Cardiology and Ontario Health Care Glossary
This glossary explains clinical, health system and physician payment terms commonly used in OAC communications. Clinical definitions are provided for general information only.
A test that records blood pressure at regular intervals, usually over 24 hours, while the patient goes about normal activities and sleeps. It can identify blood-pressure patterns that may not be apparent from readings taken in a physician’s office.
Blood tests that measure substances released when the heart is under increased pressure or strain. The results can help rule out or support a diagnosis of heart failure when considered with a patient’s symptoms and other findings.
A test that records the heart’s electrical activity through electrodes placed on the skin. It provides information about heart rate and rhythm and can help identify a range of cardiac abnormalities.
An ultrasound examination of the heart used to assess its chambers, valves, pumping function and blood flow.
Common forms include:
- TTE – Transthoracic Echocardiography: Images are obtained by placing an ultrasound probe on the patient’s chest.
- TEE – Transesophageal Echocardiography: A specialized examination in which an ultrasound probe is passed into the esophagus to obtain more detailed images of certain heart structures.
- Stress Echocardiography: Images are taken at rest and during or immediately after exercise, or after medication is used to make the heart work harder.
A chronic condition in which the heart is not pumping or filling as well as it should. The heart may be too weak, too stiff or both. “Congestive heart failure” generally refers to heart failure accompanied by fluid buildup.
A portable device that continuously records the heart’s electrical activity, usually for 24 hours or longer. It can help identify intermittent heart-rhythm problems that may not appear during a standard ECG.
A procedure used to replace a diseased aortic heart valve without traditional open-heart surgery. TAVI and TAVR refer to the same general procedure, with TAVI more commonly used in Canada.
A former provincial agency responsible for cardiac, stroke and vascular services. Previously known as the Cardiac Care Network of Ontario, CorHealth developed provincial cardiac standards and initially administered the EQI Program. Its functions were transferred to Ontario Health in 2021.
Choosing Wisely Canada is a national initiative focused on reducing unnecessary tests and treatments and helping clinicians and patients make informed care decisions.
A former provincial digital-health agency. Its functions were transferred to Ontario Health in 2019.
An electronic medical record is a digital patient record maintained by a physician practice or health-care organization.
An electronic health record is the broader collection of a patient’s health information across different providers and care settings. The terms are sometimes used interchangeably.
Ontario’s accreditation program for echocardiography facilities. It is funded by the Ministry of Health and administered by Accreditation Canada Diagnostics.
Participation in the adult EQI Program is mandatory for facilities providing adult echocardiography services in Ontario. Facilities are assessed against the EQI Program Accreditation Requirements.
Health Report Manager is an OntarioMD service that securely delivers patient reports from participating hospitals and specialty clinics directly into community clinicians’ electronic medical records.
ICES is an independent, not-for-profit health research and analytics institute. It uses health data to produce evidence that informs health-care planning, policy and evaluation.
ICES has been its official name since 2018. It was formerly known as the Institute for Clinical Evaluative Sciences.
The Ministry of Health is responsible for Ontario health-care policy, legislation, funding and oversight. It is separate from the Ministry of Long-Term Care.
The Ontario Association of Cardiologists is a voluntary professional association representing academic and community cardiologists in Ontario. Formed in 1995, the OAC advocates for patient access to cardiac care and represents the professional and practice interests of Ontario cardiologists.
Ontario’s publicly funded health insurance plan. OHIP covers physician, hospital and other health-care services insured under provincial legislation.
The Ontario Medical Association represents Ontario physicians in negotiations, advocacy, policy development and other professional matters.
The OMA constituency group representing physicians practising cardiology. It brings the specialty’s perspective to the OMA and participates in physician-compensation and health-policy matters.
The Section is separate from, but works closely with, the OAC.
OntarioMD is a subsidiary of the OMA that helps physicians and their staff adopt and make effective use of electronic medical records and other digital-health tools.
The Ministry of Health document that lists services insured by OHIP, their fee schedule codes and the rules governing when they may be billed.
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