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

1.3. Scope

The Integrated Assessment Record (IAR) solution enables health information custodians (HICs) to submit completed assessments to the IAR repository.

This FHIR Implementation Guide (IG) is intended to define the standardized data formats, structures, and terminologies required for these exchanges. For this release, the scope is limited to the submission of completed assessments only.

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1.3.1. Current Scope

This IAR FHIR IG specification version focuses on a stable set of FHIR resources. These resources represent the finalized set for this version and cover the submission of completed assessments only.

• Account
• Bundle
• Coverage
• Encounter
• Location
• MessageHeader
• OperationOutcome
• Organization
• Patient
• QuestionnaireResponse

Example assessment forms are provided for illustrative purposes only to demonstrate how assessment data capture may be structured in alignment with the HL7® FHIR® Structured Data Capture (SDC) and the Questionnaire resource. These examples are not normative and/or a required technical artifacts for implementors to use.

Assessment Form Name
interRAI™ Child and Youth Mental Health - Adolescent Supplement (Part of CHYMH Full) 9.3.0_OH
interRAI™ Child and Youth Mental Health - Community Base (ChYMH-CB) 9.3.0_OH
interRAI™ Child and Youth Mental Health - Screener (ChYMH-S) 9.3.0_OH
interRAI™ Contact Assessment (CA) 10.0.1_OH
interRAI™ Preliminary Screener for Primary and Community Care Settings (PS) 1.0.0_OH

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1.3.3. Applying Ontario Integrated Assessment Record (IAR) FHIR IG

Ontario Health will be establishing the Ontario Integrated Assessment Record (IAR) 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.

Requirement	Details
Date on which the specification becomes effective (Note:  This is the date by which all applicable HICs are required to be compliantly contributing and/or consuming the approved interoperability specification. OH will work with the applicable HICs to establish the implementation plan in order to meet the effective date.)	Not applicable.
Name, description, or class of Health Information Custodians that must select, develop, or use digital health assets that comply with the specification:	Health Information Custodians who contribute data to Ontario IAR: - HIC classes (i.e. Assessors, Private and Public Hospitals, and Health Service Providers such as Home and Community Care Service and Community Mental Health and Addiction Services providers) as per PHIPA s.3(3) that are authorized per Ontario Health agreements to integrate with the repository. Health Information Custodians who view Ontario IAR data: - Out of scope for this release.
Types of digital health assets to which the specification applies	Digital health assets used by Health Information Custodians who contribute data to Ontario IAR: - Applications and systems that contribute IAR assessment records, such as electronic medical record (EMR) and case management system. Digital health assets used by Health Information Custodians who view data to Ontario IAR: - Out of scope for this release.
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:	No exemptions.