FHIR® Implementations

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

Members: 431

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 (Canada Health Infoway)	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

Helen Wu created a new discussion in FHIR® Implementations

Annual Acceptance of Terms of Use and License Agreements Required After March 31

Hi all, Upon first login after March 31, 2026, all users will be required to reconfirm acceptance of the ... before further access and use of InfoCentral, Standards, and Solutions will be granted. Infoway provides convenient access to a wide range of licensed and proprietary materials. To ensure compliance with our various agreements, Infoway Account Users are asked to reconfirm acceptance of the following agreements by March 31 of each year: Canada Health Infoway Interoperability Solutions Subscription Agreement, Canadian Clinical Drug Data Set, HL7 Agreements, ICD-10-CA and CCI, LOINC®, and RELMA® Terms of Use, pan-Canadian LOINC® Observation Code Database (pCLOCD) Terms of Use, SC Code Systems, SNOMED CT Agreements and Unified Codes for Units of Measures (UCUM) Terms of Use. Information provided during Infoway Account registration may be used to contact you regarding your account, to administer the site, to analyze site use, to respect our contractual commitments with licensors such as HL7 International and SNOMED International, or to request feedback on artifacts downloaded via Terminology Server API. Email us to ... of receiving feedback emails of terminology downloads from the maintaining organization. Thank you,

Helen Wu created a new discussion in FHIR® Implementations

IHE Radiology Technical Framework Supplement Published for Public Comment

Hi everyone, The IHE Radiology Technical Committee has published the following Technical Framework Supplement for public comment in the period from March 8 through April 9, 2026: • Imaging Diagnostic Report-Phase II (IDR) - Rev. 1.2 The document is available .... The IHE Radiology Technical Committee will consider comments submitted by April 9, 2026, in developing the trial implementation version of the supplement. Please submit your comments at .... Thank you.

Divyanshu Kamboj 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.

Helen Wu created a new discussion in FHIR® Implementations

Renew Today: HL7 Canada Affiliate Access

Hi FHIR Implementations community members, Infoway will continue to coordinate the Affiliate Agreement with HL7 International on behalf of Canada. For those individuals or organizations that require access to, or licenses associated with content managed by HL7 International, the renewal period is now open. Individuals or organizations that require licenses to content owned by HL7 International or desire to participate in working groups or ballots with HL7 International are encouraged to renew their HL7 Canada Affiliate access. To ensure the continuity of your HL7 Canada Affiliate access, please make a payment prior to April 1, 2026, for the 2026-2027 year period. To renew or register: 1. login to your Infoway Account on InfoCentral - if you don't have an Infoway Account, ... first 2. click on your username in the top right of the grey bar to open your user profile 3. go to the ... and submit the form and payment. Accounts that have not been renewed will revert to that of an InfoCentral user on April 8, 2026. If you do not currently have HL7 Canada Affiliate access, you can register by following the steps above. To learn more about access to pan-Canadian standards, solutions, and HL7 International standards access, please visit the ... on InfoCentral. For more information on accessing standards, please .... Thank you,

David Kwan created a new discussion in FHIR® Implementations

2026 Pan-Canadian Projectathon Wraps!

The 2026 Pan-Canadian Projectathon has officially wrapped, and what an incredible few days of collaboration it’s been! Participants from across Canada and the world came together to test and validate digital health solutions against pan-Canadian specifications using sandbox environments that simulated real-world workflows and data exchange. Over the course of the Projectathon, 290 total tests were completed, including 199 no-peer tests and 91 peer-to-peer tests. The event once again demonstrated the power of collaboration across vendors, implementers, health system leaders and standards experts, all working together to advance interoperability and Connected Care. Thank you to all participants and partners—your contributions continue to help shape a more connected, interoperable health system for all Canadians.

David Kwan created a new discussion in FHIR® Implementations

2026 Pan-Canadian Projectathon Update

The first two days of the 2026 Pan-Canadian Projectathon are now complete, and the energy on the (virtual) testing floor has been strong. Developers and implementers have been actively collaborating to validate interoperability across key pan-Canadian specifications—sharing insights, troubleshooting in real time and pushing implementations forward together. Through two days of testing, we’ve seen 221 total tests completed, including 170 no-peer tests and 51 peer-to-peer tests—a clear signal of both readiness and momentum. With a final day of testing now underway, we’re looking forward to even more collaboration, learning and progress as participants put their systems through the final validations.

David Kwan created a new discussion in FHIR® Implementations

2026 Pan-Canadian Projectathon on Now!

The 2026 Pan-Canadian Projectathon kicks off today, bringing together developers and implementers from across Canada to demonstrate the real-world impact of pan-Canadian specifications. This year’s event is taking place virtually, with Infoway’s Toronto office serving as the coordination hub. Over the next three days, participants will collaborate in a non-competitive environment to test and validate digital health solutions in sandbox environments that simulate real-world workflows and data exchange—helping ensure solutions are ready for deployment and aligned with the Shared Pan-Canadian Interoperability Roadmap. Stay tuned as we share highlights and insights from the event throughout the week!

Upcoming events:

Fri Mar 20 @11:00AM - 12:00PM
SMART North Monthly

Fri Mar 20 @ 2:00PM - 03:00PM
CA Baseline- Governance Stream

Fri Mar 27 @ 2:00PM - 03:00PM
CA Baseline Profiles Call

Forum

Helen Wu

OFFLINE

Annual Acceptance of Terms of Use and License Agreements Required After March 31 03/09/26

Helen Wu

OFFLINE

IHE Radiology Technical Framework Supplement Published for Public Comment 03/09/26

Helen Wu

OFFLINE

Renew Today: HL7 Canada Affiliate Access 03/02/26

David Kwan

OFFLINE

2026 Pan-Canadian Projectathon Wraps! 02/27/26

David Kwan

OFFLINE

2026 Pan-Canadian Projectathon Update 02/26/26

David Kwan

OFFLINE

2026 Pan-Canadian Projectathon on Now! 02/24/26

Helen Wu

OFFLINE

PRE-REGISTER NOW for the IHE North American Connectathon! 02/20/26

Hi everyone, Join us October 12–16, 2026, at George Mason University’s Arlington Campus for a premier week of world-class interoperability testing and hands-on collaboration in the Washington, DC region. This exciting partnership will also expand...

Harsh Sharma

OFFLINE

Baseline call cancelled today 02/13/26

I hope you feel better soon, Sheridan! Take care.

Sheridan Cook

OFFLINE

Baseline call cancelled today 02/13/26

Hello all, please note today’s Baseline call is cancelled due to illness. We will be returning next Friday, the 20th.

Helen Wu

OFFLINE

HL7 Canada Affiliate Access Renewals begin March 1 02/03/26

Hi everyone, Infoway continues to encourage the increased use of e-health standards and standards-based materials. Standards enable the thousands of health care providers across the country to communicate and share health information in a consiste...

Sanjin Sabljakovic

OFFLINE

Open Review Webinar: Ontario Clinical Report Exchange (OCRE) HL7® FHIR® 01/22/26

Hello, Ontario Health will be hosting an Open Review webinar on Thursday January 29, 2026, @ 12:00-1:00pm (EST) to provide details on the Ontario Clinical Report Exchange (OCRE) HL7® FHIR® Implementation Guide v1.0.0 -ballot, explain the process o...

Russ Buchanan

OFFLINE

SMART North Call on January 16th is Cancelled 01/14/26

Hello SMART North Community! I hope you all had some down time over the holidays with time to recharge and reconnect. The January edition of SMART North is Cancelled due to lack of agenda topics. Our next meeting is scheduled for February 20th...

Elliot Silver

OFFLINE

CA baseline in FHIR registry not accessible 01/05/26

Hi Erik, The short response is that the CA Baseline guide has never shown up on HL7.org. The longer, more useful response is that the canonical urls that identify resources in an IG isn't required to align with where the IG is published, althou...

Erik Uittien

OFFLINE

CA baseline in FHIR registry not accessible 01/02/26

Hello, Maybe it's intended, but the CA-baseline IG does not seem to be up anymore on the HL7.org page. I had some links that did not resolve that were pointing to the CA baseline hosted in the HL7 IG registry. https://www.fhir.org/guides/regis...

Ron Parker

OFFLINE

HL7 International Jan 2026 Ballot Package for Download 12/19/25

Hello HL7 FHIR Implementation Community. Please forgive the double posting on Infocentral. I really wanted to be sure that people invested in FHIR implementations in Canada are aware the FHIR Release 6 in out for ballot. Here is the link to th...

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