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Introduction

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The objective of the first pan-Canadian Projectathon is to test and improve the quality of the pan-Canadian Patient Summary Interoperability Specifications (PS-CA Specifications) to ensure they are implementable, testable and meet expectations. The PS-CA supports several implementation patterns including MHD and a new Canadian National integration profile called CA:FeX. The CA:FeX supports saving and retrieving clinical data to and from a central FHIR repository.

The aims of the Projectathon are to identify potential issues in the basic specifications, give implementers a chance to test their implementations in live environments, and strengthen implementation guidelines and standards in the health sector. Infoway views this as a preliminary event before any conformity assessment, quality label or certification process.

Participants

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Vendors and jurisdictions who are planning to implement the PS-CA Specifications are invited to participate in the Projectathon. In addition, any interested party that has Patient Summaries in their future roadmap are welcome to participate.

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Additionally, through participation in the Projectathon, participants can prepare for practical applications of the PS-CA Specifications.

Approach

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A suite of virtual tools, collectively referred to as Gazelle, will be deployed to support a free, 3-day remote testing event from March 21-23, 2022. Gazelle provides jurisdictions and vendors an opportunity to validate the role they will be playing in an ecosystem and ensure they are able to satisfy the interoperability requirements. Furthermore, Gazelle offers several self-serve, self-test and innovation opportunities for jurisdictions and vendors to test their alignment to the represented integration profiles.

The Projectathon event is organized by Infoway with support from a world leader organization in the space - IHE Catalyst.

Preparation and Requirements

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In preparation for the Projectathon, Infoway and IHE Catalyst will:

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Vendor

Register for event, including completing Terms of Participation

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Attend 3 training webinars

X

Complete pre-Projectathon and connectivity testing

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Validate test cases and clinical scenarios

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Integrate to Gazelle platform

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Create test records

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Implement APIs

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Prototype FHIR transactions

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Prototype the PS-CA FHIR document

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Prototype export of FHIR document

X

Interoperability Specifications

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pan-Canadian Patient Summary (PS-CA)

The PS-CA Interoperability Bundle is comprised of the following specification documents that may be accessed here.

RevisionRevision date

pan-Canadian Patient Summary Interoperability Specifications (PS-CA Specifications)

  • Implementable and testable specifications, based on the IHE International Patient Summary specification and the HL7 IPS Implementation Guide.
  • Building blocks to create and share condition-independent and specialty-agnostic patient summaries, irrespective of the condition of the patient or the treatment sought or specialty of the provider delivery care.
0.2January 28, 2022

pan-Canadian Patient Summary – FHIR Implementation Guide

  • Implementable, testable specification for the HL7 FHIR composition that defines the data payload of the PS-CA specification, based on the HL7 FHIR IPS implementation guide.
  • Contains information for solution developers to implement the PS-CA content data model using the HL7® Fast Healthcare Interoperability Resources (FHIR®) standard. It describes the data elements & types, cardinality, constraints, and code system references.
0.2January 28, 2022

pan-Canadian Patient Summary - Companion Guide to Use Cases & Definitions

  • Companion document to the PS-CA Specifications that presents the broader context for clinical, business, interoperability and solution development considerations that were discovered during the development of the PS-CA. 
  • Defines the healthcare problem that the PS-CA addresses and includes healthcare use cases and interoperability requirements in terms that will be traceable to the content in the pan-Canadian Patient Summary - Companion Guide to Reference Architecture.
0.2January 28, 2022

pan-Canadian Patient Summary - Companion Guide to Reference Architecture

  • Contains background information on the abstracted PS-CA actors and transactions for the Pan-Canadian Patient Summary Interoperable Specifications, describes baseline information on the recommended IHE profiles, and includes links to the IHE source documentation where stakeholders can get additional details on each PS-CA actor and transaction.
  • Includes descriptions of alternatives and choices for implementation patterns and ecosystem architectures to support the PS-CA in current state, including sequence diagrams that demonstrate the relationship and dependencies between the PS-CA actors and transactions.
0.2January 28, 2022
pan-Canadian FHIR Exchange (CA:FeX)
The CA:FeX specification may be accessed here. 
RevisionRevision Date
  • Addresses standardized sharing of vital patient information for the benefit of health care providers and patients using FHIR based information exchange.
  • Similar to, and accomplishes the same objectives as, a Health Information Exchange (HIE).
  • The first priority of this specification will be to define a document exchange interface for CA:FeX, clearly defining how a FHIR document can be transacted with a Clinical Data Repository. 
0.1January 28, 2022


In addition to the PS-CA Interoperability Bundle, you may wish to review this diagram which provides a high-level view of relevant Integration Profiles to support the PS-CA project. This view contains a superset of profiles that offer alternatives to exchanging Patient Summaries, depending on Jurisdictional service type and availability. Mandatory and optional capability support is described in the sequence diagrams associated with each Use Case analysis.

Registration 

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Participants are required to register for the Projectathon via the Gazelle test platform. The registration period will be open from January 20 - February 11, 2022. A registration webinar will be held on January 20, 2022 at 11AM ET. This webinar will include an overview of the:

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Click here to register to Gazelle Test Management. 

Pre-Projectathon Preparations

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For successful participation in the Projectathon, pre-Projectathon tests and connectivity tests are important. 

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In addition to the pre-Projectathon tests, there will be a Connectivity Testing period between February 25 - March 11, 2022. The purpose of the Connectivity Testing period is to check, in advance, whether participants' systems are configured and ready to communicate with other vendor systems during the Projectathon event. A Connectivity Testing webinar will be held on February 25, 2022. 

Tools

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The pan-Canadian Interoperability Gazelle Platform is available at https://pancanadianIO.ca. From the home page, you may access the documentation for various support tools, test tools, and utilities, by clicking on the respective PDF icon.

Information Sheet

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Below is a short information sheet to support your registration for the Projectathon: 

Get Support

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Technical ManagerSouleymane THIAM - [email protected]
InfoCentral Collaboration Group

Patient Summaries Working Group
https://infocentral.infoway-inforoute.ca/en/collaboration/wg/patient-summaries

Projectathon Schedule

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Important Dates and Events

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Key Dates

Activity and Overview

January 20

Participant Registration Webinar

This webinar will include an overview of the:

  • The scope of the Projectathon, including profiles and use cases 
  • Gazelle tool
  • Registration in Gazelle
  • How the Projectathon will be organized
  • Relevant documentation, including specifications and training materials

January 20 – February 17

Participant registration will be open from January 20 – February 17.

Click here to register to Gazelle Test Management. 

February 17

Pre-Projectathon Testing Webinar
This webinar will provide detailed information on:

  • Gazelle, including Gazelle Test Manager, simulators and validators
  • Pre-Projectathon Testing, including objectives, requirements, and test processes

February 17 – March 11

Pre-Projectathon testing will occur between February 17 – March 11.

February 25

Connectivity Testing Webinar
This webinar will address the objectives, requirements and test processes for the connectivity testing.

February 28 – March 11

Connectivity testing will occur between February 28 – March 11.

March 21 – March 23

Projectathon Event

Projectathon Calendar

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