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FHIR® Implementations


Dedicated to the discovery, definition and publishing of HL7® FHIR® Implementation Guides, Conformance, Profiles, Extensions and ValueSets serving the Canadian context.
Members: 268
Contact: Joel Francis
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.

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)

  1. Serve as a forum for all architectural questions about implemention of FHIR based solutions
  2. Discuss Canadian URI (incl. mapping to OIDs), profiles and extensions
  1. Currently hosting governance calls for the FHIR Profiling Stream
eReferrals

Tim Berezny (CareDove)

Caryn Harris (Orion Health)

  1. Build eReferral use cases
  2. Prototype eReferral use cases
  3. Select Resources to include in Specifications
  4. Write preliminary Specifications for broader use
  1. Assembled stakeholders from across the e-referral spectrum to build a community led e-Referral specification.
  2. 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)

  1. Share progress within the workstreams within the broader FHIR community
  2. Identify and promote FHIR education and implementation activities
  1. Informative updates and discussions about FHIR globally and progress across the workstreams
  2. Average 17 participants per call.
Canadian Baseline Profiles

Sheridan Cook (Gevity Inc.)

Michael Savage (Ontario MD)

  1. Create of a set of national FHIR profiles that can be leveraged by implementers and jurisdictions to promote re-use and interoperability
  2. Establish a common baseline / starting point for Canadian FHIR Implementations
  1. Organization of workstream into Profiling and Governance Streams, to allow for ample time to explore different types of issues
  2. Total of 78 proposed changes to draft Profiles received from FHIR Community
  3. Organization of Profiling Stream into sub-streams based on thematic groupings of FHIR Profiles: Entities, Medications, and Clinical
  4. Average 10 participants per call
Canadian FHIR Baseline Profiles – Individuals & Entities Sub Stream

Shamil Nizamov (BC MOH)

  1. 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

  1. 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

  1. 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

Sheridan Cook replied to a discussion in FHIR® Implementations

Hi folks, thanks for joining the call today to go over our current progress defining the responsibilities and next steps that the CA Baseline Workstream will take in getting the Baseline profiles and IGuide content ready for endorsement. Mike will post the recording shortly. We showed the update to our maturity roadmap to reflect the efforts we've been to build an endorsement plan and prepare our materials for a pan-Canadian Baseline governance group to govern over adoption & expectations for the Baseline (and potentially future Core). We also discussed how we should handle the differences in maturity amongst our 24 profiles. Some profiles have gone through multiple due diligence reviews against currently active Canadian implementation guides, some have been reviewed against draft implementation guides (i.e. IPS), and some profiles - like goal - don't have any Canadian IGuides to compare against. You can find major discussion points below, as well as in a slide in the current slide deck found here. --> https://infocentral.infoway-inforoute.ca/en/resources/docs/hl7/canadian-core-profiles/3683-ca-baseline-governance-workstream-vs-governance-group-2021-05-14-v0-2 Dealing with Profile Maturity Differences: Do we want to apply maturity levels to the profiles, the guide, or both? Likely both Maturity levels reflected for both profiles & guides following traditional FMM progression Want to shoot for IGuide maturity level that is closer to trial use to alert implementors they are stable enough to try out Until we get out of Draft level for whole guide - marking resources/elements as lower maturity may not be helpful - because the assumption is that entirety of it is low maturity What do we do with the profiles that are lower level in maturity than the others? Keep them out of the guide, segment them somewhere else? Don't leave them out of the IGuide, clearly differentiate them at resource level (and maybe even element level - for example observation.focus) Does it make sense to vary from the FHIR FMM implementation-driven definition given that we’re a baseline? May have to vary somewhat given baseline scope is different than a traditional implementation guide scope/different than the international spec use of maturity (i.e. used in multiple countries) Need to define a logic for understanding our maturity level that is communicated in the guide. # of comparison specifications included as parameters in the definition for maturity (differentiate specs that have been implemented vs those that are also still in draft form) #of times the baseline/profiles based off the baseline are used as another indicator for later levels of maturity Does it make sense to ask for a different expectations for less mature profiles? Not appropriate for the workstream to define the expectations- we can make recommendations but decision on what jurisdictions are expected to do with each comes from the collaborative Does it make sense for us to ask for different types of support from our governance group for less mature profiles i.e. agreeing to use the level X for implementation and to provide support getting community feedback for level Y)

Sheridan Cook replied to a discussion in FHIR® Implementations

Hi Ben - we don't typically record the meetings but will give it a try this call. We do always post our meeting notes in the forum following the meeting if you need to catch up on any major discussion. We'll include the video link alongside those notes/any additional materials. See you then!

Cindy Jiang created a new discussion in FHIR® Implementations

Hello, Did you know Ontario Health has the ability to define and implement health information standards and requirements? The Digital Health Information Exchange (DHIEX) is the regulatory framework that gives Ontario Health authority to regulate the exchange of digital health information for consistent and meaningful sharing across the province’s various systems and providers. What does this mean for Ontario Health?   Ontario Health is responsible for leading the implementation of the regulation, including defining interoperability requirements, determining specifications and actively working with vendors and health information custodians through a program to monitor and ensure compliance.   Why now?   Interoperability is a key enabler for the provincial government’s Digital First for Health Strategy and will provide health information custodians and vendors with foundational specifications. The specifications will consistently capture health care data for direct care, virtual care, patient use, secondary use and data analytics – to enhance the patient experience and their journey through the health system.  Join us for an upcoming webinar On May 27, hear from Sue Schneider and Andrew Smith, both leaders within the Digital Excellence in Health portfolio, for a one-hour webinar from 12:30 p.m. – 1:30 p.m. on DHIEX. This webinar will provide a high-level overview of the changes to some of our existing interoperability standards to align with the regulation. You will also hear about other work Architecture and Standards is doing with a patient summary project that will inform the program and its processes. ...

Daniel Berezeanu replied to a discussion in FHIR® Implementations

Hi, we'll be joining the meeting late, would you be able to record the meeting ? Thanks

Michael Savage created a new discussion in FHIR® Implementations

Hi all! For this Friday the 14th's Governance discussion, our agenda is the following: 1) We will be reviewing the scope, parameters, and content we drafted together last session toward a 'Terms of Reference' for the future Canadian Baseline Governance Group (see slide 4 in linked document) https://infocentral.infoway-inforoute.ca/en/resources/docs/fhir/3673-ca-baseline-governance-workstream-vs-governance-group-2021-04-30-v0-1 2) Subsequently we will work to plug the agreedupon terms, responsibilities, etc. in to more structured ToR format, and attempt to get sign-off from the group that the artefact reflects our shared vision for the roles, responsibilities, structures of this future CA Baseline Governance Group Thank you!

Alistair Johnson created a new discussion in FHIR® Implementations

Hello! I'm interested in exploring FHIR as an intermediary format in a data warehouse for a large Canadian hospital. This is an unusual use case but I am wondering about the maturity of the baseline profiles and learning a bit about the initiative here. If possible it would be great to have a chat! My e-mail is aewj at mit dot edu -Alistair

Events



Upcoming events:

Fri May 21 @ 2:00PM - 03:00PM
Canadian Baseline Profiles - Profile Stream Updates
Mon May 24 @ 2:00PM - 03:00PM
Canadian SMART on FHIR Community of Practice
Tue May 25 @11:00AM - 12:00PM
eReferral FHIR Working Group

Forum

CA Base Governance Stream Meeting - Friday May 14th, 2-3pm EST 05/14/21

Hi folks, thanks for joining the call today to go over our current progress defining the responsibilities and next steps that the CA Baseline Workstream will take in getting the Baseline profiles and IGuide content ready for endorsement. Mike will...

CA Base Governance Stream Meeting - Friday May 14th, 2-3pm EST 05/14/21

ok thanks

CA Base Governance Stream Meeting - Friday May 14th, 2-3pm EST 05/14/21

Hi Ben - we don't typically record the meetings but will give it a try this call. We do always post our meeting notes in the forum following the meeting if you need to catch up on any major discussion. We'll include the video link alongside those...

Ontario Health’s role in the exchange of digital health information 05/14/21

Hello, Did you know Ontario Health has the ability to define and implement health information standards and requirements? The Digital Health Information Exchange (DHIEX) is the regulatory framework that gives Ontario Health authority to regulate the...

CA Base Governance Stream Meeting - Friday May 14th, 2-3pm EST 05/14/21

Hi, we'll be joining the meeting late, would you be able to record the meeting ? Thanks

CA Base Governance Stream Meeting - Friday May 14th, 2-3pm EST 05/12/21

Hi all! For this Friday the 14th's Governance discussion, our agenda is the following: 1) We will be reviewing the scope, parameters, and content we drafted together last session toward a 'Terms of Reference' for the future Canadian Baseline G...

FHIR for data archival 05/07/21

Hello! I'm interested in exploring FHIR as an intermediary format in a data warehouse for a large Canadian hospital. This is an unusual use case but I am wondering about the maturity of the baseline profiles and learning a bit about the initiative he...

Canadian FHIR Baseline Profiles - Due Diligence Review - IPS – May 7th, 2-3pm EST 05/07/21

Attendees Michael Savage Sheridan Cook Dan Simic Igor Sirkovich Joel Francis Ken Sinn Randy Nonay Shamil Nizamov Device • Thoughts on changing device profile name to just (medical) • Not feeling like the IPS is a good point of compar...

Canadian SMART on FHIR CoP - Meetings 05/07/21

Done, my apologies.

Canadian SMART on FHIR CoP - Meetings 05/07/21

Hi Paula This email is bouncing back as undeliverable: paula dot lee at ehealthce dot com And this email is bouncing back as address rejected:access denied" paula dot lee at ehealthce dot ca Could you reconfirm your email address, please Many tha...

Canadian SMART on FHIR CoP - Meetings 05/06/21

Our next meeting will take place on Monday May 10th and we will continue our deep dive into the eReferral Launch from EMR/HIS use case. If time allows, Ted will lead us in a review of the ONE ID Oath specification to see the differences compared t...

Canadian SMART on FHIR CoP - Meetings 05/06/21

SMART North - April 26, 2021, Meeting Notes - Thanks to Jason for his excellent note taking on April 26th and May 10th. - Volunteer note take requested for May 31st. Next Meeting: May 10 @ 2pm - continue Ocean demonstration discussion (Doug,...

Canadian FHIR Baseline Profiles - Due Diligence Review - IPS – May 7th, 2-3pm EST 05/05/21

Hi all! For our Friday May 7th 2-3pm EST Profiling Meeting, we will be continuing our Due Diligence Review comparing the CA Baseline Profiles to the IPS FHIR iGuide, and will focus on the following profiles: 1. Device 2. Medication Hoping t...

CA Baseline Governance Stream Meeting - Friday April 30th, 2-3pm EST 04/30/21

Attendees: Sheridan Cook Michael Savage Joan Harper Elliot Silver Ken Sinn Randy Nonay Rita Pyle Shamil Nizamov • Sheridan and Mike updated the group on their first prelim chat with a jurisdictional group (OH) • Was a chat to help firm...

CA Baseline Governance Stream Meeting - Friday April 30th, 2-3pm EST 04/28/21

Hi all! The agenda for this Friday's CA Baseline Governance meeting is as follows: 1) Update group on outcome of conversation we had with OH Team, and share the feedback we received 2) Follow-up on next step for planning to speak at Alberta's...

Documents

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Architecture ( 2 Documents )

BusinessCase ( 6 Documents )

CDS Hooks ( 0 Document )

Client Registry ( 2 Documents )

Consent Management ( 0 Document )

eReferral ( 68 Documents )

Meeting Materials ( 7 Documents )

Provider Registry ( 1 Document )

Questionnaire ( 3 Documents )

SMART on FHIR ( 3 Documents )

Tooling ( 8 Documents )

ca-NamingSystem screenshot

Published on Nov 16, 2020 by Joan Harper

Identifier OID Registration Form_ShoppersDrugMart_Type4

Published on Oct 07, 2020 by Vania Granese

Identifier OID Registration Form for ATLAS Alliance

Published on Oct 04, 2020 by Vania Granese

Identifier OID Registration Form Aware MD

Published on Sep 03, 2020 by Vania Granese

FHIR NamingSystem Template 2020

Published on Jul 21, 2020 by Joel Francis

HL7 Canada Pres to FHIR Community 2020-03-25

Published on Mar 25, 2020 by Michael Savage

Identifier OID Registration Form QHR

Published on Mar 06, 2020 by Vania Granese

Canadian Core Project Deck - as of Nov 6 2019

Published on Nov 06, 2019 by Michael Savage

Alberta Pharmacy License Number

Published on Nov 04, 2019 by Randy Nonay

Life of Lamberts Consolidated Stories

Published on Oct 25, 2019 by Michael Savage

SDC on FHIR by Joel Francis and Alex goel

Published on Sep 06, 2019 by Alexander Goel

ACCESS Atlantic Discovery Phase B Presentation - July 2019

Published on Jul 24, 2019 by Michael Savage

Alberta Delivery Site Identifier OIDS

Published on Jul 04, 2019 by Randy Nonay

Canadian Core Profile - Template for Review / Proposed Changes

Published on Jun 21, 2019 by Michael Savage

Vendor OID Form IntraHealth EMR

Published on Jun 11, 2019 by Vania Granese

Alberta Prescription Monitoring Protocol OID request

Published on Mar 29, 2019 by Randy Nonay

OID registration form for Microquest Canada

Published on Mar 29, 2019 by Randy Nonay

OID Registration Form for Input Health

Published on Mar 22, 2019 by Vania Granese

Identifier OID Registration Form for Indivica

Published on Mar 05, 2019 by Vania Granese

Joel Francis' HL7 WGM Update

Published on Jan 23, 2019 by Yaron Derman

New OIDs Request Process

Published on Dec 05, 2018 by Joel Francis

Terminology Gateway - Overview

Published on Dec 05, 2018 by Joel Francis

Why FHIR, Why Now?

Published on Dec 14, 2017 by Tasha Shaw-Verbic

Pourquoi utiliser FHIR et pourquoi maintenant

Published on Dec 13, 2017 by Tasha Shaw-Verbic

Video

FHIR in Canada

Infoway Partnership Conference 2017. Presented by Yaron Derman, Manager, eHealth Standards, eHealth Ontario, and Attila Farkas, Director, FHIR Strategy and Implementation, Canada Health Infoway

01/03/18
Simple direct eReferral

Demo of simple eReferral workflow in a pilot environment - working coming out of the FHIR Implementers WG.

12/12/17

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