to launch from the EMR directly into Ocean. This facilitates Single Sign-On between accounts and the ability to pre-populate eRequest forms in Ocean with information from the patient chart in the EMR.

Contact your EMR vendor to find out if your EMR supports this ability. If your EMR does support this ability, follow the steps below:

1. Provide your Ocean Site's SMART on FHIR details to your EMR vendor:

Prerequisites

This step requires Ocean Site Admin access.

Open the 'Menu' and select 'Admin'.

In the Admin Settings page, select 'Integrations'.

Under the 'SMART on FHIR' heading, locate your Ocean Site's SMART on FHIR launch URL and provide it to your EMR vendor.
Click the "eye" icon to view the Base64-encoded value for your Ocean Site's Shared Encryption Key and provide it to your EMR vendor.

2. Performing the Account Linkage

Contact your EMR vendor for instructions on how to launch from your EMR into Ocean.
Follow your EMR vendor's instructions to launch from your EMR into Ocean.
Sign in to your Ocean user account.
After successfully signing in, your EMR User Account will be linked to your Ocean user account. This means the next time you launch from your EMR into Ocean, you will be automatically signed in to your Ocean user account.

Note: Performing the account linkage is a one-time step that must be individually performed by each EMR user that will be using Ocean.

Ensure that each person that will be using Ocean has been invited to join your Ocean Site and that they have created their Ocean user account before they attemp to link their accounts.

Understanding Trusted Users: Making Directory Listing Management Efficient for Regional & Provincial Roll-outs

Introduction

Validating and approving Directory Listings and and Ocean Licences can be a time-consuming task, especially for large regional or provincial roll-outs. Ocean’s 'Trusted Users' feature simplifies this process by allowing specific users to create, claim, manage, and (most importantly) validate Directory Listings on behalf of a clinic with an Ocean Site.

What Are Trusted Users?

A Trusted User is a user permission setting that can be applied to a Support Site user with Site Admin privileges (e.g., deployment/delivery team members). When a Directory Listing is created or claimed by a Trusted User, it is automatically validated in the Ocean Healthmap. Trusted Users can update information, add new Directory Listings, and ensure that all details are accurate and up-to-date without needing constant oversight.

Note: This permission is restricted to users that have been approved and submitted by an authorized member of a provincial Regional Authority.

Benefits of Using Trusted Users:

Efficiency: By designating Trusted Users, Regional Authorities can streamline the process of validating Directory Listings, reducing administrative bottlenecks.
Security: Trusted Users are vetted and granted specific permissions, ensuring that only authorized individuals can automatically validate a Directory Listing.
Accountability: With Trusted Users, there’s a clear audit trail of who made changes and when, providing transparency and accountability.

To request Trusted User permissions, follow these steps:

Submit a Request: Contact your Regional Authority team to submit a request on your behalf.
OceanMD Review: The OceanMD team will review your request and, if approved, enable Trusted User permissions for the designated individuals.
Confirmation: Once Trusted User permissions have been enabled, you will receive a confirmation email, and you will be able to manage Directory Listings with automatic validation privileges.

What is a Regional Authority Survey and How Can I Set it Up?

Each Regional Authority Ocean Site has the option to embed three survey links into the eReferral/eConsult workflow to collect Patient Reported Experience Measures (PREMs) and Provider satisfaction data. Regional Authorities may take advantage of up to three free Ocean Studies for this purpose, or use a third-party survey tool.

Patient Surveys

1) Patient Appointment Booking Survey Link

This survey link is included in the email notification that is sent to the patient when appointment information is added, rescheduled, or cancelled within the referral.
It is also included on the confirm page presented to patients after they have successfully confirmed their appointment.

2) Patient Appointment Reminder Survey Link

This survey link is included in the reminder email notification that is automatically sent to the patient ahead of their appointment for any referrals that have been sent to a Directory Listing that has been approved by the Regional Authority.

Note: The referral recipient's Ocean Site must be configured to send automatic appointment reminders based on the booked appointment information stored within their Ocean eReferrals.

End User/Provider Surveys

3) Ocean User Satisfaction Survey Link

This survey link is displayed to the referring provider within the confirmation message that is shown when the referral is successfully sent to a Directory Listing that has been approved by the Regional Authority.

This survey link is also included in any email notifications that are subsequently sent to the referring provider regarding the referral.

Note: If Ocean Studies has been used to create the Ocean User Satisfaction Survey Link, the URL can also be sent to all emails that can be exported from the 'Approvals' page of the Regional Authority Ocean Site. The step of sending the email(s) would be performed outside of Ocean.

Survey Link Configuration

Prerequisites

You must have Site Admin access on the Regional Authority Ocean Site.
Ensure that you have created your surveys (i.e., using Ocean Studies or your third-party survey tool of choice) and have the relevant URLs for each respective survey.
If you are using Ocean Studies as your survey tool, ensure you have contacted the OceanMD Support team to request that each Ocean Study has been marked as "free".

Regional Authority Ocean Sites can configure their Survey Link(s) by following the steps below.

Open the 'Menu' and click 'Admin'.

Click 'Site Features'.

Configure your Survey Links using the 'Patient Appointment Booking Survey Link', 'Patient Appointment Reminder Survey Link', and 'Provider Survey Link' settings:

In the left text field, enter the URL that your survey is hosted at (e.g., the Ocean Study URL, or the URL supplied by your third-party survey tool).

In the right text field, enter the text to be displayed as a hyperlink within the Ocean user interface/email notifications.
Click 'Save Changes'.

At a Regional Authority Ocean Site, what data is included in the 'Exports' available within the Approvals page?

The 'Approvals' area within a Regional Authority Ocean Site offers multiple data export options, which are also available through the Ocean Open API.
A brief description of each export and an associated data dictionary is available for download below.

Export Listings

This export provides a CSV file containing all Directory Listings that have applied to and/or been approved by the Regional Authority Ocean Site. The export includes Directory Listings that are in a 'Pending' and/or 'Approved' state.
'Export Listing' Data Dictionary

Export Sites

This export provides a CSV file containing all Ocean Sites that own at least one Directory Listing that has applied to the Regional Authority Ocean Site.
'Export Sites' Data Dictionary

Export Users

This export provides a CSV file containing all Ocean users that have accepted the terms of use of the Regional Authority's Licence Agreement at the time of sending an eReferral to a Directory Listing that has been approved by the Regional Authority Ocean Site.
'Export Users' Data Dictionary

As a Regional Authority Admin, how can I assume responsibility for licence fees related to Patient Messaging and Online Booking at an Ocean Site?

Regional Authority Ocean Sites can assume responsibility for Patient Messaging and Online Booking licence fees generated by approved Ocean Sites.

Prerequisites

Your Ocean Site must be configured as a Regional Authority by OceanMD.
You must have Site Admin access on the Regional Authority Ocean Site.
The Ocean Site that you would like to assume responsibility for Patient Messaging and Online Booking licence fees must have at least one Directory Listing that has applied to your Regional Authority Ocean Site.

Within the Regional Authority Ocean Site, navigate to the 'Approvals' area.

In the 'Site Licence Approvals' tab, locate the Ocean Site for which you will assume responsibility for Patient Messaging and Online Booking licence fees, and click the 'Manage' button.

Under the 'Licence Coverage' section, enable the checkbox(es) for the Ocean products you will assume responsibility for.

Note: If a different Regional Authority has already assumed billing responsibility for the Ocean Site's Patient Messaging and Online Booking licence fees, you will be prevented from enabling the checkboxes.
Click 'Save'.

Note: The number of product licences and estimated licence fee values displayed in the Site Licence Approval tab update four times daily, at approximately 11:30 AM/PM EST and 5:30 AM/PM EST.

Email Notifications

When licence coverage is enabled, an email notification will be automatically sent to the Ocean Site's 'Clinical Administrator / Ocean Support Contact' email address to inform them that any licence fees accrued for the enabled products moving forward will be billed directly to the Regional Authority.

When licence coverage is disabled, an email notification will be automatically sent to the Ocean Site's 'Clinical Administrator / Ocean Support Contact' email address to inform them that any licence fees accrued for the enabled products moving forward will be billed directly to the Ocean Site.

In-Product Disclaimers

When Patient Messaging licence coverage has been enabled, Ocean Site end users will see a banner in their Provider or User licensing area informing them of the licence fee coverage.

When Online Booking licence coverage has been enabled, Ocean Site end users will see updated 'Pricing Information' within their Online Booking configuration area informing them of the licence fee coverage.

Invoices

End User Ocean Site

The licensed Ocean Site's invoices will contain an additional section that details the fees which will be billed directly to the Regional Authority.

Regional Authority Ocean Site

Within the Regional Authority Ocean Site, a monthly invoice will be generated that details the fees that the Regional Authority is responsible for paying as a result of the product licensing detailed above.
Invoices are always sent to the Regional Authority Ocean Site Payer's email address. However, if you have additional emails that should also receive email invoices, they can be included in the 'Finance Administrator Email' field of the Ocean Site Account settings.
Additional information for setting up your Ocean Site's Payer and payment information can be found in the Ocean Billing (Overview).

What is a Regional Authority?

A Regional Authority (RA) is a concept within the Ocean Platform, designed to enable regional or provincial programs to centrally manage and administer various aspects of their Ocean deployment. Designated Regional Authority users are given access to an Ocean Site that is configured with additional functionality to empower those users to independently manage key program elements without needing direct assistance from OceanMD.

Specifically, designated RA users can do the following from their Regional Authority Ocean Site:

Approve Directory Listings on the Ocean Healthmap
Approve/accept responsibility for Site licences for Ocean eReferrals, eConsults, Patient Messaging and Reminders, and Online Booking
Upload and manage Regional Authority agreements
Access reports and analytics for Regional Authority usage and licences

These features are intended to streamline administration across multiple sites, ensuring that regional or provincial programs can efficiently manage their Ocean solutions at scale.

What makes a Regional Authority unique?

Approvals Area

The primary purpose of a Regional Authority is to assist provincial program entities in administering the rollout of Ocean within their jurisdiction. To support this, unique functionalities have been created specifically for Regional Authority Ocean sites, many of which are found within the 'Approvals' page, accessible from the site’s Menu.

For users belonging to a Regional Authority site, the 'Approvals' page serves as the default landing page. Upon signing into Ocean, or when returning to the RA site from another Ocean site, users will be automatically directed to the 'Approvals' page. This provides quick access to the tools and workflows most relevant to their role.

Reminder: The 'Approvals' area is only accessible if the Ocean Site has been configured as a Regional Authority by OceanMD system administrators.

The different functionalities found within the 'Approvals' area are detailed below:

Listing Approvals

By default, Ocean Sites will incur fees when they receive an eReferral/eConsult unless the recipient Directory Listing has applied to and been approved by a Regional Authority.

The 'Listing Approvals' tab displays a table view of all Directory Listings (and their associated Ocean Site) that have applied to and/or been approved by your Regional Authority Ocean Site.

For a Directory Listing to appear in the table, a Site Admin within the Ocean Site that owns the Directory Listing must manually submit an application to the Regional Authority (i.e., Step 8 in "Update Your Directory Listing Settings").

When a new application is submitted, an email notification is sent to the 'Clinical Administrator / Ocean Support Contact' email address set within the Regional Authority Ocean Site to alert them of the pending application.

The search box at the top of the table can be used to search for a specific Directory Listing(s) using a key term.

The 'Needs Approval' checkbox can be used to filter the table to only display Directory Listings that have applied to the Regional Authority but have yet to be approved (i.e., a status of 'Pending').

The 'Approve' button can be used to approve a Directory Listing under the Regional Authority.

Note: Regional Authority users must have Site Admin access to approve a Directory Listing.

Upon approval, an email notification will be sent to the applicant Ocean Site's Clinical Adminstrator/Ocean Support Contact' email address(es) indicating that the application has been approved.

Important: Prior to approving a Directory Listing, Regional Authority users must ensure that they have reviewed the listing in accordance with any standardized processes or approval criteria defined by the provincial program entity.

Once approved, a note will be automatically applied to the Directory Listing in the Ocean Healthmap identifying the Regional Authority that the listing has been approved by. This note is visible to all individuals browsing the Ocean Healthmap that are signed in to an Ocean user account.

The 'Decline/Remove' button can be used to decline a Directory Listing's currently-pending application to the Regional Authority, or remove a previously-approved Directory Listing from the Regional Authority.

Note: Regional Authority users must have Site Admin access to decline a Directory Listing.

Upon declination/removal, an email notification will be sent to the applicant Ocean Site's Clinical Adminstrator/Ocean Support Contact' email address(es) indicating that the application has been declined.

Important: Prior to declining/removing a Directory Listing, Regional Authority users must ensure that they have reviewed the listing in accordance with any standardized processes or declination criteria defined by the provincial program entity.
At the time of declining an application/removing a previously-approved Directory Listing, the Regional Authority is prompted to specify a reason for the declination/removal. This reason is included in the declination email notification.

Clicking the 'Edit' button to the right of a Directory Listing allows Regional Authority users to view and edit the 'Number Of Clinicians' value and the associated 'Comment'.

Site Licence Approvals

Th 'Site Licence Approvals' tab is helpful for provincial programs to manage the implementation and assumption of licence fees for Ocean's Patient Engagement products and control an Ocean Site's contribution to an external Service Request Repository.

Note: By default, end user Ocean Sites will incur licence fees when using Ocean Patient Messaging and/or Online Booking unless a Regional Authority has first assumed responsibility for the fees.

The table displays all Ocean Sites that have at least one Directory Listing which has applied to and/or been approved by the Regional Authority.

For each Ocean Site, the respective number of Directory Listings that have been approved, the number of Patient Messaging Licences that the Regional Authority has assumed responsibility for, the number of Online Booking Licences that the Regional Authority has assumed responsibility for, and the estimated Site Licence Fees per Month are displayed.

Column Value Notes

Under the '# of Approved Directory Listings' column, a value of '0' indicates that at least one Directory Listing within the Ocean Site has applied to the Regional Authority, but it has not yet been approved (i.e., it is currently Pending).
Under the '# of Patient Messaging Licences' column, a blank value indicates that the Regional Authority has not assumed responsibility for licence fees related to Patient Messaging for the Ocean Site.
- A value of '0' indicates that the Regional Authority has assumed responsibility for licence fees related to Patient Messaging for the Ocean Site, however no licences have been activated within the Ocean Site.
Under the '# of Online Booking Licences' column, a blank value indicates that the Regional Authority has not assumed responsibility for licence fees related to Online Booking for the Ocean Site.
- A value of '0' indicates that the Regional Authority has assumed responsibility for licence fees related to Online Booking for the Ocean Site, however no licences have been activated within the Ocean Site.

To manage the Site Agreement for an Ocean Site, Regional Authority users with Site Admin access can click the 'Manage' button on the right hand side.

Within the 'Manage Site Agreement' page, Regional Authority users can:
• Enable the ability for an Ocean Site to contribute data to a Service Request Repository (if one has been set)
• Assume responsibility for licence fees related to Patient Messaging and Online Booking at an Ocean Site
• Perform User Site Validation for an Ocean Site (if User Site Validation has been enabled by the RA)

Signed Licence Agreements

The 'Signed Licence Agreements' tab allows you to find and view users that have signed the Regional Authority Licence Agreement by enabling the 'I accept the Terms of Use' checkbox at the time of sending their first referral to a Directory Listing that has been approved by the Regional Authority.

When first viewing the 'Signed Licence Agreements' tab no users will be displayed by default. To search and/or view users, use one of the following options:

Option 1: Set the 'Find by' criteria to 'Name', enter the search term, and then click the magnifying glass icon to execute the search.

Option 2: Set the 'Find by' criteria to 'Version' and select the desired Regional Authority Licence Agreement version. The table below will display all users that signed the selected version of the Regional Authority Licence Agreement.

Any user on the Regional Authority Ocean Site (i.e., even users without Site Admin access) can invalidate a user's signed Licence Agreement by clicking the 'Edit Licence' button for the relevant user and selecting 'Invalidate'.
Note: The 'HINP Agreement Signatory' setting and accompanying 'Update HINP' button are obsolete.

Once a user's signed Licence Agreement has been invalidated, they will be re-prompted to enable the 'I accept the Terms of Use' checkbox the next time they send a referral to a Directory Listing that has been approved by the Regional Authority.

Important: Prior to invalidating a signed user Licence Agreement, Regional Authority users must ensure that they have adhered to any standardized processes or criteria defined by the provincial program entity.

eConsult User Approvals

The 'eConsult User Approvals' tab allows you to find and view users that have applied to and/or been approved by the Regional Authority to join an eConsult Program.

To apply to join an eConsult program, users click the 'Submit Application to Regional Authority' button within their user account settings.
Note: Only users with the following 'User Roles' are permitted to submit an application: Specialist, Family Physician, Nurse Practitioner.

Province-specific User Interface

Note: Depending on the 'Province' value set within the user account, the name and description of the setting may be different:

When set to Ontario, the setting is named 'TReC Application' and includes an Ontario-specific description.

When set to Nova Scotia, the setting is named 'NSHA eConsult PoC Application' and includes a Nova Scotia-specific description.

When set to any other province/territory, the setting is named 'eConsult Application' and includes a generic description.

Once a user's application has been submitted, they will appear within the 'eConsult User Approvals' table.

The search box at the top of the table can be used to search for a specific user by name/username.

The 'Needs Review' checkbox can be enabled to filter the table to only display users that have submitted an application but have yet to be approved (i.e., an application status of 'Pending').

The 'Approve' button can be used to approve a user's application to join the eConsult Program. Upon approval, an email notification will be sent to the email address associated with the Ocean user account informing them of the approval.

Important: Prior to approving an application, Regional Authority users must ensure that they have reviewed the user application in accordance with any standardized processes or criteria defined by the provincial program entity.

The 'Decline/Remove' button can be used to decline a user's currently-pending application, or remove a previously-approved user. Upon declination/removal, an email notification will be sent to the email address associated with the Ocean user account informing them of the declination.

Important: Prior to declining/removing an application, Regional Authority users must ensure that they have reviewed the user/application in accordance with any standardized processes or criteria defined by the provincial program entity.
At the time of declining an application/removing a previously-approved user, the Regional Authority is prompted to specify a reason for the declination/removal. This reason is included in the email notification informing the user of the declination.

Once a user's application has been approved, the 'Respond as eConsult' checkbox and the 'Billing time' setting are made available to the user within the 'Messaging' area of any eReferral/eConsults received at their Ocean Site.

Reminder: Users providing eConsults should ensure that their Ocean Site has been configured to display the eConsult status folders and that the Health Service Offerings on their Directory Listing have been configured to accept Ocean eConsults (unless the user is participating in the Ontario-specific eReferral to eConsult Initiative).

'Export Listings' Button

This export provides a CSV file containing all Directory Listings that have applied to and/or been approved by the Regional Authority Ocean Site. The export includes Directory Listings that are in a 'Pending' and/or 'Approved' state.
'Export Listing' Data Dictionary

'Export Sites' Button

This export provides a CSV file containing all Ocean Sites that own at least one Directory Listing that has been applied to the Regional Authority Ocean Site.
'Export Sites' Data Dictionary

'Export Users' Button

This export provides a CSV file containing all Ocean users that have accepted the terms of use of the Regional Authority's Licence Agreement at the time of sending an eReferral to a Directory Listing that has been approved by the Regional Authority Ocean Site.
'Export Users' Data Dictionary

'View Licence Agreement' Button

This button can be used to view the current version of the Licence Agreement that has been uploaded to the Regional Authority Ocean Site. Once clicked, the current version of the Licence Agreement is displayed, and the current version identifier can be seen at the bottom of the Licence Agreement viewing window.

'Upload New Licence Agreement' Button

This button can be used to upload or update the Licence Agreement for the Regional Authority.

In the 'Version' field, specify a version identifier to be associated with the Licence Agreement version that is being uploaded.
In the 'Licence File' field, click 'Choose File', select the relevant HTML file from your computer, and click 'Upload'.
Upon uploading, the previous version of the Licence Agreement will be immediately overwritten with the newest version.

Licence Agreement Notes

After a new version of the Licence Agreement is uploaded to the Regional Authority Ocean Site, all users who send referrals will need to re-enable the 'I accept the Terms of Use' checkbox at the time of sending their first referral to a Directory Listing that has been approved by the Regional Authority after the version update has been made.
After a new version of the Licence Agreement is uploaded to the Regional Authority Ocean Site, all Directory Listings which were previously approved by the Regional Authority will be automatically updated with the latest version of the Regional Authority Licence Agreement.
- Provincial program entities are responsible for ensuring that referral recipients (i.e., those with a Directory Listing(s) approved by the Regional Authority) are made aware of any changes to the Licence Agreement that is applied to their Directory Listing(s).
When crafting your HTML file we advise against using Microsoft Word since it can generate non-standard HTML formats which are not accepted by the Ocean HTML uploader.
Ocean's Content-Security-Policy (CSP) enforces rules that block scripts (script-src 'none'), embedded content (child-src 'none'), plugins (object-src 'none'), form submissions (form-action 'none'), and relative URLs (base-uri 'none') in the Licence Agreement file.

Regional Authority Surveys

Each Regional Authority Ocean Site has the option to embed three survey links into the eReferral/eConsult workflow to collect Patient Reported Experience Measures (PREMs) and Provider satisfaction data. Regional Authorities may take advantage of up to three free Ocean Studies for this purpose, or use a third-party survey tool.

For more information, please refer to the following article: What is a Regional Authority Survey and How Can I Set it Up?

Regional Authority Analytics

By default, de-identified analytic values are always captured at Ocean Sites that receive eReferrals/eConsults. This gives individual Ocean Sites the ability to analyze a variety of metrics for their received referrals/consults, such as referral patterns, decline rates, and wait times. For more information on this topic, please refer to Supporting Analytics in eConsults and/or eReferral eForms and Accessing eReferral Analytics.

In the context of a provincially funded deployment of Ocean, it is valuable to have insight into this de-identified data across all Ocean Sites that are participating in the program. Ocean achieves this by providing Regional Authority Ocean Sites with access to all de-identified analytic data for referrals sent to Directory Listings that have been 'Approved' by the Regional Authority (as described above).

Note: Regional Authority Users must have Site Admin access to export analytic data.

This means that when a user on the Regional Authority Ocean Site exports referral analytic data, the .csv file output will contain the aggregated analytic data for referrals sent to any Directory Listing that has been 'Approved' by the Regional Authority.

Analytic Notes

Ocean only supports exporting up to 50,000 referral analytic records at once when executing the referral analytics export within the Ocean Portal.
- To export more than 50,000 referral analytic records, we recommend executing multiple reports with sequential 'Start date' and 'End date' values (e.g., export by month, or by calendar quarter).
Referral analytics can also be accessed through our Ocean API. For more details, please refer to the Ocean Open API.
- The Ocean Open API only supports exporting up to 1,000 referral analytic records at once.
While Ocean always collects 'Core Analytic' values by default, referral forms can be customized to capture additional 'Custom (ax_) Analytics' and 'Custom (fx_) Analytics'.
- For more information on Custom (fx_) and (ax_) Analytics, please refer to How do I add Custom Analytic values to my eReferral/eConsult form? and How do I create a custom Export Template for eReferral & eConsult Analytic Data?
- In the context of a provincially funded deployment of Ocean, the provincial program entity should consider any analytic-driven goals and ensure that the desired analytic values have been configured to be captured within the referral form(s) for each approved Directory Listing.

User Access Summary: 'Site Admin' vs. 'Non-Site Admin'

For convenient reference, the table below outlines the actions that can be taken within a Regional Authority (RA) Ocean Site by a user with or without Site Admin access:

'Site Admin' vs. 'Non-Site Admin' Action Summary Table

'Y' indicates the action can be performed, while 'N' indicates the action cannot be performed by the user.

Action	Non-Site Admin	Site Admin
Access the 'Approvals' area within the RA Ocean Site	Y	Y
Execute the 'Export Users' report	Y	Y
Execute the 'Export Listings' report	Y	Y
Execute the 'Export Sites' report	Y	Y
Click the 'View Licence Agreement' button	Y	Y
Upload a new Licence Agreement using the 'Upload New Licence Agreement' button	Y	Y
Click the 'Edit' button on a Directory Listing within the Listing Approvals table	Y	Y
Access the 'Admin Settings' area of the RA Ocean Site	N	Y
'Approve' and 'Decline/Remove' Directory Listings within the 'Listing Approvals' tab	N	Y
'Approve' and 'Decline/Remove' users within the 'eConsult User Approvals' tab	N	Y
Click the 'Edit Licence' button to 'Invalidate' a user within the 'Signed Licence Agreements' tab	Y	Y
Click the 'Manage Site Agreement' button for an Ocean Site within the 'Site Licence Approvals' tab	N	Y
Control an Ocean Site's contribution to a Service Request Repository within the 'Manage Site Agreement' area	N	Y
Control the RA Ocean Site's assumption of responsibility for Patient Messaging and Online Booking licence fees for end user Ocean Sites within the 'Manage Site Agreement' area	N	Y
Access Regional Authority-level referral analytics within the 'Reports' area of the RA Ocean Site	N	Y
Configure Regional Authority Surveys within the 'Site Features' area of the RA Ocean Site	N	Y

What is a Central Intake?

A Central Intake is a special type of Ocean site that is used to coordinate referrals and make best use of a geographical region's resources. This special site configuration allows the Central Intake users to remain as stakeholders on the referrals, and see the status update as the referral is continued to be processed downstream. Healthcare providers within the region can choose to route their referrals to a Central Intake rather than referring directly to a specific service provider.

The Central Intake site can ensure completeness of the referral, transcribe faxed referrals, triage referrals, and manage other administrative aspects. They may forward the referral to an Assessment Center for additional investigation, or directly to another healthcare service provider who delivers the referred service.

What makes a Central Intake site unique?

Since the primary purpose of a Central Intake is to manage referrals within a region, there are unique functionalities that have been created in Ocean to assist with their workflows.

Directory Listing Configuration

Central Intake sites have unique Directory Listings that are specifically configured by OceanMD. If you are interested in having your Directory Listing configured to be a Central Intake listing, please submit a ticket to our support team.

Once configured as a Central Intake listing by OceanMD, the 'Route to Central Intake listing' setting in the listing will be hidden, since a Central Intake listing cannot be configured to automatically reroute referrals to another Central Intake listing.

Forward Button

Once configured as a Central Intake site by OceanMD, a 'Forward' button will appear in each referral received.
This provides Central Intake users with the ability to forward the referral to the appropriate service provider.

Forwarded Folders

Central Intake sites gain access to the 'Forwarded (New)' folder in the eReferrals area.
The 'Forwarded (New)' folder contains referrals that have been electronically forwarded by the Central Intake and are now waiting in the 'New' folder of the recipient site.

Processed Button

Once a referral has been marked as 'Booked' or 'Completed' by a recipient site (in the case of electronic forwarding), or has an appointment added to the Scheduling pane by the Central Intake site (in the case of manual forwarding), Central Intake users can then use the 'Processed' button within the referral.
This moves the referral into the 'Completed' folder for the Central Intake site, while keeping it in the existing folder for other referral stakeholders. Marking the referral as 'Processed' has no impact on wait time calculations.
This 'Processed' workflow is useful for Central Intake sites if they are performing any of their own administrative functions to close out the referral from their perspective (e.g., any manual recording outside of Ocean).

'Pending Booking' Status Folder Filtering

Central Intake sites gain access to the 'Forwards' filter within their 'Pending Booking' status folder.

'Not forwarded (plus declined)' includes referrals that have never been forwarded, plus referrals that were forwarded, accepted, and subsequently declined by the recipient.
'Never forwarded' includes referrals that have never been forwarded.
'Any forward history' includes referrals that have been forwarded at least once (either digitally or manually).

Central Intake users can layer the 'Forwards' filter on top of the 'Priority' and/or 'Protocol' filters to focus on referrals of a particular state.

Wait Time Management

In some implementation models, Central Intake sites may play a significant role in managing a high volume of referrals. This could lead to less accurate calculated wait time information being displayed in the Ocean Healthmap for certain health services due to referral routing heuristics defined outside of Ocean.

In these cases, it can be preferable to report that wait times are 'Managed by Central Intake', rather than displaying wait times calculated by Ocean. Central Intake sites can request that this functionality be enabled by an OceanMD administrator by contacting the OceanMD Support team.

Once enabled, all calculated wait times for the health service offerings within the Central Intake Directory Listing will be replaced with 'Managed by Central Intake'.
Additionally, all calculated wait times for health service offerings within end user Directory Listings that have been configured to automatically redirect referrals to the Central Intake will be replaced with 'Managed by Central Intake', and end users within that Ocean Site will lose the ability to view their calculation statistics using the 'View statistics' button in the 'Offering Wait Time Management' section of the Directory Listing

When a health service offering's wait time is being 'Managed by Central Intake', the wait time displayed in the Ocean Healthmap search results is blank.
Note: Central Intake Directory Listings and end user Directory Listings can be configured with Self-Reported wait times which can be displayed in the Ocean Healthmap search results.

How do Central Intake sites receive referrals?

Central Intake sites receive referrals by either having referring providers send them directly to their Central Intake Listing on the Ocean Healthmap, or by having recipient sites automatically redirect their inbound referrals to the Central Intake Listing. Central Intake sites can also receive manually faxed referrals, and transcribe them into Ocean to take advantage of the digital functionalities.

The image on the right is an example of a Central Intake listing on the Ocean Healthmap which a referring provider could directly send to.

Referral recipient sites who would like to automatically redirect their referrals to a Central Intake can select the appropriate Central Intake site by searching for it in the 'Route to Central Intake listing' field within their own Directory Listing settings.

Central Intake Processes

Please expand the appropriate tab below for information on the different processes that Central Intake sites use to forward referrals.

Electronically Forwarding a Referral

The steps below can be used by Central Intake sites when they are forwarding a referral to a healthcare provider that is accepting eReferrals through the Ocean platform.

Locate the relevant referral within the 'New' folder, and click on it to open it.

Optional: Within the Notes area, click the speech bubble icon, and select 'Review...' to open the review form.

Optional: Complete the review form, and press 'Save' to stamp the note into the 'Notes' pane of the referral.

Use the 'Forward' button at the bottom of the referral to forward the referral.

Select or search for the desired referral recipient with a green icon. The green icon indicates that they are accepting eReferrals.

Review the recipient's listing information, and press 'Forward Referral' when ready.

The forwarded referral can now be found in your 'Forwarded (New)' folder, with a green arrow indicating that it was electronically forwarded to the recipient site.

If the recipient site accepts the referral, it will move into the 'Pending Booking' folder.

When the recipient site books an appointment for the referral, it will move into the appropriate 'Booked Unconfirmed' or 'Booked Confirmed' folder.

If desired, the Central Intake site can mark a referral as 'Processed' once an appointment has been booked, moving it into the 'Completed' folder for only the Central Intake site.

Manually Forwarding a Referral

The steps below can be used by Central Intake sites when they are forwarding a referral to a healthcare provider that is not accepting eReferrals through the Ocean platform.

This involves manually faxing the referral outside of the Ocean platform, and simply updating the status within Ocean on behalf of the true referral recipient.

Locate the relevant referral within the 'New' folder, and click on it to open it.

Optional: Within the Notes area, click the speech bubble icon, and select 'Review...' to open the review form.

Optional: Complete the review form, and press 'Save' to stamp the note into the 'Notes' pane of the referral.

Use the 'Forward' button at the bottom of the referral to forward the referral.

Select or search for the desired referral recipient with a grey icon. The grey icon indicates that they are not currently accepting eReferrals.

Review the recipient's listing information, and press 'Print Referral' to obtain a printable file of the referral.
Print the file and manually fax the referral to the recipient using a fax machine.
Use the confirmation checkbox in Ocean to confirm that you have manually forwarded the referral to the recipient.
Press 'Forward Referral' to complete the process.

The referral is moved to the 'Pending Booking' folder, with a grey arrow indicating that it has been manually forwarded.

Since the referral was manually forwarded to the recipient, the Central Intake site maintains the responsibility to update the referral and appointment scheduling information within Ocean.
If desired, the Central Intake site can use the 'Processed' button to move the referral to the 'Completed' for only the Central Intake site.

As a Central Intake user, how can I determine the Requested Provider for an eReferral?

Central Intake sites receive referrals by either having referring providers send them directly to the Central Intake Listing on the Ocean Healthmap, or by having recipient sites automatically redirect their inbound referrals to the Central Intake Listing.

When an automatically redirected referral is received at a Central Intake site, Central Intake users can see which listing the referral was originally sent to by looking at the 'Requested Provider' within the referral.

If no 'Requested Provider' is specified, then the referral was sent directly to the Central Intake listing on the Ocean Healthmap.

The example below shows a referral which was originally sent to the 'Dr. Lisa Smith' listing on the Ocean Healthmap, but was then automatically redirected to the 'Orthopedic Central Intake'.

How are referral forms managed for sites with Central Intake?

Ocean listings can be specified to send referrals to central intake, their own site, or both. The referral's destination is determined by the owner of the chosen referral form. In other words, if a central intake form is used, the referral will be sent to central intake. When a specific site's form is used, it will be sent to that specific site.

Multiple referral forms can be displayed in the site's "Send Referral" dialog. The most specific referral forms are shown at the top of the list. When specific referral forms are available, the generic forms are not shown.

Which forms are shown specifically?

Suppose a clinic's site has a Clinical Listing that is linked to a Central Intake Listing that has an Orthopedics health service offering. For each Orthopedics offering that the Clinicial Listing has, a list of potential referral forms is returned in the following order:

A form specified for "Orthopedics" in the Clinical Listing
A form specified for "Orthopedics" in the Central Intake Listing

If there are no forms in 1 or 2, it will proceed to include:

A general form specified in the Central Intake Listing
A general form specified in the Clinical Listing

If there are no forms in 1, 2, 3, or 4, it will proceed to include:

Any general Ocean referral forms for "Orthopedics"

If there are no forms in 1, 2, 3, 4 or 5, it will proceed to include:

The Quick Referral Form
Standard Referral form

Information on Rapid Access Clinics/Assessment Centres

What is a Rapid Access Clinic?

Rapid Access Clinics (also known as Assessment Centres) are commonly used in the Musculoskeletal care (MSK) pathway. Patients referred to these listings are booked in for an assessment with an advanced practice physiotherapist (APP), who determines whether surgery is appropriate for the patient and may forward the referral downstream (e.g, to a surgeon/specialist). This configuration allows for a special set of "assessment" analytics to be captured on referrals that are directed to, and booked at, these listings.

What makes a Rapid Access Clinic unique in Ocean?

There are three main elements that differentiate Rapid Access Clinic sites from standard Ocean sites:

Directory Listing Configuration

Rapid Access Clinic sites have unique Directory Listings that are specifically configured by OceanMD. The 'Listing Type' field is set to 'Rapid Access Clinic'.

Forward Button

Once configured as a Rapid Access Clinic by OceanMD, a more prominent 'Forward' button appears in each referral received.
This provides Rapid Access Clinic users with the ability to forward the referral to the appropriate service provider (e.g., forwarding the referral to a surgeon after the advanced practice physiotherapist deems surgery necessary).

Analytics

Sites designated as a Rapid Access Clinic on their Directory Listing capture additional analytic values. Please see the 'Rapid Access Clinic Analytics' section at the bottom of this article for in depth information.

How do Rapid Access Clinics receive referrals?

Since the Rapid Access Clinic (RAC) concept was developed specifically for the musculoskeletal (MSK) pathway, RACs typically receive referrals that have been forwarded from a Central Intake site.

While it is technically possible for a RAC site to exist and receive referrals from non-Central Intake sites (e.g., an independent healthcare provider referring directly to a RAC via the Ocean Healthmap), there are currently no sites or organizations using such a process.

The typical flow for a referral reaching a RAC is as follows:

Original Referral Sender --> Central Intake (triaging occurs) --> Rapid Access Clinic (in-depth assessment occurs with APP to determine best course of clinical action) --> (If applicable) referral is forwarded to a Surgeon/Specialist for more invasive procedure.

Rapid Access Clinic Process

The RAC receives a referral from a Central Intake site. The referral is found in the RAC's 'New' folder.
The RAC decides whether or not to accept or decline the referral (based on appropriateness). Most often, it is appropriate and accepted.
The RAC books an appointment for the APP to see the patient, making use of the 'Scheduling' pane of the referral.

The APP conducts an assessment of the patient, and uses the 'Review...' functionality within the 'Notes' pane of the referral to complete the 'Assessment Outcome Form'.

The Assessment Outcome Form is a specially configured eForm used to document the APP's decision, while also capturing specific values to be used in the referral analytics.
Based on the assessment outcome:

1) The patient may continue to see the APP for a conservative approach for rehabilitation

2) The APP may forward the referral to another service provider (e.g., community physiotherapist) to continue a conservative rehabilitation approach

3) The APP may forward the referral to a surgeon/specialist for a more invasive surgical procedure

Note: If the referral is manually forwarded (i.e., to a listing that is NOT accepting eReferrals), the RAC must indicate which stakeholder in the process receives the onus of updating the referral. See the 'Manual Forward Policy' section below.

The APP uses the 'Email Note' functionality in the Notes pane to email the note generated by the Assessment Outcome Form back to the original referral sender.

Rapid Access Clinic Analytics

Core Analytics

When a Directory Listing is configured as a Rapid Access Clinic, Ocean makes use additional data columns in the eReferral analytics report. A full breakdown of all analytics can be found in the Supporting Analytics in eConsults and/or eReferral eForms article.

The following analytics are automatically captured for listings configured as an RAC:

initialAssessmentDate: The date/time of the initial assessment if the referral is booked at an assessment centre.
initialAssessmentSite: The name of the initial assessment site listing.
initialAssessmentSiteNum: The site number of the initial assessment site the referral was directed to.
initialAssessmentSiteRef: The unique listing consult and/or reference id of the initial assessment site.
initialAssessmentOfferingRef: The unique Health Service Offering (HSO) reference assigned to the referral, at the time it was sent to the RAC.
forwardDateFromAssessmentSite: The date the referral is forwarded from a listing of type Rapid Access Clinic.

Additional Analytics

Rapid Access Clinics use customized 'Outcome Assessment Forms' (an eForm wit the ref = 'referralNotes') used with the 'Review' functionality in the referral to generate the Review note. Outcome Assessment Forms used by RACs often include eForm items with the following item references to populate additional fields in the analytics report.

Common item reference examples used in RAC Outcome Assessment Forms include the following:

ax_surgicalCandidate
ax_assessmentOutcome
ax_assessmentOutcomeMedicalSpecialist
ax_assessmentOutcomeCommunityProgram
ax_assessmentOutcomeSelfManagement
ax_patientPreference
ax_consultOutcome
ax_decisionToConsult (Note: Important as this column is used in wait time calculations.)

Keep in mind that the semantics behind each is arbitrary and you can "co-opt" them for the purposes of a particular pathway as long as the consumers of the analytical data understand the data values.

Manual Forward Policy

If an Ocean Site decides to forward a referral following an assessment, they have the option of forwarding to a listing that is accepting eReferrals on the Ocean Healthmap, or they can choose to manually forward the referral (e.g. via fax) to a service provider who is not accepting eReferrals.

If they decide to manually forward the referral, they are prompted to choose the site that should be responsible for follow-up scheduling of the forwarded referral.

Ocean Sites can modify the 'Manual Forward Policy' within their Directory Listing(s)'s 'Request Policies' section under the 'Enablement' tab to indicate standard behaviour for this specific manual forwarding workflow.

While this functionality has been purpose-built for the MSK pathway in which the RAC is the third sequential stakeholder in the referral process, this functionality technically applies to any Ocean site that is: 1) the third site to handle the referral and 2) manually forwards the referral.

As a Regional Authority Admin, how do I set the Service Request Repository?

Regional Authority (RA) sites have the ability to configure the contribution of referral data for all sites approved under the RA to a Service Request Repository.

A Service Request Repository is an external system configured and maintained by a Regional Authority to aggregate various pieces of referral data. This allows health systems to better plan resources by collecting information about wait times and more.

This article walks through the first step of selecting the repository that the data should be contributed to at the RA level.

Prerequisites

Your Ocean Site must be configured as a Regional Authority.
You must have Site Admin access on the Regional Authority site.

On the RA site, navigate to the Admin Settings page and select 'Regional Authority'.

Use the dropdown menu below the 'Service Request Repository' heading to specify the repository that referral data for all sites approved under the RA should be contributed to.
Press 'Save' at the bottom of the page.

Once the Service Request Repository has been configured by following the steps above, RA users with Site Admin access can enable or disable the ability for individual Ocean Sites under the RA to contribute data to the selected repository by following the steps in this article.

Disabling Repository Contribution at the Regional Authority Level

If repository contribution needs to be temporarily disabled, the repository can be set back to 'None' using the dropdown menu. When re-enabled, prior enablement for sites approved under the RA will be restored.

As a Regional Authority Admin, how can I enable the ability for an Ocean Site to contribute data to a Service Request Repository?

Regional Authority (RA) sites which have configured a Service Request Repository can allow individual sites approved under the RA to contribute their referral data to the Service Request Repository. This article walks through the step of enabling the ability to contribute to the repository for an Ocean Site which is approved under the RA.

Prerequisites

Your Ocean Site must be configured as a Regional Authority.
Your Regional Authority Ocean Site must have a Service Request Repository specified.
You must have Site Admin access on the Regional Authority Ocean Site.

On the RA site, navigate to the 'Approvals' area.

In the 'Site Licence Approvals' tab, locate the Ocean Site for which you will enable the ability to contribute to the repository and click the 'Manage' button.

Set the dropdown menu under below 'Repository Contribution' to 'Enabled'.
Press 'Save' at the bottom of the page.

Directory Listings on the newly enabled site which have been approved by the RA will now be capable of enabling contribution to the Service Request Repository for each listing.

Note: Directory Listings on the newly enabled site which have not been approved by the RA will not be capable of enabling contribution to the Service Request Repository.

Regional Authority Approvals Export

Regional Authority Users can export a .csv file containing all Directory Listings that have applied to and/or been approved by the Regional Authority Ocean Site.
A full Data Dictionary for the CSV output can be found in the following article: At a Regional Authority Ocean Site, what data is included in the 'Exports' available within the Approvals page?

Columns of interest in the Export Listings output that relate to the Service Request Repository functionality may include:

listingRepositoryContribution
trusteeCustodian
regionalAuthoritySiteNum
CCEnabled
CCSEK
integrationName

How can a Support Site User generate analytics for the sites they support?

Support Site Users who assist with onboarding other eReferral users can obtain a report which lists all of their currently supported users and the last time each user has sent an eReferral.

This report can be used to identify users that have not yet started sending eReferrals (e.g., a Non-Adopted Report) within the Supported Sites.
The report generates data on all end users within currently Supported Sites. Support Site Users themselves are not included in the export.
For more information on Support Sites and how to assign one for your Ocean site, please see Adding a Support Site to Your Site.

Generating the Report

Note: You must be a Site Admin on the Support Site in order to generate the report.

Log in to the Ocean Portal and select your name in the top-right corner.
Select 'User Settings'.

Press 'Export Past Year Support Site User Analytics' on the left side. A .csv file will automatically download.

Understanding the Report

This report queries referral analytics and will export your data in a .csv file that can be opened using Microsoft Excel. It includes the following columns:

siteNum: The Ocean site number of the site currently managing the referral as a receiving provider.
siteName: The name of the referral site.
clinicianType: The referrer's User Role as specified within their Ocean user account. One of the following: "Allied Health Professional", "Family Physician", "Medical Student", "MOA / Secretary", "Nurse", "Nurse Practitioner", "Resident", "Specialist" or "Other".
professionalId: The referrer's Professional ID, such as the CPSO # for an Ontario physician.
userFullName: The referring clinician’s name.
username: The Ocean username representing the referring clinician.
referralLastSent: The most recent date that the user had a referral sent signed in their name within the last one year. If the referralLastSent field is blank, it means that the user (or their delegate*) has not yet sent a referral, or it has been more than a year since they have done so.

*Note: Delegates sending referrals on behalf of a clinician will have their referral last sent date attributed to the relevant clinician (i.e., not the delegate themselves).

Reassigning the Most Responsible Provider on eConsults & eReferrals

Early Access Feature

This article reflects the functionality available during the early release phase of reassigning referrals/consults. If you're interested in getting started, please complete this form.

The Most Responsible Provider (MRP) Reassignment feature allows users at the sending site to reassign an active referral/consult to another user on the same Ocean site.

This is useful when a referral/consult needs to be reassigned, such as when a clinician leaves the clinic and transfers care to another provider. Ocean preserves the original referring provider on the referral/consult while sending future updates to the reassigned MRP.

Reassign the Most Responsible Provider

Start by logging in to the Ocean Portal.
Navigate to the eReferrals area by opening the 'Menu' and selecting 'eReferrals & eConsults'.

Locate the eReferral that you wish to reassign by using the folder categories or the search bar. Open the eReferral by clicking on it.

In the General section, select the 'Edit' icon next to the Most responsible sending provider field.

In the Reassign Most Responsible Provider window, select the new MRP from the list of Physicians and Nurse Practitioners at the sending site.
Select 'Save'.

Note: The Most Responsible Provider list only includes users with these roles: Family Physician, Nurse Practitioner, Resident, Specialist, or Other.

How Reassigning an MRP appears in eConsults & eReferrals

Expand the sections below to see how reassigning the MRP appears in Ocean.

Searching and Filtering

The Clinician and Source columns on the eReferrals and eConsults page display the reassigned MRP.

You can search for the referral/consult by the original referring provider or the reassigned MRP.

Note: If the original referring provider is removed from the site, any referrals/consults that were reassigned to an MRP do not appear under the "Users Removed from Site" filter because they are associated with the reassigned MRP.

Messaging

In the Messaging pane, the reassigned MRP appears as the recipient.

Messages sent from the receiving site are routed to the current MRP.

Email Notifications

Ocean sends future email notifications to the reassigned MRP instead of the original referring provider. For more information about Ocean email notifications, see Where do eConsult and/or eReferral notification emails get sent to?

Patient email notifications also display the name of the reassigned MRP.

Referral/Consult PDFs

The PDF displays both the original referring provider and reassigned MRP.

Event Log

The event log records who reassigned the MRP, who the reassigned MRP is, and when the reassignment occurred.

Analytics

Within the analytic reports, the existing referring clinician fields remain unchanged and continue to represent the original sender. If an MRP has been reassigned, additional MRP fields are included in the analytics report. For a complete list of analytic fields, see the data dictionary in the Accessing eReferral Analytics article.

When to Use Health Service Categories on Listings

The criteria below describe the types of services that should be represented by each Health Service Category in the Ocean Healthmap.

For more information about Health Service Categories, refer to the complete list of Health Service Categories available in Ocean.

Health Service Name	Health Service ID	Listing criteria
Diabetes Education	`DIABETES_EDUCATION`	The listing should provide structured diabetes education delivered by qualified staff, such as a certified diabetes educator, registered nurse, dietitian, pharmacist with a defined diabetes education role, or a recognized diabetes education program. A referring provider should expect patient-facing teaching on diabetes physiology, monitoring, medication use, nutrition, complication prevention, and when to seek care.
Diabetes Self-Management	`DIABETES_SELF_MANAGEMENT`	The listing should help patients actively manage day-to-day diabetes care through an organized program or coaching model, including goal setting, glucose monitoring routines, medication adherence, lifestyle planning, and follow-up. A referring provider should expect practical self-management support beyond general diabetes advice or one-time pamphlet distribution.
Immunization Clinic	`IMMUNIZATION_CLINIC`	The listing should offer scheduled or walk-in vaccination services with appropriate screening, consent, vaccine storage, administration, documentation, and post-vaccination monitoring. A referring provider should expect the clinic to provide specific publicly funded or private vaccines, not simply general advice about immunization.
Smoking Cessation Therapy	`SMOKING_CESSATION`	The listing should offer a formal smoking cessation service, such as scheduled counselling sessions, CBT-based support, structured follow-up, prescribing support, or specifically allocated funded resources such as nicotine replacement therapy. Retail availability of nicotine replacement products alone is not sufficient unless it is paired with a defined cessation program or consultation service.
Travel Medicine	`TRAVEL_MEDICINE`	The listing should provide a dedicated pre-travel medical assessment where itinerary-specific risks are reviewed and mitigated with counselling, prescriptions, and access to indicated travel vaccines or prophylaxis. General travel advice alone is not sufficient unless the listing has a travel medicine assessment workflow with destination-specific vaccine and prophylaxis planning.
Pharmacy	`PHARMACY`	The listing should represent a pharmacy location that provides dispensing services and standard pharmacy operations, such as medication fulfilment, medication counselling, prescription renewals where permitted, and related pharmacy services. A referring provider should expect this category to identify the pharmacy as an organization or site, while pharmacist-led clinical care can be represented separately when appropriate.
Pharmacist	`PHARMACIST`	The listing should represent an individual pharmacist or pharmacist-led clinical service where the pharmacist provides patient assessment, medication review, prescribing or adaptation where permitted, counselling, or other professional pharmacy care. A referring provider should expect a clinical provider or pharmacist-led consultation rather than only a general pharmacy location profile.
Abnormal Pregnancy Screening Support	`ABNORMAL_PREGNANCY_SCREENING_SUPPORT`	The listing should support patients after abnormal prenatal screening or fetal anomaly findings through counselling, diagnostic pathway navigation, genetics or maternal-fetal medicine coordination, or pregnancy options support. A referring provider should expect a service prepared to address abnormal screening results, not general prenatal care alone.
Acupuncture	`ACUPUNCTURE`	The listing should provide acupuncture as a defined therapeutic service delivered by a practitioner with appropriate training or licensure. A referring provider should expect assessment, treatment planning, and needling-based care rather than general wellness counselling alone.
Acquired Brain Injury	`ACQUIRED_BRAIN_INJURY`	The listing should provide assessment, rehabilitation, care coordination, or specialized support for patients with acquired brain injury, including traumatic brain injury, stroke-related injury, or persistent cognitive and functional effects. A referring provider should expect ABI-specific expertise rather than a generic rehabilitation service without brain injury focus.
Addictions Assessment & Referral	`ADDICTIONS_ASSESSMENT_AND_REFERRAL`	The listing should provide structured substance use intake assessment and navigator-led referral coordination, connecting patients to appropriate treatment, withdrawal management, counselling, or community programs. This category is intended for nurse navigator, case coordinator, or intake services rather than direct clinical treatment. A referring provider should expect triage, assessment, and referral planning as the primary function, distinct from listings that provide direct addictions treatment or prescribing.
Adolescent Medicine	`ADOLESCENT_MEDICINE`	The listing should provide age-appropriate medical or psychosocial care for adolescents, including assessment and management of health issues common to youth. A referring provider should expect adolescent-focused confidentiality, developmental context, and transition considerations rather than general adult or pediatric care alone.
Adoption Support	`ADOPTION_SUPPORT`	The listing should provide adoption-related counselling, navigation, assessment, or family support for prospective adoptive parents, birth parents, adopted children, or families after placement. A referring provider should expect adoption-specific expertise rather than general family counselling alone.
Adult Day Program	`ADULT_DAY_PROGRAM`	The listing should offer a structured daytime program for adults who need supervision, social engagement, respite support, functional assistance, or health-related monitoring. A referring provider should expect scheduled programming and eligibility criteria rather than informal drop-in social activities alone.
Adult Intensive Services	`ADULT_INTENSIVE_SERVICES`	The listing should provide intensive, coordinated support for adults with serious or complex mental health needs, often including case management, functional support, crisis planning, or community living assistance. A referring provider should expect a higher-acuity service model than routine counselling or low-intensity support.
Adverse Event Following Immunization	`AEFI`	The listing should assess, document, counsel, or coordinate care for patients with a suspected adverse event following immunization. A referring provider should expect immunization safety expertise and reporting or follow-up guidance rather than routine vaccination services alone.
Alcoholic Support Groups	`ALCOHOLIC_SUPPORT_GROUPS`	The listing should offer organized peer, community, or facilitated support specifically for alcohol use disorder or problematic alcohol use. A referring provider should expect recurring group support with an alcohol recovery focus rather than general addictions information alone.
Allergy and Immunology	`ALLERGY_AND_IMMUNOLOGY`	The listing should provide specialist assessment and management of allergic, immunologic, or related conditions, such as allergy testing, immunotherapy planning, or immune disorder evaluation. A referring provider should expect clinical allergy/immunology expertise rather than general advice about allergies alone.
Ambulatory Blood Pressure Monitoring	`AMBULATORY_BP`	The listing should provide ambulatory blood pressure monitoring using a validated device over a defined monitoring period, with patient instructions and report generation. A referring provider should expect objective out-of-office blood pressure data suitable for diagnosis or management decisions.
Amputee Services	`AMPUTEE_SERVICES`	The listing should provide rehabilitation, prosthetic coordination, functional assessment, counselling, or community support for patients with limb loss. A referring provider should expect amputee-specific care planning rather than general mobility support alone.
Anger Disorders	`ANGER_DISORDERS`	The listing should provide structured assessment or treatment for problematic anger, emotional regulation, or related behavioural concerns. A referring provider should expect counselling, skills training, group programming, or mental health treatment with an anger-management focus rather than general wellness support alone.
Arthritis Services	`ARTHRITIS_SERVICES`	The listing should provide assessment, education, rehabilitation, self-management support, or specialist care for inflammatory or degenerative arthritis. A referring provider should expect arthritis-focused care rather than nonspecific joint pain advice.
ADHD Services	`ADHD_SERVICES`	The listing should provide ADHD-focused assessment, diagnosis support, medication management, behavioural intervention, coaching, or related services. A referring provider should expect a service prepared to address attention, executive function, and functional impairment rather than general counselling alone.
Anaesthesia	`ANAESTHESIA`	The listing should represent anaesthesia specialist services, such as preoperative assessment, procedural anaesthesia, perioperative planning, or anaesthesia consultation. A referring provider should expect physician-led anaesthesia expertise rather than general procedural intake alone.
Aquafit Programs	`AQUAFIT_PROGRAMS`	The listing should provide structured aquatic exercise or therapy programming with defined sessions, supervision, and suitability for rehabilitation, chronic disease management, mobility, or conditioning goals. A referring provider should expect more than general pool access.
Arterial Blood Gases	`ARTERIAL_BLOOD_GASES`	The listing should provide arterial blood gas collection and related specimen handling or interpretation workflow where appropriate. A referring provider should expect a clinical testing service capable of arterial sampling, not routine venipuncture alone.
Assistive Equipment	`ASSISTIVE_EQUIPMENT`	The listing should provide assessment, fitting, prescription support, funding navigation, rental, sale, or training for mobility, safety, communication, or daily living equipment. A referring provider should expect equipment-specific guidance rather than general home safety advice alone.
Asthma Education	`ASTHMA_EDUCATION`	The listing should provide structured asthma education, including inhaler technique, trigger management, action plans, monitoring, and escalation guidance. A referring provider should expect a defined respiratory education service rather than general respiratory counselling alone.
Augmentative Communication	`AUGMENTATIVE_COMMUNICATION`	The listing should assess communication needs and provide augmentative or alternative communication recommendations, device support, training, or speech-language pathology services. A referring provider should expect AAC-specific evaluation and implementation support rather than general speech advice alone.
Autism Spectrum Disorder Services	`AUTISM_SPECTRUM_DISORDER_SERVICES`	The listing should provide autism-focused assessment, diagnosis support, therapy, behavioural intervention, family support, service navigation, or developmental programming. A referring provider should expect ASD-specific expertise rather than general developmental or counselling services alone.
Arterial Segmental Pressures	`ABI`	The listing should provide ankle-brachial index or arterial segmental pressure testing using appropriate vascular measurement equipment and reporting. A referring provider should expect objective peripheral arterial assessment, not a general vascular risk consultation alone.
Assisted Dying Inquiry Support	`ASSISTED_DYING_INQUIRY_SUPPORT`	The listing should provide information, counselling, navigation, referral support, or treatment for patients asking about medical assistance in dying. A referring provider should expect inquiry-focused support and pathway guidance; assessment or provision should be listed only when that is explicitly offered.
Audiology	`AUDIOLOGY`	The listing should provide hearing assessment, audiometry, hearing aid evaluation, vestibular-related audiology services, or related audiologist-led care. A referring provider should expect formal testing or audiology consultation rather than informal hearing advice alone.
Back Pain	`BACK_PAIN`	The listing should provide assessment or treatment for back pain through a defined clinical service, such as physiotherapy, rehabilitation, pain management, or spine-focused care. A referring provider should expect back-pain-specific evaluation and care planning rather than general exercise or wellness programming alone.
Back - Epidural Steroid Injection	`BACK_EPIDURAL_STEROID`	The listing should provide epidural steroid injections for appropriate spine-related pain indications, with clinical assessment, procedural capability, and follow-up expectations. A referring provider should expect an interventional pain or procedural spine service rather than general back pain management alone.
Back - Prolotherapy	`BACK_PROLOTHERAPY`	The listing should provide prolotherapy as a defined injection-based treatment for selected back or spine-related pain presentations. A referring provider should expect assessment for procedural suitability, informed consent, and treatment planning rather than general musculoskeletal care alone.
Bariatric Surgery	`BARIATRIC_SURGERY`	The listing should provide bariatric surgery assessment, surgical treatment, or coordinated pre- and post-operative bariatric care. A referring provider should expect eligibility review, multidisciplinary preparation, and surgical pathway management rather than general weight-management counselling alone.
Bereavement Support	`BEREAVEMENT_SUPPORT`	The listing should provide counselling, peer support, group programming, or navigation for people experiencing grief or loss. A referring provider should expect bereavement-focused support rather than general social contact or wellness programming alone.
Biophysical Profile	`BIOPHYSICAL_PROFILE`	The listing should provide biophysical profile ultrasound assessment for fetal well-being, with appropriate obstetrical imaging protocols and reporting. A referring provider should expect a diagnostic prenatal imaging service rather than routine prenatal care alone.
Family Planning	`BIRTH_CONTROL`	The listing should provide contraception counselling, prescribing, device insertion or removal where applicable, and pregnancy prevention planning. Despite the broader display name, this category is scoped to contraceptive and pregnancy prevention services only. Services encompassing fertility planning, preconception counselling, or infertility assessment should use `FERTILITY` or `PRENATAL_CARE` as appropriate. A referring provider should expect clinical assessment and option-specific contraception counselling rather than general sexual health information alone.
Blindness or Low Vision Rehabilitation	`BLIND_OR_LOW_VISION_REHABILITATION`	The listing should provide rehabilitation, adaptive strategies, assistive technology, orientation and mobility training, or functional support for patients with blindness or low vision. A referring provider should expect vision-loss-specific rehabilitation rather than routine optometry or ophthalmology assessment alone.
Blood Donor Clinic	`BLOOD_DONOR_CLINIC`	The listing should represent an organized blood donation service with donor eligibility screening, collection, safety protocols, and post-donation monitoring. A referring provider should expect a dedicated donation clinic rather than general laboratory blood collection.
Bone Mineral Density	`BONE_MINERAL_DENSITY`	The listing should provide bone mineral density testing, typically by DXA/DEXA, with appropriate imaging protocols and report generation. A referring provider should expect objective osteoporosis or fracture-risk assessment data rather than general bone health counselling alone.
Bone Scan	`BONE_SCAN`	The listing should provide nuclear medicine bone scan imaging with radiotracer administration, image acquisition, and diagnostic reporting. A referring provider should expect a diagnostic imaging service rather than a general musculoskeletal assessment.
Bone Marrow Aspiration	`BONE_MARROW_ASPIRATION`	The listing should provide bone marrow aspiration or biopsy through a clinician or procedural service equipped for the procedure, specimen handling, and follow-up. A referring provider should expect hematology or procedural expertise rather than routine laboratory testing alone.
Botox Injections	`BOTOX`	The listing should provide botulinum toxin injections as a defined therapeutic or procedural service, with assessment, indication-specific dosing, consent, and follow-up expectations. A referring provider should expect clinically supervised injection care rather than general cosmetic or wellness services alone.
Botox Injections - Cervical Dystonia	`BOTOX_CERVICAL_DYSTONIA`	The listing should provide botulinum toxin injections specifically for cervical dystonia, with neuromuscular assessment, targeted injection planning, and appropriate follow-up. A referring provider should expect condition-specific therapeutic injection expertise rather than general botulinum toxin availability alone.
Bracing	`BRACING`	The listing should provide assessment, fitting, prescription support, fabrication, dispensing, or training for braces, splints, or orthotic supports. A referring provider should expect device-specific clinical guidance rather than retail product availability alone.
Breastfeeding Support Services	`BREASTFEEDING`	The listing should provide breastfeeding assessment, lactation counselling, latch support, feeding plans, or related postpartum parent-infant care. A referring provider should expect lactation-specific expertise rather than general newborn or postpartum advice alone.
Breast Clinic	`BREAST_CLINIC`	The listing should provide assessment and coordinated investigation or management of breast symptoms, abnormal imaging, high-risk concerns, or breast disease. A referring provider should expect a breast-focused clinical pathway rather than general surgical or primary care assessment alone.
Breast Ultrasound	`BREAST_ULTRASOUND`	The listing should provide diagnostic breast ultrasound with appropriate imaging protocols, technologist or radiologist involvement, and report generation. A referring provider should expect a dedicated breast imaging service rather than general ultrasound availability alone.
Bronchial Challenge	`BRONCHIAL_CHALLENGE`	The listing should provide bronchial challenge testing, such as methacholine challenge, using appropriate respiratory testing protocols and monitoring. A referring provider should expect objective airway hyperresponsiveness assessment rather than general asthma education alone.
Bronchoscopy	`BRONCHOSCOPY`	The listing should provide bronchoscopy through an appropriately equipped procedural service, including pre-procedure assessment, airway visualization, sampling or intervention where indicated, and follow-up reporting. A referring provider should expect specialist procedural capability rather than general respirology consultation alone.
Supervised Exercise Rehabilitation - Cardiovascular	`CARDIAC_REHAB`	The listing should provide supervised cardiovascular rehabilitation with exercise prescription, monitoring, education, risk-factor modification, and progression planning. A referring provider should expect a structured cardiac rehab program rather than unsupervised fitness programming alone.
Cardiac Stress Testing	`CARDIAC_STRESS_TESTING`	The listing should provide cardiac stress testing using appropriate exercise or pharmacologic protocols, monitoring, interpretation, and reporting. A referring provider should expect diagnostic cardiovascular testing rather than general cardiac risk counselling alone.
Cardiology	`CARDIOLOGY`	The listing should provide cardiologist-led specialist physician assessment and management of cardiovascular symptoms, disease, or risk. This category is reserved for physician specialist services only. A referring provider should expect direct cardiologist consultation or follow-up rather than ancillary cardiac testing or support services alone.
Cardiology Services	`CARDIOLOGY_SERVICES`	The listing should provide cardiology-related ancillary or support services such as ECG acquisition, Holter monitoring, echocardiography, stress testing, cardiac rehabilitation, or device follow-up clinics. This category is intended for non-physician or mixed-service offerings associated with cardiac care. A referring provider should expect a defined cardiology-support service rather than direct cardiologist specialist assessment.
Cardiovascular Surgery	`CARDIOVASCULAR_SURGERY`	The listing should provide surgical assessment or treatment for cardiovascular disease, including operative planning and specialist follow-up. A referring provider should expect a cardiovascular surgery pathway rather than general cardiology care alone.
Care Coordination	`CARE_COORDINATION`	The listing should provide deliberate coordination across providers, services, benefits, or care settings for patients with complex needs. A referring provider should expect active navigation and follow-up rather than passive directory information alone.
Cataract Care	`CATARACT_CARE`	The listing should provide cataract assessment, monitoring, surgical referral coordination, or perioperative cataract management. A referring provider should expect cataract-specific eye care rather than routine vision assessment alone.
Cataract Surgery	`CATARACT_SURGERY`	The listing should provide cataract surgery assessment, operative treatment, and postoperative follow-up planning. A referring provider should expect a surgical ophthalmology service rather than general optometry or screening alone.
Central Venous Catheter Insertion	`CENTRAL_VENOUS_CATHETER_INSERTION`	The listing should provide central venous catheter insertion through an appropriately equipped procedural service. A referring provider should expect pre-procedure assessment, sterile insertion capability, documentation, and follow-up instructions.
CSSP	`CENTRALIZED_SURGICAL_SERVICES_PROGRAM`	The listing should represent a centralized surgical intake, triage, navigation, or wait-list management program. A referring provider should expect referral routing and surgical pathway coordination rather than a single surgeon profile alone.
Children's Aid	`CHILDRENS_AID`	The listing should provide child protection, family support, investigation, or mandated child welfare services. A referring provider should expect a formal child welfare agency function rather than general child or family counselling alone.
Circumcision	`CIRCUMCISION`	The listing should provide circumcision assessment and procedure services with consent, procedural safety, pain control, and aftercare instructions. A referring provider should expect a defined procedural offering rather than general newborn care alone.
Community Health Centre	`COMMUNITY_HEALTH_CENTRE`	The listing should represent a community health centre offering integrated primary care, health promotion, social support, or community-based programs. A referring provider should expect a site-based interdisciplinary service model rather than an individual provider listing alone.
Concussion Management	`CONCUSSION_MANAGEMENT`	The listing should provide concussion assessment, return-to-learn or return-to-play guidance, symptom management, rehabilitation, or follow-up. A referring provider should expect concussion-specific care planning rather than general headache or physiotherapy services alone.
Core Needle Biopsy	`CORE_NEEDLE_BIOPSY`	The listing should provide core needle biopsy through an appropriately equipped procedural or imaging-guided service. A referring provider should expect specimen collection, handling, reporting workflow, and follow-up instructions.
Child Development Service Navigation	`CHILD_DEVELOPMENT_SERVICE_NAVIGATION`	The listing should help families access assessment, therapy, funding, school supports, or community services for child developmental concerns. A referring provider should expect active navigation for developmental needs rather than generic parenting resources alone.
Chiropractic	`CHIROPRACTIC`	The listing should provide chiropractic assessment and treatment by a regulated chiropractor, including musculoskeletal evaluation and manual or adjunctive therapy where appropriate. A referring provider should expect a clinical chiropractic service rather than general wellness coaching alone.
Chronic Disease Self-Management	`CHRONIC_DISEASE_SELF_MANAGEMENT`	The listing should provide structured education or coaching to help patients manage chronic conditions through goal setting, symptom monitoring, medication adherence, and lifestyle planning. A referring provider should expect a defined self-management program rather than general health advice alone.
Chronic Pain Self-Management	`CHRONIC_PAIN_SELF_MANAGEMENT`	The listing should provide structured chronic pain education, skills training, pacing, coping strategies, or group programming. A referring provider should expect pain-specific self-management support rather than general exercise or wellness programming alone.
Colonoscopy	`COLONOSCOPY`	The listing should provide colonoscopy assessment and procedure services with bowel preparation instructions, sedation or procedural planning, reporting, and follow-up. A referring provider should expect endoscopic capability rather than general gastrointestinal consultation alone.
Colorectal Screening	`COLORECTAL_SCREENING`	The listing should provide organized colorectal cancer screening, abnormal screening follow-up, FIT-positive navigation, or colonoscopy pathway coordination. A referring provider should expect screening-specific processes rather than general gastrointestinal advice alone.
Compounding Pharmacy	`COMPOUNDING_PHARMACY`	The listing should represent a pharmacy service that prepares customized compounded medications according to prescription requirements and applicable standards. A referring provider should expect compounding capability beyond standard medication dispensing.
Community Support Services	`COMMUNITY_SUPPORT_SERVICES`	The listing should provide practical community-based supports such as meals, transportation, friendly visiting, safety checks, homemaking, or caregiver respite. A referring provider should expect organized support services with eligibility or intake processes rather than informal volunteer help alone.
Convalescent Care	`CONVALESCENT_CARE`	The listing should provide short-term recovery support after illness, hospitalization, surgery, or functional decline. A referring provider should expect a structured care setting or program with rehabilitation or support goals rather than long-term custodial care alone.
Cord Blood Services	`CORD_BLOOD_SERVICES`	The listing should provide cord blood collection, banking, donation coordination, or related counselling using defined protocols. A referring provider should expect a dedicated cord blood workflow rather than general prenatal education alone.
Cosmetics	`COSMETICS`	The listing should provide non-surgical cosmetic assessment or procedures, such as injectables, skin treatments, or aesthetic consultations. A referring provider should expect a defined cosmetic service rather than general dermatology or wellness care alone.
Cosmetic Surgery	`COSMETIC_SURGERY`	The listing should provide surgical cosmetic assessment, operative planning, procedures, and postoperative care. A referring provider should expect a cosmetic surgery service rather than non-surgical aesthetic treatments alone.
Counseling	`COUNSELING`	The listing should provide scheduled counselling, psychotherapy, or structured therapeutic support delivered by an appropriately qualified provider. A referring provider should expect a therapeutic relationship and care plan rather than informal advice or peer support alone.
Colposcopy	`COLPOSCOPY`	The listing should provide colposcopic assessment for abnormal cervical screening or related indications, including biopsy or treatment planning where appropriate. A referring provider should expect a dedicated colposcopy workflow rather than routine cervical screening alone.
CT	`CT`	The listing should provide computed tomography imaging with appropriate protocols, image acquisition, interpretation, and report generation. A referring provider should expect diagnostic imaging capability rather than general radiology consultation alone.
Cystoscopy	`CYSTOSCOPY`	The listing should provide cystoscopy assessment and procedure services for appropriate urologic indications. A referring provider should expect procedural urology capability, documentation, and follow-up instructions.
Dementia Support Services	`DEMENTIA_SUPPORT`	The listing should provide dementia-focused education, caregiver support, navigation, behavioural strategies, or community programming. A referring provider should expect support tailored to cognitive impairment rather than general seniors programming alone.
Dental Hygiene	`DENTAL_HYGIENE`	The listing should provide dental hygiene assessment, cleaning, preventive counselling, periodontal maintenance, or oral health education by qualified dental hygiene staff. A referring provider should expect preventive oral care rather than general dentistry or retail oral care products alone.
Dentistry	`DENTISTRY`	The listing should provide dental assessment, diagnosis, treatment, prevention, or referral by a dentist or dental clinic. A referring provider should expect clinical dental care rather than oral hygiene advice alone.
Dentistry (Subsidized or Free)	`DENTISTRY_LOW_COST`	The listing should provide dental services that are explicitly subsidized, free, or available through a defined low-cost eligibility model. A referring provider should expect clear access criteria or funding pathway rather than standard private-pay dentistry alone.
Dental Surgery	`DENTAL_SURGERY`	The listing should provide surgical dental procedures such as extractions, biopsies, implant-related surgery, or other operative oral care. A referring provider should expect procedural dental capability rather than routine dental assessment alone.
Dermatology	`DERMATOLOGY`	The listing should provide specialist assessment and management of skin, hair, nail, or mucosal conditions. A referring provider should expect dermatology expertise rather than cosmetic skin services or primary care skin checks alone.
Developmental and Disability Services	`DEVELOPMENTAL_AND_DISABILITY`	The listing should provide assessment, support, navigation, therapy, or programming for people with developmental disabilities or functional support needs. A referring provider should expect disability-focused services rather than general counselling or recreation alone.
Diabetes Specialist Management	`DIABETES_SPECIALIST_MANAGEMENT`	The listing should provide specialist-level diabetes assessment and management, often involving endocrinology, complex medication adjustment, insulin pump or technology support, or complication-focused care. A referring provider should expect diabetes management beyond general education or self-management coaching.
Diagnostic Imaging	`DIAGNOSTIC_IMAGING`	The listing should provide medical imaging services with appropriate equipment, protocols, interpretation, and report delivery. A referring provider should expect diagnostic image acquisition and reporting rather than a clinical consultation alone.
Dietitian / Nutrition	`DIETITIAN`	The listing should provide nutrition assessment and counselling by a registered dietitian or qualified nutrition provider within scope. A referring provider should expect individualized dietary recommendations and follow-up planning rather than general nutrition information alone.
Driving Services	`DRIVING_SERVICES`	The listing should provide driver assessment, rehabilitation, adaptive driving support, or medically relevant driving fitness evaluation. A referring provider should expect a structured driving-related service rather than general transportation assistance alone.
Drug Safety Testing	`DRUG_SAFETY_TESTING`	The listing should provide assessment, testing, or supervised challenge related to suspected medication allergy, intolerance, or adverse drug reaction. A referring provider should expect a drug-safety workflow with risk assessment and documentation rather than routine medication review alone.
Early Pregnancy Loss	`EARLY_PREGNANCY_LOSS`	The listing should provide assessment, counselling, medical or procedural management, follow-up, or navigation for miscarriage or suspected early pregnancy loss. A referring provider should expect pregnancy-loss-specific care rather than general prenatal services alone.
Early Psychosis Intervention	`EARLY_PSYCHOSIS_INTERVENTION`	The listing should provide rapid assessment, treatment, family support, case management, or psychiatric care for first-episode or early psychosis. A referring provider should expect early-psychosis-specific programming rather than general mental health counselling alone.
Eating Disorders	`EATING_DISORDERS_PROGRAM`	The listing should provide eating-disorder assessment, treatment, nutrition support, psychotherapy, medical monitoring, or coordinated interdisciplinary care. A referring provider should expect eating-disorder-specific expertise rather than general weight or nutrition counselling alone.
ECG	`ECG`	The listing should provide electrocardiogram acquisition with appropriate patient preparation, tracing quality, and report or interpretation workflow. A referring provider should expect cardiac electrical testing rather than general cardiac assessment alone.
Echocardiogram	`ECHOCARDIOGRAM`	The listing should provide cardiac ultrasound imaging with appropriate acquisition, interpretation, and reporting. A referring provider should expect diagnostic echocardiography rather than general cardiology consultation alone.
EEG	`EEG`	The listing should provide electroencephalography testing with appropriate setup, recording, interpretation, and report generation. A referring provider should expect objective neurologic testing rather than general neurology assessment alone.
EMG	`EMG`	The listing should provide electromyography and nerve conduction testing with appropriate equipment, clinical assessment, interpretation, and reporting. A referring provider should expect objective neuromuscular testing rather than general musculoskeletal assessment alone.
Emergency Department	`EMERGENCY_DEPARTMENT`	The listing should represent a hospital emergency department capable of unscheduled assessment and stabilization of urgent or emergent conditions. A referring provider should expect emergency triage, diagnostic access, acute treatment, and escalation pathways.
Emergency Medicine	`EMERGENCY_MEDICINE`	The listing should provide emergency medicine physician assessment or services for acute presentations requiring urgent evaluation. A referring provider should expect emergency medicine expertise rather than routine urgent primary care alone.
Emergency Shelter	`EMERGENCY_SHELTER`	The listing should provide immediate or short-term shelter for people experiencing homelessness, unsafe housing, violence, or crisis. A referring provider should expect an intake process and emergency accommodation support rather than general housing advice alone.
Endocrinology	`ENDOCRINOLOGY`	The listing should provide specialist assessment and management of endocrine disorders such as diabetes, thyroid, adrenal, pituitary, metabolic bone, or reproductive endocrine conditions. A referring provider should expect endocrinologist-led care rather than general chronic disease counselling alone.
End-of-life care	`END_OF_LIFE_CARE`	The listing should provide clinical, supportive, spiritual, or practical care for patients approaching the end of life and their caregivers. A referring provider should expect goals-of-care support, symptom or care planning, and coordination rather than general seniors services alone.
Endometrial Biopsy	`ENDOMETRIAL_BIOPSY`	The listing should provide endometrial biopsy assessment and procedure services with consent, specimen handling, and follow-up planning. A referring provider should expect gynecologic procedural capability rather than general women's health care alone.
Endoscopy	`ENDOSCOPY`	The listing should provide endoscopic procedures with appropriate preparation, sedation or procedural planning, reporting, and follow-up. A referring provider should expect procedural gastrointestinal or related endoscopy capability rather than consultation alone.
Endoscopic retrograde cholangiopancreatography (ERCP)	`ERCP`	The listing should provide ERCP assessment and procedure services for biliary or pancreatic indications. A referring provider should expect advanced endoscopy capability, procedural risk assessment, and post-procedure follow-up.
Exercise Oximetry	`EXERCISE_OXIMETRY`	The listing should provide oxygen saturation monitoring during exertion using a defined protocol and reportable results. A referring provider should expect objective exercise-related oxygenation assessment rather than general fitness testing alone.
Falls Prevention	`FALLS_PREVENTION`	The listing should provide falls-risk assessment, exercise, home safety recommendations, medication or vision review coordination, or balance training. A referring provider should expect a falls-focused intervention rather than general seniors programming alone.
Family Medicine	`FAMILY_MEDICINE`	The listing should provide comprehensive primary care assessment, diagnosis, treatment, prevention, or longitudinal management by a family physician or family medicine clinic. A referring provider should expect broad-scope primary medical care rather than a single disease-specific service.
Family Services	`FAMILY_SERVICES`	The listing should provide counselling, support, navigation, parenting assistance, crisis help, or social services for families. A referring provider should expect family-focused programming rather than individual counselling without family context.
FASD Services	`FASD_SERVICES`	The listing should provide fetal alcohol spectrum disorder assessment, diagnosis support, behavioural intervention, family support, or service navigation. A referring provider should expect FASD-specific expertise rather than general developmental services alone.
Feeding Services	`FEEDING_SERVICES`	The listing should provide assessment and support for feeding concerns, such as oral-motor feeding issues, swallowing-related feeding difficulty, picky eating with impairment, or tube-feeding support. A referring provider should expect feeding-specific assessment and care planning rather than general nutrition advice alone.
Fertility	`FERTILITY`	The listing should provide fertility assessment, counselling, investigation, treatment, or assisted reproduction services. A referring provider should expect reproductive medicine or fertility-focused workflows rather than general preconception advice alone.
Fibromyalgia	`FIBROMYALGIA`	The listing should provide assessment, education, self-management support, rehabilitation, or multidisciplinary care for fibromyalgia. A referring provider should expect fibromyalgia-focused management rather than general chronic pain services alone.
Fine Needle Aspiration	`FINE_NEEDLE_ASPIRATION`	The listing should provide fine needle aspiration through an appropriately equipped procedural or imaging-guided service. A referring provider should expect specimen collection, handling, and reporting workflow rather than routine physical examination alone.
FIT-Positive Testing	`FIT_POSITIVE_TESTING`	The listing should provide assessment, navigation, or colonoscopy follow-up for patients with a positive fecal immunochemical test. A referring provider should expect an expedited colorectal screening follow-up pathway rather than general colorectal cancer information alone.
Flexible Sigmoidoscopy	`FLEXIBLE_SIGMOIDOSCOPY`	The listing should provide flexible sigmoidoscopy with preparation instructions, procedural capability, reporting, and follow-up. A referring provider should expect lower GI endoscopy capability rather than general gastrointestinal consultation alone.
Fluoroscopy	`FLUOROSCOPY`	The listing should provide fluoroscopic imaging or fluoroscopy-guided procedures with appropriate equipment, protocols, interpretation, and reporting. A referring provider should expect diagnostic or procedural imaging capability rather than general radiology advice alone.
Foot Care Self-Management	`FOOTCARE_SELF_MANAGEMENT`	The listing should provide education and coaching that helps patients manage routine foot care, risk reduction, footwear, monitoring, and when to seek clinical care. A referring provider should expect structured self-management support rather than general foot care tips alone.
Foot Care Nursing	`FOOTCARE_NURSING`	The listing should provide nursing foot care assessment and treatment, such as nail care, callus care, diabetic foot monitoring, or wound-risk identification within scope. A referring provider should expect clinical foot care by trained nursing staff rather than cosmetic pedicure services alone.
Forensics	`FORENSICS`	The listing should provide forensic assessment, documentation, consultation, or care related to legal, safety, abuse, criminal justice, or medico-legal concerns. A referring provider should expect a formal forensic service rather than routine clinical assessment alone.
Forensic Psychiatry	`FORENSIC_PSYCHIATRY`	The listing should provide psychiatric assessment or treatment where mental health intersects with legal, court, correctional, violence-risk, or capacity-related issues. A referring provider should expect forensic psychiatry expertise rather than general psychiatric care alone.
Fracture Clinic	`FRACTURE_CLINIC`	The listing should provide assessment and follow-up for fractures or acute orthopedic injuries, including imaging review, immobilization, casting, and referral for surgery where needed. A referring provider should expect fracture-specific orthopedic care rather than general urgent care alone.
Friendly Visiting	`FRIENDLY_VISITING`	The listing should provide organized social visits or companionship for people who are isolated, frail, or otherwise in need of regular social support. A referring provider should expect scheduled visiting through a program rather than informal social contact alone.
Gastroenterology	`GASTROENTEROLOGY`	The listing should provide specialist assessment and management of gastrointestinal, hepatic, pancreatic, or related digestive conditions. A referring provider should expect gastroenterologist-led consultation or follow-up rather than endoscopy access alone.
Gastric Emptying Study	`GASTRIC_EMPTYING_STUDY`	The listing should provide gastric emptying assessment using appropriate nuclear medicine or diagnostic protocols and reporting. A referring provider should expect objective motility testing rather than general gastrointestinal consultation alone.
Gambling Addiction Assistance	`GAMBLING_ADDICTION_ASSISTANCE`	The listing should provide assessment, counselling, group support, financial-behaviour strategies, or referral for gambling-related harm. A referring provider should expect gambling-specific addiction support rather than general addictions information alone.
Gender Services	`GENDER_SERVICES`	The listing should provide gender-affirming assessment, counselling, hormone care, surgical readiness support, navigation, or related services. A referring provider should expect gender-affirming expertise rather than general primary care or counselling alone.
Genetics	`GENETICS`	The listing should provide genetic assessment, counselling, testing coordination, result interpretation, or family-risk guidance. A referring provider should expect genetics expertise rather than general disease-risk counselling alone.
Genitourinary Surgery	`GENITOURINARY_SURGERY`	The listing should provide surgical assessment or treatment for genitourinary conditions. A referring provider should expect procedural or surgical expertise rather than general urology consultation alone.
Geriatrics	`GERIATRICS`	The listing should provide assessment and management of older adults with frailty, multimorbidity, cognitive issues, falls, polypharmacy, or functional decline. A referring provider should expect geriatric-focused expertise rather than general adult medicine alone.
Geriatric Behaviour	`GERIATRIC_BEHAVIOUR`	The listing should provide assessment and management of behavioural symptoms in older adults, often related to dementia, delirium, psychiatric illness, or complex care needs. A referring provider should expect geriatric behavioural expertise rather than general counselling alone.
Geriatric Medicine	`GERIATRIC_MEDICINE`	The listing should provide specialist medical assessment and management for older adults with complex health, cognition, function, or medication concerns. A referring provider should expect geriatrician-led care rather than general seniors support alone.
Geriatric Medicine Risk Consultation	`GERIATRIC_MEDICINE_RISK_CONSULTATION`	The listing should provide geriatric risk assessment related to frailty, falls, cognition, medication safety, surgical risk, or functional decline. A referring provider should expect focused risk consultation and recommendations rather than general geriatric care alone.
Geriatric Psychiatry	`GERIATRIC_PSYCHIATRY`	The listing should provide psychiatric assessment and treatment for older adults, including mood, anxiety, psychosis, dementia-related symptoms, or complex behavioural concerns. A referring provider should expect geriatric psychiatry expertise rather than general adult psychiatry alone.
Geriatric Mental Health	`GERIATRIC_MENTAL_HEALTH`	The listing should provide mental health assessment, counselling, case management, or team-based support tailored to older adults. A referring provider should expect age-specific mental health service design rather than general counselling alone.
Government Service Office	`GOVERNMENT_SERVICE_OFFICE`	The listing should help patients access government benefits, identification, forms, applications, or public service programs. A referring provider should expect official or program-specific administrative support rather than general social work advice alone.
Group Dining	`GROUP_DINING`	The listing should provide organized meal programs in a group setting, often with social support, accessibility, or seniors programming. A referring provider should expect scheduled meals through a program rather than restaurant service alone.
Group Exercise/Fitness	`GROUP_EXERCISE_AND_FITNESS`	The listing should provide scheduled group exercise or fitness programming with defined activities, supervision, and suitability criteria. A referring provider should expect structured programming rather than general gym access alone.
Gynecology	`GYNECOLOGY`	The listing should provide assessment and management of gynecologic symptoms, reproductive health concerns, procedures, or specialist consultation. A referring provider should expect gynecology-focused care rather than general women's health counselling alone.
Gynecologic Oncology	`GYNECOLOGIC_ONCOLOGY`	The listing should provide specialist assessment and management of suspected or confirmed gynecologic malignancy or high-risk premalignant disease. A referring provider should expect oncology-focused gynecologic expertise rather than general gynecology alone.
Hair Removal	`HAIR_REMOVAL`	The listing should provide hair removal as a defined service using appropriate methods, counselling, consent, and safety practices. A referring provider should expect treatment-specific capability rather than general cosmetic consultation alone.
Headache Medicine	`HEADACHE_MEDICINE`	The listing should provide assessment and management of migraine, chronic headache, neuralgia, or complex headache disorders. A referring provider should expect headache-focused expertise rather than general neurology or pain care alone.
Healthcare Navigation Service	`HEALTHCARE_NAVIGATION_SERVICE`	The listing should help patients or providers identify, access, and coordinate healthcare services, appointments, programs, or supports. A referring provider should expect active navigation and follow-up rather than static information alone.
Health Education Class	`HEALTH_EDUCATION_CLASSES`	The listing should provide scheduled educational sessions on health topics with defined curriculum, audience, and facilitation. A referring provider should expect organized classes rather than one-off informal advice.
Health Education Class - Stroke	`HEALTH_EDUCATION_CLASSES_STROKE`	The listing should provide stroke-focused education for patients, caregivers, or families, including recovery, prevention, function, or community supports. A referring provider should expect stroke-specific curriculum rather than general health education alone.
Health Education Class - Posture	`HEALTH_EDUCATION_CLASSES_POSTURE`	The listing should provide structured education on posture, ergonomics, body mechanics, or related prevention and self-management strategies. A referring provider should expect a defined posture-focused class rather than general exercise advice alone.
Hearing Loss/Deaf Support	`HEARING_LOSS_OR_DEAF_SUPPORT`	The listing should provide support, navigation, communication assistance, assistive technology guidance, or community programming for people who are Deaf or hard of hearing. A referring provider should expect hearing-loss-specific support rather than audiologic testing alone.
Hematology	`HEMATOLOGY`	The listing should provide specialist assessment and management of blood disorders, thrombosis, anemia, malignancy, or coagulation concerns. A referring provider should expect hematologist-led care rather than routine laboratory testing alone.
Hepatology	`HEPATOLOGY`	The listing should provide specialist assessment and management of liver disease, abnormal liver tests, viral hepatitis, cirrhosis, or transplant-related liver issues. A referring provider should expect hepatology expertise rather than general gastroenterology alone.
Hernia Repair	`HERNIA_REPAIR`	The listing should provide surgical assessment and operative repair for hernias, with perioperative planning and follow-up. A referring provider should expect a hernia surgery pathway rather than general abdominal pain assessment alone.
HIV Medicine	`HIV_MEDICINE`	The listing should provide HIV assessment, antiretroviral management, prevention counselling, monitoring, or related infectious disease care. A referring provider should expect HIV-specific expertise rather than general sexual health services alone.
Ambulatory ECG Monitoring	`HOLTER_MONITORING`	The listing should provide ambulatory ECG monitoring over a defined period, including device setup, patient instructions, analysis, and reporting. A referring provider should expect objective rhythm monitoring data rather than a resting ECG alone.
Home Healthcare Products	`HOME_HEALTHCARE`	The listing should provide home healthcare products such as mobility aids, supplies, safety equipment, or medical devices with selection guidance where appropriate. A referring provider should expect product access and support rather than clinical homecare services alone.
Home Maintenance & Repair	`HOME_MAINTENANCE_AND_REPAIR`	The listing should provide home maintenance, repair, adaptation, or safety-related work that supports independent living. A referring provider should expect practical home support services rather than personal care or clinical care alone.
Homecare Services	`HOMECARE_SERVICES`	The listing should provide in-home support such as nursing, personal support, therapy, homemaking, respite, or care coordination. A referring provider should expect a defined homecare service model with intake or eligibility processes.
Home and Community Care	`HOME_AND_COMMUNITY_CARE`	The listing should provide coordinated publicly funded or community-based home and community care assessment, referral, or service planning. A referring provider should expect care coordination and access management rather than a single in-home service alone.
Hospice	`HOSPICE`	The listing should provide hospice-based end-of-life care, respite, symptom support, counselling, or caregiver support. A referring provider should expect a hospice program or setting rather than general palliative advice alone.
Hospital	`HOSPITAL`	The listing should represent a hospital site providing inpatient, outpatient, diagnostic, emergency, surgical, or specialty services. A referring provider should expect institutional services rather than an individual clinician profile.
Hospital Medicine	`HOSPITALIST`	The listing should provide hospitalist-led inpatient medical care or consultation for hospitalized patients. A referring provider should expect hospital-based medical management rather than community primary care alone.
Housekeeping	`HOUSEKEEPING`	The listing should provide practical household cleaning, laundry, homemaking, or related support for people who need help maintaining their home. A referring provider should expect non-clinical home support rather than personal care or nursing alone.
Housing and Homelessness Services	`HOUSING_AND_HOMELESSNESS_SERVICES`	The listing should provide housing navigation, shelter access, tenancy support, eviction prevention, or homelessness outreach. A referring provider should expect housing-focused support rather than general social services alone.
Hydrotherapy	`HYDROTHERAPY`	The listing should provide water-based therapeutic exercise or rehabilitation with appropriate supervision and treatment goals. A referring provider should expect therapy-focused pool programming rather than recreational swimming alone.
Hyperbaric Therapy	`HYPERBARIC_THERAPY`	The listing should provide hyperbaric oxygen therapy assessment and treatment using appropriate equipment, indications, monitoring, and safety protocols. A referring provider should expect a dedicated hyperbaric service rather than general wound or respiratory care alone.
Imaging-Guided Needle Biopsy	`IMAGING_GUIDED_NEEDLE_BIOPSY`	The listing should provide needle biopsy performed with imaging guidance, specimen handling, and reporting workflow. A referring provider should expect coordinated procedural imaging capability rather than biopsy referral advice alone.
Independent Living Skills Training	`INDEPENDENT_LIVING_SKILLS_TRAINING`	The listing should provide training in daily living, community access, safety, budgeting, self-care, or functional independence skills. A referring provider should expect goal-directed skill development rather than general supportive counselling alone.
Infectious Disease	`INFECTIOUS_DISEASE`	The listing should provide specialist assessment and management of complex, recurrent, unusual, or serious infections. A referring provider should expect infectious disease expertise rather than routine infection treatment alone.
Internal Medicine	`INTERNAL_MEDICINE`	The listing should provide specialist assessment and management of complex adult medical conditions. A referring provider should expect internal medicine consultation or follow-up rather than primary care alone.
Intensive Care Medicine	`INTENSIVE_CARE_MEDICINE`	The listing should provide critical care specialist services for patients requiring intensive monitoring, organ support, or ICU-level management. A referring provider should expect hospital-based critical care expertise rather than general acute care alone.
Intensive Geriatric Service Worker	`INTENSIVE_GERIATRIC_SERVICE_WORKER`	The listing should provide intensive geriatric support, outreach, navigation, or case management for older adults with complex functional, cognitive, behavioural, or social needs. A referring provider should expect active service coordination rather than general seniors programming alone.
Intramuscular Stimulation	`INTRAMUSCULAR_STIMULATION`	The listing should provide intramuscular stimulation or dry needling as a defined therapeutic service with assessment, consent, and treatment planning. A referring provider should expect procedure-specific musculoskeletal care rather than general physiotherapy alone.
Intravenous Iron Therapy	`INTRAVENOUS_IRON_THERAPY`	The listing should provide IV iron assessment, infusion administration, monitoring, and follow-up instructions. A referring provider should expect an infusion-capable service rather than oral iron counselling alone.
Intrauterine Device Insertion (IUD)	`IUD`	The listing should provide IUD counselling, insertion, removal, follow-up, and management of common complications. A referring provider should expect procedural contraception care rather than general birth control counselling alone.
Kinesiology	`KINESIOLOGY`	The listing should provide exercise assessment, movement coaching, rehabilitation support, or physical activity programming by a qualified kinesiology provider. A referring provider should expect goal-directed exercise or function support rather than unsupervised fitness access alone.
Laboratory	`LABORATORY`	The listing should provide laboratory specimen collection, processing, testing, or reporting through an appropriate clinical lab workflow. A referring provider should expect diagnostic laboratory services rather than point-of-care advice alone.
Lactation Consultant	`LACTATION_CONSULTANT`	The listing should provide lactation assessment and counselling, latch support, feeding plans, milk supply support, or infant feeding problem-solving. A referring provider should expect lactation-specific expertise rather than general postpartum care alone.
Laser Eye Surgery	`LASER_EYE_SURGERY`	The listing should provide laser refractive eye surgery assessment, procedure, and postoperative follow-up. A referring provider should expect ophthalmic surgical capability rather than general optometry or ophthalmology consultation alone.
Laser Services	`LASER_SERVICES`	The listing should provide laser-based medical or aesthetic treatments with defined indications, consent, safety precautions, and trained operators. A referring provider should expect treatment-specific laser capability rather than general cosmetic consultation alone.
Laser Hair Removal	`LASER_HAIR_REMOVAL`	Note: this category is a candidate for deprecation due to overlap with `HAIR_REMOVAL`, which covers all modality-agnostic hair removal services including laser, IPL, and electrolysis. New listings should use `HAIR_REMOVAL` instead. This category is retained for legacy compatibility pending formal deprecation. The listing should provide laser hair removal with assessment, consent, treatment planning, and safety protocols. A referring provider should expect a dedicated hair-removal service rather than general laser availability alone.
Laser Tattoo Removal	`LASER_TATTOO_REMOVAL`	The listing should provide laser tattoo removal with assessment, counselling about expected results and risks, treatment sessions, and aftercare. A referring provider should expect a dedicated tattoo-removal service rather than general cosmetic laser services alone.
Laser Wart Removal	`LASER_WART_REMOVAL`	The listing should provide laser treatment for warts with assessment, indication review, consent, and aftercare. A referring provider should expect wart-specific procedural treatment rather than general dermatology advice alone.
Long Term Care Assessment	`LONG_TERM_CARE_ASSESSMENT`	The listing should provide assessment for long-term care eligibility, placement needs, functional status, or care requirements. A referring provider should expect formal assessment and pathway guidance rather than general seniors housing advice alone.
Lumbar Puncture	`LUMBAR_PUNCTURE`	The listing should provide lumbar puncture through an appropriately equipped procedural service, including indication review, consent, specimen handling, and follow-up instructions. A referring provider should expect procedural capability rather than general neurology consultation alone.
Legal Services	`LEGAL_SERVICES`	The listing should provide legal advice, advocacy, documentation support, or representation for health-related, social, family, housing, benefits, or other legal needs. A referring provider should expect legal service access rather than general social work navigation alone.
Liquid Nitrogen	`LIQUID_NITROGEN`	The listing should provide cryotherapy with liquid nitrogen for appropriate dermatologic or procedural indications. A referring provider should expect assessment, treatment, and aftercare rather than general skin advice alone.
Lower Limb Services, Chiropody or Podiatry	`LLS_CHIROPODY_PODIATRY`	The listing should provide lower-limb, foot, ankle, nail, orthotic, or wound-risk assessment and treatment by chiropody or podiatry providers. A referring provider should expect clinical lower-limb care rather than cosmetic foot services alone.
Long-Term Care Home	`LONG_TERM_CARE`	The listing should represent a long-term care home providing residential nursing, personal care, supervision, meals, and support for eligible residents. A referring provider should expect facility-based long-term care rather than short-term respite or retirement living alone.
Low Back Pain	`LOW_BACK_PAIN`	The listing should provide assessment or treatment specifically for low back pain, including rehabilitation, education, interventional pain care, or spine-focused management. A referring provider should expect low-back-pain-specific planning rather than general fitness programming alone.
Mammography	`MAMMOGRAPHY`	The listing should provide mammography imaging with appropriate breast imaging protocols, interpretation, and report generation. A referring provider should expect diagnostic or screening mammography capability rather than general breast assessment alone.
Massage Therapy	`MASSAGE_THERAPY`	The listing should provide massage therapy assessment and treatment by a qualified massage therapist. A referring provider should expect therapeutic manual treatment rather than spa or relaxation services alone when the listing is used for referral purposes.
Maternal Fetal Medicine	`MATERNAL_FETAL_MEDICINE`	The listing should provide specialist assessment and management of high-risk pregnancy, fetal concerns, complex maternal conditions, or prenatal diagnostic issues. A referring provider should expect maternal-fetal medicine expertise rather than routine obstetrical care alone.
Meal Services	`MEAL_SERVICES`	The listing should provide prepared meals, meal delivery, nutrition support, or meal access programs for patients with functional, financial, medical, or social needs. A referring provider should expect organized meal support rather than general food retail alone.
Medical Marijuana	`MEDICAL_MARIJUANA`	The listing should provide assessment, authorization, counselling, or monitoring related to medical cannabis where legally and clinically appropriate. A referring provider should expect a clinical medical cannabis service rather than retail cannabis sales alone.
Medical Microbiology	`MEDICAL_MICROBIOLOGY`	The listing should provide specialist consultation, laboratory interpretation, or management advice related to infectious organisms, antimicrobial therapy, or microbiology diagnostics. A referring provider should expect medical microbiology expertise rather than routine lab collection alone.
Medical Biochemistry	`MEDICAL_BIOCHEMISTRY`	The listing should provide specialist interpretation or consultation for biochemical, metabolic, endocrine, toxicologic, or laboratory medicine issues. A referring provider should expect medical biochemistry expertise rather than routine laboratory testing alone.
Memory Clinic	`MEMORY_CLINIC`	The listing should provide structured assessment, diagnosis support, counselling, management recommendations, or follow-up for cognitive impairment or dementia. A referring provider should expect memory-focused evaluation rather than general geriatric care alone.
Men's Health	`MENS_HEALTH`	The listing should provide assessment and management of men's health concerns such as sexual health, prostate concerns, testosterone-related issues, fertility, or preventive care. A referring provider should expect a men's-health-focused service rather than general primary care alone.
Mental Health Assessment & Referral	`MENTAL_HEALTH_ASSESSMENT_AND_REFERRAL`	The listing should provide structured mental health intake, assessment, triage, and connection to appropriate counselling, psychiatry, crisis, or community supports. A referring provider should expect active referral planning rather than general wellness information alone.
Midwifery	`MIDWIFERY`	The listing should provide pregnancy, birth, postpartum, and newborn care within the scope of midwifery practice. A referring provider should expect midwife-led perinatal care rather than general prenatal education alone.
Miscellaneous	`MISCELLANEOUS`	Restricted — not for general health directory use. This category may only be applied to listings used for internal testing purposes or where OceanMD has explicitly authorized its use as a special case. It must not be applied by referring providers or directory administrators for routine service listings. Any listing using this category without prior authorization should be treated as miscategorized and flagged for review.
Minor Surgical Procedures	`MINOR_SURGICAL_PROCEDURES`	The listing should provide office-based or outpatient minor procedures with assessment, consent, procedural capability, and aftercare instructions. A referring provider should expect a defined procedural service rather than general primary care availability alone.
Mobility Services	`MOBILITY_SERVICES`	The listing should provide assessment, training, equipment support, transportation-related mobility assistance, or rehabilitation for mobility limitations. A referring provider should expect mobility-focused support rather than general exercise or transportation alone.
Mood Disorder and Anxiety	`MOOD_DISORDER_AND_ANXIETY_SUPPORT_GROUP`	The listing should provide organized peer, facilitated, or therapeutic group support for mood or anxiety disorders. A referring provider should expect recurring mental health group support rather than general social programming alone.
MRI	`MRI`	The listing should provide magnetic resonance imaging with appropriate protocols, image acquisition, interpretation, and reporting. A referring provider should expect diagnostic MRI capability rather than general radiology consultation alone.
MUGA Scan	`MUGA`	The listing should provide MUGA scanning with appropriate nuclear medicine protocols, cardiac function measurement, interpretation, and reporting. A referring provider should expect objective cardiac imaging rather than general cardiology assessment alone.
Multi-Disciplinary Assessment and Management - Adult	`MULTI_DISCIPLINARY_ASSESSMENT_AND_MANAGEMENT_ADULT`	The listing should provide coordinated assessment and management by multiple disciplines for adult patients with complex needs. A referring provider should expect team-based recommendations rather than sequential single-provider consultations alone.
Multi-Disciplinary Assessment and Management - Pediatric	`MULTI_DISCIPLINARY_ASSESSMENT_AND_MANAGEMENT_PEDIATRIC`	The listing should provide coordinated pediatric assessment and management by multiple disciplines for children or youth with complex developmental, medical, behavioural, or functional needs. A referring provider should expect team-based pediatric recommendations rather than a single-discipline assessment alone.
Multi-Use Recreation Centre	`MULTI_USE_RECREATION_CENTRE`	The listing should represent a recreation centre offering multiple structured programs or facilities that support activity, social participation, wellness, or community access. A referring provider should expect organized programming or accessible facilities rather than a single class listing alone.
Multiple Sclerosis	`MULTIPLE_SCLEROSIS`	The listing should provide assessment, treatment, rehabilitation, education, or support for people with multiple sclerosis. A referring provider should expect MS-specific expertise rather than general neurology or rehabilitation alone.
Musculoskeletal Rehabilitation	`MUSCULOSKELETAL_REHAB`	The listing should provide rehabilitation for musculoskeletal injury, pain, function, or recovery using assessment and goal-directed treatment planning. A referring provider should expect clinical rehabilitation rather than general exercise programming alone.
Myocardial Perfusion Study	`MYOCARDIAL_PERFUSION_STUDY`	The listing should provide myocardial perfusion imaging with stress protocol, radiotracer use, interpretation, and reporting. A referring provider should expect diagnostic cardiac imaging rather than general stress testing alone.
Naturopathy	`NATUROPATHY`	The listing should provide assessment and treatment by a regulated naturopathic doctor or qualified naturopathy provider within scope. A referring provider should expect a defined clinical naturopathy service rather than general wellness advice alone.
Neonatology	`NEONATOLOGY`	The listing should provide specialist assessment and management of newborns, especially premature, medically complex, or critically ill infants. A referring provider should expect neonatal expertise rather than routine newborn primary care alone.
Nephrology	`NEPHROLOGY`	The listing should provide specialist assessment and management of kidney disease, hypertension related to kidney disease, dialysis, transplant issues, or complex electrolyte disorders. A referring provider should expect nephrologist-led care rather than routine renal lab monitoring alone.
Neurology	`NEUROLOGY`	The listing should provide neurologist-led specialist physician assessment and management of neurologic symptoms or disorders affecting the brain, spinal cord, nerves, or muscles. This category is reserved for physician specialist services only. A referring provider should expect direct neurologist consultation or follow-up rather than neurologic testing or neurorehabilitation services alone.
Neurology Services	`NEUROLOGY_SERVICES`	The listing should provide neurology-related ancillary or support services such as EEG, EMG, nerve conduction studies, neurorehabilitation programs, MS clinics, or disease-specific neurologic support programs. This category is intended for non-physician or mixed-service offerings associated with neurologic care. A referring provider should expect a defined neurology-support service rather than direct neurologist specialist assessment.
Neuropsychology	`NEUROPSYCHOLOGY`	The listing should provide neuropsychological assessment or intervention for cognition, behaviour, brain injury, dementia, learning, or neurologic conditions. A referring provider should expect formal testing and interpretation rather than general psychological counselling alone.
Neuroradiology	`NEURORADIOLOGY`	The listing should provide imaging interpretation or image-guided procedures focused on the brain, spine, head, neck, or nervous system. A referring provider should expect neuroradiology expertise rather than general diagnostic imaging alone.
Neurorehabilitation	`NEUROREHABILITATION`	The listing should provide rehabilitation for neurologic conditions such as stroke, brain injury, spinal cord injury, multiple sclerosis, or Parkinsonism. A referring provider should expect neurologic rehabilitation expertise rather than general physiotherapy alone.
Neurosurgery	`NEUROSURGERY`	The listing should provide surgical assessment or treatment for brain, spine, peripheral nerve, or related neurologic conditions. A referring provider should expect neurosurgical expertise rather than general neurology or spine assessment alone.
Nerve Block	`NERVE_BLOCK`	The listing should provide nerve block procedures with assessment, consent, procedural capability, and follow-up instructions. A referring provider should expect injection or interventional pain expertise rather than general pain counselling alone.
Nuclear Medicine	`NUCLEAR_MEDICINE`	The listing should provide nuclear medicine imaging or therapy using radiotracers with appropriate protocols, safety practices, interpretation, and reporting. A referring provider should expect nuclear medicine capability rather than general imaging alone.
Nurse Practitioner	`NURSE_PRACTITIONER`	The listing should represent nurse practitioner-led assessment, diagnosis, prescribing, management, or follow-up within scope. A referring provider should expect clinical provider care rather than nursing support alone.
Nursing	`NURSING`	The listing should provide nursing assessment, procedures, monitoring, education, wound care, injections, chronic disease support, or other nursing services within scope. A referring provider should expect defined nursing care rather than general personal support alone.
Nutritional Counseling Workshop	`NUTRITIONAL_COUNSELING_WORKSHOP`	The listing should provide structured nutrition education or counselling in a workshop format, with defined topics, facilitation, and intended audience. A referring provider should expect organized nutrition programming rather than general dietary handouts alone.
Ontario Breast Screening Program (OBSP)	`OBSP`	The listing should provide access to Ontario Breast Screening Program mammography or pathway services according to program criteria. A referring provider should expect OBSP-specific screening workflow rather than general diagnostic breast imaging alone.
Obstetrics	`OBSTETRICS`	The listing should provide pregnancy, labour, delivery, postpartum, or pregnancy-related specialist care. A referring provider should expect obstetrical assessment and management rather than general prenatal education alone.
Obstetrical 3D Ultrasound	`OBSTETRICAL_3D_ULTRASOUND`	The listing should provide 3D obstetrical ultrasound as an adjunct to standard 2D obstetrical imaging for specific clinical indications where volumetric imaging adds diagnostic value, such as suspected fetal structural anomaly, complex placentation, uterine anomaly evaluation, or selected cardiac or neurological concerns. 3D ultrasound is not a routine prenatal examination and is not indicated in uncomplicated pregnancies. Commercial or non-clinical fetal imaging services ("keepsake" ultrasound) do not meet this criterion. A referring provider should expect an obstetrical imaging service operating within a clinical care pathway rather than an elective or consumer-facing fetal visualization service.
Obstetrical Ultrasound	`OBSTETRICAL_ULTRASOUND`	The listing should provide obstetrical ultrasound for pregnancy dating, anatomy, growth, fetal well-being, or related indications with appropriate reporting. A referring provider should expect diagnostic prenatal imaging rather than routine prenatal care alone.
Occupational Health Clinic	`OCCUPATIONAL_HEALTH`	The listing should provide workplace-related health assessment, surveillance, injury management, immunization, fitness-for-work, or employer-linked occupational services. A referring provider should expect occupational health processes rather than general primary care alone.
Occupational Medicine	`OCCUPATIONAL_MEDICINE`	The listing should provide specialist assessment and management of work-related illness, injury, exposures, disability, or fitness-for-work concerns. A referring provider should expect occupational medicine expertise rather than general occupational health administration alone.
Occupational Therapy	`OCCUPATIONAL_THERAPY`	The listing should provide occupational therapy assessment and intervention for function, daily activities, cognition, equipment, home safety, return to work, or rehabilitation goals. A referring provider should expect OT-specific evaluation and recommendations rather than general support services alone.
OMF Surgery	`OMF_SURGERY`	The listing should provide oral and maxillofacial surgical assessment or procedures involving the mouth, jaw, face, or related structures. A referring provider should expect OMF surgical expertise rather than routine dentistry alone.
Medical Oncology	`ONCOLOGY`	The listing should provide specialist assessment and systemic treatment planning or management for cancer. A referring provider should expect medical oncology expertise rather than general cancer support services alone.
Ontario eConsult	`ONTARIO_ECONSULT`	The listing should provide access to the Ontario eConsult service for provider-to-specialist advice through the designated platform. A referring provider should expect asynchronous specialist guidance rather than direct patient-facing consultation alone.
Ophthalmology	`OPHTHALMOLOGY`	The listing should provide specialist medical or surgical assessment and management of eye disease. A referring provider should expect ophthalmologist-led care rather than routine vision testing alone.
Optometry	`OPTOMETRY`	The listing should provide optometric eye assessment, refraction, ocular health screening, contact lens care, or referral for eye disease where appropriate. A referring provider should expect optometrist-led care rather than optical retail services alone.
Orofacial Medicine	`OROFACIAL_MEDICINE`	The listing should provide assessment and management of orofacial pain, oral medicine concerns, temporomandibular disorders, or related non-dental oral/facial conditions. A referring provider should expect orofacial clinical expertise rather than routine dentistry alone.
Orthopedics	`ORTHOPEDICS`	The listing should provide specialist assessment and management of musculoskeletal injuries, deformity, arthritis, or surgical orthopedic conditions. A referring provider should expect orthopedic expertise rather than general physiotherapy alone.
Orthopedics: Elbow	`ORTHOPEDIC_SURGEON_ELBOW`	The listing should provide orthopedic surgical assessment or management focused on elbow conditions. A referring provider should expect elbow-specific surgical expertise rather than general musculoskeletal care alone.
Orthopedics: Foot & Ankle	`ORTHOPEDIC_SURGEON_FOOT_AND_ANKLE`	The listing should provide orthopedic surgical assessment or management focused on foot and ankle conditions. A referring provider should expect foot-and-ankle surgical expertise rather than general podiatry or physiotherapy alone.
Orthopedics: Hand	`ORTHOPEDIC_SURGEON_HAND`	The listing should provide orthopedic surgical assessment or management focused on hand conditions. A referring provider should expect hand surgical expertise rather than general upper-limb therapy alone.
Orthopedics: Hip	`ORTHOPEDIC_SURGEON_HIP`	The listing should provide orthopedic surgical assessment or management focused on hip conditions. A referring provider should expect hip surgical expertise rather than general arthritis or physiotherapy care alone.
Orthopedics: Knee	`ORTHOPEDIC_SURGEON_KNEE`	The listing should provide orthopedic surgical assessment or management focused on knee conditions. A referring provider should expect knee surgical expertise rather than general musculoskeletal care alone.
Orthopedics: Shoulder	`ORTHOPEDIC_SURGEON_SHOULDER`	The listing should provide orthopedic surgical assessment or management focused on shoulder conditions. A referring provider should expect shoulder surgical expertise rather than general physiotherapy alone.
Orthopedics: Spine	`ORTHOPEDIC_SURGEON_SPINE`	The listing should provide orthopedic surgical assessment or management focused on spine conditions. A referring provider should expect spine surgical expertise rather than general back pain care alone.
Orthopedics: Wrist	`ORTHOPEDIC_SURGEON_WRIST`	The listing should provide orthopedic surgical assessment or management focused on wrist conditions. A referring provider should expect wrist surgical expertise rather than general hand therapy alone.
Orthotics	`ORTHOTICS`	The listing should provide orthotic assessment, prescription support, fabrication, fitting, dispensing, or follow-up. A referring provider should expect custom or clinically guided orthotic care rather than retail insoles alone.
Orthodontics	`ORTHODONTICS`	The listing should provide orthodontic assessment and treatment for dental or jaw alignment, including appliances or braces where indicated. A referring provider should expect orthodontic expertise rather than general dentistry alone.
Osteopathy	`OSTEOPATHY`	The listing should provide osteopathic assessment and manual treatment by a qualified provider within applicable scope. A referring provider should expect a defined osteopathy service rather than general wellness or massage services alone.
Otolaryngology	`OTOLARYNGOLOGY`	The listing should provide specialist assessment and management of ear, nose, throat, head, or neck conditions. A referring provider should expect ENT expertise rather than audiology or primary care alone.
Pain Management	`PAIN_MANAGEMENT`	The listing should provide assessment and management of acute, chronic, or complex pain through medication, procedures, rehabilitation, behavioural strategies, or multidisciplinary care. A referring provider should expect pain-focused expertise rather than general counselling or physiotherapy alone.
Paracentesis	`PARACENTESIS`	The listing should provide paracentesis through an appropriately equipped procedural service, including assessment, consent, fluid drainage, specimen handling where needed, and follow-up instructions. A referring provider should expect procedural capability rather than general hepatology or oncology consultation alone.
Palliative Care Specialist	`PALLIATIVE_CARE`	The listing should provide specialist palliative assessment and management of symptoms, goals of care, decision-making, or complex serious illness needs. A referring provider should expect palliative specialist expertise rather than general home support alone.
Palliative Care Services	`PALLIATIVE_CARE_SERVICES`	The listing should provide palliative supports such as symptom management, psychosocial care, caregiver support, navigation, hospice linkage, or interdisciplinary services. A referring provider should expect palliative-focused service delivery rather than general end-of-life information alone.
Palliative Community Physician	`PALLIATIVE_COMMUNITY_PHYSICIAN`	The listing should provide physician-led palliative care in the community, including symptom management, goals-of-care support, and coordination with home or hospice services. A referring provider should expect community-based palliative medical care rather than facility-based hospice alone.
Palliative Homecare	`PALLIATIVE_HOMECARE`	The listing should provide in-home palliative nursing, personal support, symptom support, respite, or care coordination. A referring provider should expect palliative-focused homecare rather than general homecare alone.
Pap Testing	`PAP_TESTING`	The listing should provide cervical cancer screening through Pap testing with appropriate eligibility review, specimen collection, documentation, and follow-up. A referring provider should expect a defined screening service rather than general women's health advice alone.
Pathology	`PATHOLOGY`	The listing should provide pathology assessment, specimen interpretation, consultation, or diagnostic reporting. A referring provider should expect pathology expertise rather than specimen collection alone.
Patient Self-Advocacy Counseling	`PATIENT_SELF_ADVOCACY_COUNSELING`	The listing should help patients understand their rights, prepare for appointments, communicate needs, navigate decisions, or participate actively in care planning. A referring provider should expect structured advocacy counselling rather than general encouragement alone.
Pediatric Allergy	`PEDIATRIC_ALLERGY`	The listing should provide allergy assessment and management for infants, children, or youth, including testing, counselling, or immunotherapy planning where appropriate. A referring provider should expect pediatric allergy expertise rather than general allergy care alone.
Pediatric Cardiology	`PEDIATRIC_CARDIOLOGY`	The listing should provide specialist assessment and management of congenital or acquired heart concerns in children or youth. A referring provider should expect pediatric cardiology expertise rather than adult cardiology alone.
Pediatric Cleft Lip and Palate	`PEDIATRIC_CLEFT_LIP_PALATE`	The listing should provide cleft lip and palate assessment, surgical planning, speech, dental, feeding, or interdisciplinary follow-up for children. A referring provider should expect cleft-specific pediatric team care rather than general plastic surgery alone.
Pediatric Dentistry	`PEDIATRIC_DENTISTRY`	The listing should provide dental assessment, prevention, treatment, or procedures tailored to infants, children, or youth. A referring provider should expect pediatric dental expertise rather than general dentistry alone.
Pediatric Dermatology	`PEDIATRIC_DERMATOLOGY`	The listing should provide specialist assessment and management of skin, hair, nail, or mucosal conditions in children or youth. A referring provider should expect pediatric dermatology expertise rather than adult dermatology alone.
Pediatric Developmental	`PEDIATRIC_DEVELOPMENTAL`	The listing should provide developmental assessment, diagnosis support, therapy planning, or service navigation for children with developmental concerns. A referring provider should expect pediatric developmental expertise rather than general pediatric care alone.
Pediatric Emergency Medicine	`PEDIATRIC_EMERGENCY`	The listing should provide emergency assessment and stabilization for infants, children, or youth with urgent or emergent conditions. A referring provider should expect pediatric emergency expertise and child-appropriate acute care resources.
Pediatric Endocrinology	`PEDIATRIC_ENDOCRINOLOGY`	The listing should provide specialist assessment and management of endocrine or metabolic disorders in children or youth. A referring provider should expect pediatric endocrinology expertise rather than adult endocrine care alone.
Pediatric Gastroenterology	`PEDIATRIC_GASTROENTEROLOGY`	The listing should provide specialist assessment and management of gastrointestinal, liver, nutritional, or digestive concerns in children or youth. A referring provider should expect pediatric gastroenterology expertise rather than adult GI care alone.
Pediatric Hematology	`PEDIATRIC_HEMATOLOGY`	The listing should provide specialist assessment and management of blood disorders in children or youth. A referring provider should expect pediatric hematology expertise rather than adult hematology alone.
Pediatric Infectious Disease	`PEDIATRIC_INFECTIOUS_DISEASE`	The listing should provide specialist assessment and management of complex, recurrent, unusual, or serious infections in children or youth. A referring provider should expect pediatric infectious disease expertise rather than general pediatric care alone.
Pediatric Laboratory	`PEDIATRIC_LABORATORY`	The listing should provide laboratory collection or testing services equipped and staffed for infants, children, or youth. A referring provider should expect child-appropriate specimen collection and workflow rather than adult laboratory services alone.
Pediatric Nephrology	`PEDIATRIC_NEPHROLOGY`	The listing should provide specialist assessment and management of kidney disease, hypertension, dialysis, transplant issues, or electrolyte disorders in children or youth. A referring provider should expect pediatric nephrology expertise rather than adult nephrology alone.
Pediatric Neurology	`PEDIATRIC_NEUROLOGY`	The listing should provide specialist assessment and management of neurologic disorders in infants, children, or youth. A referring provider should expect pediatric neurology expertise rather than adult neurology alone.
Pediatric Neurosurgery	`PEDIATRIC_NEUROSURGERY`	The listing should provide surgical assessment or treatment for brain, spine, or nerve conditions in children or youth. A referring provider should expect pediatric neurosurgical expertise rather than adult neurosurgery alone.
Pediatric OMF	`PEDIATRIC_OMF`	The listing should provide oral and maxillofacial surgical assessment or procedures for children or youth. A referring provider should expect pediatric OMF expertise rather than routine pediatric dentistry alone.
Pediatric Oncology	`PEDIATRIC_ONCOLOGY`	The listing should provide specialist assessment and management of suspected or confirmed cancer in children or youth. A referring provider should expect pediatric oncology expertise and age-appropriate cancer care pathways.
Pediatric Ophthalmology	`PEDIATRIC_OPHTHALMOLOGY`	The listing should provide specialist eye assessment and management for infants, children, or youth. A referring provider should expect pediatric ophthalmology expertise rather than routine vision screening alone.
Pediatric Orthopedics	`PEDIATRIC_ORTHOPEDICS`	The listing should provide orthopedic assessment and management of musculoskeletal conditions in children or youth. A referring provider should expect pediatric orthopedic expertise rather than adult orthopedics alone.
Pediatric Otolaryngology	`PEDIATRIC_OTOLARYNGOLOGY`	The listing should provide ENT assessment and management for infants, children, or youth. A referring provider should expect pediatric ENT expertise rather than adult otolaryngology alone.
Pediatric Plastic Surgery	`PEDIATRIC_PLASTIC_SURGERY`	The listing should provide plastic or reconstructive surgical assessment and treatment for children or youth. A referring provider should expect pediatric plastic surgery expertise rather than adult cosmetic or reconstructive care alone.
Pediatric Primary Care	`PEDIATRIC_PRIMARY_CARE`	The listing should provide primary medical care for infants, children, or youth, including prevention, assessment, treatment, and ongoing management. A referring provider should expect child-focused primary care rather than adult family medicine alone.
Pediatric Psychiatry	`PEDIATRIC_PSYCHIATRY`	The listing should provide specialist psychiatric assessment and treatment for children or youth. A referring provider should expect pediatric psychiatry expertise rather than adult psychiatry alone.
Pediatric Psychology	`PEDIATRIC_PSYCHOLOGY`	The listing should provide psychological assessment or therapy tailored to children, youth, and families. A referring provider should expect pediatric psychological expertise rather than adult counselling alone.
Pediatric Radiology	`PEDIATRIC_RADIOLOGY`	The listing should provide diagnostic imaging or image interpretation tailored to infants, children, or youth. A referring provider should expect pediatric imaging protocols and expertise rather than adult radiology alone.
Pediatric Respirology	`PEDIATRIC_RESPIROLOGY`	The listing should provide specialist assessment and management of respiratory conditions in children or youth. A referring provider should expect pediatric respirology expertise rather than adult respirology alone.
Pediatric Rheumatology	`PEDIATRIC_RHEUMATOLOGY`	The listing should provide specialist assessment and management of rheumatologic or inflammatory conditions in children or youth. A referring provider should expect pediatric rheumatology expertise rather than adult rheumatology alone.
Pediatric General Surgery / Thoracic	`PEDIATRIC_SURGERY`	The listing should provide surgical assessment or treatment for general or thoracic surgical conditions in children or youth. A referring provider should expect pediatric surgical expertise and child-appropriate perioperative care.
Pediatric Urology	`PEDIATRIC_UROLOGY`	The listing should provide specialist assessment and management of urinary or genital conditions in children or youth. A referring provider should expect pediatric urology expertise rather than adult urology alone.
Pediatrics	`PEDIATRICS`	The listing should provide specialist medical assessment and management for infants, children, or youth. A referring provider should expect pediatrician-led care rather than adult medicine or family medicine alone.
Pelvic Floor Physiotherapy	`PELVIC_FLOOR_PHYSIOTHERAPY`	The listing should provide physiotherapy assessment and treatment for pelvic floor dysfunction, pelvic pain, incontinence, prolapse, pregnancy-related concerns, or related conditions. A referring provider should expect pelvic-floor-specific expertise rather than general physiotherapy alone.
Periocular Lesions	`PERIOCULAR_LESIONS`	The listing should provide assessment and management of lesions around the eye, such as chalazion, cysts, eyelid lumps, or periocular skin lesions. A referring provider should expect eye-area procedural or specialist expertise rather than general dermatology advice alone.
Periodontistry	`PERIODONTIST`	The listing should provide periodontal assessment and treatment for gum disease, implants, bone support, or related oral health conditions. A referring provider should expect periodontist-led care rather than general dentistry alone.
Personal Care	`PERSONAL_CARE`	The listing should provide assistance with activities of daily living such as bathing, dressing, toileting, transfers, or grooming. A referring provider should expect hands-on personal support rather than housekeeping or nursing alone.
PET Scan	`PET_SCAN`	The listing should provide positron emission tomography imaging with radiotracer administration, acquisition, interpretation, and reporting. A referring provider should expect diagnostic PET imaging capability rather than general nuclear medicine consultation alone.
Physiotherapy	`PHYSIOTHERAPY`	The listing should provide physiotherapy assessment and treatment for pain, injury, mobility, strength, balance, function, or rehabilitation goals. A referring provider should expect physiotherapist-led care rather than unsupervised exercise programming alone.
Physiatry	`PHYSIATRY`	The listing should provide specialist assessment and management in physical medicine and rehabilitation. A referring provider should expect physiatrist-led care for function, disability, rehabilitation, or musculoskeletal or neurologic recovery needs.
Plastic Surgery	`PLASTIC_SURGERY`	The listing should provide plastic or reconstructive surgical assessment, procedures, and follow-up. A referring provider should expect surgical expertise rather than non-surgical cosmetic treatment alone.
Postnatal Care	`POSTNATAL_CARE`	The listing should provide postpartum assessment, maternal recovery support, newborn-related guidance, mental health screening, lactation support, or follow-up care. A referring provider should expect postnatal-specific care rather than general primary care alone.
Pregnancy Counseling	`PREGNANCY_COUNSELING`	The listing should provide counselling, decision support, mental health support, or navigation related to pregnancy. A referring provider should expect pregnancy-specific counselling rather than general supportive counselling alone.
Prenatal Care	`PRENATAL_CARE`	The listing should provide pregnancy monitoring, risk assessment, counselling, testing coordination, and preparation for birth. A referring provider should expect ongoing prenatal clinical care rather than one-time pregnancy education alone.
Prenatal Screening	`PRENATAL_SCREENING`	The listing should provide prenatal screening counselling, ordering, coordination, interpretation, or follow-up planning. A referring provider should expect screening-specific workflows rather than general prenatal care alone.
Preoperative Clinic	`PREOPERATIVE_CLINIC`	The listing should provide preoperative assessment, optimization, medication review, risk stratification, or perioperative planning. A referring provider should expect surgery-readiness assessment rather than routine primary care clearance alone.
Psychiatry	`PSYCHIATRY`	The listing should provide specialist psychiatric assessment, diagnosis, medication management, psychotherapy, or treatment planning for mental illness. A referring provider should expect psychiatrist-led care rather than general counselling alone.
Psychology	`PSYCHOLOGY`	The listing should provide psychological assessment, diagnosis support, testing, therapy, or behavioural intervention by a psychologist. A referring provider should expect psychology-specific expertise rather than general counselling alone.
Psychotic Disorders	`PSYCHOTIC_DISORDERS`	The listing should provide assessment, treatment, case management, or support for schizophrenia, schizoaffective disorder, delusional disorder, or related psychotic symptoms. A referring provider should expect psychosis-specific expertise rather than general mental health counselling alone.
Public Health	`PUBLIC_HEALTH`	The listing should provide population health, communicable disease, immunization, health promotion, outbreak, environmental health, or community prevention services. A referring provider should expect public health programming rather than individual primary care alone.
Pulmonary Function Testing	`PULMONARY_FUNCTION_TESTING`	The listing should provide pulmonary function tests such as spirometry, lung volumes, diffusion capacity, or related respiratory diagnostics with reporting. A referring provider should expect objective respiratory testing rather than general respiratory consultation alone.
Radiation Oncology	`RADIATION_ONCOLOGY`	The listing should provide specialist assessment, planning, delivery, or follow-up for radiation therapy. A referring provider should expect radiation oncology expertise rather than general oncology support alone.
Radiology	`RADIOLOGY`	The listing should provide diagnostic imaging interpretation, consultation, or imaging services. A referring provider should expect radiology expertise rather than clinical specialty consultation alone.
Radiofrequency Ablation	`RADIOFREQUENCY_ABLATION`	The listing should provide radiofrequency ablation as a defined interventional procedure with assessment, consent, procedural capability, and follow-up. A referring provider should expect procedure-specific expertise rather than general pain or surgical consultation alone.
Refugee Care	`REFUGEE_CARE`	The listing should provide healthcare assessment, immunization, mental health support, settlement navigation, or trauma-informed services tailored to refugees or newcomers. A referring provider should expect refugee-focused care rather than general primary care alone.
Registered Psychotherapy	`REGISTERED_PSYCHOTHERAPY`	The listing should provide psychotherapy by a registered psychotherapist or qualified provider within scope. A referring provider should expect structured therapeutic care rather than informal supportive conversation alone.
Remote Patient Monitoring	`REMOTE_PATIENT_MONITORING`	The listing should provide remote tracking of clinical data, symptoms, devices, or health status with review and escalation processes. A referring provider should expect active monitoring and response pathways rather than patient self-tracking alone.
Respiratory Therapy	`RESPIRATORY_THERAPY`	The listing should provide respiratory therapy assessment, education, equipment support, oxygen or ventilation support, or airway clearance services. A referring provider should expect respiratory therapist expertise rather than general respiratory advice alone.
Respirology	`RESPIROLOGY`	The listing should provide respirologist-led specialist physician assessment and management of lung or breathing disorders. This category is reserved for physician specialist services only. A referring provider should expect direct respirologist consultation or follow-up rather than pulmonary testing or respiratory support services alone.
Respirology Services	`RESPIROLOGY_SERVICES`	The listing should provide respiratory-focused ancillary or support services such as spirometry, pulmonary function testing, oxygen assessment, respiratory therapy, or disease-management programs. This category is intended for non-physician or mixed-service offerings associated with respiratory care. A referring provider should expect a defined respiratory-support service rather than direct respirologist specialist assessment.
Respite Care	`RESPITE_CARE`	The listing should provide temporary relief for caregivers through in-home, day program, overnight, or facility-based support. A referring provider should expect planned respite services rather than general personal care alone.
Retina Care	`RETINA_CARE`	The listing should provide assessment and management of retinal disease, including imaging, injections, laser, or specialist follow-up where appropriate. A referring provider should expect retina-specific ophthalmology expertise rather than general eye care alone.
Rheumatology	`RHEUMATOLOGY`	The listing should provide specialist assessment and management of inflammatory arthritis, connective tissue disease, autoimmune rheumatic disease, or complex musculoskeletal inflammatory conditions. A referring provider should expect rheumatologist-led care rather than general arthritis education alone.
Rides & Transportation	`RIDES_AND_TRANSPORTATION`	The listing should provide transportation assistance for medical appointments, community access, errands, or essential activities. A referring provider should expect organized ride support rather than emergency transportation or ambulance services.
rTMS	`RTMS`	The listing should provide repetitive transcranial magnetic stimulation assessment and treatment with appropriate protocols, monitoring, and follow-up. A referring provider should expect a defined neuromodulation service rather than general mental health counselling alone.
School Psychology	`SCHOOL_PSYCHOLOGY`	The listing should provide psychological assessment, consultation, or intervention related to learning, behaviour, development, or school functioning. A referring provider should expect school-context expertise rather than general pediatric psychology alone.
Senior Community Centre	`SENIOR_COMMUNITY_CENTRE`	The listing should represent a centre offering programming, social participation, education, meals, activity, or support services for older adults. A referring provider should expect organized seniors programming rather than a single class or informal gathering alone.
Seniors Gentle Exercise Class	`SENIOR_EXERCISE`	The listing should provide gentle exercise programming designed for older adults, with attention to mobility, balance, strength, or safe participation. A referring provider should expect structured senior-appropriate classes rather than general fitness programming alone.
Seniors Gentle Exercise (In-Home)	`SENIOR_EXERCISE_IN_HOME`	The listing should provide gentle exercise or activity support for older adults delivered in the home. A referring provider should expect supervised or guided in-home exercise rather than printed home exercise advice alone.
Sex/Love Addiction Counseling	`SEX_AND_LOVE_ADDICTION_ASSISTANCE`	The listing should provide counselling, group support, or treatment for compulsive sexual behaviour, relationship addiction patterns, or related concerns. Note: this category is a candidate for deprecation in favour of `SEXUAL_BEHAVIOURS`, which uses current clinical framing more consistent with ICD-11 and DSM-5 nosology (compulsive sexual behaviour disorder). New listings addressing these concerns are encouraged to use `SEXUAL_BEHAVIOURS` where appropriate. This category is retained for legacy compatibility pending formal deprecation. A referring provider should expect sex/love-addiction-specific support rather than general relationship counselling alone.
Sexual Health	`SEXUAL_HEALTH_THERAPY`	The listing should provide assessment, counselling, treatment, education, or therapy for sexual health concerns. A referring provider should expect sexual-health-specific expertise rather than general wellness or primary care alone.
Sexual Abuse Treatment	`SEXUAL_ABUSE_TREATMENT`	The listing should provide trauma-informed assessment, counselling, medical care, forensic support, or advocacy for people affected by sexual abuse or assault. A referring provider should expect specialized sexual abuse support rather than general counselling alone.
Sexual Behaviours	`SEXUAL_BEHAVIOURS`	The listing should provide assessment, counselling, or treatment for problematic, risky, compulsive, or developmentally concerning sexual behaviours. A referring provider should expect sexual-behaviour-specific expertise rather than general mental health counselling alone.
Shopping Assistance	`SHOPPING_ASSISTANCE`	The listing should provide assistance with grocery shopping, essential errands, delivery coordination, or escorted shopping for people with functional or access barriers. A referring provider should expect practical shopping support rather than general transportation alone.
Specialty Drug Patient Support Program	`SPECIALTY_DRUG_PATIENT_SUPPORT_PROGRAM`	The listing should provide navigation, education, adherence support, funding assistance, monitoring, or coordination related to specialty medications. A referring provider should expect medication-program-specific support rather than routine dispensing alone.
Spinal Cord Injury Support	`SPINAL_CORD_INJURY`	The listing should provide rehabilitation, education, equipment support, peer support, care coordination, or community resources for people with spinal cord injury. A referring provider should expect SCI-specific expertise rather than general disability services alone.
Spine Assessment Clinic	`SPINE_ASSESSMENT_CLINIC`	The listing should provide structured assessment of spine-related symptoms, imaging review, conservative management recommendations, triage, or surgical referral coordination. A referring provider should expect spine-focused assessment rather than general back pain treatment alone.
Spirometry	`SPIROMETRY`	The listing should provide spirometry testing with appropriate calibration, patient coaching, quality review, interpretation, and reporting. A referring provider should expect objective airflow measurement rather than general asthma or COPD education alone.
Supervised Rehabilitation Exercise	`SUPERVISED_REHABILITATION_EXERCISE`	The listing should provide supervised exercise for rehabilitation or functional recovery, with assessment, goals, monitoring, and progression. A referring provider should expect clinically informed programming rather than unsupervised fitness access alone.
Supervised Rehabilitation Exercise - Diabetes	`SUPERVISED_REHABILITATION_EXERCISE_DIABETES`	The listing should provide supervised exercise programming tailored to people with diabetes, including safety considerations, monitoring, and progression. A referring provider should expect diabetes-aware rehabilitation exercise rather than general fitness classes alone.
Supervised Rehabilitation Exercise - Neurological	`SUPERVISED_REHABILITATION_EXERCISE_NEUROLOGICAL`	The listing should provide supervised exercise or rehabilitation programming tailored to neurologic conditions. A referring provider should expect neurologic safety, function, and progression considerations rather than general exercise classes alone.
Supervised Rehabilitation Exercise - General Fitness	`SUPERVISED_REHABILITATION_EXERCISE_GENERAL_FITNESS`	The listing should provide supervised exercise programming for general fitness, conditioning, or functional improvement with structured sessions and progression. A referring provider should expect guided programming rather than simple facility access alone.
Supervised Rehabilitation Exercise - Chronic Disease	`SUPERVISED_REHABILITATION_EXERCISE_CHRONIC_DISEASE`	The listing should provide supervised exercise programming adapted to chronic disease needs, symptoms, precautions, and functional goals. A referring provider should expect chronic-disease-informed exercise support rather than generic fitness classes alone.
STI Clinic	`STI_CLINIC`	The listing should provide sexually transmitted infection testing, treatment, counselling, partner notification support, or prevention services. A referring provider should expect STI-specific clinical workflows rather than general sexual health information alone.
Sleep Medicine	`SLEEP_MEDICINE`	The listing should provide assessment and management of sleep disorders, sleep testing coordination, PAP therapy support, or specialist consultation. A referring provider should expect sleep-medicine expertise rather than general fatigue counselling alone.
Small Bowel Follow-Through	`SMALL_BOWEL_FOLLOW_THROUGH`	The listing should provide small bowel follow-through imaging with contrast administration, imaging protocols, interpretation, and reporting. A referring provider should expect diagnostic gastrointestinal imaging rather than general GI assessment alone.
Social Work	`SOCIAL_WORK`	The listing should provide social work assessment, counselling, advocacy, resource navigation, discharge planning, or practical support. A referring provider should expect social work expertise rather than informal resource sharing alone.
Sonohysterogram	`SONOHYSTEROGRAM`	The listing should provide sonohysterography with appropriate gynecologic imaging protocols, procedure preparation, interpretation, and reporting. A referring provider should expect diagnostic uterine cavity imaging rather than routine pelvic ultrasound alone.
Spasticity Management	`SPASTICITY_MANAGEMENT`	The listing should provide assessment and treatment of spasticity through medication, injections, therapy, equipment, or interdisciplinary management. A referring provider should expect spasticity-specific expertise rather than general neurologic rehabilitation alone.
Speech Therapy / Speech Language Pathology	`SPEECH_THERAPY`	The listing should provide speech-language pathology assessment and treatment for speech, language, voice, fluency, cognition-communication, swallowing, or communication needs. A referring provider should expect SLP-specific care rather than general communication advice alone.
Spiritual Care	`SPIRITUAL_CARE`	The listing should provide spiritual, religious, existential, grief, or meaning-centred support by trained spiritual care providers. A referring provider should expect spiritual care support rather than general counselling alone.
Sport Therapy	`SPORT_THERAPY`	The listing should provide sport-focused injury assessment, rehabilitation, return-to-sport planning, or athletic therapy. A referring provider should expect sport-specific functional care rather than general fitness training alone.
Sports Medicine Specialist	`SPORTS_MEDICINE_SPECIALIST`	The listing should provide physician or specialist assessment and management of sport, exercise, or musculoskeletal injuries and return-to-activity concerns. A referring provider should expect sports medicine expertise rather than general physiotherapy alone.
Stroke Care	`STROKE_CARE`	The listing should provide stroke assessment, secondary prevention, rehabilitation, follow-up, education, or support. A referring provider should expect stroke-focused care rather than general neurologic or seniors services alone.
Substance Use Disorders	`ADDICTIONS`	The listing should provide direct clinical assessment and treatment for substance use disorders, delivered by or under the supervision of a physician, nurse practitioner, or regulated clinician. This includes addictions physicians, opioid agonist therapy prescribing, withdrawal management, harm reduction services, and structured treatment programs. A referring provider should expect direct patient care rather than navigation or referral coordination alone.
Supplies Delivery	`SUPPLIES_DELIVERY`	The listing should provide delivery of medical, personal care, food, household, or support supplies to patients with access or functional barriers. A referring provider should expect an organized delivery service rather than retail pickup alone.
Support Group	`SUPPORT_GROUP`	The listing should provide organized peer, facilitated, or therapeutic group support for a defined condition, population, or need. A referring provider should expect recurring group structure and focus rather than informal social contact alone.
Supportive Housing	`SUPPORTIVE_HOUSING`	The listing should provide housing with onsite or linked supports for people who need assistance with health, mental health, disability, aging, or social needs. A referring provider should expect both accommodation and support components rather than housing placement alone.
General Surgery	`SURGERY`	The listing should provide general surgical assessment, operative planning, procedures, and postoperative follow-up. A referring provider should expect surgeon-led care rather than procedural primary care alone.
Surgery: Biopsy	`SURGICAL_BIOPSY`	The listing should provide surgical biopsy assessment and procedure services with specimen handling, reporting pathway, and follow-up. A referring provider should expect procedural surgical capability rather than diagnostic advice alone.
Surgery: Brachial Plexus	`SURGERY_BRACHIAL_PLEXUS`	The listing should provide surgical assessment or treatment for brachial plexus injuries or disorders. A referring provider should expect subspecialty surgical expertise rather than general upper-limb assessment alone.
Surgery: Cervical Spine	`SURGERY_CERVICAL_SPINE`	The listing should provide surgical assessment or treatment for cervical spine conditions. A referring provider should expect spine surgical expertise rather than general neck pain care alone.
Surgery: Brain	`SURGERY_BRAIN`	The listing should provide surgical assessment or treatment for intracranial or brain-related conditions. A referring provider should expect neurosurgical brain expertise rather than general neurology alone.
Surgery: Colorectal	`SURGERY_COLORECTAL`	The listing should provide surgical assessment or treatment for colorectal conditions. A referring provider should expect colorectal surgical expertise rather than general GI consultation alone.
Surgery: Lumbosacral Spine	`SURGERY_LUMBAR_SPINE`	The listing should provide surgical assessment or treatment for lumbar or lumbosacral spine conditions. A referring provider should expect spine surgical expertise rather than general low back pain management alone.
Surgery: Thoracic Outlet Syndrome	`SURGERY_THORACIC_OUTLET_SYNDROME`	The listing should provide surgical assessment or treatment for thoracic outlet syndrome. A referring provider should expect condition-specific surgical expertise rather than general shoulder, vascular, or neurologic assessment alone.
Surgery: Thoracic Spine	`SURGERY_THORACIC_SPINE`	The listing should provide surgical assessment or treatment for thoracic spine conditions. A referring provider should expect spine surgical expertise rather than general back pain care alone.
Surgery: Ankle	`SURGERY_ANKLE`	The listing should provide surgical assessment or treatment for ankle conditions. A referring provider should expect ankle surgical expertise rather than general foot care or physiotherapy alone.
Surgery: Ankle - Total Arthroplasty	`SURGERY_ANKLE_TOTAL_ARTHROPLASTY`	The listing should provide assessment and surgical management for ankle joint replacement. A referring provider should expect arthroplasty-specific ankle expertise rather than general ankle surgery alone.
Surgery: Ankle - LCL	`SURGERY_ANKLE_LCL`	The listing should provide assessment and surgical management for ankle lateral collateral ligament injury or instability. A referring provider should expect ligament-specific ankle surgical expertise rather than general ankle pain care alone.
Surgery: Elbow	`SURGERY_ELBOW`	The listing should provide surgical assessment or treatment for elbow conditions. A referring provider should expect elbow surgical expertise rather than general upper-limb care alone.
Surgery: Wrist	`SURGERY_WRIST`	The listing should provide surgical assessment or treatment for wrist conditions. A referring provider should expect wrist surgical expertise rather than general hand therapy alone.
Surgery: Wrist - Osteotomy	`SURGERY_WRIST_OSTEOTOMY`	The listing should provide assessment and surgical planning for wrist osteotomy. A referring provider should expect procedure-specific wrist surgical expertise rather than general wrist assessment alone.
Surgery: Wrist - De Quervain's Tenosynovitis Repair	`SURGERY_WRIST_DE_QUERVAINS`	The listing should provide surgical assessment or treatment for De Quervain's tenosynovitis. A referring provider should expect condition-specific wrist or hand surgical expertise rather than general splinting alone.
Surgery: Elbow - Total Arthroplasty	`SURGERY_ELBOW_TOTAL_ARTHROPLASTY`	The listing should provide assessment and surgical management for elbow joint replacement. A referring provider should expect arthroplasty-specific elbow expertise rather than general elbow surgery alone.
Surgery: Tennis Elbow	`SURGERY_TENNIS_ELBOW`	The listing should provide surgical assessment or treatment for refractory lateral epicondylitis or related elbow tendinopathy. A referring provider should expect condition-specific surgical expertise rather than general physiotherapy alone.
Surgery: Foot	`SURGERY_FOOT`	The listing should provide surgical assessment or treatment for foot conditions. A referring provider should expect foot surgical expertise rather than routine podiatry or orthotics alone.
Surgery: Foot - Bunion	`SURGERY_FOOT_BUNION`	The listing should provide surgical assessment or treatment for bunion deformity. A referring provider should expect bunion-specific foot surgery expertise rather than general footwear advice alone.
Surgery: Foot - Hammertoe	`SURGERY_FOOT_HAMMERTOE`	The listing should provide surgical assessment or treatment for hammertoe deformity. A referring provider should expect condition-specific foot surgery expertise rather than general foot care alone.
Surgery: Foot - Metatarsophalangeal Arthroplasty	`SURGERY_FOOT_MTP_ARTHROPLASTY`	The listing should provide assessment and surgical management for metatarsophalangeal joint arthroplasty. A referring provider should expect procedure-specific foot surgical expertise rather than general foot surgery alone.
Surgery: Hand	`SURGERY_HAND`	The listing should provide surgical assessment or treatment for hand conditions. A referring provider should expect hand surgical expertise rather than general occupational therapy alone.
Surgery: Hand - Dupuytren's Contracture	`SURGERY_HAND_DUPUYTRENS`	The listing should provide assessment and treatment planning for Dupuytren's contracture, including procedural or surgical options where appropriate. A referring provider should expect condition-specific hand expertise rather than general hand therapy alone.
Surgery: Hand - Carpal Tunnel Syndrome	`SURGERY_HAND_CARPAL_TUNNEL`	The listing should provide surgical assessment or treatment for carpal tunnel syndrome. A referring provider should expect condition-specific hand surgical expertise rather than splinting or nerve testing alone.
Surgery: Hand - Trigger Finger Release	`SURGERY_HAND_TRIGGER_FINGER_RELEASE`	The listing should provide assessment and surgical or procedural treatment for trigger finger. A referring provider should expect condition-specific hand expertise rather than general hand therapy alone.
Surgery: Hand - Small Joint Arthroplasty	`SURGERY_HAND_SMALL_JOINT_ARTHROPLASTY`	The listing should provide assessment and surgical management for small joint arthroplasty in the hand. A referring provider should expect procedure-specific hand surgical expertise rather than general arthritis care alone.
Surgery: Hip - Total Arthroplasty	`SURGERY_HIP_ARTHROPLASTY`	The listing should provide assessment and surgical management for total hip replacement. A referring provider should expect hip arthroplasty expertise rather than general hip pain management alone.
Surgery: Knee - ACL Reconstruction	`SURGERY_KNEE_ACL`	The listing should provide assessment and surgical management for ACL injury or reconstruction. A referring provider should expect ligament-specific knee surgical expertise rather than general knee rehabilitation alone.
Surgery: Knee - LCL Reconstruction	`SURGERY_KNEE_LCL`	The listing should provide assessment and surgical management for LCL injury or reconstruction. A referring provider should expect ligament-specific knee surgical expertise rather than general knee care alone.
Surgery: Knee - Arthroscopy	`SURGERY_KNEE_ARTHROSCOPY`	The listing should provide assessment and surgical management for knee arthroscopy where clinically appropriate. A referring provider should expect arthroscopy-specific knee surgical expertise rather than general knee assessment alone.
Surgery: Knee - Total Arthroplasty	`SURGERY_KNEE_TOTAL_ARTHROPLASTY`	The listing should provide assessment and surgical management for total knee replacement. A referring provider should expect knee arthroplasty expertise rather than general knee arthritis management alone.
Surgery: Shoulder - Arthroscopy	`SURGERY_SHOULDER_ARTHROSCOPY`	The listing should provide assessment and surgical management for shoulder arthroscopy where clinically appropriate. A referring provider should expect arthroscopy-specific shoulder surgical expertise rather than general shoulder rehabilitation alone.
Surgery: Shoulder - Open Repair Rotator Cuff	`SURGERY_SHOULDER_OPEN_REPAIR_ROTATOR_CUFF`	The listing should provide assessment and surgical management for rotator cuff repair. A referring provider should expect condition-specific shoulder surgical expertise rather than general physiotherapy alone.
Surgery: Shoulder - Total Arthroplasty	`SURGERY_SHOULDER_TOTAL_ARTHROPLASTY`	The listing should provide assessment and surgical management for shoulder joint replacement. A referring provider should expect shoulder arthroplasty expertise rather than general shoulder pain management alone.
Surgery: Shoulder - Total Reverse Arthroplasty	`SURGERY_TOTAL_REVERSE_ARTHROPLASTY`	The listing should provide assessment and surgical management for reverse shoulder arthroplasty. A referring provider should expect procedure-specific shoulder arthroplasty expertise rather than general shoulder surgery alone.
Surgical Oncology	`SURGICAL_ONCOLOGY`	The listing should provide surgical assessment and treatment planning for cancer or suspected cancer. A referring provider should expect oncology-focused surgical expertise rather than general surgery alone.
Telephone Reassurance & Safety Checks	`TELEPHONE_REASSURANCE_AND_SAFETY_CHECKS`	The listing should provide scheduled phone check-ins to monitor safety, wellbeing, isolation, or risk for vulnerable patients. A referring provider should expect an organized reassurance or safety-check program rather than informal phone contact alone.
Therapeutic/Interventional Radiology	`THERAPEUTIC_RADIOLOGY`	The listing should provide image-guided therapeutic or interventional radiology procedures with assessment, procedural capability, and follow-up. This category covers minimally invasive interventional procedures such as embolization, drainage, ablation, vascular interventions, and image-guided biopsies or treatments. Radiation oncology (cancer radiotherapy) is explicitly excluded — use `RADIATION_ONCOLOGY` for those services. A referring provider should expect interventional radiology expertise rather than diagnostic imaging alone.
Thoracic Surgery	`THORACIC_SURGERY`	The listing should provide surgical assessment or treatment for chest, lung, mediastinal, or related thoracic conditions. A referring provider should expect thoracic surgical expertise rather than general respirology or surgery alone.
Thoracentesis	`THORACENTESIS`	The listing should provide thoracentesis through an appropriately equipped procedural service, including assessment, consent, fluid drainage, specimen handling where needed, and follow-up instructions. A referring provider should expect procedural capability rather than general respiratory consultation alone.
Thrombosis / DVT / VTE Care	`THROMBOSIS_DVT_VTE_CARE`	The listing should provide assessment and management of venous thromboembolism, anticoagulation decisions, thrombosis risk, or follow-up. A referring provider should expect thrombosis-specific expertise rather than general hematology or emergency care alone.
Thyroid Biopsy	`THYROID_BIOPSY`	The listing should provide thyroid biopsy, often image-guided fine needle aspiration, with specimen handling and reporting workflow. A referring provider should expect thyroid-specific biopsy capability rather than general endocrine consultation alone.
Tilt Table Testing	`TILT_TABLE_TESTING`	The listing should provide tilt table testing with appropriate monitoring, protocol, interpretation, and reporting. A referring provider should expect objective autonomic or syncope evaluation rather than general dizziness assessment alone.
Tongue Tie Release	`TONGUE_TIE_RELEASE`	The listing should provide assessment and procedural release of ankyloglossia with feeding or functional counselling and aftercare. A referring provider should expect tongue-tie-specific procedural expertise rather than general lactation or newborn care alone.
Traditional Chinese Medicine	`TRADITIONAL_CHINESE_MEDICINE`	The listing should provide Traditional Chinese Medicine assessment and treatment by an appropriately trained provider, such as herbal, acupuncture, or related modalities within scope. A referring provider should expect a defined TCM service rather than general wellness advice alone.
Transfusion Medicine	`TRANSFUSION_MEDICINE`	The listing should provide specialist consultation, coordination, or services related to blood products, transfusion reactions, compatibility, or transfusion planning. A referring provider should expect transfusion medicine expertise rather than routine blood donation or laboratory testing alone.
Transgender Services	`TRANSGENDER_SERVICES`	Deprecated — use `GENDER_SERVICES` instead. This category has been superseded by `GENDER_SERVICES`, which uses more inclusive language reflecting the full spectrum of gender-diverse patients, including transgender, non-binary, Two-Spirit, and other gender-diverse individuals. Listings using `TRANSGENDER_SERVICES` should be migrated to `GENDER_SERVICES`. This category is retained for legacy compatibility only and should not be applied to new listings.
Ultrasound	`ULTRASOUND`	The listing should provide diagnostic ultrasound imaging with appropriate protocols, image acquisition, interpretation, and reporting. A referring provider should expect ultrasound capability rather than general diagnostic imaging advice alone.
Unplanned Pregnancy Support	`UNPLANNED_PREGNANCY_SUPPORT`	The listing should provide counselling, options support, navigation, treatment or clinical referral for patients with an unintended or unwanted pregnancy, including those seeking abortion or other options. A referring provider should expect nonjudgmental pregnancy-options treatment and support.
Upper GI Series	`UPPER_GI_SERIES`	The listing should provide upper gastrointestinal contrast imaging with appropriate preparation, imaging protocols, interpretation, and reporting. A referring provider should expect diagnostic GI imaging rather than general gastrointestinal assessment alone.
Urgent Care Clinic	`URGENT_CARE_CLINIC`	The listing should provide same-day or walk-in assessment and treatment for non-life-threatening urgent conditions. A referring provider should expect urgent ambulatory care capacity rather than routine primary care booking alone.
Urology	`UROLOGY`	The listing should provide specialist assessment and management of urinary tract, male reproductive, prostate, stone, continence, or related conditions. A referring provider should expect urologist-led care rather than general primary care urinary assessment alone.
Urodynamic Testing	`URODYNAMICS`	The listing should provide urodynamic testing with appropriate equipment, patient preparation, monitoring, interpretation, and reporting. A referring provider should expect objective bladder or lower urinary tract function assessment rather than general urology consultation alone.
Varicose Vein Treatment	`VARICOSE_VEIN_TREATMENT`	The listing should provide assessment and treatment of varicose veins, such as compression planning, sclerotherapy, ablation, or surgical management. A referring provider should expect vein-treatment-specific care rather than general vascular advice alone.
Vasectomy	`VASECTOMY`	The listing should provide vasectomy counselling, consent, procedure, post-procedure instructions, and semen analysis follow-up guidance. A referring provider should expect a defined sterilization procedure service rather than general men's health counselling alone.
Vascular Studies	`VASCULAR_STUDIES`	The listing should provide vascular diagnostic testing such as Doppler, duplex ultrasound, ABI, or related vascular imaging with reporting. A referring provider should expect objective vascular assessment rather than general vascular consultation alone.
Vascular Surgery	`VASCULAR_SURGERY`	The listing should provide surgical assessment or treatment of arterial, venous, lymphatic, or dialysis-access vascular conditions. A referring provider should expect vascular surgical expertise rather than vascular imaging alone.
Vocational Services	`VOCATIONAL_SERVICES`	The listing should provide employment assessment, job readiness, return-to-work support, workplace accommodation planning, or vocational rehabilitation. A referring provider should expect work-focused functional support rather than general counselling alone.
Walk-In Clinic	`WALK_IN_CLINIC`	The listing should provide unscheduled primary or episodic medical care for non-emergency concerns. A referring provider should expect walk-in access to clinical assessment rather than appointment-only longitudinal primary care alone.
Weight Loss Clinic	`WEIGHT_LOSS_CLINIC`	The listing should provide structured assessment and treatment for weight management, such as behavioural counselling, nutrition, medication, monitoring, or referral for bariatric pathways. A referring provider should expect a clinical weight-management program rather than general fitness or diet advice alone.
Women's Health	`WOMENS_HEALTH`	The listing should provide assessment, counselling, screening, or treatment focused on women's health concerns such as contraception, menopause, pelvic health, breast health, or reproductive care. A referring provider should expect women's-health-specific services rather than general primary care alone.
Wound Care	`WOUND_CARE`	The listing should provide wound assessment, dressing plans, debridement where appropriate, compression, infection monitoring, offloading, or follow-up. A referring provider should expect wound-specific clinical care rather than general nursing alone.
X-Ray / Radiography	`X_RAY`	The listing should provide diagnostic radiography with appropriate imaging protocols, acquisition, interpretation, and reporting. A referring provider should expect X-ray imaging capability rather than general diagnostic imaging advice alone.
Youth Shelter	`YOUTH_SHELTER`	The listing should provide emergency or short-term shelter and related supports for youth experiencing homelessness, unsafe housing, or crisis. A referring provider should expect youth-specific intake and accommodation support rather than general housing advice alone.