FHIR® Implementations

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

Members: 278

Contact: Joel Francis

Admins: Joan Harper, Linda Monico

Type: Open

Access: Public

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

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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)
SMART on FHIR Community of Practice	Paula Lee/Open	Develop Canadian specific SMART on FHIR guidance and specification documentation and best practices	This group has been recently established and is beginning with business use cases around which to develop an implementation guide and specification. Current SMART on FHIR implementers from across Canada are welcome to join.

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

Michael Savage replied to a discussion in FHIR® Implementations

Canadian FHIR Baseline Profiles - Due Diligence Review - IPS – July 30th, 2-3pm EST

Attendees: Michael Savage Sheridan Cook Elliot Silver Maria Hu Rita Pyle Adesh Maharaj Fariba Behzadi Harsh Sharma Inderpal Singh Ken Sinn Randy Nonay Shamil Nizamov Thomas Zhou DiagnosticReport • .category o Motion to keep the LabResult-specific slice • .code o Same as above • .group o Decision on whether or not to re-include Group as a pointer for this one o Decision is to re-include the Group pointer • .encounter o Will remove the MS flag; recognizing it’s important in certain use cases, can add a note which describes the rationale for inclusion in specific use cases • .resultsinterpreter and .performer o Decision to re-introduce CareTeam Profile as a pointer • .specimen o Decision to relax MS flag in CA Baseline DiagnosticReport for Report and Note Exchange • .category o Value set’s URL gives a 404 error o Proposal is to just revert the binding to the example value set from base r4 • .code o Same as above • .subject o Same decision as with main DR Profile • .encounter o Same as with main DR Profile • .performer o Same as with main DR Profile Remaining elements to be looked at next time

Radhika Verma created a new discussion in FHIR® Implementations

Ontario eReferral FHIR Implementation Guide v0.10.1 is now 'Public'

Hello All, The Ontario eReferral FHIR Implementation Guide (IG) was written to support implementers of systems that will use HL7 FHIR to support the electronic transfer of information when patients are referred from one healthcare service provider to another in the province of Ontario. Scope: The Ontario eReferral FHIR Implementation Guide supports referral patterns for various pathways such as an EMR integration with a Regional Home to Community Care Solution, Primary Care to Home and Community Care, Acute Care, etc. It describes the business considerations and implementation details for enabling interoperability with referral management systems to initiate and manage an electronic referral request. Change: As of July 20, 2021 the ... (IG) v0.10.1 has been published to include the following: Updates and clarifications to the ..., including updates to the ... (agreed to by eReferrals Workstream of the FHIR Implementations Working Group on June 22, 2021); Technical corrections to the existing FHIR artifacts to enable resource validation, including: - slicing in AllergyIntolerance & all extensions, - fix URIs for references in profiles to match canonicals (vs Simplifier url); Rework implementation guidance, replacing "Method 1", "Method 2" language with separate specification pages for: - ..., and - ...; Added pages with implementation notes for Profiles and messages in the FHIR Artifacts menu; Added CapabilityStatements for key system roles specified in the specification pages to clarify requirements Added MessageDefinition artifacts to show expected use of message events / for reference in CapabilityStatements; Updated examples for resources and added examples If you have any questions regarding the updates to the Ontario eReferral FHIR Implementation Guide (IG) v0.10.1, contact us at: OH_DS@architecture@ontariohealth.ca Thank You Architecture Program Office

Michael Savage created a new discussion in FHIR® Implementations

Canadian FHIR Baseline Profiles - Due Diligence Review - IPS – July 30th, 2-3pm EST

Hi all! For the Friday July 30th CA Baseline IPS due diligence review session, our high-level agenda is as follows: 1. DiagnosticReport - review the discrepancies identified last session & decide if there's benefit in reviewing them again (versus leaving them as-is) (please see the relevant forum post for the 2. Decide on which further IPS profiles to review, or if we have reached a sufficient point of review of this iGuide Thank you!

Hanna Pingal 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.

Sheridan Cook replied to a discussion in FHIR® Implementations

CA Baseline Maturity Level Definitions Discussion

and is conformant (produces no errors)" We encourage the community to provide feedback prior to our next call August 6th. We will be tackling the last maturity level (level 6) as well as discussing expectations for collecting and addressing feedback/changes from the community (levels 2+) as well as approaches for our terminology capabilities (pointing to external value sets, shell value sets, free/open source servers). The most up to date slide deck can be found here: https://infocentral.infoway-inforoute.ca/en/resources/docs/hl7/canadian-core-profiles/3720-ca-baseline-governance-call-baseline-maturity-level-definition-discussion-slide-deck-2021-07-09 Level Current Definitions Proposed CA Baseline Definition 5 FHIR Base Definition: FMM4 + the artifact has been published in two formal publication release cycles at FMM1+ (i.e. STU level) and has been implemented in at least 5 independent production systems in more than one country. UK Core Definition: The Profile has been presented for inclusion in the HL7 UK Ballot Process. Artifact is ready for inclusion in normative ballot in the HL7 Canada Ballot Process. At least 5 independent production systems, across 3 jurisdictions, have demonstrated* conformance to the CA Baseline Profile as a starting point. “Independent production systems” should be inclusive of the following implementor types: - Health Vendors (e.g., EHR, HIT, Consumer Health) - Jurisdictional Health Assets - Pan-Canadian/Federal Health Assets

Lloyd Mckenzie replied to a discussion in FHIR® Implementations

Looking for a FHIR conformity server - is there such a thing?

FHIR actually defines what the content looks like in JSON, XML or TTL (in order of common usage). It sounds like what you're looking for is a 'validator'. A validator will check that your instance meets all the various rules of the FHIR specification as well as any profiles it declares conformance with (or that you assert it needs to be conformant with). The validator will check for valid structure (correct names, nesting, cardinality, etc.) as well as invariants and terminology constraints. Java publishes an open-source validator that is generally the most comprehensive, though there's also a .NET one that's pretty good and a JavaScript one that's getting better. Documentation is here: https://confluence.hl7.org/display/FHIR/Using+the+FHIR+Validator If you want to try a web-based version, it's here: https://fhirvalidator.org/ Note that, unless you specify parameters dictating otherwise, the validator will check terminology using HL7's terminology server and that's been having hiccups the last few days, though it seems better today.

Anibal Jodorcovsky created a new discussion in FHIR® Implementations

Looking for a FHIR conformity server - is there such a thing?

Hi all, I'm new to FHIR so I may not even be asking the right question. From what I understand, FHIR will stipulate the format of the JSON payload to be able to communicate between clients and servers providing services. Somebody mentioned to me that there's such a thing as a Conformity Server that can be used to verify if the JSON messages created are proper for a given FHIR Resource specification. Is there such a server somewhere available for public use? If not, is there one for private use, i.e., paying or deploying it internally? If the answer is not to both questions, do you know if there are plans to develop such a thing? Thank you, -Anibal

Upcoming events:

Fri Aug 06 @ 2:00PM - 03:00PM
Canadian Baseline Profiles: Governance Stream

The confusion comes from the name which is "Ontario Independent Health Facilities" from HL7 OID registry for this OID. If this OID represents the MOH's master numerbing system, what is the difference between it and 2.16.840.1.113883.3.59.3 which repr...

Igor Sirkovich

OFFLINE

Request for URI description update in the URI Registry 07/05/21

I'm not sure if the proposed description is right. It's possible that the mapped OID is rather incorrect, in which case it should be removed from this URI and potentially, a new URI should be assigned to match this OID. The "...ca-on-health-care-f...

Michael Savage

ONLINE

CANCELLED - July 2nd 2-3pm EST Profiling/DDR Stream Meeting - Please Review Decision Items 06/30/21

Hi all! Given the holiday Thursday (& as such that many folks will be planning to take the Friday off as well), we'll be CANCELLING the Friday July 2nd Profile / DDR Meeting. That said, in an effort to keep the momentum going until our next DDR se...

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