For a full list of available versions, see the Directory of published versions
This page lists all of the Examples defined in this Implementation Guide (IG). Examples illustrate how profiles and extensions are expected to be used in real-world scenarios.
Note: The primary intent of the examples in this release is to ensure they are profile-compliant and aligned with legacy Ontario form behavior. A small number of rendering issues remain and will be refined in the next release.
| Profile name | Title | Description |
|---|---|---|
| Questionnaire | CMHA York Region Ontario Structured Psychotherapy Program eReferral Form [FINAL FEB 2022] | Questionnaire template for submitting an eReferral to CMHA York Region’s Ontario Structured Psychotherapy (OSP) program. |
| Questionnaire | Cardio Study Referral Form Test Validators | Questionnaire template used to test/validate cardiology referral form rendering and validation rules. |
| Questionnaire | Cardiology - Standardized Provincial Form Template - Splitting Example | Standardized cardiology referral questionnaire used as a “splitting”/sectioning example for implementation and testing. |
| Questionnaire | Carefirst Family Health Team Diabetes Education Program (DEP) eReferral Form [FINAL SEPT 2022] | Questionnaire template for referring a patient to Carefirst FHT’s Diabetes Education Program (DEP). |
| Questionnaire | Dr. Chilopora eReferral Form [FINAL MAY 2022] | Questionnaire template representing a specific provider/clinic eReferral form |
| Questionnaire | Medical Imaging - Standardized Provincial Form Template - Splitting Example | Standardized medical imaging referral questionnaire used as a “splitting”/sectioning example for implementation and testing. |
| Questionnaire | Ontario - Cardiology Form | Ontario cardiology referral questionnaire template capturing patient details, requested cardiac services, and referral information. |
| Questionnaire | Sleep Disorder Clinic eReferral Form [FINAL JULY 2024] | Questionnaire template for submitting an eReferral to a sleep disorder clinic |
| Questionnaire | Universal - Standardized Provincial Form Template - Clinical Summary Note Sample | Generic “universal” standardized provincial questionnaire template used as a base/example form. |
| QuestionnaireResponse | Additional Patient Information & Referral Details (Ontario Cardiology Form Response) | Completed response instance for the Ontario cardiology form, including patient preferences, referral priority/reasons, requested tests, and summary history. |
| QuestionnaireResponse | Cardio Study Referral Form Response (Cardio Study test response) | Completed response instance for the cardio study test form, used to validate captured answers and downstream rendering/processing. |