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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: 256
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)

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
Hi all! As always, thanks so much Sheridan for the very detailed notes on the reviews and the changes discussed. All - please see the second half of the notes for a list of discussion items deemed by the group to require further input from the Community. Any thoughts on those items, please reply in this thread. Attendees Michael Savage Sheridan Cook Joanie Harper Thomas Zhou Daniel Zivkovic Fang Cao Fariba Behzadi Rita Pyle Shamil Nizamov Clinical Stream Updates • Likely not making changes to the existing observation profiles for now – lab panels use cases likely require separate iGuides to be made to support their needs • 2 device profiles drafted, just need to add narrative content CA Baseline IPS Comparison: Immunization Profiles .site • Looking to remove MS flag; rationale: MS for .site is too use-case specific .route • Will also remove the flag here, as it’s the same kind of information as .site; the level of constraint for these 2 elements should be consistent .performer.function • MS flag and 1..1 cardinality are not reflected in IPS • Suggest to hold off on any decisions on changes to constraints in CA Baseline for this element for now; need more investigation of more use cases .reasonReference • MS flag not defined in IPS • Would like to see more use cases if we’re to keep this as MS in the CA Baseline • Plan to relax MS constraint Please see below for existing items from this comparison which we feel require additional input from the FHIR Community. Please reply in this thread with any comments you may have on these proposed changes / issues: StatusReason (MS in baseline) • Not must support in IPS • Candidate for potential relaxation but needs more input on it if this is something that we expect across 80% of Canadian IGuides/Implementations • Follow-up findings: o Not supported in DHIR R4 public retrieval of immunization profile o May not be used in use cases that constrain status to "completed" o Need to decide whether we will relax from baseline Occurance.DateTime (DateTime is MS and String is removed as Data Type • May be appropriate constraint for a registry focused profile • Keep MS flag on DateTime • Strengthen occurrence by putting a MS on it, w/ MS on dateTime • Decision: Evaluate if CanImmunize, ICON, or other implementors are using dateTime exclusively • Follow-up findings: o Open Panorama API uses string for immunization date (of administration) though investigating further o Need to decide if we should bring String back as data type as other types of use cases (citizen access, entry, etc.) may not be constrained to only use dateTime primarySource - candidate for relaxation need to consider how/if it's being used by other Iguides/Implementations • Decision: Evaluate if CanImmunize, ICON, or other implementors are noting primarySource Follow-up findings: o OpenPanorama & DHIR capture it o Canimmunize will capture it, but other repositories participating in citizen based exchanged may not have this in the data model o Not critical for read citizen access use cases reportOrigin - fate is tied to primary source • I would remove. Not in US core, not every guide will need to reportout on reportOrigin particularly when they only allow for primarySource • Follow-up findings: o Not in DHIR public retrieval Question: IPS supports a Data Absent Reason profile for occuranceDateTime to allow for a value to be missing when the base spec requires one be present. • Are we missing out on anything by not having a means to not provide occurrence - data-absent-reason
Michael Savage created a new discussion in FHIR® Implementations
Hi all! For the Friday Dec 4th agenda, we will begin with a review of updates from the Clinical Profiles stream, and then continue with the Due Diligence Review which is comparing the CA Baseline's Immunization Profile to its equivalent Immunization profile as defined in the International Patient Summary (IPS) FHIR iGuide. We began this comparison last session, but we've a few more data elements to work through. Thank you!
Daniel Zivkovic joined a group
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Dedicated to the discovery, definition and publishing of HL7® FHIR® Implementation Guides, Conformance, Profiles, Extensions and ValueSets serving the Canadian context.
Cheryl Smith joined a group
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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
Attendees Michael Savage Igor Sirkovich Derek Ritz Joanie Harper Rita Pyle Fariba Behzadi Kenneth Sinn Matthew Herbert Mukesh Kashyap Shamil Nizamov Sisira De Silva Thomas Zhou • Mike updated the group on the progress of the Due Diligence Review: currently in progress on comparing Immunization resource as profiled in CA Baseline and International Patient Summary • Matt Herbert walked the group through his progress on creating a Pitch Deck for the CA Baseline Profiles, which can be leveraged for surfacing the CA Baseline Profiles to senior stakeholders in the New Year in an effort to secure a group to provide governance of the CA Baseline Profiles • Framing the ‘ask’ being put toward senior stakeholders • Emphasis on articulating the desired sustaining / operating model that a governing organization should be supporting for the CA Baseline • Interoperability is not a technical problem; it’s more so a governance problem • Solution being put forward is the CA Baseline, and the ask is for governance of it • Will be good to leverage real-world stories of digital health investments at a national level; e.g. Netherlands’ very robust digital health governance allowed for cross-system COVID data sharing in a very short amount of time • One way to frame the solution in combination with the ask: CA Baseline = a conformance testable Spec that will go into procurement processes for digital health solutions in Canada • Will continue to build content for the deck and discuss with Governance stream for input
Nasreen Latheef joined a group
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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
FHIR North 2020 Key Takeaways • Mike provided a recap of the conference, and some of the broad feedback received • Overall very positive response • Virtual format afforded ability to engage far beyond Ontario and Canada in terms of both attendees and speakers • Networking is still the experience that everyone in the virtual event space is working on improving • Large benefit to FHIR North being very topic-focused and concrete, keeps audiences more engaged Community Shout-outs – FHIR Implementations for the Community’s Radar • Denis / Trisotech working on integrating FHIR into BPM+ health (check out his plenary session from FHIR North 2020 if you attended!) • Integrating FHIR into healthcare business processes • Clients are more and more frequently looking for integration with FHIR in their services • iGuide for OneAccess Gateway and Viewlets – leverages FHIRcast for context management part of the spec • Ocean / CognisantMD will be working to implement based on the eReferral spec in new year • Will be implementing the SMART on FHIR client Community Shout-outs – Thoughts on New Opportunities for FHIR Implementers Community • Would be great to build or get connected to a Canadian SMART on FHIR ‘community of practice’ / learning group for Canadian SoF app developers • Also would be a big step to have a formal tool in place for validation and conformance testing; should be something that is accessible to everyone in the FHIR Community; something that could validate that an implementer had implemented the Spec properly Updates – eReferral • Currently on v0.1 of eReferral Spec • Ocean will be implementing the eReferral Spec in the new year • Working toward a HealthcareService API • Folks can look at the current HealthCareService profile work here: https://docs.google.com/document/d/1YRlghtBx9Pwi6o13lvX26esKaR2S8OLRdc-MIIVeM5s/edit Updates – Canadian FHIR Baseline Profiles • Good progress and momentum on the profiles continues • 3 main work efforts right now • Clinical Profiles Reviews: meeting weekly on Mondays to review the more clinical profiles, currently the remaining profiles for review in this group are the lab-related profiles • Due Diligence Reviews: meeting every other Friday, comparing the draft CA Baseline Profiles to their counterparts in existing Canadian FHIR iGuides, to determine if the CA Baseline profiles’ constraints are too strong, or if there are common constraints in the other iGuides that the CA Baseline profiles should inherit • Governance: meeting every other Friday (alternate to the above meetings), working on how to best surface the Profiles to the larger community for review, and how to best get the CA Baseline adopted by a national group who can mandate its use for any net-new FHIR implementations in Canada

Events



Upcoming events:
Mon Dec 07 @ 2:00PM - 03:00PM
Canadian Baseline Profiles: Clinical Profiles Stream
Tue Dec 08 @11:00AM - 12:00PM
eReferral FHIR Working Group
Fri Dec 11 @ 2:00PM - 03:00PM
FHIR Solution Architecture & Governance

Forum

Canadian FHIR Baseline Profiles - Profiling Updates + DDR – December 4th, 2-3pm EST 12/04/20
Hi all! As always, thanks so much Sheridan for the very detailed notes on the reviews and the changes discussed. All - please see the second half of the notes for a list of discussion items deemed by the group to require further input from the Commun...
Canadian FHIR Baseline Profiles - Profiling Updates + DDR – December 4th, 2-3pm EST 12/02/20
Hi all! For the Friday Dec 4th agenda, we will begin with a review of updates from the Clinical Profiles stream, and then continue with the Due Diligence Review which is comparing the CA Baseline's Immunization Profile to its equivalent Immunizati...
Canadian FHIR Baseline Profiles - Governance Stream Meeting - November 27th, 2-3pm EST 11/27/20
Attendees Michael Savage Igor Sirkovich Derek Ritz Joanie Harper Rita Pyle Fariba Behzadi Kenneth Sinn Matthew Herbert Mukesh Kashyap Shamil Nizamov Sisira De Silva Thomas Zhou • Mike updated the group on the progress of the Due Dili...
FHIR Implementers' Quarterly Community Call - November 25, 12-1 EST 11/25/20
FHIR North 2020 Key Takeaways • Mike provided a recap of the conference, and some of the broad feedback received • Overall very positive response • Virtual format afforded ability to engage far beyond Ontario and Canada in terms of both attendees...
Canadian FHIR Baseline Profiles - Governance Stream Meeting - November 27th, 2-3pm EST 11/25/20
Hi all! Please see below for the agenda for the Canadian FHIR Baseline Profiles - Governance Stream Meeting, occurring on Friday November 27th, 2-3pm EST. 1. Update on the progress of the Due Diligence Review underway in the Profiles Review Str...
eReferral Spec Development work stream 11/24/20
Note: The eReferral WG meetings have moved from biweekly to monthly, with the next meeting in December. You can see the updated schedule here: https://infocentral.infoway-inforoute.ca/en/monthly-calendar/month.calendar/2020/11/24/1268 -Tim Be...
Advance Notice - Ontario Health | ONE Access Viewlet Framework – Developer Guide + Ontario Context Management System FHIR Implementation Guide 11/20/20
Please contact the ... to sign up for the webinar. Thanks
Canadian FHIR Baseline Profiles - Profiling Updates + DDR – November 20th, 2-3pm EST 11/20/20
Another big thank-you to Sheridan for the detailed notes for the meeting! Attendees Sheridan Cook Michael Savage Rita Pyle Alex Goel Anne Belford Igor Sirkovich Joanie Harper Kenneth Sinn Randy Nonay Shamil Nizamov Thomas Zhou Stat...
Advance Notice - Ontario Health | ONE Access Viewlet Framework – Developer Guide + Ontario Context Management System FHIR Implementation Guide 11/20/20
Is there a link to sign up for the Webinar?
Advance Notice - Ontario Health | ONE Access Viewlet Framework – Developer Guide + Ontario Context Management System FHIR Implementation Guide 11/20/20
Starting December 9, 2020 – January 21, 2021, Ontario Health (OH) we will be launching an open review for two interoperability guides: 1. ONE Access Viewlet Framework – Developer Guide 2. Ontario Context Management System (CMS) FHIR Implement...
FHIR Implementers' Quarterly Community Call - November 25, 12-1 EST 11/18/20
Hi all! Our last quarterly Community Call for 2020 is coming up on Wednesday November 25th, 12-1pm EST. Please see below for the draft agenda. Pending availability to join the call, it would be great to have representatives / leads from the eRefer...
Canadian FHIR Baseline Profiles - Profiling Updates + DDR – November 20th, 2-3pm EST 11/18/20
Hi all! For the Friday Nov 20th agenda, we will begin with a review of updates from the Clinical Profiles stream, and then continue with the Due Diligence Review which is comparing the CA Baseline's Immunization Profile to its equivalent Immunizat...
Virtual Panel Session on Health Terminology Standards- Issues, Trends and Strategies - Nov25 @12pm PT / 3pm ET / 4pm AT - Cross Posting 11/17/20
Folks, please join us on Nov25 at 12pm PT / 3pm ET / 4pm AT for a 1-hour panel session on Health Terminology Standards – Issues, Trends and Strategies with the following distinguished guests • Sharilyn Kmech, Director of Provincial Standards, Heal...
Health Canada Code Systems - cross posting 11/17/20
I have updated the OID descriptions as noted below. Marc's corrections for AIGc and AIGn have been included however, for consistency with the UTG project, the descriptions for hcAIC was updated to the description that Health Canada provided. Al...
Canadian URI Registry - NamingSystem Template: REPOST 11/16/20
With respect to the issue that Joel reposted on October 30th: For #1, is there a value set or code system that already exists that you want these values to be drawn from? If not, I can create a value set but would need you to provide me with the...

Documents

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Architecture ( 2 Documents )

BusinessCase ( 6 Documents )

CDS Hooks ( 0 Document )

Client Registry ( 2 Documents )

Consent Management ( 0 Document )

eReferral ( 1 Document )

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

OAuth2, OpenID and SAML2 overview

An overview of these specifications and technologies and how they relate to SMART on FHIR.

01/19/18
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

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Joel Francis
Canada Health Infoway
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Joan Harper
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Linda Monico
Canada Health Infoway
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Daniel Zivkovic
Shoppers Drug Mart
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Cheryl Smith
Eastern College
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Nasreen Latheef
Infoway
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Maxim Guzman
Canada Health Infoway
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Ted Jin
Ontario Health
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LindaMonico Test
CHI
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khush sekhon
BC Provincial Government
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Mohamad Kassem
Allscripts
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Sharilyn Kmech
Alberta Health Services
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Amélie Tremblay
msss
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Jeff Poy
Canadian Institute for Health Information
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Dwayne Pickering
Ontario Health - Digital Services
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