The following design constraints and assumptions for the Pan Canadian Patient Summary Interoperability Specifications v1 Trial Implementation
- All Use Case Actors/Users are logged into the system. The Use Case Actors/Users are authenticated and appropriately authorized for all data exchange transactions.
- Our recommendation is that the Use Case Actors/Users obtain a valid access token from the Authorization Server that is used within each transaction and is based on the IUA IHE Profile.
- Patient Summary-CA is created from local data sources for Release 1
- There may be exceptions to the source data of some of the data domains of the Patient Summary-CA across jurisdictions in Canada. For example, for some jurisdictions, the immunization data will be pulled from the provincial immunization repository.
- The implementation pattern in-scope for Release 1 will be based on the MHD IHE Profile. Additional details about this profile can be found in pan-Canadian Patient Summary – Companion Guide to Reference Architecture v1.
Additional information on design constraints and assumptions can be found in the Patient Summary – Companion Guide to Use Cases and Definitions.
Design PS-CA Use Case Overview
...
| Actor Name | Description / Definition |
|---|---|
PS-CA Producer | A health records system (e.g., EMR, HIS, CIS, PHR, or EHR) that creates/produces a Patient Summary-CA in response to a request from an authorized health care provider, the subject of care or another authorized health records system. |
PS-CA Consumer | A health records system (e.g., EMR, HIS, CIS, PHR, or EHR) that enables access to or receipt of a Patient Summary-CA by an authorized health care provider or the subject of care/patient. |
Document Repository (Local or Central) | A document repository is a shared storage space for clinical documents (Patient Summaries) that can be hosted locally (e.g., at the document producer) or at the IHE Central Infrastructure and can be accessed by authorized users |
HIE Central Infrastructure | A Health Information Exchange (HIE) Central Infrastructure collects information from participating organizations and stores the information in a centralized place to provide access. |
Patient Portal | A patient portal is a web-based access point that enables secure patient access to personal health information and other self-serve health IT services *Note: Patient Portal is also comparable to the PS-CA Consumer role; however, for Use Case 3, the patient summary is viewed by the subject of care itself. |
...