Business Context Index > Business Rules

Business Rules

Patient Identification

Patient identifier is required to uniquely identify a patient. Ontario health card number should be provided when available.

Practitioner Identification

Practitioner identifier is required to uniquely identify a practitioner. The practitioner’s license number or registration number issued by the regulatory college shall be provided as part of the Practitioner resource when that resource is present.

Organization Identification

Organization identifier is required to uniquely identify an organization. The organization's identifier shall be the Provincial Provider Registry Unique Provider Identifier (UPI) and will be provided by Ontario Health at the time of implementation.

Creating a Consent Override

Consent Override for DHDR

The only permissible reasons for override are:

• Express consent of Patient
• Express consent of Substitute Decision Maker (SDM)

The following data elements will be captured about the SDM:

• SDM first and last names
• SDM relationship type

The following SDM relationship types are allowed by Ontario Law:

• Guardian
• Attorney for Personal Care
• Representative appointed by Consent and Capacity Board
• Spouse/Partner
• Parent
• Child
• Sibling
• Other Relative

Consent Override for DHDR requires a consent override form for wet signature, available through the $CreateDHDRPDF FHIR Operation.