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Scope

This implementation guide is developed as part of Ontario Health's plan to facilitate the exchange of clinical patient and other healthcare system data. Ontario Clinical Data Repository (CDR) is designed to enable physicians to view acute and community patient data from hospitals and community care organizations across the province. This CDR intends to store and provide a record of the care which has been and is currently being provided to clients of the Ontario health system.

The purpose of this implementation guide is to develop guidance and explore potential of using FHIR standard for CDR data consumpton.This aligns with the provincial DHIEX regulation which stipulates that FHIR will be the primary healthcare interoperability standard in health data exchange in Ontario.

The current design of this implementation guide focuses on FHIR representation of patient visits and clinical docuements.

Applying the acCDR HL7 FHIR IG

Ontario Health will be establishing the acCDR HL7 FHIR IG as an interoperability specification under Ontario’s Digital Health Information Exchange (DHIEX) framework.

The following information is provided in accordance with section 28 of O. Reg. 329/04 made under the Personal Health Information Protection Act (PHIPA), 2004.

Date on which the specification becomes effective:
  • To be determined
Name, description, or class of Health Information Custodians that must select, develop, or use digital health assets that comply with the specification:
  • Health Information Custodians who create/maintain/view patient summary documents
Types of digital health assets to which the specification applies:
  • Digital health assets used by Health Information Custodians for the above purpose
Circumstances, if any, when a Health Information Custodian may be exempted from the requirement to select, develop or use digital health assets that comply with the specification:
  • None