It originally referred to Englishman Charles Frederick Worth's work, produced in Paris in the mid-nineteenth century. In modern France, haute couture is a "protected name" that can be used only by firms that meet certain well-defined standards. However, the term is also used loosely to describe all high-fashion custom-fitted clothing, whether it is produced in Paris or in other fashion capitals such as Milan, London, New York and Tokyo. The term can refer to: * 1. The fashion houses or fashion designers that create exclusive and often trend-setting fashions * 2. The fashions created.