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Clinical Interoperability Strategy
Referencing strategic materials, to discuss the five perspectives and opportunities for action, and contribute viewpoints and insights.
Membres: 179
Personne-ressource: Lisa Hayes
Administration: Linda Monico
Type: Ouvert
Accès: Public
Referencing strategic materials, to discuss the five perspectives and opportunities for action, and contribute viewpoints and insights.

À propos de nous

LEADERS

Dr. Peter Rossos, CMIO, University Health Network & co-chair Clinical Interoperability Steering Committee
Lynne Zucker, Vice President, Clinical Systems Integration, Canada Health Infoway

Activité

Linda Parisien s'est joint(e) à un groupe
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Referencing strategic materials, to discuss the five perspectives and opportunities for action, and contribute viewpoints and insights.
Amy Kramer s'est joint(e) à un groupe
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Referencing strategic materials, to discuss the five perspectives and opportunities for action, and contribute viewpoints and insights.
Rosa Munguia s'est joint(e) à un groupe
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Referencing strategic materials, to discuss the five perspectives and opportunities for action, and contribute viewpoints and insights.
Shelby Christenson s'est joint(e) à un groupe
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Referencing strategic materials, to discuss the five perspectives and opportunities for action, and contribute viewpoints and insights.

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Forum

current status of clinical interoperability 2018 04/12/18
Clinical interoperabiity has become a hot topic. There seems to be a growing awareness and concern about the difficulties that are a daily occurrence for providers. The frustrations related to the time and effort that is still required to exchange cl...
Looking to Estonia 04/12/18
I can see that there would be resistance as they are based on proprietary solutions and approaches. I think that the countries where this work, there is a commitment to open source and open standards. Ultimately, I don't know that there is another w...
Looking to Estonia 04/12/18
Interesting how some countries are forging ahead. Interoperabilty has become a hot topic but there seems to be a lot of resistance from the EMR vendors.
Looking to Estonia 04/05/18
I'm curious as to why there is so little about what is happening in jurisdictions like Estonia. I found this resource in your site https://infocentral.infoway-inforoute.ca/en/resources/docs/health-information-network-exchange-hin-hie-best-practices/7...
' 07/25/17
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U.S. ONC 2016 Interoperability Standards Advisory 07/04/17
Hi Lesley, Thanks for taking the time to ask the question. Getting started in any industry is a challenge not to mention the complexity health information technology brings. You are correct, you are replying to a significantly dated post. There ar...
U.S. ONC 2016 Interoperability Standards Advisory 07/01/17
Hello All, I am obviously very late to the discussion, being that I just joined, but I'm interested to hear if any progress had been made on this front. My two cents are that this would be a fantastic resource. I'm currently an HIM student and a d...
Health Canada - Natural Product Number (NPN) 05/12/17
Hi, I have created a FHIR tracker to add the following code system and value set URI for Health Canada Natural Product Number: - http://hl7.org/fhir/sid/ca-hc-npn - http://hl7.org/fhir/ValueSet/ca-hc-npn Here is the link to the tracker item...
U.S. ONC 2016 Interoperability Standards Advisory 01/06/16
Mike, we are completely in agreement. In fact, the vision for such a Canadian resource has been included in the Clinical Interoperability Action Plan. We are currently in the process of preparing for discovery and a plan. Input and insights are mos...
U.S. ONC 2016 Interoperability Standards Advisory 01/05/16
Cindie: Thanks for bringing the ONC Standards Advisory to our attention. The link you provided didn't work... here's the correct one: https://www.healthit.gov/standards-advisory/2016. To your question: should we do this in Canada?... I total...
U.S. ONC 2016 Interoperability Standards Advisory 01/05/16
Hi all, ONC has released a comprehensive guide of standards that might be of interest as a reference. (URL to document below) As noted in the document … “The Interoperability Standards Advisory is meant to serve at least the following purpose...
Help shape this year's Partnership program. How should clinical interoperability be featured? 07/21/15
The date is set and the Infoway Partnership Conference 2015 is planned for November 24th-25th in Vancouver, BC. Respond to this ..., or reply to this post to tell us your thoughts on how you’d like to see clinical interoperability featured at this ye...
Clinical Interoperability Action Plan Available for Public Comment 05/22/15
The Clinical Interoperability Action Plan, endorsed by the Pan-Canadian Clinical Interoperability Steering Committee, has been made available for public comment. Your feedback is needed to ensure the Action Plan captures the right elements needed...
Clinical Interoperability Action PLan 04/24/15
As co-chairs of the Clinical Interoperability Steering Committee, Peter and myself wanted to provide a quick update on the next major steps with the Clinical Interoperability Strategy that was finalized earlier this year. Over the past few month...
In the news today - WSJ 04/10/15
Dear friends: Although this process has been painfully slow at a national level we appear to be moving in the right direction. I look forward to our next meeting on April 22. Have a nice weekend, Peter Obama Administration Report Slams...

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Documents

Cliquez sur « Gérer des documents » pour :

  • voir la liste complète des documents ou les dossiers regroupant les documents
  • téléverser un nouveau document

N. B. : Les membres des groupes ne sont actuellement pas avisés de l'ajout d'un nouveau document. Pour aviser d'autres membres, vous devez en afficher l'adresse électronique dans le forum. (La fonction d'avis de téléversement des nouveaux documents est en préparation.)

Gérer des documents Vous devez peut-être ouvrir une session et/ou être déjà membre du groupe pour accéder à ce contenu.

Vidéo

Partnership 2014 - Accelerating Clinical Interoperability

Trevor Hodge, Executive Vice President, Canada Health Infoway, takes you on a guided tour of the clinical interoperability strategy and current implementation activities underway.

12/19/14

Solutions

  • Object Identifier (OID)
  • WebHook Notifications
  • TermWorks
  • Registre FHIR Canadien
  • InfoScribe
  • Terminology Gateway
  • HAPI v2
  • Message ReMixer
  • Terminology Service API
  • SNOMED CT Browser
  • FHIR Terminology Service API
  • HL7 Explorer
  • Message Builder
  • HAPI FHIR
  • InfoRMS

Pan-Canadian Standards use Object Identifiers (OIDs) to distinguish between objects by assigning a numeric string that enables other systems to understand the unique information that is being shared between various systems.

Canada Health Infoway has an arrangement in place with HL7 International that allows Infoway to submit OIDs to HL7 International on behalf of Canadian Implementers free of charge. There is a $250 USD fee per OID request if done directly with HL7 International.

To submit an OID, download the registration form that corresponds to your OID request. Email the completed form to Cette adresse courriel est protégée contre les robots spammeurs. Vous devez activer le JavaScript pour la visualiser.

Automated notifications of new content in Terminology Gateway

A WebHook is an HTTP callback. When new content is published in the Terminology Gateway, a publishing event will be POSTed to each registered WebHook, notifying their respective owners about the publication.

WebHook registration

Individual users can register for WebHook notifications by sending an email to: Cette adresse courriel est protégée contre les robots spammeurs. Vous devez activer le JavaScript pour la visualiser. and specifying the WebHook endpoint. Upon registration, a unique api_id will be assigned to the WebHook. Each notification POSTed by the Terminology Gateway will contain the api_id, allowing the endpoint to verify that the notification was indeed issued by the Terminology Gateway. The api_id must be echoed back by the WebHook endpoint in the body of the notification response.

WebHook interface

The WebHook endpoint must serve HTTP requests conforming to the following interface:

HTTP Request

{
  "api_id": "cb570e5a2748f349f9119431db836b3a23fdb6571afee34c0432d87220f2431b",
  "base_url": "https://termapi.infoway-inforoute.ca/rest/v1/",
  "notification_time": "2017110711:07:00",
  "targets": [
    {
      "id": "2.16.840.1.113883.2.20.6.1",
      "name": "Canadian Clinical Drug Data Set (CCDD)",
      "type": "package",
      "version": "20171016",
      "effective_date": "20171016",
      "publication_time": "2017103015:20:23",
      "message": "Monthly CCDD update for October 2017"
    },
    {
      "id": "2.16.840.1.113883.2.20.3.443",
      "name": "PrescribeIT",
      "type": "package",
      "version": "LPR2",
      "effective_date": "20171103",
      "publication_time": "2017110309:37:22",
      "message": "PrescriptionMedicinalCode version reflecting the October 2017 CCDD update"
    }
  ]
}
				
  • api_id: as previously mentioned, each notification POST contains the api_id granted at registration.
  • base_url: the base URL for the native REST API endpoint of the originating system. This can be used to call back the Terminology Gateway via APIs in order to programmatically download updated content.
  • notification_time: the timestamp of the WebHook notification in yyyyMMddHH:mm:ss format.
  • targets: list of updated targets. Each entry in this array corresponds to a Terminology Gateway artifact (subset, codesystem, map, package) that was updated and is therefore subject to the notification. The target list will only include artifacts for which the user has registered to receive notifications. Users can register to receive notifications about content updates using the Terminology Gateway User Interface or by invoking the native REST APIs.

    Each of the notification targets contains the following fields:
    • id: the artifact id, typically an OID
    • name: the artifact name
    • type: the artifact type: subset, codesystem, package or map
    • version: the published version id
    • effective_date: the effective date associated to the artifact version, in yyyyMMdd format
    • publication_time: the publication time in yyyyMMddHH:mm:ss format
    • message: optional message describing the published artifact version

HTTP Request

HTTP Response code: 200 for success, any other response code will be interpreted as an error
Sample HTTP Response Body:

{
  "api_id": "cb570e5a2748f349f9119431db836b3a23fdb6571afee34c0432d87220f2431b",
  "result": "success",
  "message": "Successful processing of the WebHook notification"
}
  • api_id: as previously mentioned, each notification response must echo back the api_id granted at registration.
  • result: success if the web hook notification was successful, any other value will be interpreted as an error.
  • message: optional response message.


Error handling

When receiving an error as a result of a WebHook notification, the Terminology Gateway will retry the notification four times at 15 minutes intervals. If still unsuccessful after four notification attempts, the system will drop the notification and will notify the user by email that the WebHook couldn't be invoked.

Sample code

Demo code for a sample WebHook endpoint can be found here: 

https://github.com/CanadaHealthInfoway/tgateway-webhook

Apelon’s TermWorks is an easy-to-use data mapping solution that is provided by request (free of charge) to individuals who have Standards Access. It brings powerful terminology capabilities directly to the desktop. TermWorks combines Microsoft® Excel® spreadsheet software with web services-based terminology processing to give organizations comprehensive mapping capability to SNOMED CT and the Canadian Edition of SNOMED CT.

 
 

knowing Learn More

  • Cette adresse courriel est protégée contre les robots spammeurs. Vous devez activer le JavaScript pour la visualiser.
  • SNOMED CT Education
  • Apelon User Guide
  • Infoway User Installation Guide
  • How does TermWorks Work?
  • TermWorks FAQs

The Canadian FHIR® Registry supports collaborative development in an effort to accelerate sustainable growth of FHIR, locally and internationally. The registry will be the home of national FHIR profiles recommended for use in Canada, including extensions, value sets, URIs and other useful, commonly used components. It is also host to a growing number of national, jurisdictional and locally shared FHIR projects, and is open to all Canadian implementers.

The Canadian FHIR Registry offers:

  • seamless integration of profile editing using Forge (free FHIR profile editor)
  • designated project space
  • supports project teams of up to 100 individuals
  • online authoring of implementation guides
  • integration with source control tools such as GitHub
  • version controlled environment

The Canadian FHIR Registry blends software development best practices with the requirements of modelling in FHIR, essential to delivering successful project requirements while having continuous access to structure validation, rendering and publishing.

Cette adresse courriel est protégée contre les robots spammeurs. Vous devez activer le JavaScript pour la visualiser.

infoscribeSupporting the Standards Selection Framework, InfoScribe enables teams to collaboratively create, discuss, and publish digital health solutions from clinical requirements to specifications. Featuring templates, versioning, PDF export, inline commenting and HL7 Explorer integration, InfoScribe improves productivity and accelerates the development of healthcare solutions.

Des exigences cliniques aux spécifications

Le Cadre de sélection des normes permet à ses utilisateurs de planifier, de choisir et de documenter des solutions d’interopérabilité depuis l’étape du concept jusqu’à celle de l’implantation. À partir des exigences cliniques établies par les cliniciens jusqu’aux exigences administratives, en passant par les normes et les spécifications techniques, le Cadre se veut un guide complet sur toutes les étapes de la création de solutions d’interopérabilité.

Le Cadre donne aussi à la communauté d’InfoCentral une occasion d’échanger sur les projets d’implantation fructueux, le choix des normes effectué à un moment précis d’un projet et les spécifications qui en ont résulté. La publication des solutions à cet endroit permettra la mise sur pied d’un répertoire de référence canadien.

clinical requirements

Exigences Cliniques décrivent les besoins en information et en déroulement du travail du clinicien pour une situation clinique particulière et pour l’échange de données cliniques. À partir des principes de l’interopérabilité clinique, on utilise un ensemble d’exigences exprimées par les cliniciens pour mettre sur pied une solution d’interopérabilité bien conçue.

business requirements

Exigences Administratives sont établies d’après les exigences cliniques et procurent une image complète de la solution à mettre au point. Des cas d’utilisation, des règles administratives et des conseils sont aussi donnés en référence pour permettre une modélisation complète de la solution.

standards selection

Sélection des Normes désigne le processus établi pour guider les équipes dans les diverses étapes de la sélection de la terminologie et des normes de messagerie. À l’aide du sujet de la requête et des diverses considérations contenues dans les formulaires fournis, les équipes d’implantation peuvent évaluer les normes accessibles et déterminer le meilleur choix ponctuel. Le processus permet aussi à la communauté d’InfoCentral d’échanger sur les projets d’implantation fructueux, ce qui favorise la normalisation par la réutilisation.

standards

Normes afont partie intégrante de la solution d’interopérabilité; elles touchent tant la terminologie, qui définit les données envoyées, que les structures de messagerie, qui définissent comment ces données sont envoyées. Le cadre fournit les critères d’accès aux normes internationales et canadiennes, ainsi que les critères d’examen en vue de faciliter l’implantation.

specifications

Spécifications procurent les détails de la solution à implanter. Ces détails comprennent : un examen des éléments de données utilisés, des échantillons des messages transférés, l’architecture du système et les spécifications de sécurité, dont l’autorisation et l’authentification.

Browse, download and leverage the terminology used in Canada

Terminology Gateway is a web based solution framework that enables the distribution and sharing of terminology concepts, subsets and concept maps, making them available for web browsing, download or real time query.

terminology gatewayBrowse Terminology Gateway Now

Open source integration tool useful for health IT integration projects

HAPI for HL7 v2 messages is an open-source, object oriented HL7 v2.x parser developed for the Java platform.

HAPI v2

Localization of pan-Canadian Standards

Infoway Message ReMixer is a web-based application that allows for the localization of pan-Canadian Standards (pCS) messages to meet jurisdictional requirements, all while maintaining the integrity of the original, standard message.

msg remixerAccess Message ReMixer Now

 Implementation and Exchange

Jurisdictional ReMixes

RESTful web services used to browse terminology data

Terminology Service RESTful APIs enable automated exchange of clinical terminology content and resources. It allows developers to easily implement healthcare applications that programmatically consume codes and subsets without requiring in-depth expertise in the details of terminology.

terminology gateway APITerminology Service API

 

Browse International and Canadian Content

SNOMED International's SNOMED CT browser allows users to browse and search the SNOMED CT International Edition to explore concepts and relationships. It also provides access to browse national extensions from SNOMED International member countries including the Canadian Edition of SNOMED CT in English and French.

snomed browser Browse SNOMED CT Now

 General Documentation

FHIR® web services used to access terminology data

FHIR Terminology Service APIs enable automated exchange of clinical terminology content and resources. It allows developers to easily implement healthcare applications that programmatically consume codes and subsets without requiring in-depth expertize in the fine details of terminology.

terminology gateway APIFHIR Terminology Service API

 

Enhanced browsing of HL7 v3

Infoway HL7 Explorer is a powerful browser for HL7 v3 structures, vocabulary and references. Used in conjunction with the pan-Canadian releases, HL7 Explorer makes locating details and information more efficient.

In November 2017, the Canadian HL7 InfoCentral community determined that there was no longer any need to do further updates to the pan-Canadian Version 3 messages. As a result, the December 2012 releases of MR02.06.01 and CeRx 4.4.2 are the latest pan-Canadian publications of these standardized messages.

The HL7 Explorer, the Master Terminology Worksheet (MTW) and all other messaging related artifacts are aligned with the latest releases.

Overview
 

Learn about the features HL7 Explorer: search once, graphical representation, quick hints, etc.

MR 02.06
 

HL7 Explorer applied to the MR 02.06 HL7 v3 maintenance release

CeRx 4.4.2
 

HL7 Explorer applied to the CeRx 4.4.2 HL7 v3 maintenance release

 

 

Standards versions available for viewing in HL7 Explorer

Standard URL 
CA MR 02.06 https://infocentral.infoway-inforoute.ca/extra/ca/mr0206-html/html/search.html
CA MR 02.05.01 https://infocentral.infoway-inforoute.ca/extra/ca/mr020501-html/html/start.html
CA MR 02.05 https://infocentral.infoway-inforoute.ca/extra/ca/mr0205-html/html/start.html
CA MR 02.04.03 https://infocentral.infoway-inforoute.ca/extra/ca/mr020403-html/html/start.html
CA CeRx 4.4.2 https://infocentral.infoway-inforoute.ca/extra/ca/cerx442-html/html/search.html
CA CeRx 4.4.1 https://infocentral.infoway-inforoute.ca/extra/ca/cerx441-html/html/start.html 
CA CeRx 4.4 https://infocentral.infoway-inforoute.ca/extra/ca/cerx44-html/html/start.html
BC V02R04 https://infocentral.infoway-inforoute.ca/extra/bc/v02r04-html/html/start.html
NS CeRx 4.3 https://infocentral.infoway-inforoute.ca/extra/ns/cerx43-html/html/start.html
NS R02.04.03 https://infocentral.infoway-inforoute.ca/extra/ns/r020403-html/html/start.html
AB MR2007 https://infocentral.infoway-inforoute.ca/extra/ab/mr2007-html/html/start.html
AB R02.04.03 https://infocentral.infoway-inforoute.ca/extra/ab/r020403-html/html/start.html
AB R02.04.00 SHR https://infocentral.infoway-inforoute.ca/extra/ab/r020400-shr-html/html/start.html
AB R02.04.03 Imm https://infocentral.infoway-inforoute.ca/extra/ab/r020403-imm-html/html/start.html

Solution for API integration

Infoway Message Builder allows developers to focus on their business problem by providing APIs that foster quick and easy creation, population and access to HL7v3 requests and responses and CDA documents.

 Implementation and Exchange

Open source integration tools useful for health IT integration projects

HAPI FHIR® is a simple-but-powerful library for adding FHIR messaging to applications. It is pure Java compatible and licensed under the business-friendly Apache Software License, version 2.0.

HAPI FHIR

 

External Solutions for API integration

Open source integration tools useful for health IT integration projects.

HAPI v2
 

HAPI for HL7 v2 messages is an open-source, object oriented HL7 v2.x parser developed for the Java platform

HAPI FHIR
 

HAPI FHIR is a simple-but-powerful library for adding FHIR messaging to your application. It is pure Java compatible and licensed under the business-friendly Apache Software License, version 2.0.

Request Management Solution

InfoRMS (Infoway Request Management System) is Infoway's Request for Change Tool for SNOMED CT, pCLOCD/LOINC and pan-Canadian Subsets. Not sure if you have access to InfoRMS? Manage your InfoRMS Access in your user profile.
SNOMED CT
 

Prior to submitting a SNOMED CT request, it is the requestor's responsibility to:

  1. Validate that the content does not exist in either the International or Canadian editions of SNOMED CT
  2. Comply with the appropriate Editorial Guidelines

Submit or follow requests to SNOMED CT

pCLOCD/LOINC
 

Prior to submitting a pCLOCD/LOINC request, it is the requestor's responsibility to:

  1. Validate that the content does not exist in LOINC or the pCLOCD
  2. Comply with Regenstrief Editorial Guidelines (note: login required)

Submit or follow requests to pCLOCD/LOINC

pan-Canadian Subsets
 

Prior to submitting a Subset request, it is the requestor's responsibility to:

  1. Validate the content against the subsets in Terminology Gateway
  2. Comply with the appropriate proper terminology Editorial Guidelines

Submit or follow requests to pan-Canadian Subsets

 

Conférence Web

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Membres

Lisa Hayes
Canada Health Infoway
Déconnecté(e)
Personne-ressource
Linda Monico
Canada Health Infoway
Déconnecté(e)
Admin
Linda Parisien
Canada Health Infoway
Déconnecté(e)
Membre
Amy Kramer
eHealth Saskatchewan
Déconnecté(e)
Membre
Rosa Munguia
n/a
Déconnecté(e)
Membre
Shelby Christenson
chima
Déconnecté(e)
Membre
Patricia McLean
CD-ED
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Membre
Chris McIntyre
Calgary Scientific
Déconnecté(e)
Membre
Pakizah Kozak
SKH
Déconnecté(e)
Membre
Mike Gifford
OpenConcept Consulting Inc.
Déconnecté(e)
Membre
Bill Gordon
Applied Informatics for Health Society
Déconnecté(e)
Membre
Julie Boutin
Ministère de la santé et des services sociaux
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Prasanth Joseph
Niagara Health
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Omolara Ogunbamowo
Center for Distance Learning (CDI)
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Melissa Trowsdale
Centre for Distance Education
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