EMR Interoperability

As part of eHealth Saskatchewan's roadmap to improve the flow of data to and from Electronic Medical Records (EMRs) and other clinical systems, the EMR Interoperability (EMRI) initiative will be offered to providers using Accuro and Med Access.

EMRI has two main features: 

1. Receiving notification messages from eHealth. These messages notify the care providers about new patient information available in the eHR viewer. EMRI supports the following provider and patient notification features:

  • Daily submission of care provider and patient rosters information to eHS. This supports notifications routing to the correct care provider and clinic.
  • Distribution of provider-based notifications from eHS to the EMR or the eHR Viewer.    

2. Sending patient clinical data to eHealth [Note: this feature is coming soon for Med Access and is currently operational for Accuro users]


IMPORTANT: Notifications need to be configured within the eHR Viewer prior to receiving them in your EMR.
How to Set Up Notification Preferences in the eHR Viewer

Once configured, you will receive notifications from the following:

  1. Patient List: List provided from your EMR or from the "Notification Patient List" in the viewer
  2. Listed Provider: Results or documents where you have been identified as the primary provider or CC'd on the result

Results or documents can be downloaded automatically when the notification is received by a provider that is identified on the document as the primary provider or CC'd on the result in the provincial EHR (Listed Provider).

Results or documents can be downloaded on-demand when the notification is received by a provider that is not a listed provider (i.e. not identified on the document as the primary provider or CC'd on the result in the provincial EHR).

In Med Access these downloaded results or documents will appear in the observations window directly in the task.

In Accuro, these downloaded results or documents will appear in the documents folder in the notifications window.


What notifications are available as part of EMR Interoperability?

Notification Types You Can SelectNotification Sub Types You Will GetSource
Community EMR Visit with Other Care Providersn/aMed Access
Accuro
Acute Care Admissionn/aSER / SCM / WinCIS
Acute Care Dischargen/a
SER / SCM / WinCIS
Patient DeathPresumed, Confirmed
 SCI
Medical Imaging ReportUltrasound, General Radiology, Computed Tomography, Magnetic Resonance, Positron Emission Tomography, Mammography, Nuclear Medicine, Fluoroscopy, Angiography RIS
Consults / ReferralsConsult, Letter, Infectious Disease Letter, Medical Genetics, ABCDP Letter, ABCDP Feeding Clinic, ABCDP Spinal Cord, ABCDP Team Assessment Report, Spine PathwaymModal
 ED MD Assessment v2, MD Consultation Request, Emergency Department Physician Notes, SHA ED MD Assessment, PHY – MD Consult, COVID-19 ATC Note, Virtual Care Progress Note, MD Consultant Communication, SK Bleeding Disorder Treatment Protocol, Other Consultations, New Patient ConsultsSCM Documents
 ED – MD AssessmentSCM Documents
Patient ProfileHistory & Physical, Outpatient Report, Mental Health Advance Care Plan, Orthotics, Infectious Disease Outpatient, Occupational Therapy, Physical Therapy, ABCDP Clinic Note,  TB Prevention and Control Saskatchewan, Sleep Disorders ClinicmModal
Progress NotesInpatient Progress Note, ABCDP Speech, Language and Audiology Clinic Note, ABCDP Muscular Dystrophy Clinic Report, Physical Medicine and Rehabilitation Clinic Note, Physical Medicine & Rehabilitation Admin, Physical Medicine & Rehabilitation Multiple Sclerosis Clinic Note, Geriatrics Evaluation and Management Clinic NotemModal
 PHY – MD Assessment, MD Admission Note, Urgent History and Physical/Admission, Review/Follow-upSCM Documents
Operative / Procedure ReportsOperative/Procedure Report, Vascular Lab, Non-Invasive CardiologymModal
Discharge & TransferDischarge SummarymModal / SCA Documents
 PHY – MD Patient Discharge Summary, MD Discharge Summary Note, Stroke Discharge Document, Discharge from Physician, Discharge from Specialty, Discharge from SCASCM Documents



What gets sent to eHealth?

Only Lab and Diagnostic Orders categorized as a requisition forms are submitted to eHealth.
           Note: Only some data, like a Requisition Date, is submitted to eHealth Saskatchewan. Data stored within the form itself is not shared
Only Notes associated with the Type Assessment/Treatment Plans are submitted to eHealth.
Only Documents associated with the Type Advance Care Directive are submitted to eHealth.
Patient Demographics
Prescriptions
Allergies and intolerances
Provider data
Service delivery location
Appointment (Encounter / Visit)
History of Problems – Conditions
Lifestyle
Lab Results Observations
Immunizations
Surgical/Medical History


Why is that data sent to eHealth?

The data collected constitutes a Patient Summary. A patient summary is not a patient's entire health record, but a portion of it. It's comprised of a standardized collection of patient information: the necessary minimum and sufficient data to inform a patient's treatment at a point of care.


Where can I see this?

All data submitted from an EMR can be found in the eHR Viewer under the "EMR Visits" tab.



Can data be prevented from sending to eHealth?

It is important to understand your patient's rights in sharing or not sharing data with eHealth. Although you have seen the benefits of this initiative, your patients may not want their information shared. If a patient requests that an item not be shared, you can flag individual chart items to accommodate the request.

Refer to the individual EMR User Guides listed below for more information.

Med Access: User Guide

Accuro: User Guide

Contact Us

Saskatchewan Medical Association SK EMR Team: EMRTeam@sma.sk.ca

eHealth Primary Health Care Team: eHSPHCProgramTeam@eHealthSask.ca