Provincial EHR Asset Inventory

This online inventory provides a comprehensive list of strategic and tactical ehealth assets integral to transitioning Ontario’s EHR from the current, to the future state. Key to driving investment decisions  across the province in a unified direction, the inventory catalogues current and planned assets throughout the province and sorts them into two categories:  

  • Strategic – those aligned with Ontario’s Ehealth Blueprint and the future-state EHR; and
  • Tactical – those currently required to enable EHR adoption, but ultimately may not be permanent components of the future EHR.

This delineation helps ehealth information technology decision-makers make more strategic long-term investments.

While comprehensive, this first publication is not exhaustive.  Assets in the inventory do not include those in pilot phases or focused on secondary use of data. Updates to the inventory will be made quarterly.

Definitions
Name Definitions
Asset Classification Identifies whether an asset is strategic or tactical
Asset name Name of asset and its acronym
Asset owner Stakeholder responsible for the maintenance of the confidentiality, availability and integrity of an asset
Available Asset currently in use at the local, regional or provincial level
Decommissioned Asset is no longer available
Deprecated Although the asset is still available, it has been superseded by an alternative and is no longer recommended as a strategic resource for the purpose of integrating with the provincial EHR.
Future State How an asset is expected to evolve over time to contribute to a fully integrated provincial EHR
In development Work to develop this asset has commenced but it is not yet ready for release (limited or full production)
Limited production release Asset presently available on a limited scale as it is being tested and refined for a larger- scale roll out
Planned An asset included in annual business planning for upcoming development in support of the provincial EHR integration
Proposed An asset envisioned as a necessary component to realize a fully-integrated provincial EHR, but has yet to be included in formal business planning processes
Provincial EHR Asset An ehealth technology resource that supports the collection or delivery of EHR information. These assets are integral in helping to move Ontario’s EHR from its current state to a fully-integrated future state as envisioned in Ontario’s Ehealth Blueprint.
Provincial Electronic Health Record (EHR) Involves the exchange of electronic data identified in the Blueprint’s conceptual information model for the purpose of providing care, across the continuum of care in Ontario.
Purpose of asset Describes the asset and reason it was created
Scope of asset integration Indicates whether an asset consolidates or integrates EHR information at a local, regional, or provincial level
Status of asset Provides the current state of availability (e.g. available, limited production release, in development, planned, decommissioned)
Strategic Asset Strategic assets align with the provincial EHR blueprint and connectivity strategy. They are necessary for realizing a fully-integrated provincial EHR and represent the future state.
Strategic Non-EHR Asset These assets are strategic to the delivery of care but not to the EHR.
Tactical Asset Tactical assets are geared to providing immediate clinical value and fostering adoption of the provincial EHR, but may not be permanent components of the future EHR.
Asset Name Asset Classification Scope of asset integration Asset Owner Status of Asset Purpose of Asset Future State

University Health Network (UHN): Patient Results Online (PRO)

Tactical Regional University Health Network (UHN) Available A portal enabling providers to view health care client data from Mount Sinai, Sunnybrook, Toronto East General, St. Joseph's Health Centre, St. Michael's Hospital, Women's College Hospital and Lifelabs. Much of the functionality provided by PRO will be superseded by the clinical document viewer. The solution is not part of the provincial EHR. Decommissioning will be at the discretion of UHN.

Timely Discharge Information System (TDIS)

Tactical Regional Central East LHIN Available A hospital report solution providing clinicians with secure electronic access to reports from hospital into the EMR - a significant need for primary care physicians. Any further tactical investments supporting delivery of hospital reports to electronic medical record systems should be based on hospital report manager. Once all hospitals are feeding the clinical data repository, and HIAL-based publish/subscribe functionality is in place, the technology underpinning hospital report manager will be superseded by clinical data repository subscription and notification.

The Ottawa Hospital (TOH) Portal

Tactical Local The Ottawa Hospital Available Currently, this portal utilizes Ontario laboratories information system , Ontario drug benefits and client registry portlets developed by eHealth Ontario. Authorization to access these services uses the provincial provider registry. This solution is expected to be replaced by the provincial clinical data viewer.

South West Physicians Office Interface to Regional Electronic Medical Record (SPIRE)

Tactical Regional South West LHIN Limited Production Release A hospital report solution providing clinicians with secure electronic access to reports from hospitals into their electronic medical record systems; this is a significant need for primary care physicians. Any further tactical investments supporting delivery of hospital reports to electronic medical record systems should be based on hospital report manager. Once all hospitals are feeding the clinical data repository and HIAL-based publish/subscribe functionality is in place, the technology underpinning hospital report manager will be superseded by clinical data repository subscription and notification.

Rapid Electronic Access to Clinical Health Information (REACH)

Tactical Regional Mississauga Halton LHIN Central West LHIN Available A portal that enables providers to view client data from William Osler, Headwaters, Trillium Health Partners and, Halton Healthcare hospitals. It is on the same platform as the SWO ClinicalConnectTM viewer (Medseek – Red Snapper). Future clinical value to be determined.

Physician Office integration (POI)

Tactical Regional North Eastern Ontario Network (NEON) Available A hospital report solution providing clinicians with secure electronic access to reports from hospitals into their electronic medical record systems - a significant need for primary care physicians. Any further tactical investments supporting delivery of hospital reports to electronic medical record systems should be based on hospital report manager. Once all hospitals are feeding the clinical data repository, and HIAL-based publish/subscribe functionality is in place, the technology underpinning hospital report manager will be superseded by clinical data repository subscription and notification.

Ontario MD - Hospital Report Manager (HRM)

Tactical Provincial Ontario MD Available Enables clinicians using a certified electronic medical record system to securely receive patient reports electronically from participating sending facilities. Once all hospitals are feeding the clinical data repository, and HIAL-based publish/subscribe functionality is in place, the technology underpinning HRM will be superseded by clinical data repository subscription and notification.

Ontario Laboratories Information System (OLIS)  Client Registry

Tactical Provincial eHealth Ontario Available This in-house registry supports the needs of OLIS. It is an interim registry used by the OLIS application to look up and manage clients. Over time it is expected that this solution will be phased out and be replaced by the provincial client registry.

Federated data collection via Adapters and Integrations (ClinicalConnectTM)

Tactical Regional Hamilton Health Sciences Available Currently, the solution uses a pull model to acquire the data from various repositories when the information is required. Transition to a provincial clinical data repository for federated data access is not in line with the strategic pattern. The preferred architectural pattern is a push of data to a central repository (CDR, OLIS, etc.).

Eastern Ontario Viewer (EO Viewer)

Tactical Regional NEO Available Used in regions of Eastern Ontario to view hospital reports stored in the Eastern Ontario clinical data repository. Acute care hospital reports are sent from the EOCDR to reports delivery system for distribution to primary care EMRs. Will be replaced with the regional clinical data viewers.

Eastern Ontario Clinical Data Repository (EOCDR)

Tactical Regional NEO Available Also known as Brockville CDR, this solution was to designed get data from the acute setting to primary care EMRs in eastern Ontario. Reports from the EOCDR are now available via the OMD hospital report manager. Over time it is expected that this solution will be phased out and be replaced by the provincial clinical data repository.

ConnectingOntario Clinical Data Repository (CDR) Consent Registry

Tactical Provincial eHealth Ontario Available This solution applies consent rules when accessing the CDR. It provides system and administrative interfaces for the purpose of managing consent directives and providing consent override notifications. At a minimum, integration with the provincial consent registry will be required for uniform application of consent directives throughout the province. There is a preference for consolidation to provincial consent, subject to due diligence.

Wait Time Information System (WTIS)

Strategic Provincial Cancer Care Ontario Available A key enabler to Ontario's wait times strategy. It tracks and reports upon wait times for surgery , DI and emergency rooms, and supports alternate level of care data collection, the surgery efficiency targets program, MRI efficiency, and the Cardiac Care Network. Will continue to be integrated with the provincial client registry and potentially integrate with ONE ID. Integration with the provincial HIAL leverages provincial privacy and security controls in distributing reports.

Video Conferencing

Strategic Provincial Ontario Telemedicine Network (OTN) Available Leverages OTN’s managed video infrastructure and the internet to securely connect patients and providers for clinical consults, educational events and administrative meetings. OTN’s scheduling application provides event management and reporting services. PC-based videoconferencing is supported through its HUB portal, and integrated with its network of room- based systems. An OTN iOS application provides mobile videoconferencing connected with its larger videoconferencing network. A ‘Send Invite’ feature can be used to connect to patients and other non-provisioned third-parties to connect via PC-based videoconferencing for ad hoc meetings and consults. Information generated by video conferencing relevant for sharing as part of a provincial EHR will be shared through the provincial CDR via integration with provincial EHR integration assets.

The Registered Persons Database (RPDB)

Strategic Not Applicable Ministry of Health and Long Term Care Available A personal information bank which is organized and can be retrieved by an individual’s health number. Will feed the provincial client registry with patient identity and demographic information.

The Client Health and Related Information System (CHRIS)

Strategic Provincial Ontario Association of Community Care Access Centres Available A comprehensive clinical case management solution for Ontario's CCACs. CHRIS supports CCACs in managing clients , referrals and services for Ontario residents requiring health and community service information, services at home or school, referral to community services, access to long-term care, or post-acute hospital units. It is a web-based system used by all 14 CCACs and maintains a historical health record for all their clients. CHRIS is supported by a number of critical components including: information data store, provincial information & referral, CCAC care connector tool, eNotification, and fax services. Will continue to support CCACs and share client health information with the clinical data viewer, integrated assessment record and other stakeholders as required. It is strategically placed to become the consolidation point for all community-based health care information Integration with eHealth Ontario registries and services will be completed, realizing a high degree of data sharing consistency, integrity, and security. The provincial EHR will be fully populated with community-based health information, and the EHR viewers from each region will be fully integrated into CHRIS, making the full client record available to community-based users. ONE ID federation of the CCAC identity provider is underway along with OACCAC asset support/trust for ONE ID credentials. Once delivered, provincial single sign-on with client context will be supported to other federated services and identity providers.

Subscription Management Service

Strategic Provincial eHealth Ontario Proposed Allows providers to specify the notifications they would like to receive about EHR information, and where they would like them delivered (EMR, email address, cellphone/SMS). Together, subscription and notification services improve timely delivery of care by minimizing the time for new information to reach providers. The primary means of defining the targeted delivery of EHR information and eNotifications. Providers log onto a user interface where they have the tools to easily define the information that is pushed to them, and how this push occurs.

Standard Terminology and Terminology Services

Strategic Provincial eHealth Ontario Limited Production Release Used to manage and publish standard terminology assets, including code systems such as SNOMED CT®, LOINC®, ICD-10-CA®, provincial terminology sets (e.g. diagnostic imaging procedures), and terminology maps (e.g. local terms to provincial terms). Terminology services enable and support semantic interoperability through the use of standard terminologies, standard terminology models and standard terminology services. Interoperability is demonstrated by the consistency of human and machine interpretation of shared data and reports. Terminology services provide a common way for managing and retrieving these items, including historically correct version interpretation. Terminology services support the requirements for retrospective health record information and system data. This solution contains the standard provincial terminology and associated code systems in the form of terminology sets, and where appropriate, maps that relate local terms to provincial terms. The standard terminology services are consulted as part of EHR transactions to validate the clinical and non-clinical standard terms, and translate from local terms and codes to their provincial equivalent as appropriate. Will be based on Apelon’s Distributed Terminology System, TermWorks and TermManager. Through integration with the provincial HIAL, clinical and non-clinical terms within standards-based EHR transactions will be validated and translated as applicable.

Service Registry

Strategic Provincial eHealth Ontario In Development Will be a definitive list of EHR services, including a description of the service and its associated policies and technical specifications. Will be the authoritative registry for all services published on the provincial HIAL, inclusive of services offered by the regional HIAL segments and the eHealth Ontario HIAL segment.

Scheduling Application

Strategic Provincial Ontario Telemedicine Network Available An application for scheduling patients, providers and resources. Contains calendar information for all resources (human and otherwise). Can be used for video conferencing for clinical encounters, learning and administrative meetings. Scheduling information can be used to initiate and control video events. Currently sends out patient notifications about video conference via paper mail (letters). Has potential for ehealth use in general. This would require integration with provincial EHR integration assets.

Regional Diagnostic Imaging Repositories (DI-rs)

Strategic Regional London Health Sciences Centre for Southwestern Ontario Diagnostic Imaging Network DI-R Health Sciences North for Northern and Eastern Ontario Diagnostic Imaging Network DI-r University Health Network for Greater Toronto Area (GTA) West DI-r Hospital Diagnostic Imaging Repository Services Incorporated for HDIRS DI-r Available Regional DI-rs are hubs for sharing DI reports and images within a region. The DI-rs also act as aggregators for publishing the DI related documents to the provincial DI documents repository as well as providing long-term storage for a large number of of hospitals in the province. The province is divided into four geographical regions for the purpose of amalgamating the DI results within the region. The regions are southern and western Ontario, northern and eastern Ontario, GTA west, and GTA east hospital DI repository services. Each region has its own repository that is responsible for storing the radiology reports and DI of their associated hospitals and independent health facilities. Each repository has a unique internal implementation but their external requirements and characteristics are the same. Will continue to act as aggregators for publishing DI related documents to the provincial DI document repository as well as providing long-term storage for some hospitals. Additionally, they will provide image access services for consumer applications that require image display capability.

Provincial Provider Registry (PPR)

Strategic Provincial eHealth Ontario Available The repository containing an enumeration of all health care organizations and providers (identity, personal characteristics and professional roles), the services that they provide, and the associations between them. It is the authoritative source of information about providers and health care service delivery locations for use by all EHR solutions. It facilitates the unique and accurate identification of any individual or organization that provides health services in Ontario. The PPR is essential for the province-wide enforcement of access control, consent, and audit policies, and will play a key role in EHR transactions such as electronic referral and electronic consultation. A single PPR will provide the authoritative source of provincial provider identification, location and health service information. While health care providers will continue to use a digital identity at each organization in which they practice, the PPR will link these identities to a single provider individual; a capability that is essential to enforcing provincial privacy policies. Health care providers and the organization they work for will be able to update PPR information, and their systems will integrate with the PPR to ensure local provider registries are in sync with the PPR as required.

Provincial Health Information Access Layer (HIAL)

Strategic Provincial eHealth Ontario Available A centrally hosted and managed solution. The HIAL is a collection of technologies that orchestrates EHR transactions, ensuring that they are private and secure, and implementing integration capabilities. Incremental enhancements to the provincial HIAL are ongoing, with the HIAL evolving to version 2 over time based on the province's needs. It will service the HIAL needs of the GTA, South West Ontario, Northern and Eastern Ontario, and eHealth Ontario. Each region will have the autonomy to manage HIAL functionality specific to the individual region’s needs.

Provincial Clinical Data Repository (CDR)

Strategic Provincial eHealth Ontario Available The provincial repository used for sharing clinically relevant EHR information not already shared through the laboratory, medication, or diagnostic imaging repositories. It includes information such as discharge summaries, patient assessment forms, clinical notes, and transcribed reports or procedures reports. The CDR HIAL is one of the dependent/necessary supporting technologies of the provincial CDR. A single CDR will be used for the exchange of data that originates in acute, primary, and community settings. Data generated by point of service systems will automatically be sent to the provincial CDR where it will remain, providing an essential data set of the provincial EHR. In the future state, the CDR HIAL will get data in and out of the CDR, all EHR transactions will be brokered by the standards-based provincial HIAL, and regional HIAL segments will be used to connect regional legacy systems with provincial EHR services.

Provincial Client Registry (PCR)

Strategic Provincial eHealth Ontario Available The datastore for the identity and personal characteristics data of all people who have received health services in Ontario. It also includes all Ontario residents covered by OHIP. It is the definitive source for a health care client's identity, facilitating the unique, accurate and reliable identification of individual clients who receive care in Ontario, across the disciplines in the health care sector. Crucial to the provincial EHR, it links people to their associated identities throughout the health care system, enabling the linkage of health records to individuals. In the future, a single provincial client registry (PCR) will link people with their health information. Each point-of-service system that contributes information to or consumes information from the provincial EHR must integrate with the PCR to ensure synchronized health care client identity information between the point of service (POS) and the PCR. Given many commercial off the shelf (COTS) POS systems will continue to rely on local client registries, keeping all systems in sync with the PCR will require a combination of Admit, Discharge, Transfer (ADT) feeds to the PCR, active integration with the PCR and notifications from the PCR.

Provincial Assessment Solution

Strategic Provincial Ontario Association of Community Care Access Centres Available A provincial interRAI assessment creation and management tool used for intake purposes by all 14 CCACs and many LHIN funded community service agencies. The system is seamlessly integrated with CHRIS to optimize the CCAC staff work flow. Will continue to be the assessment creation and management tool for the CCACs.

Provider Service Directory

Strategic Provincial Ontario Telemedicine Network Available An application that maintains telemedicine specific practice information for providers and programs including service provided, catchment area, protocols, accepting patients, service location, and wait times. Also contains location (sites) and video end points (systems) used for telemedicine. Potential to Integrate with the provincial provider registry to maintain currency of provider services information.

Provider Directory Portlet

Strategic Provincial eHealth Ontario Available Provides the ability to search for a health care provider within the provider registry by name, location and/or specialty. Will continue to be offered; and search capabilities will be enhanced once the provincial provider registry is available.

Prefetch Engine

Strategic Local Various health care provider organizations Available Automated service designed to trigger the retrieval of prior imaging studies before a radiologist reviews a current study. Allows the radiologist to efficiently compare current and prior exams on a PACS workstation without the overhead of locating and retrieving the images manually. Prefetch engines will search the provincial XDS registry looking for imaging manifests associated with relevant prior imaging studies (typically based on body part, modality and how long ago). The engines then determine the location (DI-rs) containing the relevant prior imaging study and initiate a transfer to the local hospital PACS system.

Portal Services

Strategic Provincial eHealth Ontario Available An application server that hosts clinical web portlets (e.g., lab, Ontario drug benefits) that can be presented and viewed through supported portals (e.g., The Ottawa Hospital portal, ONE Portal) See individual portlets for descriptions of which lines of business are available. Will continue to offer clinical portlets that can be consumed by remote portals. ONE Portal will use these portlets to provide a provincial view of the EHR.

Portal Context Framework Portlet

Strategic Provincial eHealth Ontario Available Allows all portlets on a web page to interact with one another and share patient context (such as health number) with other portlets on the web page. Will continue to be offered.

Point of Service Systems

Strategic Local Various health care provider organizations Available Encompasses a wide-range of locally-owned assets that continue to be required even with a fully-functioning provincial EHR. These include electronic medical records, hospital information systems, pharmacy management systems, picture archiving and communication system viewers, and other systems providers use for collecting or delivering EHR information. Will continue to exist in stakeholder organizations as foundational elements to contribute or deliver EHR information to the provincial EHR. While stakeholders have the flexibility to choose which POS system to implement, important EHR assets, such as 'terminology standards' , will assist in ensuring these systems can integrate with other key EHR assets. The publication, Requirements for Point-of-Service Procurements, provides support for procuring EHR-connected POS systems.

Pharmacy Acquirer Host Solutions

Strategic Provincial Ministry of Health and Long Term Care (MOHLTC) Available A hub or service bus that consolidates claims transactions from the pharmacies for submission to the Ontario drug benefit claims system. There are 3 pharmacy acquirer hosts in the province. This is a MOHLTC owned service separate from the HIAL that uses the eHealth Ontario ONE Network. These hubs will continue to exist.

Patient Selector Portlet

Strategic Provincial eHealth Ontario Available Uses health number or alternative identifier (e.g. medical record number), date of birth and gender to locate and verify the patient against the provincial client registry. Once found, the portlet sets the patient context for all other portlets on the page. This portlet will be integrated with all other portal services portlets.

Patient Monitoring Management Systems (PMMS)

Strategic Provincial Ontario Telemedicine Network (OTN) Available Supports OTN’s chronic disease management program (Telehomecare) and small remote patient monitoring programs and pilots (post-acute monitoring, palliative). Patients submit health information to PMMS via devices in the home. Clinician monitor patient data and document clinical information (e.g. nursing notes) using the application’s web-based interface. Clinicians monitor PMMS for patient alerts triggered by results that fall outside of ranges set for the patient. Alerts are reviewed, responded to and documented. Typical responses include contacting the patient, their provider or more urgent escalation if required. Clinicians also use PMMS to manage and document health coaching and education activities carried out with the patient. Information generated by remote patient monitoring relevant for sharing as part of provincial EHR, will be shared through the provincial CDR via integration with provincial EHR integration assets.

Patient Lab Results (OLIS) Portlet

Strategic Provincial eHealth Ontario Available Displays a list of the patient’s lab test results and reports from the OLIS data repository. This portlet currently integrates with the client selector portlet. In future, it will be integrated with the patient selector portlet.

Ontario Telemedicine Network (OTN) - econsult

Strategic Provincial Ontario Telemedicine Network In Development Allows health care providers to electronically request advice and securely exchange patient health information with one another for more efficient and effective consultations. The system allows for the exchange of digital artifacts such as lab results, exam results and digital photos. It manages clinical workflow to allow for orderly and safe transactions between providers. Plans underway for it to become compatible with Ontario's eReferral specification for wider exchange of referrals between health providers and organizations.

Ontario Laboratories Information System (OLIS)

Strategic Provincial Ministry of Health and Long Term Care Available The provincial repository for lab reports, accessible by provincial EHR viewers and other portals via the patient lab results (OLIS) portlet and to other systems via web services. OLIS also supports lab orders and referrals. OLIS will remain the provincial lab order, result, and referral system. It will be fully integrated with provincial ehealth assets such as the HIAL and the client, provider and user registries.

Ontario Drug Benefit (ODB) Claims History Portlet

Strategic Provincial eHealth Ontario Available Displays a list of the patient’s drug claims from the Ontario drug benefit (ODB) program. This portlet currently integrates with the client selector portlet for patient context. Once the comprehensive drug profile system is active, this portlet will change from the ODB repository to the new repository. In future it will be integrated with the patient selector portlet.

ONE Portal

Strategic Provincial eHealth Ontario Available Enables health care teams to stay connected, work collaboratively and use eHealth Ontario applications to share clinical information. The collaboration spaces and communities provided by ONE portal allow health care providers across the province to share documents, conversations and data in a secure manner. Providers can be enrolled in multiple communities on ONE Portal. Will continue to fill portal needs not provided by the provincial clinical data viewer and the clinical connect viewer (e.g. collaboration, enterprise reporting, etc). It is also a unified point of access to a number of provincial EHR viewers and applications, using ONE ID single sign-on with context management.

ONE Mail

Strategic Provincial eHealth Ontario Available A trusted, secure channel for delivering personal health information and personal information. Two solutions are available: Partnered for large organizations with mail servers - ONE Mail provides encryption and ONE Mail active directory services; Direct for smaller organizations - hosted by eHealth Ontario, provides secure ONE Mail account and ONE Mail active directory services and calendar, scheduling sharing with other direct users. Will remain a viable channel for exchanging health related information in cases where no other formal channel exists.

ONE ID

Strategic Provincial eHealth Ontario Available eHealth Ontario's identity and access management solution. It provides and manages credentials clinicians can use to access EHR services, and enables single sign-on to EHR services using providers' existing credentials. It also provides a number of capabilities (e.g. authorization, risk-based authentication) used to secure access to provincial EHR services. A platform which delivers a comprehensive authentication, authorization, and context management solution that can be leveraged by consumers of and contributors to the provincial EHR.

North West Health Alliance Regional Hospital Information System (HIS)

Strategic Regional NEO Available An existing large hospital system consolidation that supports the expansion of hospital information systems in 13 hospitals in the North West , and facilitates more coordinated integration with provincial assets. It remains a regional asset, similar to other hospital information system consolidations around the province. North West Health Alliance will continue its role as a consolidated hospital information system.

North East Ontario Network (NEON)

Strategic Regional Health Sciences North Available An existing large hospital system consolidation (22 of 25 hospitals). NEON supports the expansion of hospital information system (HIS) consolidation in the north east and facilitates more coordinated integration with provincial assets. However, this remains a regional asset. It is similar to other HIS consolidations around the province. Will continue its role as a consolidated HIS. Sault Hospital, North Bay Regional and West Parry Sound are not members, but there is an interest for North Bay and Sault hospitals to join.

Monitoring and control technology assets (MCTA) - Audit

Strategic Provincial eHealth Ontario Available The centralized service that reports on who saw what EHR information, and when, and monitors EHR transactions in real time to identify suspicious behavior and notify privacy representatives for further investigation. The MCTA solution is a recent addition to the suite of key provincial assets, and the various provincial EHR services are transitioning from tactical and local audit solutions to the MCTA solution. All contributions and disclosures of personal information and personal health information that go through the provincial HIAL will be monitored and reported upon through MCTA.

Integrated Cancer Screening (ICS)/InScreen

Strategic Provincial Cancer Care Ontario Available The ICS suite of information and technology tools creates electronic screening records for eligible Ontarians by collecting and integrating data from several sources (administrative, clinical, cancer, laboratory, etc.) Potential to leverage provincial EHR integration assets (such as provider and client registries and the HIAL)in digitizing the patient screening process. Potential to leverage roster information in support of provincial subscription and notification.

Integrated Assessment Record (IAR)

Strategic Provincial Ministry of Health and Long Term Care Available An application that allows authorized users to view a consenting client’s assessment information to effectively plan and deliver services to that client. The IAR allows assessment information to move with a client from one health service provider (HSP) to another. HSPs can use the IAR to collaborate with other care providers and view timely assessment information electronically, securely and accurately. The IAR is made up of a repository and a clinical viewer. The repository stores all integrated assessment data. The viewer is the web application that allows providers to interact with the IAR system. Will be a HIAL published service, subject to ministry review and approval.

Immunization Record Repository

Strategic Provincial Ministry of Health and Long Term Care Available Part of Panorama, the provincial immunization and pandemics management system. The repository keeps track of immunizations of school pupils, day care attendees, and those vaccinated at public health clinics in a secure, web-based information system. Will be integrated with the provincial client and provider registries, enabling safe and reliable linking of immunization records to people. Access to this repository will be brokered by the provincial HIAL, enabling consistent enforcement of privacy and security policies to the PUT/LIST/GET interfaces that will be available for point of service system integration.

Health Partner Gateway (HPG) - CHRIS Viewer

Strategic Provincial Ontario Association of Community Care Access Centres Available A province-wide system that provides external partners of the CCAC (e.g. contracted service providers, acute care staff) with access to their client information stored in the CHRIS and assessment systems. The system is accessed via either a web browser interface or a system-to-system web-service interface. Will continue to be the gateway to CCAC information but will rationalize its functionality against the emerging CDR viewers and HIAL services. Partners accessing CCAC client information through the provincial CDR may no longer need to use HPG to access CCAC patient information.

Health Network System (HNS)

Strategic Provincial Ministry of Health and Long Term Care Available The medication dispense information repository containing Ontario drug benefit claims data and narcotic dispenses. All medication dispense information will be part of the provincial EHR and will be available to all health care clients and providers via the comprehensive drug profile solution. Regional and provincial clinical viewers will have access to this richer drug profile data to improve clinical decision-making and collaboration, improve health care client safety, and reduce the incidence of adverse drug events.

Emergency Neuro Image Transfer System (ENITS)

Strategic Provincial London Health Sciences Centre Available A centralized web-based picture archiving and communication system that makes remote neuro consultations easier, faster and more accurate. Referring hospitals across the province send head scan images to ENITS where they can be accessed and viewed by neurosurgeons on-call anytime, anywhere. Due to the specific nature of its usage, the ENITS system will continue to exist in parallel to the provincial diagnostic imaging common services.

Electronic Child Health Network (eCHN)

Strategic Provincial Electronic Child Health Network (eCHN) - with oversight from SickKids Available A secure electronic network that enables authorized care providers across Ontario to access health information about paediatric patients, instantly, from many different sources. eCHN is operated as a non-profit, government-funded institution. It collects the data resulting from patients' interactions with the health care system and consolidates them into the form of a single medical WebChart. eCHN is a flexible, open, scaleable system designed to be interoperable with other provincial services, as they become available. It is currently connected to the Ontario Laboratory Information System (OLIS) Plans are to continue to expand eCHN with new data/new patients and will continue to integrate with other provincial EHR assets.

eClaims - New Drug Funding Program claims management system (NDFP)

Strategic Provincial Cancer Care Ontario Available Stores patient and treatment information about systemic therapy drug utilization at regional cancer centres and other Ontario hospitals, for which reimbursement is being sought according to strict eligibility criteria. Potentially integrates with ONE ID.

Drug Profile Viewer (DPV)

Strategic Provincial Ministry of Health and Long Term Care Available The Drug Profile Viewer (DPV) is a secure, web-enabled application that provides authorized health care providers with prescription drug claims information from the HNS system for Ontario Drug Benefit (ODB) and Trillium Drug Program (TDP) eligible Ontarians. DPV is used in hospitals across the province and is accessed through eHealth Ontario's ONE Portal. DPV will continue to provide access to ODB drug claim histories until all DPV sites are migrated to access the new DHDR service through one of the regional viewers. DHDR will provide HCPs with access to dispensed drug events for multiple drug data sources.

Drug and Alcohol Treatment Information System (DATIS)

Strategic Provincial Centre for Addiction and Mental Health Available Collects, analyses and reports substance abuse and problem gambling clinical treatment and client demographic data from over 170 specialized services agencies in Ontario. DATIS' mission is to contribute to the understanding and service enhancement of problem gambling and addiction in Ontario through the development and maintenance of a comprehensive, province-wide client information system . DATIS includes both a repository and viewer. The repository stores all DATIS data, while the viewer is the web application that allows providers to interact with the DATIS system. Agency-level data is publicly available on the DATIS website for agencies, the ministry, LHINs and other stakeholders. DATIS will be redeveloping its proprietary software Catalyst to encompass revised clinical interventions, assessments and new guidelines in mandatory addictions and problem gambling fields. These guidelines aim to align the sector with eHealth Ontario and Health Canada standards and terminology. The intent is to facilitate future connectivity with diverse databases in Canada.

Diagnostic Imaging Viewer

Strategic Provincial eHealth Ontario In development The DI Viewer will allow users to retrieve and view DI studies (images ) and reports. The DI Viewer will be replacing the DI reports portlet as the provincial diagnostic imaging viewer (with both report and image view capacity)

Diagnostic Imaging (DI)Reports Portlet

Tactical Provincial eHealth Ontario Available Displays a list of DI reports from the provincial DI repository for a selected patient. It currently integrates with the patient selector portlet for patient context. The provincial DI viewer will be replacing DI reports portlet as the provincial DI viewer (with both report and Image view capacity)

Diagnostic Imaging (DI) Document Repository

Strategic Provincial eHealth Ontario Available Enables province-wide discovery and retrieval of DI reports and image manifests. The underpinning technology is the cross-enterprise document sharing (XDS) document registry. Will be the authoritative provincial XDS registry used to support the exchange of diagnostic reports and images. The XDS document registry will be expanded to support exchange of EHR clinical documents in general

Diagnostic Imaging (DI) Common Services

Strategic Provincial eHealth Ontario Available To enable DI and DI reports stored in regional DI repositories to be accessible province-wide from anywhere and anytime, within the context of the provincial EHR initiative. From a clinical and business perspective, the DI common service solution will deliver a private and secure shared common service for the DI repositories while following the principle of delivering the greatest clinical value relative to associated costs as a priority. DI common services currently provides access to DI reports to a growing list of providers via the DI report portlet. Once rolled out across the province, DI common services will be the system of authority for province-wide sharing of DI reports and images through multiple channels (e.g. ClinicalConnectTM and the provincial DI viewer, once available). Foreign exam management will be enabled through this asset.

Diagnostic Assessment Program - Electronic Pathway Solution (DAP-EPS)

Strategic Provincial Cancer Care Ontario Deprecated An Internet-based tool to improve the patient and provider experience throughout the diagnostic journey. This interactive website provides patients, DAP staff and health care providers with shared information and support as a patient progresses from the suspicion of cancer to a definitive cancer or a non-cancer diagnosis. Cancer Care Ontario is retiring the pilot program by March 2017

Corporate Provider Database (CPDB)

Strategic Not Applicable Ministry of Health and Long Term Care Available An integrated repository of health care stakeholder registration and program eligibility information used for operational and planning purposes. Will contribute provider information to the provincial provider registry.

Consent Management Technology Assets (CMTA) - Consent

Strategic Provincial eHealth Ontario Available As the provincial consent management solution, CMTA will enable the uniform enforcement of privacy directives for all EHR transactions. If a consent directive blocking a specific provider's access to a client's information is declared, integration with CMTA allows this directive to be enforced across all identities a provider may be using to access the EHR. Through integration with the HIAL, patient consent directives will be applied to all provincial EHR transactions. Consent directives managed by CMTA are available to be enforced through local or regional levels. CMTA can be integrated with other consent management solutions in the province as required via HIAL-based notifications.

ClinicalConnectTM Viewer (CCV)

Strategic Regional Hamilton Health Sciences Available Also known as the regional clinical viewer, the CCV - which presents a consistent view of clinical information - is the EHR viewer for the SWO region. Its primary source of data is hospital information systems in South Western Ontario (SWO), but it also presents data from other clinical data repositories such as Ontario laboratories information system and client health and related information system. One component is the connecting South Western Ontario (cSWO) engine, which contains multiple adapters. Adapters use pull mechanisms to obtain data from hospital information systems as part of the population of the viewer. The cSWO connection engine is the source of all acute care and EHR data for the CCV. Is the EHR viewer for the SWO region, and be available for use in acute, primary, and community care settings. It will complement existing point of care systems (e.g. hospital information systems) by leveraging user logons and patient context, but can also be used in settings with no point of care systems. Once all hospitals in the region are feeding the provincial CDR, ClinicalConnectTM will retrieve hospital information from it, and not directly from the hospitals.

Clinical Data Viewer(CDV)

Strategic Regional eHealth Ontario Available Currently known as the connectingGTA portal, this viewer - which presents a consistent view of clinical information - will be branded as the CDV once it becomes a provincial asset and is used by other regions. Its primary source of data is the provincial clinical data repository, but it also presents data from other repositories such as the Ontario laboratories information system. Will remain the web-based EHR viewer for the GTA region. In the Northern and Eastern Ontario (NEO) region, the CDV will be created on the GTA infrastructure to serve health care providers. This instance will contain the same clinical portlets as the GTA instance, accessing the same data sources, but branding, layout, and overall look and feel will be tailored to meet the needs of NEO health care providers.

Client Selector Portlet

Strategic Provincial eHealth Ontario Available Uses health number, date of birth and gender to locate and verify a patient in the client registry. This portlet is used to perform data validation and set patient context for all other portlets on the page. Will be replaced with the patient selector portlet.

Client Details Portlet

Strategic Provincial eHealth Ontario Available Validates patient information against the client registry before setting patient context for other portlets on the page to help ensure data belongs to the correct patient. Will continue to be offered but will migrate to use the provincial client registry.

Client Agency Program Enrolment (CAPE)

Strategic Not Applicable Ministry of Health and Long Term Care Available A repository of the association of a registered person with a specific physician at a specific agency in a formally recognized program. The data will feed provincial registries in support of relating patients, providers, and provider systems. This data is useful in the distribution of clinical document reports.

Claims history database (CHDB)

Strategic Not Applicable Ministry of Health and Long Term Care Available The repository of information retained by the ministry relating to medical claims submitted by providers for services provided to eligible residents. This OHIP database is used in assessing and processing claims. This OHIP database will feed provincial registries in support of relating patients, providers, and provider systems. This data is potentially useful in the distribution of clinical document reports.

Care Coordination Tool (CCT)

Strategic Provincial Ministry of Health and Long Term Care In Development Intended to create, maintain and share coordinated care plans and send secure messages between members of the care team. The tool is being built initially to support Health Links. The CCT will be independent of specific roles and processes so Health Links can determine how to use it to support their approaches to care coordination. The solution is being designed to serve the needs of care providers from all sectors. The focus is on developing complementary functionality to existing provincial systems by delivering care team communication and the ability to maintain coordinated care plans. In future, work could be undertaken to provide access to CCT users to data from a patient’s EHR through the three regional connecting projects: connectingGTA, cSWO and cNEO.

Better Outcomes Registry and Network (BORN)

Strategic Provincial Funded by Ministry of Health and Long-Term Care Administered by Children's Hospital of Eastern Ontario (CHEO) Available A prescribed registry enabling the collection of, and access to, data on every birth and child in Ontario. Sourced from hospitals, labs, midwifery practice groups, primary care providers and clinical programs, the data is collected through a variety of mechanisms including HL7 messaging standard, batch upload, and manual entry. Information is reported via standard reports and analytical tools within the BORN information system. BORN will continue to exist and evolve in support of Ministry of Health and Long-Term Care and Ministry of Children and Youth Services initiatives

App Formulary

Strategic Provincial Ontario Telemedicine Network Planned A repository of digital therapies (applications) available to clinicians for prescription to their patients, providing a source of truth regarding what can be prescribed, how to prescribe it, who a particular application should be prescribed to. Has potential for ehealth use in general. Will require integration with provincial EHR integration assets.

Analytics Repository

Strategic Provincial eHealth Ontario Proposed Used to prepare EHR data for specific analytics purposes. Data sets from provincial clinical repositories required for analytics will be placed in this repository where they will be de-identified and made available for each specific analytical use. The repository will provide the EHR data sets necessary for rich reporting (for both primary and health system use), research, and clinical decision support.

Agreements Registry

Strategic Provincial eHealth Ontario Proposed A record of which provider persons / organizations have signed which agreements (e.g. data sharing agreement). This registry will be consulted by the HIAL in processing transactions, enforcing disclosure to only those people and organizations who have signed the appropriate agreements. The authoritative provincial registry that informs the contractual legitimacy of applicable EHR transactions. It's user interface allows providers to manage agreements, including digitally signing data sharing agreements.

Connecting Greater Toronto Area (connectingGTA) Clinical Data Repository (CDR) Terminology Registry

Tactical Provincial eHealth Ontario Available

This solution currently used by connectingGTA is based on  the Apelon technology stack (Apelon Distributed Terminology System, and TermWorks). The terminology services in use with the CDR are applying terminology validation and transformation to outbound data as it is being retrieved.

Migration to the provincial standard terminology and terminology services is required  for effective management and uniform application of reference and mappings throughout the province.

Connecting Greater Toronto Area (connectingGTA) Clinical Data Repository (CDR) Interim Provider Registry (PR)

Tactical Provincial eHealth Ontario Available

This in-house registry supported the needs of University Health Network. This was an interim registry used by the regional integration initiative. (Also known as University Health Network provider registry)

These assets have been migrated to eHealth Ontario. The CDR will be integrated with the provincial provider registry. The provincial provider registry includes enhancements to support the provincial CDR and the business requirements of the regions.

Connecting Greater Toronto Area (connectingGTA) Clinical Data Repository (CDR) Interim Client Registry (CR)

Tactical Provincial eHealth Ontario Available

This in-house registry supported the needs of University Health Network. It was an interim registry used by the regional integration initiative. (Also known as University Health Network client registry.)

These assets have been migrated to eHealth Ontario. The CDR will be integrated with the provincial client registry.

Electronic Canadian Triage and Acuity Scale (eCTAS)

Strategic non-EHR Provincial Cancer Care Ontario (CCO) / Access to Care Available

CCO will be establishing an electronic decision support tool to apply the Canadian Triage and Acuity Scale (CTAS) guidelines in a consistent and standardized manner that supports improved patient safety and quality of care in emergency departments across the province. This new solution will be integrated into emergency department process and systems in over 100 hospitals and will support the triage of over 500,000 patients per month.

Phase 1 rollout will begin in Dec 2016. The broader provincial rollout will take place by the end of FY 2017-18.

Digital Health Drug Repository (DHDR) - Formerly known as the Comprehensive Drug Profile Repository (CDPR)

Strategic Provincial Ministry of Health and Long-Term Care Available

The DHDR is a scalable repository of publicly funded dispensed drug events that are accessible to authorized health care providers through point of care systems. The DHDR includes web services exposed through eHealth Ontario's HIAL to facilitate integration with POC systems. DHDR will initially provide Health Care Providers with access to Ontario Drug Benefit (ODB) dispensed drug histories through the regional viewers, such as Clinical Connect.

The DHDR will receive and respond to queries based on patient identifiers, from various client systems, and will receive drug dispense data from additional drug data sources, including narcotic and controlled substances and pharmacy data, with the eventual goal of providing access to all drugs for all people.

Acute Care Enhanced Surveillance (ACES) - formerly Emergency Department Syndromic Surveillance (EDSS)

Strategic non-EHR Provincial Ministry of Health and Long-Term Care (Data owner) Kingston, Frontenac and Lennox & Addington Public Health Available

ACES provides real-time epidemiological surveillance for Ontario. It is maintained by Kingston, Frontenac and Lennox & Addington Public Health, with funding from the Ministry of Health and Long-Term Care. From the 127 acute care hospitals (approx 76%) contributing triage and admission records to ACES, approximately 12,000 visits and 3,000 hospital admissions are logged per day. ACES allows users to (1) monitor acute care hospital volume, admissions, and surge capacity to help prepare for high volumes of patients, particularly in the event of an influenza pandemic, (2) monitor trends and/or changes in the incidence of endemic disease, and (3) detect new or emerging public health threats. ACES enables situational awareness for a variety of common, emerging, or unexpected public health issues.

ACES is at approximately 76% coverage of acute care facilities. The long-term goal is to include all acute care facilities.