ACo, which is engaged in the supply of various health care services, provides an “Assessment” service (which is not covered by any provincial health care program). The Assessment includes physical examinations, diagnostic tests, and lifestyle counselling and results in a personalized report of findings (being a compilation of the reports from the different service providers) providing recommendations for dietary change, exercise regime and further testing. The physician who sees the patient does not review the reports from the other service providers. The Assessment is performed in a separate part of ACo’s facilities.
In finding that the part of the facility used for making the Assessments did not qualify under para. (a) as being used for the purpose of providing medical care, CRA stated:
In these cases [ Riverfront and P-248] the examination by a physician or the review of a patient’s medical records by a physician were considered to be medical care for purposes of the definition of “health care facility.” The review of a patient’s medical records would also include a physician reviewing an assessment of a patient completed by another health care professional. The circumstances of these supplies can be differentiated from the supply of [the Assessment] in that the purpose for these supplies is the examination by the physician or the review of a report by the physician. […] [The Assessment] supplied by [ACo], […] is a multi-disciplinary assessment conducted by a number of different service providers including….
