EMR Specifications Overview
works with physicians, EMR vendors, provincial partners (e.g. Ministry of
Health, Ontario Health, Government of New Brunswick, etc.) and other
stakeholders, to develop and manage EMR Specifications. The EMR Specifications
cover a range of clinical, business and technical requirements that
certified EMR offerings support. An EMR Specification may
contain one or more documents that include all the necessary information an EMR
vendor needs to implement the specification.
Specifications define a minimum set of consistent, repeatable requirements and obligations
that drive EMR maturity in three categories:
identity, privacy and security, hosting
e.g.: primary care
baseline functionality, specialty specific requirements
3. EHR Connectivity and
e.g.: provincial lab
and drug repositories, client registries, authentication, and authorization
and/or updated EMR Specifications will be introduced over time which will
continue to advance the maturity of EMRs. EMR vendors with OMD certified
EMR offerings will be notified of any pending/new/updated EMR Specifications
and may be required to update their EMR offerings and be validated on the
incremental requirements to maintain their EMR Certification status.
following provides a brief overview and partial list of EMR Specifications in
each of their respective categories:
Foundation EMR Specifications
Purpose and Benefits
EMR Core Data Set Standard
Defines ~270 logical data elements that all
certified EMRs support.
Helps ensure certified EMRs have the data
required to participate in the provincial EHR and enhance physicians’ use of
EMR Hosting (for Hosted Offerings Only)
Defines requirements for the hosted EMR (e.g.,
application, infrastructure, privacy & security, etc.) and business
services the EMR vendor must provide.
Addresses physician barriers to adoption of
‘cloud-based’ EMRs by ensuring certified hosted EMRs are secure, highly
available, and meet performance targets.
EMR Data Migration
Defines how to physically migrate a portion
of a patient’s record from one EMR offering to another.
Helps physicians adhere to the
jurisdictions regulatory college in record keeping policies and decrease EMR
data migration time and costs by specifying the data that needs to be
migrated and the responsibilities of the stakeholders involved.
Purpose and Benefits
Primary Care Baseline
Defines functional requirements for EMRs and
services provided by EMR vendors.
Ensures EMRs have functions valued by physicians
(e.g., drug interaction checking, electronic claims submission, etc.) and
that EMR vendors provide support services to help physicians use their EMR.
Chronic Disease Management
Defines functional and logical data requirements
to support the management of five chronic diseases: Diabetes; Asthma, Heart
Failure, COPD, and Hypertension.
Ensures EMRs have a minimum set of functions and
data to help physicians track, analyze, and report on patient’s chronic
diseases and provide better care.
and Tools specifications defines the requirements and expectations needed to
connect to a jurisdiction’s available products and services in an EMR
offering. New EMR Specifications are published as new jurisdictional
products and services are made available. EMRs may only integrate to
these jurisdictional products and services once they have been certified for
the jurisdiction. Below is a table of the jurisdictional services,
Health Report Manager (HRM)
EHR Clinical Viewer (ECV)
Ontario Laboratory Information System (OLIS)
Client Registry (CR) Query*
Digital Health Drug Repository (DHDR)
Digital Health Immunization Repository (DHIR)
*For latest information on availability check with New Brunswick Department of
regarding mandatory EHR Connectivity and Tools for EMR Certification, refer to
the corresponding jurisdictions Certification
Release. For all
other information regarding the current EHR products and services, visit the
EMR Specifications Library.
For more information on EMR
Specifications, please visit the EMR Specifications
For more information about the development life cycle,
please visit the EMR Specifications Development Life Cycle
For more information on
obtaining EMR Certification and Mandatory EMR Specifications, please
see the EMR Certification Overview