Canadian FHIR Baseline Profiles - Governance Stream Meeting - February 5th, 2-3pm EST

Summary

1. Provided update on the profiling workstream:
2. Continued work we've been doing for the past month to plan engagement of Canadian stakeholders and ask for the support/endorsement of the Baseline as part of our larger ask for a more formal governance approach.
3. Discussed the jurisdictional/operational working groups that the CA Baseline may want to target for preliminary endorsement

Homework for Next Meeting:
- If anyone is aware of similar jurisdictional working groups or committees that may be a good fit for preliminary endorsement ask - please post to forum or email Mike (This email address is being protected from spambots. You need JavaScript enabled to view it.) and Sheridan (This email address is being protected from spambots. You need JavaScript enabled to view it.)
- Input the messaging into the pitch deck and start developing version that is geared towards operational working groups

Next Meeting (Feb 19th)
- Review slide deck and discuss logistics for getting on jurisdictional operational working group agendas

Update on profiling workstream:
- We finished up the reviews against the PrescribeIT STU2 Guide last week:
Medication, medicationRequest, MedicationDispense, Organization, Provider
- Most up to date list of DDR status can be found in our implementation guide:
○ build.fhir.org/ig/HL7-Canada/ca-baseline/branches/master/allartifacts.html
- Not a lot of love for some of our clinical profiles yet - expected since we decided to start with entities and meds while the clinical substream finished up with their first drafts of the profiles
- eReferral has been on the list of DDR guides for awhile
○ It's undergoing it's own refinements right now in other workstreams but we'd like to at least get an idea of whether or not our current constraints would cause issue to their current R4 profiles on simplifier
○ AllergyIntollerance and Condition to start
- We will also have a Personal Health Information - Access guide finished up by Feb 26th call that we're looking to surface to the group that will provide some insight citizen access work and what our experience has been modeling our profiles off of the Baseline as a first step towards derivation

Review the key messaging contents and stakeholders (infocentral.infoway-inforoute.ca/en/resources/docs/hl7/canadian-core-profiles/3530-ca-baseline-stakeholders-community-review-lud-feb-5-2021)

Took the groups advice and aligned our stakeholder groupings with the Infoway Standards Governance Report
- Also put in a starter definition and examples to help solidify further
- In breaking up the stakeholders into those groups we were able to better differentiate the asks and incentives

Discussed approach for gaining preliminary endorsements from stakeholder groups before our ask to CIHI and Infoway
- Messaging makes sense but email coming from one person to a representative to sign-off on may not be right approach (even with the template)
- Some provinces have jurisdictional working groups that specifically review and endorse standards and initiatives at an operational level
- Better platform than brute force letter campaign - Getting on the agenda at these kind of working groups will be more likely to have the pitch heard by the right people who actually can endorse the work we're doing
○ British Columbia: BC has Conformance Integration Services which has a working group that is responsible for reviewing and proposing standards
- Through presentations to this work group - fosters alignment between other projects in BC as well as alignment with other jurisdictional teams working in the same domains
- Active decision making process / power to endorse
- Also manages standards materials and uploads to CIS website - helpful to have the CA Baseline pointed to on the page
○ Alberta: HISCA is jointly chaired between working groups and teams - like the MoH health information standards team and Alberta Health Services
- A pitch to HISCA to inform them of our work, progress, and goal would also be more impactful than the templated letter
- Ideally they endorse and encourage participation, but even awareness could be helpful since the joint committee has oversight into ITIM projects and can help align/point to Baseline if FHIR projects arise in future
- An ask tied to participation in profile refinement/implementation of FHIR would need to align with projects/initiatives at strategic level (projects drive focus)
○ Ontario: Ontario health has a Business and Technical committee that provides governance oversight over interoperability standards OH is responsible for
- May be the right platform, have the right stakeholders at the table for asking for buy-in
- Need understanding of end goal of the initiative
- Even if it isn't a "finished" standard - it isn't to early to get this in front of them
□ Baseline is in it's first draft, needs more feedback from implementors attempting to derive from it
○ We are missing representation from other jurisdictions (QC, NS, NB, PEI, NL, SK, MB, YT, NT, NU) in our current streams - don’t want to have gaps as we reach out to get onto these working group agendas
- This is a place where Infoway's wider reach could really help us identify and connect with some of the equivalent working groups that we don't have insight into/representation from currently
- Joanie to fill in Andrea Maclean and others of conversation - see if there are working group/initiative connections we can tap into
CA Baseline Stakeholders - Community Review - LUD Feb 5 2021

Hi all!

The agenda for tomorrow's CA Baseline Governance Meeting will be to continue to review the key messaging contents which are to be leveraged when engaging with the various stakeholders groups in our quest for advocates & supporters of the vision of the CA Baseline (as we ultimately work toward pitching the CA Baseline for sponsorship & adoption at the pan-Canadian level). We will also look at (& seek input on) a templated reach-out with a sample stakeholder group & key messaging filled in.

The current key messaging content & list of stakeholders to engage for advocacy can be found here: infocentral.infoway-inforoute.ca/en/resources/docs/hl7/canadian-core-profiles (see CA Baseline Stakeholders - Community Review - LUD Feb 1 2021)