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IntegrationOSCAR Interaction PointsPurposeDescription of Integration
Commercial Labs (GDML, Lifelabs, etc.)
Receive patient lab information from commercial lab services.Labs are usually imported into OSCAR by a ESB like mule. A PKI exchange must be done ahead of time which determines authorization and  lab type
Excelleris Lab API

Similar to above. There's a separate program which downloads hl7 data and puts it in a folder to be handled by ESB and uploaded to OSCAR using same Lab interface
Medical Claims Electronic Data Transfer (MC EDT)
Send and receive medical billing reports with the Ministry of Health and Long Term Care (MOHLTC).PKI certs exchanged. Username and password. Conformance key
Ontario Health Card Validation (HCV)
Validate patient health card information against a service managed by the MOHLTC.PKI certs exchanged. Username and password. Conformance key.
OntarioMD's Hospital Report Manager (HRM)
Receive patient reports directly from hospitals.Oscar downloads available files from SFTP server. Decrypts files and loads into DB. key required for SFTP. 
Ontario Laboratories Information System (OLIS)
Receive patient lab information through a provincially managed service.client certificate, trusted cert imported, SSL
Ontario Telemedicine Network's (OTN) eConsult Service*
  1. GP: Send patient consultation requests and receive reports from specialists.
  2. Specialist: Receive consultation requests and send corresponding reports to GP.

Connection through eHEALTH HIAL. PKI certs, OneID SSO.


OntarioMD Physician Dashboard*
  1. Send patient metrics to centralized dashboard service.
  2. Receive requests from dashboard service to run queries in local environment

SSL

application key

no PHI exchanged

Digital Health Immunization Repository (DHIR)
Send immunization data provincially managed DHIR.Connection through eHEALTH HIAL. PKI certs, OneID SSO.
Digital Health Drug Repository (DHDR)
Receive medication information from provincially managed DHDR.Connection through eHEALTH HIAL. PKI certs, OneID SSO.
Better Outcomes Registry Network (BORN) Feeds

Connection through eHEALTH HIAL. PKI certs
ClinicalConnect
Open ClinicalConnect application with patient specific context.

Connection through eHEALTH HIAL. PKI certs, OneID SSO.

Also connecting to HHS CMS with PKI certs.

Drugref

HTTPS. No PHI exchanged

* Threat Risk Assessment already performed against integration 

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