FHIR Implementations

About

Welcome to the Canadian FHIR implementation community forum. The purpose of this forum is to collaborate on areas of FHIR implementation that will advance implementations across Canada, while contributing to the global adoption of FHIR. The objective is to develop pan-Canadian approaches to constraining and extending FHIR. The community has been active since January 2016 and has been growing ever since!

The community currently has five streams of activity:
1. Topical workstreams
2. Monthly community calls to share workstream progress and other FHIR-related news
3. A general forum to ask questions and share information

The table below provides more details on the workstream activity:

Workstream	Co-Chairs	Objective	Progress to date
Solution Architecture	Igor Sirkovich (OMHLTC) Ken Sinn (Ontario Health Team)	Serve as a forum for all architectural questions about implemention of FHIR based solutions Discuss Canadian URI (incl. mapping to OIDs), profiles and extensions	Currently hosting governance calls for the FHIR Profiling Stream
eReferrals	Tim Berezny (CareDove) Caryn Harris (Orion Health)	Build eReferral use cases Prototype eReferral use cases Select Resources to include in Specifications Write preliminary Specifications for broader use	Assembled stakeholders from across the e-referral spectrum to build a community led e-Referral specification. Published an e-referral implementation guide that has been adopted by various integrations across Ontario: https://simplifier.net/guide/eReferral-Ontario/Introduction
Community Monthly Calls	Gavin Tong (Gevity Inc.) Yaron Derman (eHealth Ontario)	Share progress within the workstreams within the broader FHIR community Identify and promote FHIR education and implementation activities	Informative updates and discussions about FHIR globally and progress across the workstreams Average 17 participants per call.
Canadian Baseline Profiles	Sheridan Cook (Gevity Inc.) Michael Savage (Ontario MD)	Create of a set of national FHIR profiles that can be leveraged by implementers and jurisdictions to promote re-use and interoperability Establish a common baseline / starting point for Canadian FHIR Implementations	Organization of workstream into Profiling and Governance Streams, to allow for ample time to explore different types of issues Total of 78 proposed changes to draft Profiles received from FHIR Community Organization of Profiling Stream into sub-streams based on thematic groupings of FHIR Profiles: Entities, Medications, and Clinical Average 10 participants per call
Canadian FHIR Baseline Profiles – Individuals & Entities Sub Stream	Shamil Nizamov (BC MOH)	Creation of a set of Patient, Practitioner, Organization, Location, PractitionerRole national profiles.	The work is based on US Core profiles with analysis of other existing profiles (Netherlands, Australian)The work is based on US Core profiles with analysis of other existing profiles (Netherlands, Australian)
Canadian FHIR Baseline Profiles - Immunization & Medication Sub Stream	Igor Sirkovich	Creation of a set of Immunization, Medication, MedicationRequest, MedicationStatement national profiles	The work is based on US Core profiles with analysis of other existing profiles (Netherlands, Australian)The work is based on US Core profiles with analysis of other existing profiles (Netherlands, Australian)

The FHIR community forum is a great place to learn, share and collaborate, whether you are new to FHIR or are already have deep FHIR experience.

Canadian Core Profiles

Activity

Fang Cao created a new discussion in FHIR® Implementations

New URI Request

Hello, we would like to propose a new URI for Ontario and add it to Canadian URI registry. Please see below. Description: Ontario Long Term Care Facility Identifier Responsible Body & Contact Information: Ontario Health (Digital Excellent in Health) standards team Contact: fang.cao@ontariohealth.ca Proposed FHIR URI: https://fhir.infoway-inforoute.ca/NamingSystem/ca-on-long-term-care-facility-id Existing OID (if exists): 2.16.840.1.113883.3.239.3.59.10 To be published (optional): Canadian URI Registry Please let me know if you have any questions. Thank you! Fang Cao Ontario Health (DxH) Standards team fang.cao@ontariohealth.ca

Michael Savage replied to a discussion in FHIR® Implementations

Canadian FHIR Baseline Profiles - Governance Stream Meeting - March 5th, 2-3pm EST

Attendees Michael Savage Sheridan Cook Anne Belford Joan Harper Shamil Nizamov Thomas Zhou • Sheridan and Mike reviewed the updated draft of the CA Baseline Pitch Deck with the group • Recommended to emphasize the CA Baseline group in the diagram of the full FHIR Implementers Community (just to make sure the audience doesn’t think this is also about eReferral, SoF, etc.) • For the ‘What are We Doing and Why’ slide, clarify that the CA Profiles can (and should) still be used for region-specific implementations; in other words, the CA Baseline Profiles are not just for Pan-Canadian projects / implementations; any Canadian iGuide (be it regional or national in scope) should start from the CA Baseline starting point • Want to clarify that the CA Baseline Profiles are absolutely capable of supporting regional needs (regional iGuides can derive from them and place their project/region-specific constraints on top where needed) • Feedback is to include more high-level / business-level feedback; “Supporting the CA Baseline will bring XYZ benefits to your jurisdiction”; what’s the impact to their lines of business; can re-use wording from other FHIR Baseline/Core initiatives out in the world • Would be good to be able to include the benefit of getting aligned around standardized code/value sets • Also would be great in our subsequent pitch to CHI to ask (as part of what we include in ‘Governance’) to include a CA Baseline Validator tool; this would simplify how in future we can frame the notion of iGuides aligning to the CA Baseline; basically “give this CA Baseline Validator to your developers” • For next Governance Call: Sheridan and Mike to upload updated version of the deck for a subsequent chance for the group to review (expect it next week); next Governance Call will be a chance for more folks to react to the content before we move on and start getting ourselves on the agenda of jurisdictional committee meetings

Paula Lee created a new discussion in FHIR® Implementations

NEW SMART on FHIR Community of Practice - call for members!

During the Feb 24th FHIR implementers call, several attendees expressed a desire in joining and participating in a SMART on FHIR Community of Practice, under the FHIR Implementers Community Umbrella. This is a call for members, across Canada, who are motivated in the growth and development of SMART on FHIR. A doodle poll has been created with some recurrences which do not conflict with other current FHIR implementers working groups. If you are interested in participating, please complete the poll. In the comments you can suggest alternative recurrences if you feel they make sense, keeping in mind different time zones and other similar working group meetings. ... Once a meeting cadence has been decided, the members of this new CoP will work together to develop some concrete and actionable deliverables. I am also on the look-out for a co-chair :) Thank you very much and looking forward to working with a highly motivated group!

Michael Savage created a new discussion in FHIR® Implementations

Canadian FHIR Baseline Profiles - Governance Stream Meeting - March 5th, 2-3pm EST

Hi all, Our agenda for the Friday 5th Governance meeting is as follows: 1. Confirm if we need to keep reviewing the pitch deck with this group / is there any additional feedback from anyone 2a. (If yes) Discuss feedback on the current status of the deck 2b. (If no) Confirm with group our plan to get this topic on the agenda on the 3 main working group meetings discussed in previous meeting 3. DDR Update - eReferral review is done; next session (March 12th) is ACCESS PHI; need to decide at what point we close the DDR series; can also prioritize CA Baseline Profiles which haven't gotten a lot of attention yet (see IPS as a good opportunity) The current draft of the deck can be found here: https://infocentral.infoway-inforoute.ca/en/resources/docs/hl7/canadian-core-profiles/3552-ca-baseline-stakeholders-request-for-advocates-deck-2021-02-19-v0-1

Bradley Brazill joined a group

FHIR® Implementations

Dedicated to the discovery, definition and publishing of HL7® FHIR® Implementation Guides, Conformance, Profiles, Extensions and ValueSets serving the Canadian context.

Michael Savage replied to a discussion in FHIR® Implementations

Canadian FHIR Baseline Profiles - Profiling Stream Meeting - February 26th, 2-3pm EST

Attendees Michael Savage Sheridan Cook Anne Belford Rita Pyle Angela Narad Jason Lin Joanie Harper Mairead Fitzsimmons Randy Nonay Russ Buchanan Shamil Nizamov Thomas Zhou Patient • Patient.identifier, type, system, value > 1..1 in CAB, not in eRefferal o Seems to be something we should not relax o Can check with eReferral group • Will look at socializing the ReasonForNoHCN extensions • .name is flagged as invariant in CAB o Not seen as an issue • .telecom.system in CAB is 1..1 and 0..1 in eRef o Not seen as needed to be loosened o Will compare to other iGuides for patient.telecom.system Practitioner • .name > invariant flag placed on it in CAB and not in eRef o Same action to take as the .name issue from Patient • .qualification.code.coding.system: CAB has a preferred binding for a code system that may be an unnecessary difference from what’s defined o Plan is to relax the binding strength to ‘example’ for the general Practitioner profile Next Session: Will be moving to review of ACCESS PHI FHIR Spec

Paula Lee replied to a discussion in FHIR® Implementations

FHIR Implementers' Quarterly Community Call - February 24, 12-1 EST

Hi @Michael, re: my action item above, I've gotten the OK to proceed with co-chairing a SoF CoP. Please email me to discuss next steps. Cheers - Paula

Forum

Fang Cao

OFFLINE

New URI Request 03/05/21

Michael Savage

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Canadian FHIR Baseline Profiles - Governance Stream Meeting - March 5th, 2-3pm EST 03/05/21

Paula Lee

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NEW SMART on FHIR Community of Practice - call for members! 03/04/21

Michael Savage

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Canadian FHIR Baseline Profiles - Governance Stream Meeting - March 5th, 2-3pm EST 03/03/21

Michael Savage

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Canadian FHIR Baseline Profiles - Profiling Stream Meeting - February 26th, 2-3pm EST 02/26/21

Paula Lee

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FHIR Implementers' Quarterly Community Call - February 24, 12-1 EST 02/26/21

Hi @Michael, re: my action item above, I've gotten the OK to proceed with co-chairing a SoF CoP. Please email me to discuss next steps. Cheers - Paula

Michael Savage

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FHIR Implementers' Quarterly Community Call - February 24, 12-1 EST 02/24/21

Attendees • Michael Savage • John Wills • Rita Pyle • Jason Lin • Paula Lee • Shamil Nizamov • Tim Berezny Welcome • Welcome Paula Lee! • Welcome (back) John Wills Updates • From eReferral > New HealthService API being deployed soon...

Michael Savage

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Canadian FHIR Baseline Profiles - Profiling Stream Meeting - February 26th, 2-3pm EST 02/24/21

Hi all, This Friday's Profiling Stream Meeting (Friday Feb 26th 2-3pm EST) will continue the Due Diligence Review of the eReferral FHIR iGuide(s): we will be looking at Patient, Practitioner, and Location profiles. Also, I'm including the item...

Ken Sinn

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HL7 FHIR Validator interaction with URIs under htttp://hl7.org/fhir/ca/core/... 02/24/21

Hi all, Running into an issue when validating FHIR messages that use extensions defined under the htttp://hl7.org/fhir/ca/core/... namespace (no fixed address extension). HL7 FHIR Validator will always try to resolve any URLs that start with ht...

Michael Savage

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FHIR Implementers' Quarterly Community Call - February 24, 12-1 EST 02/19/21

Hi all! Our first quarterly Community Call for 2021 is coming up on Wednesday February 24th, 12-1pm EST. Please see below for the draft agenda. Pending availability to join the call, it would be great to have representatives / leads from the eRefe...

Sheridan Cook

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Canadian FHIR Baseline Profiles - Governance Stream Meeting - February 19th, 2-3pm EST 02/19/21

Thanks to all who were able to join today! We're making headway on the slide deck that will be presented towards operational working groups that we've identified in a number of jurisdictions. We're asking for your feedback on what content gaps...

Sheridan Cook

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Canadian FHIR Baseline Profiles - Governance Stream Meeting - February 19th, 2-3pm EST 02/17/21

Hi All! This Friday's CA Baseline Governance meeting will be focused on firming up the presentation and plan to get in front of jurisdictional operational working groups (BC CIS, Alberta HISCA, Ontario OH BTC, and others) to ask for advocacy and e...

Michael Savage

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Canadian FHIR Baseline Profiles - Profiling Stream Meeting - Feb 12th Notes 02/12/21

A big thanks as always to Sheridan for the incredibly precise and detailed notes! Feb 12th: Due Diligence Review, comparing CA Baseline to eReferral iGuide AllergyIntollerance Possible candidates for relaxation: - verificationStatus.codin...

Sheridan Cook

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Canadian FHIR Baseline Profiles - Governance Stream Meeting - February 5th, 2-3pm EST 02/05/21

Summary 1. Provided update on the profiling workstream: 2. Continued work we've been doing for the past month to plan engagement of Canadian stakeholders and ask for the support/endorsement of the Baseline as part of our larger ask for a more f...

Michael Savage

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Canadian FHIR Baseline Profiles - Governance Stream Meeting - February 5th, 2-3pm EST 02/04/21

Hi all! The agenda for tomorrow's CA Baseline Governance Meeting will be to continue to review the key messaging contents which are to be leveraged when engaging with the various stakeholders groups in our quest for advocates & supporters of the v...