How to Provide Feedback: 


The ballot release of the Pan-Canadian Patient Summary Interoperability Specifications v1.1.0 DFT-Ballot is now available!

The timeline for ballot submissions is January 15 - February 14, 2024.

You may review the PS-CA Specifications in the following formats:

  • Download the PS-CA specifications in PDF format from the corresponding links in the table above or on the Release page
  • Review the PS-CA Specifications in InfoScribe, from the corresponding link in the table above or on the Release page.

How to submit your ballot submission:

  • All Collaborators are invited to document their ballot comments using the PS-CA v1.1.0 DFT-Ballot Submission spreadsheet, available here
  • Send an email to [email protected], with Subject Line "PS-CA", including the PS-CA v1.1.0 DFT-Ballot Submission spreadsheet as an attachment.
  • We kindly ask that each organization submit all comments within one spreadsheet submission. 
  • Upon submission, you will receive an acknowledgment email with a reference number. Feedback will be triaged by the Infoway Lead to support the Patient Summary Working Group with decisioning/voting blocks.

For questions, please contact us at [email protected]

To learn more about the balloting cycle process, please visit the IO Specifications Publication Model page.

Release Notes:


This release, PS-CA v1.1.0 DFT-Ballot, is a minor release reacting to the jurisdictional needs, ensuring that the pan-Canadian Patient Summary specifications stay in alignment with the jurisdictional implementations.

FHIR Implementation Guide Change Log

  • Changes to the FHIR Implementation Guide are documented in the Canadian FHIR Registry, PS-CA project, located here.

PS-CA Specifications

  • Updated the Preface to reflect the purpose of this minor release.
  • Updated the Preface to represent the addition of the Diagnostic Results Data Domain. More details regarding this change can be found in the FHIR Implementation Guide Change Log above.

Companion Guide: Use Cases and Definitions

  • No changes

Companion Guide: Reference Architecture

  • No changes