Ontario Provincial Consent Override Interface HL7® FHIR® Implementation Guide v1.0.0-draft1
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This Provincial Consent Override Interface (PCOI) HL7® FHIR® Implementation Guide (IG) supports implementers of digital health assets that use HL7 FHIR to interact with the Ontario Health Provincial Consent Override Interface service. PCOI provides a standardized mechanism for authorized users and consuming applications to submit consent override requests across participating provincial Electronic Health Record (EHR) repositories. As a workflow-oriented service, PCOI does not define repository-specific clinical content models, data submission requirements, or clinical document profiles. Repository-specific consent validation, access controls, and data retrieval processes remain governed by the respective repository services.
This implementation guide is based on HL7 FHIR R4.0.1 and defines the FHIR interactions required to perform consent override requests submitted to the provincial EHR repositories, where permitted under Ontario legislation. It includes:
Ontario Health Provincial EHR Repositories
This implementation guide supports consent override workflows for provincial EHR repositories participating in the PCOI program. For PCOI Release 3 (R3), supported repositories include:
ONE Access Foundation provides the framework and technology components that enable secure access to information across Ontario Health Provincial Electronic Health Record (EHR) services. Consent override is the process by which an authorized user requests access to clinical information that has been restricted by a patient's consent directive, in accordance with applicable legislation, regulations, and organizational policies.
Historically, consent override capabilities were implemented differently across repositories, resulting in varying interfaces, security requirements, and integration patterns. The Provincial Consent Override Interface (PCOI) addresses these challenges by providing a common, standardized approach to consent override across participating provincial EHR repositories. This enables consuming applications to use a consistent interface while allowing repository-specific consent processing to remain within the respective repository services.
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| APPROVER(S) | APPROVED DATE |
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| Ontario Digital Health Interoperabillity Standards Committee (DHISC) | YYYY-MM-DD |