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Integrating the Healthcare Enterprise (IHE)
Health care and health information professionals collaborating to improve information sharing between health care technology systems.
Members: 125
Contact: Ben Macerola
Type: Open
Access: Public
Health care and health information professionals collaborating to improve information sharing between health care technology systems.

About

What is the IHE Community?

The IHE Community is a place where health care professionals and the health information industry collaborate to improve the way health care technologies and systems share information.

To become a member of this community select Join Group in the Group Menu.

If you have an idea for a community, working group or project that will drive interoperability forward, let us know! Send your suggestions

LEADER

Duane Bender, P.Eng. - Director, Digital Health Applied Research
Mohawk College

KEY RESOURCES

IHE Resources

Activity

"Unlocking Healthcare Data” - Through IHE Structured Data Capture
Tuesday, November 07, 2017, 01:00pm - 02:00pm
Collecting and extracting non-standardized healthcare data remains a challenge for healthcare. The Structured Data Capture (SDC) intiative was sponsored by U.S. ONC to develop the IHE SDC Profile and has since transitioned into a community-lead initiative. It's members include representatives from HL7, College of American Pathologists, Centers for Disease Control and Prevention, California Cancer Registry, UC Davis, National Cancer Institute, National Library of Medicine-National Institute of Health, CCO and HIT vendors. If you are part of the standards or health infromation community, an implementer, or a solution provider, and if you are especially interested in standardizing collection of data, we invite you to join this webinar to learn about the IHE SDC Profile and how it might work for your solutions. An invitation to join the SDC working community is also extended to those attending or interested. Presenter(s): Webinar Details: Add to Calendar Join Meeting Audio: 1-(866) 626-0833 Conference Code:
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Health care and health information professionals collaborating to improve information sharing between health care technology systems.
The ISO community will be hosting a Webinar on "Bundling Standards for Interoperability – ISO’s new Reference Standards Portfolio for Clinical Imaging" - October 26th 12:00-1:00pm ET. As the requirements for interoperability of healthcare information matures, so must the standards that support them. ISO has responded with the creation of a “bundle” of standards and artifacts that together allow technical, semantic and functional interoperability to directly support clinical workflow. The first of these “bundles”, known as a Reference Standards Portfolio (RSP), is currently being developed for Clinical Imaging. This webinar will introduce the RSP concepts, review how these will better serve the digital health community, and examine how Clinical Imaging can benefit from a more comprehensive set of normative specifications. For more details and to add the meeting to your calendar, please see our .... Cheers, Sari B)
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Health care and health information professionals collaborating to improve information sharing between health care technology systems.
Stacey Higgins joined a group
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Health care and health information professionals collaborating to improve information sharing between health care technology systems.

Forum

Webinar "Bundling Standards for Interoperability – ISO’s new Reference Standards Portfolio for Clinical Imaging" – October 26th 12:00-1:00pm ET 10/02/17
The ISO community will be hosting a Webinar on "Bundling Standards for Interoperability – ISO’s new Reference Standards Portfolio for Clinical Imaging" - October 26th 12:00-1:00pm ET. As the requirements for interoperability of healthcare informatio...
Webinar "Digital Health Software Safety Adoption - New Standards Coming our Way" - September 27th 12:00-1:00pm ET 09/13/17
The ISO community will be hosting a Webinar on "Digital Health Software Safety Adoption - New Standards Coming our Way" - September 27th 12:00-1:00pm ET. Canada has been an early leader in the area of software safety, an increasing concern in majo...
IHE Blog reflects on FHIR 08/30/17
A number of very useful facts on IHE and FHIR collected in ... blog. Useful reference material.
IHE IT Infrastructure Technical Framework Supplements Published 07/21/17
IHE IT Infrastructure Technical Framework Supplements Published The IHE IT Infrastructure Technical Committee has published the following supplements for Trial Implementation as of July 21, 2017: New Supplement • Remove Metadata and Document (RM...
IHE Radiology Co-chair and Domain Representative to the IHE International Board - Call for Nominations Open Through July 20, 2017 07/18/17
IHE International is pleased to announce a Call for Co-chair Nominations for the Radiology Domain and the Radiology Domain Representative to the IHE International Board. Call for Nominations Quick Facts • Open July 6-20, 2017 • Co-chairs serve...
IHE Radiology Technical Framework Supplements Published for Trial Implementation 07/14/17
The IHE Radiology Technical Committee has published the following supplements to the IHE Radiology Technical Framework for trial implementation as of July 14, 2017: • Imaging Object Change Management Extension (IOCM Extension) - Rev. 1.6 • Manage...
IHE Pharmacy Technical Framework Supplement Published for Public Comment 07/14/17
The IHE Pharmacy Technical Committee has published the following supplement to the forthcoming IHE Pharmacy Technical Framework for public comment in the period from July 14 through August 13, 2017: • Community Medication Administration (CMA) - Re...
IHE Meetings and Events 07/11/17
See the latest meetings and events scheduled ....
Radiology Planning Committee - Schedule - Information 07/07/17
The Radiology Planning Committee manages the activity of the IHE Radiology Domain. It provides direction to and works in coordination with the Radiology Technical Committee. Attend as many calls as possible in order to be eligible vote for FEM pr...
IHE World Summit Program Announced 07/04/17
The IHE World Summit 2017 will be held Monday, Sept. 11 in Singapore in association with HIMSS AsiaPac17. A series of keynote presentations and workshops will bring together health IT leaders and stakeholders from the Asia-Pacific region and beyond t...
Webinar Series: Inside IHE 07/04/17
IHE International's annual webinar series kicks off on July 13. The goal of these free online events is to educate the healthcare community on how to leverage IHE solutions to achieve interoperability. They are designed to give developers an overview...
Open for Public Comment: IHE White Paper: Patient Registration Demographic Data Capture and Exchange 06/28/17
IHE and AHIMA are looking for International feedback on their white paper entitled Patient Registration Demographic Data Capture and Exchange. It would be great if implementers in Canada provided their feedback, suggestions and guidance as well....
ITAC Health releases position paper calling for IHE integration profiles 12/20/16
Canadians following IHE will be interested in the recent ITAC Health position paper on interoperability standards. Read it here: .... Please post your comments to this forum...
IHE International World Summit - Amsterdam - June 7- 8, 2016 04/20/16
IHE International releases the Promotional Flyer for the World Summit 2016. Please see linked ... document or access the public website ....
IHE Canada's Deployment Committee Report to IHE International 04/01/16
Echoing Michael's thoughts and in an effort to being as inclusive as possible in this year's annual report to IHE, Infoway would like to invite community feedback on active IHE implementations that are going on in Canada or active development work on...

Tasks


Tasks


Time Tracking


Gantt

Documents

Click Manage documents to:

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Note: Group members are not currently notified when new documents are added. To notify others, you must post the URL to the new document in the forum. (Notification of document uploads is a feature in development.)

Manage documents You may need to login and/or be a member of the group to access this content.

IHE Rad Non-Urgent Critical Findings Follow-up Overview

Published on Feb 09, 2017 by Teri Sippel Schmidt

IHE World Summit 2016

Published on Apr 20, 2016 by Attila Farkas

CanadaHealthInfoway ConnectathonWebinar NA2016 v3

Published on Jul 29, 2015 by Attila Farkas

Interoperability For Dummies

Published on Jan 20, 2015 by Attila Farkas

Video

Solutions

  • FHIR Terminology Service API
  • HAPI FHIR
  • HAPI v2
  • HL7 Explorer
  • InfoRMS
  • InfoScribe
  • Message Builder
  • Message ReMixer
  • Object Identifier (OID)
  • SNOMED CT Browser
  • Terminology Gateway
  • Terminology Service API
  • TermWorks

FHIR web services used to access terminology data

FHIR Terminology Service APIs enable automated exchange of clinical terminology content and resources. It allows developers to easily implement healthcare applications that programmatically consume codes and subsets without requiring in-depth expertize in the fine details of terminology.

terminology gateway APIFHIR Terminology Service API

Open source integration tools useful for health IT integration projects

HAPI FHIR® is a simple-but-powerful library for adding FHIR messaging to applications. It is pure Java compatible and licensed under the business-friendly Apache Software License, version 2.0.

HAPI FHIR

 

External Solutions for API integration

Open source integration tools useful for health IT integration projects.

HAPI v2
 

HAPI for HL7 v2 messages is an open-source, object oriented HL7 v2.x parser developed for the Java platform

HAPI FHIR
 

HAPI FHIR is a simple-but-powerful library for adding FHIR messaging to your application. It is pure Java compatible and licensed under the business-friendly Apache Software License, version 2.0.

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Open source integration tool useful for health IT integration projects

HAPI for HL7 v2 messages is an open-source, object oriented HL7 v2.x parser developed for the Java platform.

HAPI v2

Enhanced browsing of HL7 v3

Infoway HL7 Explorer is a powerful browser for HL7 v3 structures, vocabulary and references. Used in conjunction with the pan-Canadian releases, HL7 Explorer makes locating details and information more efficient.

Overview
 

Learn about what HL7 Explorer can do for you with this brief online presentation.

MR 02.06
 

HL7 Explorer applied to the MR 02.06 HL7 v3 maintenance release

CeRx 4.4.2
 

HL7 Explorer applied to the CeRx 4.4.2 HL7 v3 maintenance release

 

 

Standards versions available for viewing in HL7 Explorer

Standard URL 
CA MR 02.06 https://infocentral.infoway-inforoute.ca/extra/ca/mr0206-html/html/search.html
CA MR 02.05.01 https://infocentral.infoway-inforoute.ca/extra/ca/mr020501-html/html/start.html
CA MR 02.05 https://infocentral.infoway-inforoute.ca/extra/ca/mr0205-html/html/start.html
CA MR 02.04.03 https://infocentral.infoway-inforoute.ca/extra/ca/mr020403-html/html/start.html
CA CeRx 4.4.2 https://infocentral.infoway-inforoute.ca/extra/ca/cerx442-html/html/search.html
CA CeRx 4.4.1 https://infocentral.infoway-inforoute.ca/extra/ca/cerx441-html/html/start.html 
CA CeRx 4.4 https://infocentral.infoway-inforoute.ca/extra/ca/cerx44-html/html/start.html
BC V02R04 https://infocentral.infoway-inforoute.ca/extra/bc/v02r04-html/html/start.html
NS CeRx 4.3 https://infocentral.infoway-inforoute.ca/extra/ns/cerx43-html/html/start.html
NS R02.04.03 https://infocentral.infoway-inforoute.ca/extra/ns/r020403-html/html/start.html
AB MR2007 https://infocentral.infoway-inforoute.ca/extra/ab/mr2007-html/html/start.html
AB R02.04.03 https://infocentral.infoway-inforoute.ca/extra/ab/r020403-html/html/start.html
AB R02.04.00 SHR https://infocentral.infoway-inforoute.ca/extra/ab/r020400-shr-html/html/start.html
AB R02.04.03 Imm https://infocentral.infoway-inforoute.ca/extra/ab/r020403-imm-html/html/start.html

Request Management Solution

InfoRMS (Infoway Request Management System) is Infoway's Request for Change Tool for SNOMED CT, pCLOCD/LOINC, pan-Canadian Subsets and pan-Canadian HL7 artifacts. Not sure if you have access to InfoRMS? Manage your InfoRMS Access in your user profile.
SNOMED CT
 

Submit or follow requests to SNOMED CT

pCLOCD/LOINC
 

Submit or follow requests to pCLOCD/LOINC

pan-Canadian Subsets
 

Submit or follow requests to pan-Canadian Subsets

HL7
 

Follow requests to pan-Canadian HL7 messaging

 

infoscribeSupporting the Standards Selection Framework, InfoScribe enables teams to collaboratively create, discuss, and publish digital health solutions from clinical requirements to specifications. Featuring templates, versioning, PDF export, inline commenting and HL7 Explorer integration, InfoScribe improves productivity and accelerates the development of healthcare solutions.

Standards Selection Framework

The Standards Selection Framework provides users with the means to plan, choose and document interoperability solutions from concept through to implementation. Starting from the Clinical Requirements identified by clinicians through to business requirements, standards and technical specifications, the framework provides a comprehensive guide through the development of interoperability solutions.

The framework also provides an opportunity for the InfoCentral community to share successful implementation projects, the standards selections made at a point in time of the project and the specifications that result from the selections made. Publishing solutions in this space will help to establish a Canadian repository of references.

clinical requirements

Clinical Requirements describe the information and workflow needs of the clinician for a specific clinical context and clinical data exchange. Using the Clinical Interoperability Principles as a guide, a set of requirements expressed in the clinician’s voice will provide the foundation for a well-designed interoperability solution.

business requirements

Business Requirements are derived from clinical requirements and provide a full picture of the solution that needs to be developed. Use cases, business rules and guidance are used to fully outline the solution design.

standards selection

Standards Selection refers to the process that has been developed to help guide teams through the selection of terminology and messaging standards. Using the line of inquiry and considerations in the forms provided implementation teams may assess the standards available and determine the best option for the point in time. The process also provides an opportunity for the InfoCentral community to share successful implementation projects, promoting standardization through reuse.

standards

Standards are an integral piece of the interoperability solution, covering both the terminology that defines the data sent, and the messaging structures that define how the data is transferred. The framework provides the access and consideration criteria to the international and Canadian standards to facilitate implementation.

specifications

Specifications provide the details for the solution to be implemented. These details include: a review of the data elements used, samples of transferred messages, the system architecture as well as the security specifications including authorization and authentication.

Solution for API integration

Infoway Message Builder allows developers to focus on the business challenges of integrating their solutions with each electronic health record implementation by abstracting the differences between different versions of pan-Canadian HL7 messaging and supporting current implementation constraints. Developers can build interfaces in a familiar development environment, using the programming language of their choice*, while the Message Builder API fosters quick and easy creation, population and access to HL7v3 requests and responses.

Infoway Message Builder v2.0 and later is enhanced to generate JAVA APIs to create, validate, marshal/unmarshal CDA documents.

 Implementation and Exchange

 

Key features and benefits

Message Builder offers a number of key features and benefits:

  1. Abstracts the complexity of HL7v3 messages and greatly simplifies the work of the developer when implementing them;
  2. Reduces the impact on developers from implementation variations;
  3. Enables companies to achieve Infoway product certification with greater confidence and reduced time;
  4. Enables developers to incorporate future message versions without re-writing their products;
  5. Can be embedded in software applications due to its open source distribution under a commercial-friendly Apache 2.0 license.

Out of the box support

Infoway Message Builder comes with built-in runtime APIs that support a number of pan-Canadian specifications:

  • MR2009 (R02.04.02)
  • MR2007 (V02R02)
  • MR 2007 (V02R01)
  • CeRx (V01R04.3)

In addition, while developers can easily build custom transport mechanisms without affecting the core, Message Builder includes native support for SOAP and RESTful message transports. Developers can configure and extend the transport as desired.

Detailed product features

  • Provides the capability to configure and populate message values that are common to all messages—this allows developers to reuse common message data, shortening the time to configure and create an interoperable system.
  • Uses simplified data types that are natural and familiar to the programming language (e.g. String for ST) rather than directly exposing the sometimes complicated HL7v3 data types—yet still allowing access to HL7v3 data types when necessary.
  • Allows developers to focus on the business-aspect of a request/response, avoiding many of the complexities of HL7v3.
  • Code-generation algorithms merge identical and similar classes together to simplify the generated API—meaning less confusion in the resulting code and an increased ability to write generic handlers for certain types.
  • Converts populated objects into HL7v3 XML requests, and converts HL7v3 responses into populated objects.
  • Provides flexibility in configuring and performing terminology-code lookups, including code set and database-backed lookups (can mix and match).
  • Associations and attributes are strongly typed, given business names when provided, and contain code docs directly from the MIFs (see wiki.hl7.org/index.php?title=MIF).
  • The algorithms inline most classes that only have a small number of properties, further simplifying the API.
  • Offers both permissive and strict modes—permissive allows many common errors and generates appropriate error comments in the XML or result object.
  • A separate validation tool is provided to test ad-hoc messages—this tool reuses the same validation components that are executed during message marshaling and unmarshalling, ensuring consistent processing of the message whether during processing or during conformance validation.

Forward looking

The power of the Message Builder architecture is in its MIF-based generation of the specification API. With Message Builder, any MIF is supported—whether a future release of the pan-Canadian specifications or a modified (constrained) jurisdiction-specific release of an existing specification. 

 

How it works

Message Builder comprises two parts:

  1. Message Builder Generator—a tool used by Infoway to take input MIFs and create Message Sets for use by Message Builder Runtime;
  2. Message Builder Runtime—an API used by developers to allow their products to support multiple Message Sets without recoding.

Message Builder Generator

Used by Infoway, Message Builder Generator takes MIFs (as the source of truth for standards specifications) and converts them into a series of Java Classes. This is done by first converting the MIFs to an XML Message Set (a simplified representation of the information present in the original MIFs), then generating Java Classes that reference standard Java data types and use business-friendly names. In the process, groups of related elements are flattened and similar message parts are placed into a single class: these steps increase ease of use and reduce the complexity of the resulting Java Classes.

MBG process

Using Message Builder Generator, Infoway is able to create multiple Message Sets, each representing the MIFs used in a single jurisdiction, but all for the same HL7v3 version.

Message Builder Runtime

Message Builder Runtime allows developers to quickly adapt to implementations in multiple Jurisdictions: incoming messages are first examined to determine the corresponding source Message Set, once identified, a series of Java Objects that represent the message are instantiated. Next, the Java Objects are turned into an HL7 message for the HL7 version corresponding to the desired destination Message Set. 

MB process

Using Message Builder Runtime developers can accept messages over the wire and on-the-fly turn them into a different HL7 message version. Given the capability of Message Builder to support future versions of HL7 messages, developers can easily future proof their products with minimal effort.

 

*Developer friendly

The Message Builder libraries are available for Java and Microsoft .NET. In addition, a simplified XML message format is available with REST-based services for managing mapping to/from the simplified form to the target specification XML format.

 

CDA Support

Message Builder CDA API supports the following CDA and data type specifications:

Message Builder provides  JAVA and .NET APIs for CDA document creation, validation, marshalling/unmarshalling of the following CDA document types:

  • Continuity of Care Document (CCD) (Release 1.1)
  • Consultation Notes (Release 1.1)
  • Discharge Summary (Release 1.1)
  • Imaging Integration, and DICOM Diagnostic Imaging Reports (DIR) (Release 1)
  • History and Physical (H&P) (Release 1.1)
  • Operative Note (Release 1.1)
  • Progress Note (Release 1.1)
  • Procedure Note (Release 1)
  • Unstructured Documents (Release 1.1)
  • CDA documents using pan Canadian CDA header template

Clinical applications in JAVA or .NET can use the Message Builder CDA APIs to create, validate or parse above listed types of CDA documents. Potential use cases are document source or document consumer actors in IHE XDS profile, content creator/content consumer in any content module/profile, or report creator/viewer in RIS/PACS/EMR systems.

Message Builder is available for Java and .NET

Message Builder for Java

System Requirements

  • Java 1.5 or higher
  • Maven 3.0.3 or higher (can be removed after installing Message Builder if working with a non-Maven project)

Download

Message Builder is licensed under Apache License, Version 2.0. To use Message Builder, you will need

  1. Message Builder Core and
  2. one or more Message Builder API release(s)—depending on your implementation requirements.

Select a Message Builder Version:

 

Select one or more Message Builder API releases:

 

Optional Message Builder components:

Terminology Database Resolver
Message Builder Example

Message Builder pom.xml file:

 

Message Builder for .NET

System Requirements

  • .Net Framework 3.5 or higher

Download

Message Builder v2.1 for .NET

Message Builder is licensed under Apache License, Version 2.0. To use Message Builder:

  1. Download Message Builder .NET Core 2.1.0 setup
  2. Unzip and pull out the dll files that you need:
     \ → root location of required Message Builder core assemblies (Mandatory - required all)
     \releases\ → location of Message Builder release assemblies (Mandatory - choose one or more)
  3. Copy them to your .NET project 
  4. Download Message Builder .NET 3rd-Party libraries, unzip it, and copy the files to your .NET project

Message Builder v1.5.8.1 for .NET

Message Builder is licensed under Apache License, Version 2.0. To use Message Builder:

  1. Download Message Builder .NET Core 1.5.8.1 setup
  2. Unzip and pull out the dll files that you need:
     \ → root location of required Message Builder core assemblies (Mandatory - required all)
     \releases\ → location of Message Builder release assemblies (Mandatory - choose one or more)
  3. Copy them to your .NET project 
  4. Download Message Builder .NET 3rd-Party libraries, unzip it, and copy the files to your .NET project

Message Builder v1.4.6 for .NET

Message Builder is licensed under Apache License, Version 2.0. To use Message Builder, you will need

  1. Download Message Builder .NET Core 1.4.6 setup
  2. Unzip and run SetupCore.msi file
  3. Choose a installation location <install dir>.  The setup execution should place the following directories in <install dir>:
     \lib\ → location of required Message Builder core assemblies (Mandatory - required all)
      \releases\ → location of Message Builder release assemblies (Mandatory - choose one or more)
     \src\ → location of all source code and project files required to load them into visual studios
     \debug\ → location of debug symbol files
  4. Pull out files the dll files from the \lib\ and \releases\ folders, and copy them to your .NET project 
  5. Download Message Builder .NET 3rd-Party libraries, unzip it, and copy the files to your .NET project

Localization of pan-Canadian Standards

Infoway Message ReMixer is a web-based application that allows for the localization of pan-Canadian Standards (pCS) messages to meet jurisdictional requirements, all while maintaining the integrity of the original, standard message.

msg remixerAccess Message ReMixer Now

 Implementation and Exchange

Jurisdictional ReMixes

Pan-Canadian Standards use Object Identifiers (OIDs) to distinguish between objects by assigning a numeric string that enables other systems to understand the unique information that is being shared between various systems.

Canada Health Infoway has an arrangement in place with HL7 International that allows Infoway to submit OIDs to HL7 International on behalf of Canadian Implementers free of charge (normally $100 USD fee per OID request).

Browse International and Canadian Content

SNOMED International's SNOMED CT browser allows users to browse and search the SNOMED CT International Edition to explore concepts and relationships. It also provides access to browse national extensions from SNOMED International member countries including the Canadian Edition of SNOMED CT in English and French.

snomed browser Browse SNOMED CT Now

 General Documentation

Browse, download and leverage the terminology used in Canada

Terminology Gateway is a web based solution framework that enables the distribution and sharing of terminology concepts, subsets and concept maps, making them available for web browsing, download or real time query.

terminology gatewayBrowse Terminology Gateway Now

RESTful web services used to browse terminology data

Terminology Service RESTful APIs enable automated exchange of clinical terminology content and resources. It allows developers to easily implement healthcare applications that programmatically consume codes and subsets without requiring in-depth expertise in the details of terminology.

terminology gateway APITerminology Service API

Apelon’s TermWorks is an easy-to-use data mapping solution which is provided by request for free to individuals who have Standards Access. It brings powerful terminology capabilities directly to the desktop. TermWorks combines Microsoft® Excel® spreadsheet software with web services-based terminology processing to give organizations comprehensive mapping capability to SNOMED CT and the Canadian Edition of SNOMED CT.

 Education

  • Introduction to SNOMED CT (English)
  • Introduction to SNOMED CT (French)
  • This email address is being protected from spambots. You need JavaScript enabled to view it.

Web Conference

Please login to acquire access to the InfoCentral web conferencing.

Members

Ben Macerola
Canada Health Infoway
OFFLINE
Contact
Linda Monico
Canada Health Infoway
OFFLINE
Admin
Tasha Shaw-Verbic
Canada Health Infoway
OFFLINE
Admin
naomi beaulieu
cd-ed
OFFLINE
Member
Dat Nguyen
OntarioMD
OFFLINE
Member
Stacey Higgins
Horizon Health Network
OFFLINE
Member
Sari Schapira
Canada Health Infoway
OFFLINE
Member
Ryan Doherty
iamsick.ca
OFFLINE
Member
Thomas Zhou
Alberta Health
OFFLINE
Member
Abdullah Khan
-
OFFLINE
Member
Daniel Pan
Ehealth ON
OFFLINE
Member
Melisa Gregorio
Fraser Health Authority
OFFLINE
Member
Darryl Baker
n/a
OFFLINE
Member
Don Trotter
Mobia Innovation Technologies
OFFLINE
Member
Eric Savoie
xrad technologie / Ministère de la santé et services sociaux du Québec
OFFLINE
Member

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