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The March 2023 Projectathon will be dedicated to supporting Patient Summary implementation projects across Canada.
Focus of the Projectathon March 2023
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The Projectathon 2023 will focus on interoperability demonstrations based on the pan-Canadian Patient Summary (PS-CA v1.0.0 TI) and the associated pan-Canadian FHIR Exchange (CA:FeX v1.0.0 TI) specifications, both ready for trial implementation. The PS-CA specification defines the building blocks to create and share patient summaries. The CA:FeX specification promotes FHIR RESTful exchange patterns that can be applied on top of existing non-FHIR infrastructure and FHIR servers. These two specification packages support secure exchange of a patient’s health summary document, are represented using the normative release 4.0.1 of the HL7® FHIR® standard, and are closely aligned to the International Patient Summary specification (IPS).
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On October 17th, 2022, the Specifications package was approved by the Interoperability Executive Table to be adopted and used by jurisdictions and vendors for Trial Implementation*. *The Trial Implementation maturity-level designation indicates that a specification is deemed ready for trial implementation in production systems for limited scale projects to meet a health care interoperability need. It has been cycled through public open review periods with jurisdictions and industry partners with all feedback dispositioned, changes incorporated and where appropriate, backlog items identified for a future release. A TI designated specification has been tested and validated, at a Projectathon, where implementers collaborate to test their solutions using methodologies and tools that accelerate interoperability and verify that the specification is deemed ready for trial implementation. Trial implementation is one step closer in the evolution of a final specification, when it is deemed ready for certification. |
Testing & Tools Overview
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Vendors will have an opportunity to test and demonstrate capabilities in two distinct areas of the specification:
- Document format and content
- Secure, exchange transactions
1. Document format and content
The PS-CA FHIR Content Data model will be tested using a combination of test data and validation tooling.
- The PS-AB and PS-ON specifications are very closely aligned to the PS-CA and should be supported by minimal configuration of capability in the vendor systems.
- The test cases will highlight where configuration is needed and test that it is applied properly, based on claimed vendor conformance.
- The Projectathon will offer an assessment of the FHIR document against the ON and AB implementation guidance as represented in the PS-ON and PS-AB specifications, in addition to the PS-CA.
2. Secure, exchange transactions
This area of testing will focus on validating the recommended secure exchange methods of the FHIR summary document as presented in the Reference Architecture (RA v0.1.1 DFT), linked to the PS-CA and CA:FeX specifications.
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| Category 1: Test cases that test individual actor capabilities in isolation E.g., how a system can handle encrypted transactions, how a system can handle a CA:FeX transaction, how a system can handle an OAuth 2 token exchange, etc. |
| Category 2: Complex test cases that group individual actor capabilities with other relevant actor capabilities to simulate real world scenarios. E.g., how a patient summary creator system can submit the document to a repository by using an OAuth 2 integration, etc. |
Training, Tools & Support Overview
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Infoway will provide training webinars to support the use of the tools and integrations with the Gazelle test framework. Once registered, vendors will be provided with early access to the Gazelle platform for self / pre-Projectathon testing. In addition to Gazelle, Infoway will provide a number of testing tools, including Simulators, Emulators and Validators to support the exchange patterns listed in the PS-CA specification. A test package will be provided including scenarios for single tests and group testing, along with data set to support document format and content validation for the PS-CA, PS-ON and PS-AB.
Projectathon Results
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Projectathon results will be collected into a report on the individual and group actor transactions that vendor systems have proven capabilities in supporting.
- This feature capability assessment can support jurisdictional integration efforts in assessing vendors conformance to their respective deployment models.
- Results can be analyzed from the relevant actor/transactions that align to local architectures.
Projected Benefit for Vendors
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What's Next: High-Level Timeline
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The Projectathon event is planned to be held virtually during the week of March 6, 2023, however, the possibility of a hybrid in-person testing environment is still being investigated. Two days of effort per vendor are generally sufficient for testing after suitable preparation. There will be several opportunities to support testing preparation as part of vendor onboarding and our team will be available to support vendors every step of the way.
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