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Ontario eForms HL7® FHIR® SDC Implementation Guide - v1.0.0 Ballot
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  • Business Context
    • Business Context
    • Business Model
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  • Technical Context
    • Technical Context
    • Form Behavior and Rendering
    • Implementer Responsibility
    • Conformance Rules
    • Connectivity Summary
  • FHIR Artifacts
    • FHIR Artifacts
    • Profiles
    • Extensions
    • Terminology
    • Examples
    • Response Handling
    • Downloads
  • Change Log
    • Change Log
    • Known Issues & Future Developments
    • Revision History
    1. Index
    2. FHIR Artifacts
    3. Examples

For a full list of available versions, see the Directory of published versions

4.4. Examples

This page lists all of the Examples defined in this Implementation Guide (IG). Examples illustrate how profiles, extensions, and related form artifacts are expected to be used in realistic implementation scenarios.

The Cardiology Form (Authored) example is intentionally listed first because it is manually authored reference example that was refined from OH Form Designer output. It was updated to better align with the profile, terminology bindings, intended rendering expectations, and note-info usage. The corresponding liquid file represents the converted/generated version used for implementation support, comparison, and validation of the rendering approach.

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 in the generated note and will be refined in the next technical release.

Profile name Title Liquid File Description
Questionnaire Cardiology Form (Authored) Cardiology form liquid file Ontario Health–authored cardiology referral questionnaire example. This is the manually refined example based on the OH Form Designer output, updated to better align with the profile, terminology, intended rendering expectations, and note-info usage.
Questionnaire Dr. Chilopora eReferral Form Dr. Chilopora liquid file Questionnaire template representing a provider-specific eReferral form for Dr. Chilopora.
Questionnaire Cornwall Community Hospital Addictions and Mental Health eReferral Form Cornwall Community Hospital liquid file Questionnaire template for submitting an eReferral to Cornwall Community Hospital’s Addictions and Mental Health program.
Questionnaire CMHA York Region Ontario Structured Psychotherapy Program eReferral Form CMHA York Region liquid file Questionnaire template for submitting an eReferral to CMHA York Region’s Ontario Structured Psychotherapy Program.
Questionnaire Carefirst Family Health Team Diabetes Education Program (DEP) eReferral Form Carefirst DEP liquid file Questionnaire template for referring a patient to Carefirst Family Health Team’s Diabetes Education Program.
Questionnaire Cardio Study Referral Form Test Validators Cardio Study liquid file Questionnaire template used to test and validate cardiology referral form rendering and validation logic.
Questionnaire Cardiology Form Cardiology converted liquid file Converted cardiology referral questionnaire example used for implementation, comparison, and validation against the authored version.
Questionnaire Universal - Standardized Provincial Form Template - Clinical Summary Note Sample Universal clinical summary liquid file Generic standardized provincial questionnaire template used as a universal clinical summary note sample.
Questionnaire Sleep Disorder Clinic eReferral Form Sleep disorder clinic liquid file Questionnaire template for submitting an eReferral to a sleep disorder clinic.
Questionnaire Sample Form Sample form liquid file Generic sample questionnaire used to demonstrate content not covered by the other sample forms.
Questionnaire Medical Imaging - Standardized Provincial Form Template - Splitting Example Medical imaging liquid file Standardized medical imaging referral questionnaire used as a splitting/sectioning example for implementation and testing.
QuestionnaireResponse Cardiology Authored QR - Robert Smith N/A Completed QuestionnaireResponse example for the authored cardiology form using Robert Smith as the sample patient/respondent.
QuestionnaireResponse Cardiology Authored QR - Jane Doe N/A Completed QuestionnaireResponse example for the authored cardiology form using Jane Doe as the sample patient/respondent.
QuestionnaireResponse Cardiology Authored QR - John Doe N/A Completed QuestionnaireResponse example for the authored cardiology form using John Doe as the sample patient/respondent.
QuestionnaireResponse Cardiology Authored QR - Maria Santos N/A Completed QuestionnaireResponse example for the authored cardiology form using Maria Santos as the sample patient/respondent.
QuestionnaireResponse Sample Form QR N/A Completed QuestionnaireResponse example for the Sample Form, demonstrating how answers are represented in the sample questionnaire.
QuestionnaireResponse Universal QR N/A Completed QuestionnaireResponse example for the universal standardized provincial form template.
QuestionnaireResponse Dr. Garvey Chilopora QR N/A Completed QuestionnaireResponse example for the Dr. Chilopora eReferral form.
QuestionnaireResponse Cardio Study Test QR N/A Completed QuestionnaireResponse example for the Cardio Study test form, used to validate captured answers and downstream processing.
QuestionnaireResponse Cardiology Converted QR N/A Completed QuestionnaireResponse example for the converted cardiology form.
Version: 1.0.0Ballot FHIR Version: R4.0.1

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