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Standard

Fit for Purpose

Stewardship

Quality

Fits
Requirements 

Implementation
Type 

Vendor
Support 

Canadian
Steward 

SDO
Maintained 

Complexity

Standard
Maturity

Training,
Support
and Tooling

pan-Canadian Public Health Immunization Subsets  (SNOMED-CT)

Yes

Production
in Canada 

High

Yes

Localized

Low

Normative

Good

iTerm ValueSet

Partially

Custom 

Limited

Yes

No

Low

N/A

None

Architectural Constraints and Considerations

Secondary Benefits

Both options were designed to support Panaroma's data model.

Using pan-Canadian terminology subsets supports inter-jurisdictional interoperability.  SNOMED CT’s terminology model can be leveraged to support aggregation and analysis of the information captured within vaccination records.

Recommendation

Supporting Rationale

It is recommended that new implementations adopt the custom reference value sets developed by Ontario.

The pan-Canadian Public Health Immunization Subsets reflect Canadian requirements (e.g. Canadian vaccine lists), and is aligned with the PHAC Canadian Immunization Guide. It is being adopted in additional projects across Canada (including AB, SK, MB, Canadian Forces, CIHI), so additional implementations that adopt the Ontario standard will be well positioned for interoperability with these groups or organizations.