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Canada

Canadian EMRs: how outside software writes in

We reviewed what each vendor publishes about letting outside software write into its system. In every case, access needs approval from the vendor, the clinic, or both. Each profile below shows what the route takes, with a source for every claim.

What the labels mean

Documented
The vendor's public docs describe it.
Partner-gated
You need the vendor's approval or a partner agreement.
Site-specific
It depends on the clinic's setup, edition, or contract.
Not found publicly
We couldn't find it in public docs. That doesn't mean it's missing.
Unknown
There isn't enough public evidence to say.

Accuro EMR

Partner-gated

QHR Technologies (part of Loblaw Companies)

Writing data Documented
The reference lists endpoints that create patients and save documents, waitlist entries, referral orders, tasks, and appointments. Each one needs its own write scope.
How to get access
Email QHR, sign a Terms of Use, build in a 6-month sandbox, pass certification, then sign an agreement
Referral network
Ocean says that after a referral from a new patient is imported into Accuro, Ocean can create the patient's chart. B.C.'s Digital Referrals and Orders program lists Accuro as integrated.
9 sources · reviewed October 8, 2026Profile

PS Suite EMR

Partner-gated

TELUS Health

Writing data Unknown
The reviewed sources don't say which records a partner add-on can write. It depends on the partner agreement.
How to get access
No public API reference found; partner add-ons go through TELUS, then a clinic administrator turns each one on
Referral network
Ocean lists PS Suite among its integrations.
5 sources · reviewed October 8, 2026Profile

Med Access EMR

Partner-gated

TELUS Health

Writing data Unknown
The reviewed sources don't say which records an add-on can write.
How to get access
No public API reference found; outside tools connect through TELUS's add-on program
Referral network
B.C.'s Digital Referrals and Orders program lists Med Access as integrated, and Ocean lists it among its integrations.
5 sources · reviewed October 8, 2026Profile

Collaborative Health Record (CHR)

Partner-gated

TELUS Health

Writing data Documented
The schema lists mutations such as createPatient, createAppointment, createIncomingReferralRecord, and createTask. CHR applies the account's own rules to API writes, such as an appointment type's booking times and a provider's working hours.
How to get access
Paid CHR Enterprise API, limited to a select few customers; needs a signed contract and TELUS enablement for each CHR domain
Referral network
Ocean lists TELUS Health CHR among its integrations.
7 sources · reviewed October 8, 2026Profile

OSCAR Pro

Partner-gated

WELLSTAR (WELL Health)

Writing data Site-specific
Depends on the version, the host, and the integration the clinic approves.
How to get access
WELLSTAR Developer Program: apply with a pilot clinic's letter of support, sign a sandbox agreement, then pass a conformance review
Referral network
B.C.'s Digital Referrals and Orders program lists OSCAR Pro as integrated, and Ocean lists it among its integrations.
8 sources · reviewed October 8, 2026Profile

Juno EMR

Partner-gated

WELLSTAR (WELL Health)

Writing data Partner-gated
WELLSTAR shares API documentation only after a sandbox agreement. One booking vendor says its API connection writes bookings, intake responses, and messages back to the Juno chart.
How to get access
WELLSTAR Developer Program; no public API reference found
Referral network
Ocean lists Juno among its integrations. B.C.'s Digital Referrals and Orders program lists a Juno integration as underway.
7 sources · reviewed October 8, 2026Profile

Ocean eReferral network

Documented

OceanMD (WELL Health)

Updates sent back to Ocean Documented
An integrated system can send status updates such as accepted, booked, or cancelled, plus demographic updates and referral messages.
Filing in the receiving chart Site-specific
Depends on the receiving EMR. In Accuro, the referral is imported first, and Ocean can then create a new patient's chart.
How to get access
Email Ocean Support with your test email domain, company name, and a clinical or jurisdictional project sponsor, then build against Ocean's test site
7 sources · reviewed October 8, 2026Profile

Wolf EMR

The BC Medical Journal reported in December 2020 that Wolf EMR would be retired by December 31, 2023. TELUS's add-on page now covers only CHR, Med Access, and PS Suite, so we don't profile Wolf.

Not profiled yet

OntarioMD's certified list also includes Cerebrum, MYLE, Avaros, and EMR Advantage, among others. B.C.'s eReferral program lists integrations underway for MOIS, Plexia, and Profile. We haven't reviewed those yet.

Waiting on access, or no route for your step?

See what teams do in the meantime, and what changes for staff when software enters referrals through the EMR's screens.

See the before and after