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Scope

This implementation guide is developed as part of Ontario Health's plan to facilitate the exchange of Medical Imaging (MI) data. Ontario MI Clinical Data Repository (miCDR) is designed to enable physicians to contribute and view MI data from all MI organizations across the province.

The purpose of this implementation guide is to develop guidance and explore potential of using FHIR standard for CDR data submission and consumpton.This aligns with the provincial DHIEX regulation which stipulates that FHIR will be the primary healthcare interoperability standard in health data exchange in Ontario.

The current design of this implementation guide focuses on FHIR representation of MI reports, MI orders and image manifests.

Applying the miCDR HL7 FHIR IG

Ontario Health will be establishing the miCDR HL7 FHIR IG as an interoperability specification under Ontario’s Digital Health Information Exchange (DHIEX) framework.

The following information is provided in accordance with section 28 of O. Reg. 329/04 made under the Personal Health Information Protection Act (PHIPA), 2004.

Date on which the specification becomes effective:
  • To be determined
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 create/maintain/view MI reports, MI orders and image manifests
Types of digital health assets to which the specification applies:
  • Digital health assets used by Health Information Custodians for the above purpose
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:
  • None