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Medication Management
A national medication management stakeholder community sharing knowledge, information and resources to promote medication safety practices.
Membres: 337
Personne-ressource: Seema Nayani
Administration: Linda Monico
Type: Ouvert
Accès: Public
A national medication management stakeholder community sharing knowledge, information and resources to promote medication safety practices.

Activité

Beverly Knight a lancé une nouvelle discussion dans le groupe Medication Management
Hello This posting is to formally announce and describe the planned change to the next version of the Technical Specification. The changes were mainly driven by the French description requirements. Please find the Technical Specification with changes tracked here ... To summarize the changes: • The existing French Description attribute descriptions have been edited to clarify the type of description • A French description attribute has been added to the TM files and the coded attribute file. • A new file has been added that provides the MP, NTP and TM relationships with French descriptions • The character length for the attribute_value attribute in the Coded Attributes file has been increased from 50 to 500 to accommodate the French descriptions and future requirements. • The available formats of the CCDD on the Terminology Gateway have been clarified • The status effective date for the TM, NTP and MP files has been updated to align with what is actually been published If anyone has any questions or comments please send an email to clinicaldrug@infoway-inforoute.ca. The anticipated date for the CCDD to be released in the new format will be September at the earliest. We plan to provide test files in advance to confirm there are no issues. thankyou Beverly
Angela Cho s'est joint(e) à un groupe
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A national medication management stakeholder community sharing knowledge, information and resources to promote medication safety practices.
Seema Nayani a lancé une nouvelle discussion dans le groupe Medication Management
PrescribeIT’s Opioid Working Group – comprised of patient and family advisors, physicians, pharmacists, nurses, regulators, policy leaders and subject matter experts -- from across the country has initiated a consultation to gather input from stakeholders on the opportunity for PrescribeIT™ to support evidence-based electronic prescribing of opioids at the point of care. It was identified by this Working Group that in future development, PrescribeIT™ could provide a feature that would provide evidence-based information to physicians (or other authorized prescribers) as they write opioid prescriptions, within their clinical systems. To advance this work, the Opioid Working Group reviewed clinical guidelines and recommendations to support opioid prescribing practices. From that, the Working Group identified several areas where PrescribeIT™ could present information at the point-of-prescribing to support evidence-based electronic prescribing of opioids. The result was a narrowed list of high priority opioid information and guidelines that could be presented to prescribers at the time of prescribing. The consultation is seeking stakeholder views to better understand: • The greatest opportunities for affecting change in opioid prescribing; and • The potential usefulness of this information for prescribers We hope you will consider providing your input through the online input tool available until July 8, 2019 at this link: https://www.prescribeit.ca/about-us/governance/open-consultations The survey will provide you with an opportunity to provide more in-depth responses on a series of potential evidence-based information that could be displayed to prescribers through PrescribeIT™. All responses are confidential, and will be provided to us by our research partner Nielsen in an anonymous format. It will take you approximately 15 minutes to complete.
Camilo Erazo s'est joint(e) à un groupe
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A national medication management stakeholder community sharing knowledge, information and resources to promote medication safety practices.

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Forum

CCDD Technical Specification; Planned Change Update 07/11/19
Hello This posting is to formally announce and describe the planned change to the next version of the Technical Specification. The changes were mainly driven by the French description requirements. Please find the Technical Specification with...
PrescribeIT Opioid Consultation – Please provide your input until July 8, 2019 06/27/19
PrescribeIT’s Opioid Working Group – comprised of patient and family advisors, physicians, pharmacists, nurses, regulators, policy leaders and subject matter experts -- from across the country has initiated a consultation to gather input from stakeho...
May 14, 11am ET CCDD Conference Call 06/13/19
Hi Thankyou to those who participated in the call. Sorry for the delay in posting the notes from the call. We did a bit more digging on devices and compounds to ensure next steps were clear. Please look forward to further discussions on those 2...
Webinar: A Physician and a Pharmacist Talk Candidly About Using PrescribeIT™ in their Practices (June 11, 2019 1:30-2:15pm ET) 06/04/19
Join us for this webinar as we invite a physician and a pharmacist to candidly discuss their experiences using PrescribeIT™, Canada's national e-prescribing service, in their practices. The webinar will include: • The impact that PrescribeIT™ has...
CROSS POST Coordination of Care Webinar: June 6, 2019 at 1:00 – 2:00pm (EDT): “Implementing And Evaluating ActionADE To Transform Medication Safety” 06/03/19
The June 6, 2019 Coordination of Care Community meeting at 1:00 - 2:00 pm (EDT) will feature a presentation by Dr. Corinne Hohl: “Implementing And Evaluating ActionADE To Transform Medication Safety”. This presentation won the Health Professional-In...
Clinician Webniar Series for 2019: PrescribeIT™: Modernizing the Prescribing Process, One Electronic Prescription at a Time (May 14th 1:30-2:00pm ET) 05/13/19
Hi Everyone, Due to overwhelming interest, we will be repeating the Clinician Webinar Series about PrescribeIT. The first of the series is tomorrow - May 14th at 1:30-2:00pm. Please find details below, and hope to "see" you there! Kind regard...
Free access to a groundbreaking professional learning resource for treating people who use opiods 05/09/19
I though that this might be of interest to some of you in the community. For the first time, Bevel Up, a documentary and learning resource designed to help healthcare workers deliver compassionate care to people who use drugs, is accessible as fre...
May 14, 11am ET CCDD Conference Call 05/08/19
Hello this is a reminder we have a CCDD call planned on May 14th. The agenda can be found here ... and the slides for discussion are here ... Regards Beverly and the CCDD team
May 14, 11am ET CCDD Conference Call 04/18/19
I had the same problem as Natalie and it's now working for me! Thanks
May 14, 11am ET CCDD Conference Call 04/18/19
Hi Natalie i updated the link and tested it including someone other than me to also test it and it has worked with 3 different browsers. Hopefully this will work for you. please let me know if it does not work Beverly
CCDD: Describing products containing mineral oil 04/17/19
Thank you. It was my error.
May 14, 11am ET CCDD Conference Call 04/17/19
When I click add to calendar it asks me to sign in to a Webex account which is new. I have never had an account and used this function before. Can you resend the meeting invite? Thanks.
May 14, 11am ET CCDD Conference Call 04/17/19
Hello We have scheduled a call to provide an opportunity for stakeholders to receive an update on a couple of activities and obtain input on a few questions. The topics include: How CCDD can be used to document and share Compounds (as a follow...
CCDD: Describing products containing mineral oil 04/17/19
Hello Monica We are not addressing "de-prescribing" we are addressing the description of mineral oil products in CCDD in this paper. Please let us know if this answers your query.
CCDD: Describing products containing mineral oil 04/11/19
Hi there: I'm wondering what you mean by deprescribing mineral oil ? Also, other oils are used as vehicles for medication administration. Would the same happen to other oils ?

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Documents

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

Vidéo

5 Questions to Ask About Your Medications

Empower your patients to ask questions to keep them safe from medication harm. Presented by ISMP Canada

12/19/16

Solutions

  • Object Identifier (OID)
  • TermManager
  • WebHook Notifications
  • Canadian URI Registry
  • TermWorks
  • Registre FHIR Canadien
  • 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. for all Non-jurisdictional and Infoway owned subsets. All other requests must be sent to Jurisdictional Representatives for OIDs following these guidelines listed:

  1. Jurisdictional Teams will require 5-7 business days to process each request. It will be incumbent on the requestor to reply within this time frame to any questions or make any follow ups as required. Any failure to do so will result in an automatic rejection and require resubmitting the request.

  2. The Requestor must post the OID Requests on the following forums ONLY after consulting with the Jurisdiction/Infoway SME:

    a. HL7 International and FHIR Implementation WG (Jurisdictional/Non-Jurisdictional OID Requests)
    b. Public Health Surveillance and Health Terminologies (Subset OID Requests)

    TIP How to upload and link a document to an InfoCentral Forum

  3. Forum posts shall have the following format:

    Subject: New Namespace/CodeSystem/Subset OID Request
    • OID Description: “A description of the OID”
    • OID Symbolic name: Symbolic name guidelines
    • Responsible Body & Contact Information
    • Proposed FHIR URI: URI as per URI Guidelines
    • To be published: Canadian URI Registry/Terminology Gateway

  4. There will be a wait period of 5 business days for the communities to react to the forum post with comments, questions or asks for clarification.

  5. FHIR URIs must be proposed for all Jurisdictional and Non-jurisdictional OID requests according to the URI Guidelines and must be published in the Canadian URI Registry. Publishing the URI is an optional but highly recommended step. The requestor will submit a validated FHIR® NamingSystem resource object based on the NamingSystem profile to their jurisdictional representative who will then upload it.

  6. FHIR URIs must not be proposed for Subsets to be published on the Terminology Gateway as they will be generated automatically.

  7. The Forum post will be updated with the new OID.

Apelon’s TermManager is a web-based data mapping solution which is provided by request for free to individuals who have Standards Access. It provides comprehensive mapping capability to SNOMED CT and the Canadian Edition of SNOMED CT with multi-user work flow options and flexible output formats.

 Implementation Guidelines & Resources

  • Cette adresse courriel est protégée contre les robots spammeurs. Vous devez activer le JavaScript pour la visualiser. - Email your request to Cette adresse courriel est protégée contre les robots spammeurs. Vous devez activer le JavaScript pour la visualiser. with the following information:
    • Your InfoCentral username.
    • Is this a new request or are you renewing your access to use TermManager?
    • Intended Use: Please describe the project and mapping requirements. Please Note: TermManager is limited to mapping with SNOMED CT. As more terminologies are available, they will be added.
    • Local Terms: Please describe the source of your local terms (EMR, LIS, etc.).
    • Please describe your requirements/project if they don't fit the above.
  • TermManager Release Notes

knowing Learn More

  • Cette adresse courriel est protégée contre les robots spammeurs. Vous devez activer le JavaScript pour la visualiser.
  • Apelon Mapping Tool Presentation
  • SNOMED CT Education
  • TermManager User Guide
  • How TermManager Works
  • TermManager FAQs

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

Le registre canadien d'identificateurs uniformes de ressources (URI) a été créé pour regrouper l'information concernant les espaces de noms des identificateurs et des systèmes de codes. L'utilisation des ressources NamingSystem de FHIR® rend la saisie des métadonnées propice à la consultation et au traitement informatique. Elle permet aussi le mappage bidirectionnel automatique entre les identificateurs d'objets (OID) et les URI.

Afin de rendre la recherche de ces artéfacts plus souple, le registre d'URI canadien (alpha) permet d'effectuer des recherches via du texte en clair, des OID ou des URI. Les identificateurs URI sont créés à l'aide des lignes directrices URI et affichés sur la page du groupe de travail sur l'architecture de solutions FHIR en vue d'être approuvés.

Tous les artéfacts NamingSystem sont organisés par le Canadian URI Project dans Simplifier et peuvent faire l’objet de recherches après une période de 20 minutes.

Consultez le registre d’URI canadien(alpha)

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.

All project artifacts are backed up weekly on Sundays at midnight. Each snapshot will be retained for 10 days. The project owner can request an as-is snapshot containing all the necessary artifacts such as text, xml, json, md and image files by contacting Cette adresse courriel est protégée contre les robots spammeurs. Vous devez activer le JavaScript pour la visualiser..

Organization projects can be viewed without logging in. To edit or request a new project, Cette adresse courriel est protégée contre les robots spammeurs. Vous devez activer le JavaScript pour la visualiser. with the details.

View projects in the Canadian FHIR Registry

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

 

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Canada Health Infoway
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Canada Health Infoway
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Southlake Regional Health Centre
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CENS
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Center for Distance Education
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McGill
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BC Ministry of Health
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CreativAxion IT inc.
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NB Department of Health
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Green Shield Canada
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BearingPoint
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Medication Therapy Services Clinic
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Health Canada
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Gevity
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