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Scope
This document serves as a technical specification for implementing HL7 Fast Healthcare Interoperability Resources (FHIR) messages in order to interact with Ontario’s Digital Health Drug Repository and Web Services (DHDR) solution to contribute to and query the data from the repository. Sufficient business rationale is provided to illustrate the scenarios that the specification aims to fulfill. Storyboards, interactions, message types, vocabulary, data types, object identifiers, and FHIR message examples are included to facilitate the implementation process.
Applying the DHDR Data Contribution & Query HL7 FHIR IG
Ontario Health will be establishing the DHDR Consumer HL7 FHIR IG as an interoperability specification under Ontario’s Digital Health Information Exchange (DHIEX) framework.
The following information is provided in accordance with O. Reg. 329/04 under Personal Health Information Protection Act (PHIPA), 2004, section 28 Application of Specifications.
| Specification Effective Date | TBD |
| Class of Health Information Custodians that must select, develop, or use digital health assets that comply with the specification for data contribution FHIR Capability Statement-Data Contribution |
Community Pharmacies within in the meaning of the Drug and Pharmacies Regulation Act* who have executed an applicable EHR Contribution Agreement |
| Class of Health Information Custodians that must select, develop, or use digital health assets that comply with the specification for data query FHIR Capability Statement-Data Query |
All HICs as per Section 3 of PHIPA who are authorized to access and integrate with the EHR |
| Types of digital health assets to which the specification applies | Any EHR-integrated Health Information System utilized by the above class(es) of Health Information Custodians to contribute or query as applicable |
| 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 | Hospital Pharmacies within the meaning of the Drug and Pharmacies Regulation Act* |
*Contribution from Community Pharmacies is voluntary; however, should they choose to contribute, then compliance with the interoperability specification is mandatory.
Note: See Ontario Digital Health Drug Repository HL7 FHIR Consumer Access Implementation Guide for applications querying DHDR for display to patient consumers.
See Acute and Community Clinical Data Repository (acCDR) Input Standard Version 2.6 for hospital-administered drugs contribution specification.