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{
  "resourceType": "ImplementationGuide",
  "id": "eservices-ontario",
  "url": "http://ehealthontario.ca/fhir/ImplementationGuide/eservices-ontario",
  "version": "0.10.1",
  "name": "Ontario eReferral HL7® FHIR® Implementation Guide - Draft v0.10.1",
  "title": "Ontario eReferral HL7® FHIR® Implementation Guide - Draft v0.10.1",
  "status": "draft",
  "packageId": "ereferralontario.core",
  "fhirVersion": [
    "4.0.1"
  ],
  "definition": {
    "page": {
      "nameUrl": "toc.md",
      "title": "Table of Contents",
      "generation": "markdown",
      "page": [
        {
          "nameUrl": "empty.md",
          "title": "Home",
          "generation": "markdown",
          "page": [
            {
              "nameUrl": "Introduction.md",
              "title": "Introduction",
              "generation": "markdown"
            },
            {
              "nameUrl": "scope.md",
              "title": "Scope",
              "generation": "markdown"
            },
            {
              "nameUrl": "intendedaudience.md",
              "title": "Intended Audience",
              "generation": "markdown"
            },
            {
              "nameUrl": "identifierpolicy.md",
              "title": "Identifier Policy",
              "generation": "markdown"
            },
            {
              "nameUrl": "acronyms.md",
              "title": "Acronyms & Abbreviations",
              "generation": "markdown"
            },
            {
              "nameUrl": "revisionhistory.md",
              "title": "Revision History",
              "generation": "markdown"
            },
            {
              "nameUrl": "knownissues.md",
              "title": "Known Issues",
              "generation": "markdown"
            }
          ]
        },
        {
          "nameUrl": "businesscontext.md",
          "title": "Business Context",
          "generation": "markdown",
          "page": [
            {
              "nameUrl": "businessmodel.md",
              "title": "Business Model",
              "generation": "markdown"
            },
            {
              "nameUrl": "usecases.md",
              "title": "Use Cases",
              "generation": "markdown"
            },
            {
              "nameUrl": "businessrules.md",
              "title": "Business Rules",
              "generation": "markdown"
            },
            {
              "nameUrl": "FutureDevelopmentConsiderations.md",
              "title": "Future Development Considerations",
              "generation": "markdown"
            }
          ]
        },
        {
          "nameUrl": "implementationguidance.md",
          "title": "Implementation Guidance",
          "generation": "markdown",
          "page": [
            {
              "nameUrl": "consumerresponsibility.md",
              "title": "Consumer Responsibility",
              "generation": "markdown"
            },
            {
              "nameUrl": "conformancerules.md",
              "title": "Conformance Rules",
              "generation": "markdown"
            },
            {
              "nameUrl": "connectivity.md",
              "title": "Connectivity",
              "generation": "markdown"
            },
            {
              "nameUrl": "responses.md",
              "title": "Response Handling",
              "generation": "markdown"
            }
          ]
        },
        {
          "nameUrl": "technicalspecifications.md",
          "title": "Technical Specifications",
          "generation": "markdown",
          "page": [
            {
              "nameUrl": "technicalbackground.md",
              "title": "Technical Background",
              "generation": "markdown"
            },
            {
              "nameUrl": "integrationpatterns.md",
              "title": "Integration Patterns",
              "generation": "markdown"
            },
            {
              "nameUrl": "directmessaging.md",
              "title": "Specification: Direct Messaging",
              "generation": "markdown"
            },
            {
              "nameUrl": "SMARTonFHIR.md",
              "title": "Specification: SMART Integration",
              "generation": "markdown"
            },
            {
              "nameUrl": "SupportingWorkflow.md",
              "title": "Supporting Workflow",
              "generation": "markdown"
            }
          ]
        },
        {
          "nameUrl": "fhirartifacts.md",
          "title": "FHIR Artifacts",
          "generation": "markdown",
          "page": [
            {
              "nameUrl": "allartifacts.md",
              "title": "FHIR Artifacts",
              "generation": "markdown"
            },
            {
              "nameUrl": "MessageDefinitionServiceRequestBundle.md",
              "title": "MessageDefinition: ServiceRequest Bundle",
              "generation": "markdown"
            },
            {
              "nameUrl": "MessageDefinitionTaskBundle.md",
              "title": "MessageDefinition: Task Bundle",
              "generation": "markdown"
            },
            {
              "nameUrl": "MessageDefinitionAppointmentBundle.md",
              "title": "MessageDefinition: Appointment Bundle",
              "generation": "markdown"
            },
            {
              "nameUrl": "MessageDefinitionCommunicationBundle.md",
              "title": "MessageDefinition: Communication Bundle",
              "generation": "markdown"
            },
            {
              "nameUrl": "Bundle.md",
              "title": "StructureDefinition: Bundle Profile",
              "generation": "markdown"
            },
            {
              "nameUrl": "MessageHeader.md",
              "title": "StructureDefinition: MessageHeader Profile",
              "generation": "markdown"
            },
            {
              "nameUrl": "OperationOutcome.md",
              "title": "StructureDefinition: OperationOutcome Profile",
              "generation": "markdown"
            },
            {
              "nameUrl": "ServiceRequest.md",
              "title": "StructureDefinition: ServiceRequest Profile",
              "generation": "markdown"
            },
            {
              "nameUrl": "Task.md",
              "title": "StructureDefinition: Task Profile",
              "generation": "markdown"
            },
            {
              "nameUrl": "Appointment.md",
              "title": "StructureDefinition: Appointment Profile",
              "generation": "markdown"
            },
            {
              "nameUrl": "Communication.md",
              "title": "StructureDefinition: Communication Profile",
              "generation": "markdown"
            },
            {
              "nameUrl": "Patient.md",
              "title": "StructureDefinition: Patient Profile",
              "generation": "markdown"
            },
            {
              "nameUrl": "PractitionerRole.md",
              "title": "StructureDefinition: PractitionerRole Profile",
              "generation": "markdown"
            },
            {
              "nameUrl": "Practitioner.md",
              "title": "StructureDefinition: Practitioner Profile",
              "generation": "markdown"
            },
            {
              "nameUrl": "Organization.md",
              "title": "StructureDefinition: Organization Profile",
              "generation": "markdown"
            },
            {
              "nameUrl": "Location.md",
              "title": "StructureDefinition: Location Profile",
              "generation": "markdown"
            },
            {
              "nameUrl": "AllergyIntolerance.md",
              "title": "StructureDefinition: AllergyIntolerance Profile",
              "generation": "markdown"
            },
            {
              "nameUrl": "Condition.md",
              "title": "StructureDefinition: Condition Profile",
              "generation": "markdown"
            },
            {
              "nameUrl": "Consent.md",
              "title": "StructureDefinition: Consent Profile",
              "generation": "markdown"
            },
            {
              "nameUrl": "DocumentReference.md",
              "title": "StructureDefinition: DocumentReference Profile",
              "generation": "markdown"
            },
            {
              "nameUrl": "QuestionnaireResponse.md",
              "title": "StructureDefinition: QuestionnaireResponse Profile",
              "generation": "markdown"
            }
          ]
        },
        {
          "nameUrl": "terminology2.md",
          "title": "Terminology",
          "generation": "markdown",
          "page": [
            {
              "nameUrl": "terminology.md",
              "title": "Terminology",
              "generation": "markdown"
            },
            {
              "nameUrl": "terminologyupdates.md",
              "title": "Terminology Updates",
              "generation": "markdown"
            },
            {
              "nameUrl": "identifiers.md",
              "title": "Identifiers",
              "generation": "markdown"
            }
          ]
        },
        {
          "nameUrl": "downloads.md",
          "title": "Downloads and Tools",
          "generation": "markdown"
        }
      ]
    },
    "resource": [
      {
        "reference": {
          "reference": "https://ehealthontario.ca/fhir/CodeSystem/communication-category"
        },
        "description": "Codes for general categories of communications"
      },
      {
        "reference": {
          "reference": "http://ehealthontario.ca/fhir/StructureDefinition/eReferralBundle"
        },
        "name": "Bundle"
      },
      {
        "reference": {
          "reference": "http://ehealthontario.ca/fhir/CodeSystem/ereferral-identifier-type"
        },
        "description": "Codes supported by Ontario Health that can be used to determine which identifier to use for a specific purpose. This is an extension of the core FHIR value set."
      },
      {
        "reference": {
          "reference": "https://ehealthontario.ca/fhir/CodeSystem/message-event-code"
        },
        "description": "Code that identifies the event this message represents and connects it with its definition."
      },
      {
        "reference": {
          "reference": "http://ehealthontario.ca/fhir/ValueSet/patient-contact-relationship"
        },
        "name": "Patient Contact Relationships",
        "description": "Types of personal relationships between two living subjects"
      },
      {
        "reference": {
          "reference": "http://ehealthontario.ca/fhir/CodeSystem/patient-contact-relationship"
        },
        "description": "Types of personal relationships between two living subjects"
      },
      {
        "reference": {
          "reference": "http://ehealthontario.ca/fhir/StructureDefinition/ext-reason-for-no-HCN"
        },
        "name": "ReasonForNoHCN",
        "description": "This extension is used to convey the reason for not providing the patient's health card number as a business identifier."
      },
      {
        "reference": {
          "reference": "http://ehealthontario.ca/fhir/StructureDefinition/ext-routing-options"
        },
        "name": "RoutingOptions",
        "description": "This is an extension required for Referral Source Type identification. Only one referral routing object expected."
      },
      {
        "reference": {
          "reference": "https://ehealthontario.ca/fhir/CodeSystem/task-business-status"
        },
        "description": "Contains business-specific nuances of the business state"
      },
      {
        "reference": {
          "reference": "https://ehealthontario.ca/fhir/CodeSystem/task-code"
        },
        "description": "Contains codes indicating the type of action that is expected to be performed"
      },
      {
        "reference": {
          "reference": "http://ehealthontario.ca/fhir/MessageDefinition/ca-on-ereferral-add-communication"
        },
        "name": "Add Communication",
        "description": "Message is used to send a question or additional information about a ServiceRequest."
      },
      {
        "reference": {
          "reference": "http://ehealthontario.ca/fhir/MessageDefinition/ca-on-ereferral-add-rfi"
        },
        "name": "Add Request For Information",
        "description": "Message is used by an RMS Target when requesting additional information in response to a ServiceRequest"
      },
      {
        "reference": {
          "reference": "http://ehealthontario.ca/fhir/CapabilityStatement/ca-on-eReferral-RMSSource"
        },
        "name": "RMS Source",
        "description": "This is the FHIR capability statement for an Ontario Referral Management Server performing the role of RMS Source."
      },
      {
        "reference": {
          "reference": "http://ehealthontario.ca/fhir/CapabilityStatement/ca-on-eReferral-RMSTarget"
        },
        "name": "RMS Target",
        "description": "This is the FHIR capability statement for an Ontario Referral Management Server performing the role of RMS Target."
      },
      {
        "reference": {
          "reference": "http://ehealthontario.ca/fhir/CapabilityStatement/ca-on-eReferral-SMARTApp"
        },
        "name": "SMART App",
        "description": "This is the FHIR capability statement for an Ontario Referral Management Server performing the role of a SMART App."
      },
      {
        "reference": {
          "reference": "http://ehealthontario.ca/fhir/CapabilityStatement/ca-on-eReferral-SMARTServer"
        },
        "name": "SMART Server",
        "description": "This is the FHIR capability statement for an Ontario Referral Management (RMS) or Point of Service (POS) System performing the role of SMART Server defined in this IG."
      },
      {
        "reference": {
          "reference": "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-eReferral-profile-AllergyIntolerance"
        },
        "name": "AllergyIntolerance",
        "description": "This profile details the clinical assessment of an allergy or intolerance; a propensity, or a potential risk to an individual, to have an adverse reaction on future exposure to the specified substance, or class of substance."
      },
      {
        "reference": {
          "reference": "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-eReferral-profile-Appointment"
        },
        "name": "Appointment",
        "description": "A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s)."
      },
      {
        "reference": {
          "reference": "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-eReferral-profile-Communication"
        },
        "name": "Communication",
        "description": "Communication resource is used to achieve the bi-directional communication between two systems. The Communication resource can be used to ask questions regarding a referral, request a referral be updated with missing information, or request additional information not covered by the specific referral dataset."
      },
      {
        "reference": {
          "reference": "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-eReferral-profile-Condition"
        },
        "name": "Condition",
        "description": "This resource is used to record detailed information about a condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern."
      },
      {
        "reference": {
          "reference": "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-eReferral-profile-Consent"
        },
        "name": "Consent"
      },
      {
        "reference": {
          "reference": "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-eReferral-profile-DocumentReference"
        },
        "name": "DocumentReference",
        "description": "A DocumentReference resource is used to index a document, clinical note, and other binary objects to make them available to a healthcare system. A document is some sequence of bytes that is identifiable, establishes its own context (e.g., what subject, author, etc. can be displayed to the user), and has defined update management. The DocumentReference resource can be used with any document format that has a recognized mime type and that conforms to this definition"
      },
      {
        "reference": {
          "reference": "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-eReferral-profile-Location"
        },
        "name": "Location",
        "description": "Details and position information for a physical place where services are provided and resources and participants may be stored, found, contained, or accommodated."
      },
      {
        "reference": {
          "reference": "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-eReferral-profile-MessageHeader"
        },
        "name": "MessageHeader",
        "description": "The header for a message exchange that is either requesting or responding to an action. The reference(s) that are the subject of the action as well as other information related to the action are typically transmitted in a bundle in which the MessageHeader resource instance is the first resource in the bundle.\r\nTo enable sending system insert its own identifiers into API submitted eReferral, and have that returned with subsequent messages, an extension is created on the MessageHeader.identifier element for referral id."
      },
      {
        "reference": {
          "reference": "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-eReferral-profile-OperationOutcome"
        },
        "name": "OperationOutcome",
        "description": "Operation outcomes are sets of error, warning and information messages that provide detailed information about the outcome of an attempted system operation. They are provided as a direct system response, or component of one, and provide information about the outcome of the operation."
      },
      {
        "reference": {
          "reference": "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-eReferral-profile-Organization"
        },
        "name": "Organization",
        "description": "Organization profile describes the details of the organization where the referral originated from."
      },
      {
        "reference": {
          "reference": "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-eReferral-profile-Patient"
        },
        "name": "Patient",
        "description": "The Patient resources contain demographics and other administrative information about the individual who is the subject of the referral."
      },
      {
        "reference": {
          "reference": "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-eReferral-profile-Practitioner"
        },
        "name": "Practitioner",
        "description": "Practitioner covers all individuals who are engaged in the healthcare process and healthcare-related services as part of their formal responsibilities and this Resource is used for attribution of activities and responsibilities to these individuals. Practitioners include (but are not limited to): physicians, other clinicians, home care providers, administrative staff, IT personnel, and more."
      },
      {
        "reference": {
          "reference": "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-eReferral-profile-PractitionerRole"
        },
        "name": "PractitionerRole",
        "description": "The PractitionerRole represents the activity (such as specialty and job title) and contact information that a Practitioner may perform at an organization/location."
      },
      {
        "reference": {
          "reference": "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-eReferral-profile-QuestionnaireResponse"
        },
        "name": "QuestionnaireResponse",
        "description": "QuestionnaireResponse resource is used to capture additional information, notes, record question/answers, etc. about the referral. This resource will be referrenced via ServiceRequest resource."
      },
      {
        "reference": {
          "reference": "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-eReferral-profile-ServiceRequest"
        },
        "name": "ServiceRequest",
        "description": "ServiceRequest is the main resource use to send all referral related information to the destination system."
      },
      {
        "reference": {
          "reference": "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-eReferral-profile-Task"
        },
        "name": "Task",
        "description": "A task resource describes an activity that can be performed and tracks the state of completion of that activity. It is a representation that an activity should be or has been initiated, and eventually, represents the successful or unsuccessful completion of that activity."
      },
      {
        "reference": {
          "reference": "http://ehealthontario.ca/fhir/MessageDefinition/ca-on-ereferral-add-servicerequest"
        },
        "name": "Add Service Request",
        "description": "Message is used to request that a ServiceRequest created on the RMS Source be performed on an RMS Target."
      },
      {
        "reference": {
          "reference": "http://ehealthontario.ca/fhir/MessageDefinition/ca-on-ereferral-notify-add-servicerequest"
        },
        "name": "Notify Add Service Request",
        "description": "Message is used to notify systems other than the RMS Target that a new ServiceRequest has been created."
      },
      {
        "reference": {
          "reference": "http://ehealthontario.ca/fhir/MessageDefinition/ca-on-ereferral-notify-update-servicerequest"
        },
        "name": "Notify Update Service Request",
        "description": "Message is used to notify systems that a ServiceRequest or its status has been updated."
      },
      {
        "reference": {
          "reference": "http://ehealthontario.ca/fhir/StructureDefinition/cms-ext-CommunicationBarrier"
        },
        "name": "Communication Barrier",
        "description": "The extension is required to identify if the patient speaks/understands an offical language (english/french), or if she/he does not an interpretor is required."
      },
      {
        "reference": {
          "reference": "https://ehealthontario.ca/fhir/CodeSystem/communication-barrier"
        },
        "description": "Contains codes required to identify if the patient speaks/understands an offical language (english/french), or if she/he does not and an interpretor is required."
      },
      {
        "reference": {
          "reference": "http://ehealthontario.ca/fhir/ValueSet/communication-barrier"
        },
        "name": "Communication Barrier",
        "description": "Contains codes required to identify if the patient speaks/understands an offical language (english/french), or if she/he does not and an interpretor is required."
      },
      {
        "reference": {
          "reference": "http://ehealthontario.ca/fhir/ValueSet/communication-category"
        },
        "name": "Communication Category",
        "description": "Codes for general categories of communications"
      },
      {
        "reference": {
          "reference": "http://ehealthontario.ca/fhir/ValueSet/ereferral-identifier-type"
        },
        "name": "Identifier Type",
        "description": "Codes supported by Ontario Health that can be used to determine which identifier to use for a specific purpose. This is an extension of the core FHIR value set."
      },
      {
        "reference": {
          "reference": "http://ehealthontario.ca/fhir/ValueSet/ereferral-source-types"
        },
        "description": "Referral Source Types"
      },
      {
        "reference": {
          "reference": "http://ehealthontario.ca/fhir/CodeSystem/ereferral-source-types"
        }
      },
      {
        "reference": {
          "reference": "http://ehealthontario.ca/fhir/StructureDefinition/ext-id-health-card-version-code"
        },
        "description": "An assigned sequence code, uniquely identifying a Health Card issued (or potentially issued) to a Registered Person"
      },
      {
        "reference": {
          "reference": "http://ehealthontario.ca/fhir/StructureDefinition/ext-patient-present-location"
        },
        "name": "PatientPresentLocation",
        "description": "Extension used to communicate the present location of the patient if it is different than the patient's home address."
      },
      {
        "reference": {
          "reference": "http://ehealthontario.ca/fhir/StructureDefinition/ext-referral-identifier"
        },
        "description": "For requisitions this extension is used to convey the ServiceRequest.requisition identifier in the message header."
      },
      {
        "reference": {
          "reference": "http://ehealthontario.ca/fhir/ValueSet/human-language"
        },
        "name": "Human Language",
        "description": "Languages understood or supported by Ontario clients, practitioners and organizations based on ISO639-3 standard"
      },
      {
        "reference": {
          "reference": "http://ehealthontario.ca/fhir/ValueSet/message-event-code"
        },
        "name": "Message Event Code",
        "description": "Code that identifies the event this message represents and connects it with its definition."
      },
      {
        "reference": {
          "reference": "http://ehealthontario.ca/fhir/MessageDefinition/ca-on-ereferral-notify-add-appointment"
        },
        "name": "Notify Add Appointment",
        "description": "Message is used to notify systems that an appointment has been created in response to a ServiceRequest."
      },
      {
        "reference": {
          "reference": "http://ehealthontario.ca/fhir/MessageDefinition/ca-on-ereferral-notify-add-process-request"
        },
        "name": "Notify Add Process Request",
        "description": "Message is used by an RMS Target to notify systems that it has created a Process Request Task for a user to perform a ServiceRequest"
      },
      {
        "reference": {
          "reference": "http://ehealthontario.ca/fhir/MessageDefinition/ca-on-ereferral-notify-data-correction"
        },
        "name": "Notify Data Correction",
        "description": "Message is used to notify systems that information in a ServiceRequest or related resource has been corrected on the RMS Target."
      },
      {
        "reference": {
          "reference": "http://ehealthontario.ca/fhir/MessageDefinition/ca-on-ereferral-notify-update-appointment"
        },
        "name": "Notify Update Appointment",
        "description": "Message is used to notify systems that an appointment or its status has been updated."
      },
      {
        "reference": {
          "reference": "http://ehealthontario.ca/fhir/MessageDefinition/ca-on-ereferral-notify-update-process-request"
        },
        "name": "Notify Update Process Request",
        "description": "Message is used by an RMS Target to notify systems that a Process Request Task, its status or related information has changed"
      },
      {
        "reference": {
          "reference": "http://ehealthontario.ca/fhir/ValueSet/task-business-status"
        },
        "name": "Task Business Status",
        "description": "Contains business-specific nuances of the business state"
      },
      {
        "reference": {
          "reference": "http://ehealthontario.ca/fhir/ValueSet/task-code"
        },
        "name": "Task Code",
        "description": "Contains codes indicating the type of action that is expected to be performed"
      },
      {
        "reference": {
          "reference": "http://ehealthontario.ca/fhir/MessageDefinition/ca-on-ereferral-terminate-servicerequest"
        },
        "name": "Terminate Service Request",
        "description": "Message sent to request that all information related to a ServiceRequest terminated on the RMS Source be removed."
      }
    ]
  }
}

name : Ontario eReferral HL7® FHIR® Implementation Guide - Draft v0.10.1

{

}