FHIR® Implementations

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

Members: 411

Contact: Anil Patel

Admins: Sadrina Petit, Sheridan Cook, Michael Savage, 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

HL7 Canada 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 has several streams of activity:

Topical workstreams
Monthly community calls to share workstream progress and other FHIR-related news
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/ca-on-ereferral-r4-iguide-v0.11.0/Index/Home/Introduction?version=0.11.0
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 & Governance	Sheridan Cook (Accenture) Michael Savage (Sunlife)	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 Recordings of the CA FHIR Baseline Calls can be found on the following Youtube playlist: https://www.youtube.com/playlist?list=PLm8ff1Z6HoFTzBvcjJg9iRHTrvucbqEEQ
SMART on FHIR Community of Practice	Russell Buchanan (eHealth Centre of Excellence) Raman Dhanoa (Dogwood Health Consulting) Irfan Hakim (Accenture)	Establish a shared foundation for Canadian SMART on FHIR application developers. Serve as a collaborative forum for discussing use-cases, solving SMART on FHIR implementation obstacles, and enabling demonstrations and insights across different provinces.	This group has commenced its discussions centered on SMART Launch contexts and related parameters. The intial use-cases that are being discussed include the Ocean SMART Launch V1.0, SMART Launch v2.0 and Telus Ocean Integration.

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.

Key Resources

Canadian Core Profiles

Activity

Sadrina Petit created a new discussion in FHIR® Implementations

Reminder: Review & Comment on DFT-Ballot Specs

Hello everyone, This is a friendly reminder that the review periods for the following specifications are closing soon: PS-CA v2.1.0 DFT-Ballot – Closes May 16, 2025 CA:eReC v1.1.0 DFT-Ballot – Closes May 16, 2025 CA:CSD v1.0.0 DFT Ballot – Closes May 2, 2025 Please take a moment to visit the respective release pages, review the documents, and submit your feedback before the deadlines. Here are the links for your convenience: Access to Specifications: ... If you have any questions or need further information, feel free to post them here or reach out to me directly. Thank you for your ongoing participation! Many thanks, Sadrina, on behalf of the Interoperability Team

Helen Wu created a new discussion in FHIR® Implementations

2025 Pan-Canadian HIE Standards 3-Day Virtual Workshop | April 28–30

Hello everyone, Join us April 28–30, 2025, from 4:00 – 6:30 pm PT for the 2025 Pan-Canadian Health Information Exchange (HIE) Standards 3-Day Virtual Workshop, hosted by the School of Health Information Science at the University of Victoria. Hear from guest speakers across Canada on topics including the ..., ..., ..., and .... You’re welcome to attend any—or all—sessions! Visit the ... for the full agenda and .... We look forward to seeing you there!

Helen Wu created a new discussion in FHIR® Implementations

Reminder: Migration from Terminology Gateway on April 30, 2025

Hi all, As previously communicated, the Terminology Gateway will be partially retired on April 30, 2025. After this date, all core terminology resources, including SNOMED CT CA, pCLOCD, CCDD and ValueSets, will be accessible exclusively through our newly upgraded .... PrescribeIT® content will remain on the Terminology Gateway. Any new requests for ValueSets, updates, or changes (excluding PrescribeIT®) will be processed through the new FHIR Terminology Server. Since its launch, the Terminology Gateway has provided a trusted way to browse, download, and implement standardized terminologies across Canada, helping to improve interoperability and consistency. Building on this success, our new cloud-based FHIR Terminology Server delivers enhanced scalability, security, and reliability and is designed to be the central hub for managing and distributing high-quality international and pan-Canadian terminologies and ValueSets, ultimately supporting data standardization and interoperability. Action Required: Update Your Terminology Gateway Endpoints To avoid disruptions to your workflow, please download any necessary content from the Terminology Gateway before April 30th. While we are implementing backend changes to automatically redirect ValueSet canonical and defining URLs, we strongly recommend that you directly update your system endpoints as well as FHIR Implementation Guides/ Interoperability Specifications referencing a Terminology Gateway URL (e.g. any application system links, documentation, user guides, or websites, etc. that reference the Terminology Gateway, such as the Subset Defining URL (e.g. https://tgateway.infoway-inforoute.ca/vs/XX)). For detailed information on the migration timeline and new features on the FHIR Terminology Server, please check out our news article: .... Thank you for your continued support. If you have any questions or require assistance, please contact us at [email protected].

Michael Savage created a new discussion in FHIR® Implementations

CA Baseline Governance Call - Fri Apr 25th 2-3pm ET - Agenda

Hi all! The agenda for this Friday April 25th's CA Baseline Governance Call (2-3pm ET) is as follows: Review CA Core/CA:FEX for Community Feedback & documented action items from Baseline perspective. Thank you!

Sansira Seminowich 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

CA Baseline Governance Call - Fri Apr 11 2-3pm - Agenda

Hi all! A minor addition to the planned agenda for today's CA Baseline Governance Call: 1. Discuss how any upcoming updates to CACDI/Cores & Mores should be incorporated in CA Baseline going forward. 2. Update that we'll be cancelling the April 18th Profiling call due to Good Friday, with the planned FHIRpath session with Lloyd shifting to the May 2nd CA Baseline session slot Thank you!

Michael Savage replied to a discussion in FHIR® Implementations

Apr 18th CA Baseline Profiles call - FHIRpath Session

Thanks for the catch on this one Dean! We will be cancelling the Apr 18th CA Baseline Profiles session, and will move the FHIRpath agenda to the May 2nd session. I'll make updates to this accordingly. Thanks again!

Upcoming events:

Fri May 02 @ 2:00PM - 03:00PM
CA Baseline Profiles - Profiling Stream

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FHIR® Implementations

About

Key Resources

Activity

Sadrina Petit created a new discussion in FHIR® Implementations

Helen Wu created a new discussion in FHIR® Implementations

Helen Wu created a new discussion in FHIR® Implementations

Michael Savage created a new discussion in FHIR® Implementations

Sansira Seminowich joined a group

Michael Savage replied to a discussion in FHIR® Implementations

Michael Savage replied to a discussion in FHIR® Implementations

Events

Upcoming events:

Forum

Reminder: Review & Comment on DFT-Ballot Specs 04/25/25

2025 Pan-Canadian HIE Standards 3-Day Virtual Workshop | April 28–30 04/25/25

Reminder: Migration from Terminology Gateway on April 30, 2025 04/24/25

CA Baseline Governance Call - Fri Apr 25th 2-3pm ET - Agenda 04/23/25

CA Baseline Governance Call - Fri Apr 11 2-3pm - Agenda 04/11/25

Apr 18th CA Baseline Profiles call - FHIRpath Session 04/11/25

Apr 18th CA Baseline Profiles call - FHIRpath Session 04/09/25

Apr 18th CA Baseline Profiles call - FHIRpath Session 04/09/25

CA Baseline Governance Call - Fri Apr 11 2-3pm - Agenda 04/09/25

Important Updates: Enhancements to FHIR Terminology Server & Migration from TG 04/01/25

CA Baseline Governance Call - Fri Mar 28 2-3pm ET - Agenda 03/27/25

Open Review webinar - Ontario Mental Health and Addictions Provincial Data Set 03/24/25

IHE IT Infrastructure Technical Framework Documents Published 03/13/25

CANCELLED - CA Baseline Governance Call - Fri Mar 14th 2-3pm ET 03/12/25

Annual Acceptance of Terms of Use and License Agreements Required After March 31 03/10/25

Documents

Architecture ( 2 Documents )

BusinessCase ( 6 Documents )

CA Baseline Materials ( 17 Documents )

CDS Hooks ( 1 Document )

Client Registry ( 2 Documents )

Consent Management ( 0 Document )

eReferral ( 68 Documents )

Healthcare Service Directory ( 14 Documents )

Meeting Materials ( 10 Documents )

Provider Registry ( 1 Document )

Questionnaire ( 3 Documents )

SMART on FHIR ( 3 Documents )

Tooling ( 9 Documents )

Video

Members