Health Report Manager (HRM) enables clinicians using an OntarioMD-certified EMR to securely receive patient reports electronically from participating hospitals and specialty clinics. HRM sends narrative, text-based Medical Record (MR) and Diagnostic Imaging (DI) reports to their clinician's EMR.

Important to note: At this time, it is not possible to direct a patient's report only to the EMR that has the patient's record. HRM distributes all your patient reports to all EMRs registered to receive your reports, i.e. not just to the EMR that has the patient's record.

HRM is available to clinicians using the InputHealth Collaborative Health Record (CHR). Deployment can take approximately 3 to 4 weeks from the time the OntarioMD HRM Subscription Agreement is signed to final testing of the connection from HRM to the EMR.

How does HRM Work?

  • The health information system sends a patient report to the Health Report Manager.

  • HRM converts the patient report into the EMR standard message format, encrypts, and stores the report in an sFTP folder for secure pickup by the intended OntarioMD-certified EMR.

  • The clinician's EMR picks up the report, which is posted to the patient's record and the clinician's inbox for review and sign-off.

In the InputHealth CHR, the HRM report is sent to the specific Clinicians CHR Inbox. The Report presents itself initially with the IH Logo and " Automated System" besides it.

The HRM Report is also viewable in the Patient's Chart under Patient files. If the Clinician has not yet reviewed/signed off the report, then the paperclip icon next to the file will remain grey. Once the file has been reviewed and signed off, the icon turns green.

Since InputHealth has a built in PDF viewer, all HRM reports come into the system as a PDF.

What type of information can be found in HRM?

Participating facilities can send:

  • Consultation Reports

  • Admission History and Physicals

  • Discharge Summaries

  • Diagnostic Imaging Reports (excluding the image)

  • Special Tests (stress tests, PFTs, etc)

Once HRM has been configured, the user can perform a "real-time" download of any available report. See our Accessing HRM Reports Help Article for more information.

Frequently Asked Questions


💡 Are the report categories specific to HRM or to the InputHealth CHR?

Report categories are specific to the InputHealth CHR. Users can manually categorize HRM reports by assigning a specific tag to the report.

💡 Can any clinic upload reports via HRM?

Only facilities that are registered as HRM Sending Facilities can upload reports via HRM. The provincial expansion of HRM started in 2013 and has connected more than 200 individual hospital sites and over 300 speciality clinics in Ontario. Sending Facilities in the following LHINs are currently connected to HRM:

  1. LHIN 1 (Erie St. Clair)

  2. LHIN 2 (South West)

  3. LHIN 3 (Waterloo Wellington)

  4. LHIN 4 (Hamilton Niagara Haldimand Brant)

  5. LHIN 5 (Central West)

  6. LHIN 6 (Mississauga Halton)

  7. LHIN 7 (Toronto Central)

  8. LHIN 8 (Central)

  9. LHIN 9 (Central East)

  10. LHIN 10 (South East)

  11. LHIN 11 (Champlain)

  12. LHIN 12 (North Simcoe Muskoka)

  13. LHIN 13 (North East)

  14. LHIN 14 (North West)

For a full list of sending facilities on HRM, please visit the Sending Facilities page.

💡 If I work at multiple clinics, each with its own EMR, can I control to which EMR my HRM reports are sent?

It is not possible to direct a patient's report to a specific EMR. HRM distributes all your patient reports to all EMR's registered to your CPSO/ CNO identifier and connected to HRM to receive your reports - not just the EMR that has the patient's record.

💡 How to manage reports from multiple clinics:

Each EMR you use will automatically try to match the patient identified in the report from HRM to a patient record. If a match is found, the report will be placed in clinician's inbox in that specific EMR. If the EMR is unable to match the report to a patient record (in the EMR you use at a particular clinic), the report is identified as an unmatched patient notification.

  • First, you (or your staff) need to search the CHR for the patient and confirm whether there is a patient in this EMR that matches the report; it could be a case of an incorrect Health Card Number on the report or other incorrect information preventing a match.

  • If you cannot find a record for the patient in the CHR, you need to search the other EMRs you use and ensure that a copy of the report is available at the location where the patient has an EMR record. You (or your staff) should then delete any other copies of the report from the other EMRs.

💡 What happens if I receive a report, but the clinician does not exist in the CHR?

If the report does not match any Users (i.e. license numbers) at your Clinic, it it pushed to the 'Account' Inbox.

💡 What happens if a patient doesn’t exist in the CHR, but I am cc’d to their results?

  1. Always first search the entire CHR to make 100% sure the patient in the report does not match a patient in your CHR - it could be a case of an incorrect Health Card Number on the report or other incorrect information preventing a match.

  2. If you cannot find a record for the patient in the CHR, you need to search the other EMRs you use and ensure that a copy of the report is available at the location where the patient has an EMR record. You should then delete any other copies of the report from the other EMRs.

  3. If inadvertently CC'd on a report for a patient that is not followed by a clinician at your site or any of their other associated clinical sites, please notify the Sending Facility.

💡 I practice at multiple locations with different EMRs, all of which have subscribed to receive reports through HRM. How can I stop receiving reports through HRM at a particular location while still receiving at others?

If you have registered to receive reports for all the different EMRs at each location, you can make a request to OntarioMD Service Desk by email (support@ontariomd.com) or by calling 1-866-744-8668 to have one or more locations de-activated from HRM. This will not impact the delivery of reports to other subscribed locations.

For more HRM Frequently Asked Questions, follow this link that will take you to the OntarioMD website.


Last updated: January 2021

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