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The Integrated Assessment Record (IAR) provides a central repository for clinical assessment data collected from health information custodian (HICs) classes. Assessment information (e.g. from child and youth mental health), collected at the point of care, can be shared within the client’s circle of care in a timely, secure, and privacy-protected manner. As a client moves through the continuum of care, consented assessments are accessible by the clinicians providing care.
The IAR enables collaborative care planning as well as enhanced communication between providers with the goal of promoting high quality care for clients in the community.
Currently, IAR solution is hosted by the following Health Information Network Provider (HINP):
The IAR Implementation Guide (IG) provides guidance and framework for submitting completed assessment forms to IAR’s central clinical data repository (CDR).
The guide specifies a set of rules for using FHIR resources to submit completed assessments to IAR CDR.
The guide includes:
This guide is based on FHIR R4.0.1.
On January 1, 2021, Ontario Regulation 329/04 ("O. Reg. 329/04") under the Personal Health Information Protection Act, 2004 (PHIPA), was amended to provide a regulatory framework for Ontario Health, as directed by the Minister of Health (“the minister”), to establish, maintain and amend interoperability specifications. This regulatory framework, as set out in sections 26 to 34 of O. Reg. 329/04, is referred to by Ontario Health as the Digital Health Information Exchange (DHIEX) framework.
Ontario Health guides and supports the adoption of modern interoperability specifications applicable to digital health assets as defined in s. 26 of O. Reg. 329/04. Health information custodians (HIC) are required to ensure that every digital health asset that it selects, develops or uses complies with all applicable interoperability specification, as it may be amended from time to time, within the prescribed timelines.
Compliance with the requirements of the DHIEX framework does not relieve a HIC of their broader obligations under PHIPA and its regulations or under the Freedom of Information and Protection of Privacy Act (FIPPA)
Ontario Health must consult with and consider the recommendations of the Information and Privacy Commissioner of Ontario on any specification that relates to the confidentiality of personal health information, the privacy of individuals or the rights of individuals to access or correct records of their personal health information, prior to providing the specification to the Minister of Health for review and approval.
Ontario Health is also required to consult with any health care provider organizations, individuals, stakeholders and other parties as appropriate, in order to inform its decisions concerning the establishment, maintenance or amendment of interoperability specifications.
This specification is fully copyright protected by the owner. The owner has the exclusive right to make copies of this specification. No alterations, deletions or substitutions may be made without the prior written consent of the owner. No part of it may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopy, email or any information storage and retrieval system, without the prior written consent of the owner.
This specification contains information for which copyright is held by Health Level Seven, Inc. There is no membership requirement for individuals and organizations which merely install or use software with built-in HL7 interfaces.
HL7® and FHIR® are registered trademarks of Health Level Seven, Inc. (https://www.hl7.org).
LOINC® is a registered trademark of the Regenstrief Institute, Inc. (http://regenstrief.org)
This material includes SNOMED Clinical Terms® (SNOMED CT®) (https://www.snomed.org/use-snomed-ct/) which is used by permission SNOMED International. All rights reserved. SNOMED CT®, was originally created by The College of American Pathologists.
“SNOMED” and “SNOMED CT” are registered trademarks of SNOMED International (https://www.snomed.org/).
Pursuant to O. Reg. 329/04, Ontario Health is required to, subject to the review and approval of the Minister, establish, maintain and amend interoperability specifications. The Minister may direct Ontario Health to establish or amend interoperability specifications, and Ontario Health is required to comply with such direction. In accordance with O. Reg. 329/04, Ontario Health makes the interoperability specification most recently approved by the Minister available to the public by posting it on Ontario Health’s website or by such other means as Ontario Health considers advisable.
As the Minister may direct Ontario Health to amend the interoperability specifications from time-to-time, Ontario Health advises the public and any other users of information concerning interoperability specifications to regularly review Ontario Health’s website where the interoperability specifications are posted, or such other means Ontario Health considers advisable, in order to confirm that they are accessing the interoperability specifications most recently approved by the Minister.
You understand and agree that: (i) This specification is provided “AS IS” without any warranties or representations of any kind, express or implied, in fact or in law; (ii) Ontario Health is not responsible for your use or reliance on the information in this specification or any costs associated with such use or reliance; and (iii) Ontario Health has no liability to any party for that party’s access, use or reliance on this specification or any of the information contained in it.
| APPROVER(S) | APPROVED DATE |
|---|---|
| Ontario Digital Health Interoperabillity Standards Committee (DHISC) |