FHIR® Implementations

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

Members: 286

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/ca-on-eReferral-r4-iguide-v0.10.1/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 - Governance Stream Meeting - October 15th, 2-3pm EST

Attendees Sheridan Cook Michael Savage Harsh Sharma Ken Sinn Shamil Nizamov Thomas Zhou Please see the updated governance deck which reflects the outcome of this meeting's discussion (specifically Slide 15) here: https://infocentral.infoway-inforoute.ca/en/resources/docs/hl7/canadian-core-profiles/3777-ca-governance-call-gg-discussion-2021-10-15

Michael Savage created a new discussion in FHIR® Implementations

FHIR Implementers - Post-FHIR North Community Call

Hi all! This is just a reminder that we've added an additional Community-wide call on Wednesday October 20th, 12-1pm EST. The purpose of this additional Community Call is to serve as a Post-FHIR North Debrief, wherein we can discuss ideas that came out of the FHIR North Conference, and a chance for Conference attendees to join the FHIR Implementers Community for the first time & potentially drive new streams of work. If you've made some new connections at the conference, and feel it'd be valuable to bring those people into the FHIR Implementers Community, this would be a great occasion around which to loop them in. Thanks!

Michael Savage created a new discussion in FHIR® Implementations

Canadian FHIR Baseline Profiles - Governance Stream Meeting - October 15th, 2-3pm EST

Hi all! The agenda for this Friday's governance call is as follows: 1. Confirming how we will be encapsulating the different approaches that are available to folks looking to derive from the Baseline 2. Fielding some discussion questions for us to align around re: the above: will look at the timelines we can / should be associating with each of those options; is there a 'sequence' we can put interested parties on? Where will that implementation / derivation guidance live? Thank you!

Michael Savage created a new discussion in FHIR® Implementations

Canadian FHIR Baseline Profiles - Profile Updates - Oct 8th, 2-3pm EST

Hi all! A reminder that this Friday from 2-3pm Sheridan and I will be online (via the scheduled zoom meeting) to work through the Simplifier Issue log and commit the changes which were confirmed as part of the various DDR sessions. There is no formal agenda, as it's just some protected time for the two of us to work through the items. That said, you are welcome to join and listen in. Thank you!

Daniel Zivkovic created an event in FHIR® Implementations

TODAY: Empowering Developers to be Healthcare Heroes
Monday, October 04, 2021 05:30pm - 07:00pm

Serverless Toronto User Group is (virtually) hosting Kevin Maloy, MD – a practicing board-certified Emergency Medicine physician who can also code. Dr. Maloy will write a SMART on FHIR app that lets a patient figure out if they have been tested for Anemia because simple apps like this are probably the best entry into FHIR – without being too complex. The app will run in Cerner's SMART on FHIR sandbox, but Dr. Maloy will also explain how to launch the same code in Epic. Please bring your questions too, because Dr. Maloy has extensive knowledge of development within Cerner electronic health records (EHRs), he is a certified physician builder in Epic EHRs with a particular interest in Fast Healthcare Interoperability Resources (FHIR) in the clinical environment, Cloud Computing and Machine Learning in health care. RSVP at: https://www.meetup.com/Serverless-Toronto/events/279837171/

Michael Savage replied to a discussion in FHIR® Implementations

Canadian FHIR Baseline Profiles - Governance Stream Meeting - Oct 1st, 2-3pm EST

Attendees: Elliot Silver Joan Harper Sheridan Cook Rita Pyle Fariba Behzadi Inderpal Singh Maria Hu Randy Nonay Thomas Zhou > see Oct 1 version of deck, uploaded here: https://infocentral.infoway-inforoute.ca/en/resources/docs/hl7/canadian-core-profiles/3773-ca-governance-call-gg-discussion-2021-10-01 Change Mgmt / Feedback Process > Agreed we'll wait for confirmation that resourcing can be provided (moderator role, etc) > Going to assume our current draft process will be the one we move forward with (pending above confirmations) Terminology Scorecard > no objections to proposed directions which we can offer the valueset / extension owners as ways to resolve the non-resolving links > CanImmunize: we should provide feedback to CI team, can recommend publishing their valuesets as an iGuide FHIR Resource that we can point to > if owners of the valuesets don't want to alter / add to their current approach, what's our last resort? > likely allow the links to not resolve and include explicit notes saying that the links won't resolve > PrescribeIT: can ask them to host extensions at canonical URL or try to publish an iGuide for the extensions that others (like CA Baseline) can point to > SNOMED: terminology gateway needs to publish the definitions, not just the expansions; can ask Infoway to make available the valueset definitions at the canonical URL locations Use / Derivation Expectations > to be discussed next session

Michael Savage created a new discussion in FHIR® Implementations

Canadian FHIR Baseline Profiles - Governance Stream Meeting - Oct 1st, 2-3pm EST

Hi all! For this Friday's Governance meeting, the agenda is as follows: 1. Reminder on current status of draft Feedback & Change Management Process 2. Recap of Terminology Resolution Scorecard discussion and progress from last meeting 3. Solidifying our expectations for derivations Thank you!

Upcoming events:

Wed Oct 20 @12:00PM - 01:00PM
FHIR Implementers - Post-FHIR North Community Call

OFFLINE

Canadian FHIR Baseline Profiles - Profile Updates - Sept 10th, 2-3pm EST 09/15/21

Hi I'm going to invite Jeff Goodyear to join us for the Sept 17 governance meeting so that we can possibly get details on what infoway is planning for governance processes and tools. Randy

Paula Lee

OFFLINE

Canadian SMART on FHIR CoP - Meetings 09/13/21

SMART North resumes on Monday September 27th at 2pm. On the agenda is Russ, who will go over the SMART on FHIR items from the Ontario eReferral iGuide. If you have any items to add to the agenda, please contact paula dot lee at ehealthce dot c...

Cindy Jiang

OFFLINE

Ontario's DHIEX Webinar #3 | Sept 22 1:00pm ET | Patient summary project updates 09/13/21

The third DHIEX webinar on September 22, 2021, will focus on Ontario’s collaboration (Pan Canadian), which enables secure exchange of patient summaries across multiple solutions to support transitions of care and cross-jurisdictional patient flows....

Joan Harper

OFFLINE

Call for IPS Resources 09/10/21

Hello All, I will be attending the International Patient Summary track of the HL7 Connectathon next week. I wanted to see if anyone has IPS resources that they would like validated and tested at the Connectathon. The IPS Group would very much li...

Michael Savage

OFFLINE

Canadian FHIR Baseline Profiles - Profile Updates - Sept 10th, 2-3pm EST 09/08/21

Michael Savage

OFFLINE

CA Baseline Governance Stream Meeting - Friday Sept 3rd, 2-3pm EST 09/03/21

Attendees: Michael Savage Harsh Sharma Joan Harper Sheridan Cook Elliot Silver Fariba Behzadi Israel Hernandez Ken Sinn Randy Nonay Shamil Nizamov The group discussed both the evolving Change Request Discussion & Management Process, as...

Michael Savage

OFFLINE

CA Baseline Governance Stream Meeting - Friday Sept 3rd, 2-3pm EST 09/01/21

Hi all! Our agenda for this Friday's Governance call: 1. Review the process we've drafted for processing Feedback and Change Management re: CA Baseline Profiles (change requests, etc.) 2. Walk through terminology expectations, and our option...

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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 )

Healthcare Service Directory ( 14 Documents )

Meeting Materials ( 8 Documents )

Provider Registry ( 1 Document )

Questionnaire ( 3 Documents )

SMART on FHIR ( 3 Documents )

Video

Members

RT @jaynagels: Webinar Alert: @Infoway EI Community is hosting: The Power of Open Source #ImagingIT. @mohannadhussain will discuss open…

by Infoway

FHIR® Implementations

About

Activity

Michael Savage replied to a discussion in FHIR® Implementations

Michael Savage created a new discussion in FHIR® Implementations

Michael Savage created a new discussion in FHIR® Implementations

Michael Savage created a new discussion in FHIR® Implementations

Daniel Zivkovic created an event in FHIR® Implementations

TODAY: Empowering Developers to be Healthcare HeroesMonday, October 04, 2021 05:30pm - 07:00pm

Michael Savage replied to a discussion in FHIR® Implementations

Michael Savage created a new discussion in FHIR® Implementations

Events

Upcoming events:

Forum

Canadian FHIR Baseline Profiles - Governance Stream Meeting - October 15th, 2-3pm EST 10/15/21

FHIR Implementers - Post-FHIR North Community Call 10/15/21

Canadian FHIR Baseline Profiles - Governance Stream Meeting - October 15th, 2-3pm EST 10/13/21

Canadian FHIR Baseline Profiles - Profile Updates - Oct 8th, 2-3pm EST 10/06/21

Canadian FHIR Baseline Profiles - Governance Stream Meeting - Oct 1st, 2-3pm EST 10/01/21

Canadian FHIR Baseline Profiles - Governance Stream Meeting - Oct 1st, 2-3pm EST 09/29/21

Canadian FHIR Baseline Profiles - Profile Updates - Sept 24th, 2-3pm EST 09/22/21

CA Base Governance Stream Meeting - Friday Sept 17th, 2-3pm EST 09/15/21

Canadian FHIR Baseline Profiles - Profile Updates - Sept 10th, 2-3pm EST 09/15/21

Canadian SMART on FHIR CoP - Meetings 09/13/21

Ontario's DHIEX Webinar #3 | Sept 22 1:00pm ET | Patient summary project updates 09/13/21

Call for IPS Resources 09/10/21

Canadian FHIR Baseline Profiles - Profile Updates - Sept 10th, 2-3pm EST 09/08/21

CA Baseline Governance Stream Meeting - Friday Sept 3rd, 2-3pm EST 09/03/21

CA Baseline Governance Stream Meeting - Friday Sept 3rd, 2-3pm EST 09/01/21

Documents

Architecture ( 2 Documents )

BusinessCase ( 6 Documents )

CDS Hooks ( 0 Document )

Client Registry ( 2 Documents )

Consent Management ( 0 Document )

eReferral ( 68 Documents )

Healthcare Service Directory ( 14 Documents )

Meeting Materials ( 8 Documents )

Provider Registry ( 1 Document )

Questionnaire ( 3 Documents )

SMART on FHIR ( 3 Documents )

Tooling ( 8 Documents )

Video

Members

TODAY: Empowering Developers to be Healthcare Heroes
Monday, October 04, 2021 05:30pm - 07:00pm