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Welcome to the Projectathon 2023 test case information page!We are currently working on the development of the test cases, data sets and tools. Please “Watch” this page to receive a notification when new information is added. 

NOTE: The Projectathon 2023 event has been completed. The final report is available here.

On this page, you will find:

Table of Contents

...

An exciting new feature at this Projectathon will be the ability to validate the national (PS-CA) and harmonized provincial Patient Summary specifications from two leading jurisdictions: Alberta (PS-AB) and Ontario (PS-ON).

  • In addition to testing the PS-CA, test cases will validate the PS-AB and PS-ON specifications, which are very closely aligned to the PS-CA and should be supported by minimal configuration of capability in the vendor systems. The configuration details are provided in the Data Configuration Guide available Guide available on the Tools and Training page.
  • The test cases will highlight where configuration is needed and test that the configuration is applied properly, based on claimed vendor conformance.
  • The Projectathon will offer an assessment of the Patient Summary document against the ON and AB implementation guidance as represented in the PS-ON and PS-AB specifications, in addition to the PS-CA.

...

Testing supports for the Patient Summary document format and content validation will be provided using a combination of test cases, test data sets, and tools (see table Test Cases for Document Format and Content below for more information). While test cases reside in Gazelle, they may refer todata sets which will be available on the Test Data Sets page - coming soon to this space! The . The data sets will be available in an Excel spreadsheet format and include the following:

  • Clinical Data Set for PS-CA: a clinical data set that represents minimum data requirements for PS-CA.Clinical Data Set for PS-AB: a clinical data set that represents minimum data requirements for PS-AB.
  • Clinical Data Set for PS-ON: a clinical data set that represents minimum data requirements for PS-ON.Comprehensive

2. PS-CA

...

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), referenced by the PS-CA and CA:FeX specifications. Under

2. PS-CA 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), referenced by the PS-CA and CA:FeX specifications. Under ideal conditions, depending on the number of participating vendors and their system capabilities, tests will offer a high degree of coverage for all profiles.

...

The following table describes Implementation Guides being tested, purpose of each, profiles involved and types of tests and supporting tools. To learn more about the IHE Profiles, be sure to watch the information videos included in the Description sections.

Test Cases for Document Format and Content

By IG

IG Description and Purpose of Test Cases

IHE Profiles Involved

Test Case Peer Type & Supporting Tools*

PS-CA


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

Canadian Patient Summary (PS-CA 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 purpose of the test cases for the PS-CA will ensure that the Patient Summary is formatted

and

contains the required content according to the PS-CA Implementation Guide. A PS-CA clinical data set will be provided to support these test cases. Refer to the Test Data Sets for more details. 

To read more about the PS-CA, go here.

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 purpose of the test cases for the PS-CA will ensure that the Patient Summary is formatted and contains the required content according to the PS-CA Implementation Guide. A PS-CA clinical data set will be provided to support these test cases. Refer to the Test Data Sets for more details. 

To read more about the PS-CA, go here.

  • CA:FeX
  • MHD

No-Peer (PS-CA Renderer, FHIR Validator, CA:FeX Simulators, and MHD Simulators)

Peer-to-Peer (Gazelle platform)

PS-AB

Alberta is in the process of developing implementation details to provide to their implementers. 

Update: The PS-AB will not be tested at the Projectathon 2023. Vendors are being requested to focus on the PS-CA. At such time that the PS-AB is ready, it is expected that minimal configuration of capability in the vendor systems will be needed. 

  • CA:FeX
  • MHD

No-Peer (PS-CA Renderer, FHIR Validator, CA:FeX Simulators, and MHD Simulators)

Peer-to-Peer (Gazelle platform)

PS-AB

Alberta is in the process of developing implementation details to provide to their implementers.

At the time of the September 2022 release, details like usage notes, comments, mappings, and additional constraints have been applied within PS-AB profiles that are derived from the PS-CA profiles.

The purpose of the test cases for PS-AB will ensure that the Patient Summary is formatted and contains the required content according to the PS-AB implementation guide. In support of these test cases, the following documents will be provided:

  • a PS-AB clinical data set, available here: Test Data Sets
  • a configuration document outlining the differences between the PS-CA and the PS-AB, available here: Test Tools and Training

    To read more about the PS-AB, go here.

    • CA:FeX
    • MHD
    • N/A

    N/A

    No-Peer (PS-CA Renderer, FHIR Validator, CA:FeX Simulators, and MHD Simulators)

    Peer-to-Peer (Gazelle platform)

    PS-ON

    The Ontario Patient Summary is based on the International Patient Summary standard and was developed in collaboration with Canada Health Infoway and other jurisdictions and with preliminary input from primary care clinicians and solution vendors.

    The Ontario Patient Summary (PS-ON) Standard aligns, where applicable, to the International Patient Summary (IPS) HL7 FHIR standard, the Pan-Canadian Patient Summary (PS-CA) Standard (under concurrent development), and the Canadian Baseline (CA-Baseline). 

    The purpose of the test cases for PS-ON will ensure that the Patient Summary is formatted and contains the required content according to the PS-ON implementation guide. 

    In support of these test cases, the following documents will be provided:

    To read more about the PS-ON, go here.

    • CA:FeX
    • MHD

    No-Peer (PS-CA Renderer, FHIR Validator, CA:FeX Simulators, and MHD Simulators)

    Peer-to-Peer (Gazelle platform)

    *To learn more about the Supporting Tools, go here.


    The following table describes the integration profiles being tested, purpose of each, actors involved and types of tests and supporting tools.

    Test Cases for Secure, Exchange Transactions

    By IHE Profile

    Profile Description and Purpose of Test Cases

    Actors Involved

    Test Case Peer Type & Supporting Tools*

    CA:FeX

    The pan-Canadian FHIR Exchange (CA:FeX) is an implementable, testable interoperability specification based on HL7 FHIR Implementation Guides, that defines building blocks to enable creating, consuming and sharing clinical data via FHIR RESTful exchange patterns.

    The purpose of testing CA:FeX is to ensure systems have the ability to create, search and retrieve FHIR documents (e.g., Patient Summary) over the internet in a secure manner.

    Test cases for CA:FeX will include groupings with other profiles to ensure that patient information is shared securely over the internet (CA:Sec), meets audit requirements (CA:Aud), contains a consistent time (CT) with a median error less than 1 second and is accessed only by authorized users (IUA).

    To learn more about CA:FeX, you may watch this short video and review the presentation material here: CA:FeX Profile Information Video (mp4), CA:FeX Profile Information Presentation Deck (PDF)

    To read more technical information about CA:FeX, go here.

    • Data Source
    • Data Consumer
    • Data Recipient
    • Data Responder

    No-Peer (CA:FeX Client & Server Simulator)

    Peer-to-Peer (Gazelle platform)

    MHD

    The Mobile Access to Health Documents (MHD) Profile defines one standardized interface to health document sharing. This profile is applicable to systems where needs are simple, such as pulling the latest summary for display.

    The purpose of testing MHD is to ensure systems have the ability to publish and access (i.e. query/retrieve) FHIR documents (e.g., Patient Summary) over the internet in a secure manner.

    Test cases for MHD will include groupings with other profiles to ensure that patient information is shared securely over the internet (CA:Sec), meets audit requirements (CA:Aud), contains a consistent time (CT) with a median error less than 1 second and is accessed only by authorized users (IUA).

    To learn more about MHD, you may watch this short video and review the presentation material here: MHD Profile Information Video (mp4), MHD Profile Information Presentation Deck (PDF)

    To read more technical information about MHD, go here.

    • Document Source
    • Document Recipient
    • Document Consumer
    • Document Responder

    No-Peer (MHD Client & Server Simulator)

    Peer-to-Peer (Gazelle platform)

    IUA

    The Internet User Authorization (IUA) is an interoperability profile that provides an authorization profile for the HTTP RESTful transactions.

    Being authorized means that the user, patient, or provider has legitimate access to this HTTP RESTful service. The authorization includes identifying the user and the application that is making the request to the HTTP RESTful server, so that the server can make further access control decisions.

    The purpose of testing IUA in these test cases is to ensure that the person (e.g., patient, provider, etc. ) and application requesting access to the FHIR document (e.g., Patient Summary) are authorized to have access.

    To learn more about IUA, you may watch this short video and review the presentation material here: IUA Profile Information Video (mp4), IUA Profile Information Presentation Deck (PDF)

    To learn more about IUA, go here.

    • Authorization Client
    • Resource Server
    • Authorization Server

    No-Peer (IUA Simulator)


    CA:Sec

    The CA:Sec (Canadian Network Security) Implementation Guidance specifies the foundational elements needed to securely execute transactions between two systems. It is based on the ATNA profile and aims to bring improvements via loose coupling, and high cohesion, with focus on secure communication.

    The purpose of testing CA:Sec in these test cases is to ensure that the systems exchanging FHIR documents are able to meet the requirements of secure exchange between systems.

    To learn more about CA:Sec, you may watch this short video and review the presentation material here: CA:Sec Profile Information Video (mp4), CA:Sec Profile Information Presentation Deck (PDF)

    To read more technical information about CA:Sec, go here.

    • Secure Application

    No-Peer (Gazelle Security Suite, TLS Server and Client Simulators)

    CA:Aud

    The CA:Aud (Canadian Audit Trail) Implementation Guidance specifies the foundational elements needed to perform event logging for auditing purposes. It is based on the ATNA profile and aims to bring improvements via loose coupling, and high cohesion, with focus on auditing using modern formats and technologies.

    CA:Aud defines capabilities to record, store and retrieve audit messages in FHIR format using RESTful operations and other (IHE or non-IHE) methods.

    The purpose of testing CA:Aud in these test cases is to ensure that the systems exchanging FHIR documents (e.g., Patient Summary) are able to meet the requirements of recording, storing and retrieving audit messages.  

    To learn more about CA:Aud, you may watch this short video and review the presentation material here: CA:Aud Profile Information Video (mp4), CA:Aud Profile Information Presentation Deck (PDF)

    To read more technical information about CA:Aud, go here.

    • Audit Creator
    • Audit Record Repository (ARR)
    • Audit Record Forwarder
    • Audit Consumer

    No-Peer (Tested as part of CA:FeX and MHD)


    CT

    The Consistent Time Integration Profile (CT) provides a means to ensure that the system clocks and time stamps of the many computers in a network are well synchronized.

    The purpose of testing CT in these use cases is to ensure the systems exchanging FHIR documents (e.g., Patient Summary) are synchronized with a median error less than 1 second. This provides systems with the ability to properly manage the information and provides clarity for users on the timeline of when the information was recorded. 

    To learn more about CT, you may watch this short video and review the presentation material here: CT Profile Information Video (mp4), CT Profile Information Presentation Deck (PDF)

    To read more technical information about CT, go here.

    • Time Client
    • Time Server

    No-Peer (Scripts provided within the test cases)

    *To learn more about the Supporting Tools, go here.

    Where to Find the Test Cases

    ...

    In addition to the Gazelle platform, a suite of testing tools, including validators and simulators, will be available for the No-Peer tests during the pre-Projectathon testing and Projectathon event testing. For more information about the testing tools, please refer to the Tools and Training page.

    When to Run the Test Cases

    The Projectathon includes two phases of testing: Pre-Projectathon testing and Projectathon testing. (Refer to the Registration and Schedule page for details about the timing of each phase.) The tables above, in section What will be Tested,categorize test cases by "Peer Type" of No-Peer tests and Peer-to-Peer tests. 

    • Pre-Projectathon testing: This phase will take place prior to the Projectathon event and include No-Peer tests (i.e., tests run between your system and one of the supporting tools). In Gazelle, all of the Pre-Projectathon tests for the Actors that you registered for will be listed.  
    • Projectathon testing: This phase will take place during the Projectathon event and include both No-Peer tests and Peer-to-Peer tests (i.e., tests between your system and another system). Note that prior to the Projectathon, connectivity testing must be completed (Refer to the Registration and Schedule page for more information about how and when to complete connectivity testing).