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- Lack of coordination to ensure jurisdictions are collaborating and are aligned on testing,
compliance and conformance expectations - Limited opportunity for vendors to test and prove core capabilities (e.g., generation of a
compliant Patient Summary document) required for a jurisdictional integration - Variation in jurisdictional requirements that lead to multiple unscalable solution designs across
jurisdictions
To address the current state challenges, this the Roadmap will focus focuses on the establishment of a first-class conformity assessment program. Conforming a number of core services at the pan-Canadian level will result in the opportunity for predictable growth, while allowing for different deployment architectures across jurisdictions.
Key components of this item include:
- Development of a pan-Canadian Conformity Assessment program tied to the Reference
Architecture (Building Block #4) that enables vendor solution capability assessment against
core ecosystem expectations - Deployment of a first-class conformity assessment platform (e.g., Gazelle) that provides
the infrastructure for jurisdictions and vendors to leverage core testing capabilities for the
standardized components referenced above
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Building an Industry-Wide Testing, Compliance and Conformance Infrastructure is a journey. The first step will build on the successes of the first two pan-Canadian Projectathon events held in March 2022 and March 2023 where Infoway, in collaboration with the provinces and territories, invited vendors to participate. Projectathons are an important step and best-practice approach in testing and validation of a specification package, where implementers demonstrate live interoperability of solutions in conformance with pan-Canadian specifications. Read more about Projectathons here.
As we build the Industry-Wide Testing, Compliance and Conformance Infrastructure, the first use case will be the pan-Canadian Patient Summary. Additional use cases, such as eReferral and eConsult will become part of this service offering as the service continues to grow.
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As several Canadian jurisdictions prepare for Limited Production Rollouts (LPR), testing will be focused on interoperability demonstrations based on the pan-Canadian Patient Summary (PS-CA v1.1.0 DFT) and the associated pan-Canadian FHIR Exchange (CA:FeX v1.0.0 TI and/or CA:FeX v2.0.0 DFT) specifications. 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).
Testing & Tools Overview
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This Guide focuses on conformance self-testing, that allows vendors to access the Gazelle platform and tools, to test and self-assess their implementations against the pan-Canadian specifications.
Vendors will have an opportunity to test and demonstrate capabilities in two distinct areas of the specification:
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2. Secure, exchange transactions
This area of testing is focused on validating the recommended secure exchange methods of the FHIR patient 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 &
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Support
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Infoway provided has created training webinars to videos to support the use of the tools and integrations with the Gazelle test framework. Once registered, vendors were provided with early may access to the Gazelle platform for self / pre-Projectathon Conformance testing. In addition to Gazelle, Infoway provided provides a number of testing tools, including Simulators , Emulators and Validators to support the exchange patterns listed in the PS-CA specification. A test package was provided Test cases, including scenarios for single tests and group testing are available, along with data set to support document format and content validation for the PS-CA.
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For more details about each of these topics, please refer to the following:
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:
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- Training & Test Tools: Training webinars videos & testing tools were prepared for the 2023 Projectathon and remain relevant for 2024 Conformance testing. Please visit the Training & Test Tools page for details.
- Testing: The testing approach for the 2024 Conformance testing will following the same steps follow a similar approach as the 2023 Projectathon, except that testing will be offered on a self-serve and self-testing basis with a focus on the PS-CA v1.1.0 DFT and the associated pan-Canadian FHIR Exchange CA:FeX v1.0.0 TI and/or CA:FeX v2.0.0 DFT. Navigate Step by step instructions for self-testing are available on the PS-CA Self-Testing Conformance Steps - 2024 page. For additional information about the test cases, including definitions of the profiles, navigate to the Test Cases page for details and simply /or refer to the applicable appropriate specifications where applicable.Test Data Sets: Test data sets may be used in support of the test cases . This page will provide details about the two key areas that will be tested:focused on
- PS-CA Document Format and Content -
- ensuring that the Patient Summary document is structured in the expected format and that it contains the required information using the correct data types and valuesets,
- where specific valuesets are
- defined as required in the
- PS-CA
- .
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- PS-CA
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Clinical Data Sets
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Description
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Sample(s)
- Secure, Exchange Transactions - ensuring that at least one core integration profile (CA:FeX or MHD) can be successfully tested.
- Test Data Sets: Test data sets may be used in support of the test cases focused on ensuring that the Patient Summary document is structured in the expected format and that it contains the
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PS-CA-Clinical Data Set (Excel)
Updated on: February 9, 2023
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- required information using the correct data types and valuesets, where specific valuesets are defined as
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- required in the national (PS-CA
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- ). Sample test data is available on the PS-CA
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Testing Results
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Testing results will be collected into a report, on reviewed, based on the individual and group actor transactions that vendor systems have proven capabilities in supporting.
- This feature capability assessment will 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.
- Infoway will verify successful completion of testing and issue a conformance test report for your system listing all tested profiles and the results. The report will be emailed to the email account you identified as your contact, which you may present to your jurisdictional team.
Support
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| Support Type | Contact Information |
|---|---|
| Questions, Issues, Comments related to the Conformance Testing | Contact [email protected] |
Gazelle Platform Self-Testing User Guide | Gazelle Platform Self-Testing User Guide Updated on: Feb 12, 2024 |
| Training Materials | Tools and Training |
| Patient Summary Working Group | InfoCentral Collaboration Group for Patient Summaries |
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