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

1.3. Scope

In Scope

This Implementation Guide provides the FHIR conformance (profiles, transactions, and terminology) for the following:

• Contributing Actors:

  • Panorama: For ongoing data contributions and bi-directional synchronization from Public Health Units.
  • Community Pharmacy Management Systems (PMS): For direct, real-time submission of immunization records administered at community pharmacies.

• Querying Actors

  • Panorama
  • Community Pharmacy Management Systems (PMS)
  • Provincial Viewers
  • Electronic Medical Record Systems
  • Health Information Systems
    
    

• Data Transactions

  • Data In:

    • Submission: The creation of new immunization and client records in the IR.
    • Corrections & Updates: The ability for the original source system to submit updates or correct clerical errors.
    • Invalidation: The ability for the original source system to logically delete or mark a record as "Entered-in-Error".
      

  • Data Out:

    • Synchronization: Transmission of immunization records, updates, and logical deletes from the IR back to Panorama.
    • Any transactions to query or read data from the IR such as provincial viewers, electronic medical record systems and HISs.
      
      

• Core Infrastructure Integration:

  • Standards for identity resolution through the Provincial Client Registry (PCR) and provider validation through the Provincial Provider Registry (PPR).
  • Enforcement of consent directives through the Consent Management Technology Asset (CMTA).
    
    

Out of Scope This Implementation Guide does not define standards or transactions for the following:

• Bulk Historical Loads: The one-time bulk load of historical data from Panorama or other sources is defined separately.
• Other Data Sources: Contributions from Primary Care, Hospitals, Long-Term Care Homes (LTCH), or Indigenous health systems (planned for future work packages).
• External Requests: Direct ongoing data retrieval requests from PMS, HIS, or EMR systems.
• User Interfaces: The design of "Quick-entry" forms or specific clinical/patient viewers.
• Consent Management: The administrative processes for creating, updating, or removing consent directives (managed by the Ontario Health Privacy Office).

1.3.1. Applying Ontario Immunization Repository FHIR IG

Ontario Health will be establishing the Ontario Immunization Repository 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.