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This Provincial Consent Override Interface Store HL7® FHIR® Implementation Guide (IG) supports implementers of digital health assets that will use HL7 FHIR to interact with the Ontario Health Provincial Consent Override Serivce. The guide specifies a set of rules for using FHIR resources to enact a temporary privacy consent override through the service, where allowed by Ontario law. The guide includes:
This guide is based on FHIR R4.0.1.
On January 1, 2021, an amendment to Ontario Regulation 329/04 (“O. Reg. 329/04” or the “regulation”) came into force to establish the DHIEX framework for interoperability specifications, as set out in sections 26 to 34 of the regulation. As a cornerstone of the Ministry of Health’s Digital First for Health Strategy, the DHIEX framework is intended to guide and support adoption of modern interoperability specifications for seamless access to integrated records of personal health information. In accordance with the regulation, Ontario Health is required to, subject to the review and approval of the Minister, establish, maintain and amend interoperability specifications for digital health assets selected, developed or used by health information custodians.
In accordance with O. Reg. 329/04, a health information custodian is required to ensure that every digital health asset that it selects, develops or uses complies with every applicable interoperability specification, as it may be amended from time to time, within the time period set out in the specification. Compliance with this requirement does not relieve a health information custodian of its obligation to comply with the other provisions of PHIPA and its regulations.
The ONE Access Foundation Program is setting the framework and technology underpinnings for developing and implementing ONE Access. ONE Access Foundation consists of three main pillars – Viewlet/Launcher & Framework, ONE Access Gateway and The enterprise container platform. The gateway provides different methods, styles and technologies to support a variety of means for collecting, moving, and presenting data.
Consent override is the process by which a requestor expresses their intention to unblock blocked clinical records. It is also referred as "reinstate consent" operation. In order to properly support the privacy requirements of the various APIs which are exposed via ONE Access Gateway (Provider), we would need to support Consent Override capabilities within the Provider Gateway. Also, given that agency has been mandated to be a Prescribed Organization, Provincial Consent Override Interface (pCOI) becomes more critical to be implemented to accommodate prescribed organization requirements.
At present consent override mechanism varies for each repository. Current override approach has different types of interfaces, security requirements and interaction patterns for each repository making it difficult for consuming applications to implement.
The PCOI service provides a consent override approach for the provider gateway that will be consistent across all the lines of business.
The implementation guide is organized into the following sections:
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. Implementors of the standards (those developing software or otherwise making use of the specification) are required to be members of either Health Level Seven Inc., HL7 Canada or one of the other HL7 affiliates. There is no such 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).
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 this interoperability specification available to the public by posting it on Ontario Health’s website or by such other means as Ontario Health considers advisable.
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