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MR 02.06 Release Notes - Mar. 11, 2016

Go to downloadable artifacts

Note
titlePlease note: Scope of changes

General Information

Background Material

A pan-Canadian Standard is a document or artifact established by a consensus-based standards development process that brings together volunteers and/or seeks out the views of persons who have an interest in the topic covered by this publication.

 

Pan-Canadian Standards provide the technical language and clinical terminology to enable the thousands of health care providers across the country to communicate and share health information in a consistent, safe and reliable manner. When used in eHealth solutions, these standards:

  • support members of the care team to accurately interpret and exchange information needed for safe and effective care
  • facilitate clinical decision support for alerts and reminders
  • enable data to be aggregated, with appropriate approvals, for clinical research, ultimately leading to better outcomes

 

The following domains are included in the MR 02.06:

Claims

Claims Standards allow the electronic exchange of health financial data. Claims standards provide the foundation for claims information exchange across the continuum of care and can support a wide range of health care providers including physicians, pharmacists, dentists, physiotherapists, optometrists, chiropractors with managing electronic claims.

Client Registry

Client Registry Standards allow Canadian patients to be uniquely identified across the continuum of care through a jurisdictional Client Registry system. Client Registries are single directories or “white pages” in each province or territory that contain the most accurate patient demographic information including name, age, gender, date of birth and home address.

Common Services

The common services are used across multiple domains including Drug, Lab, Public Health, Shared Health Records, Non-Clinical Registries Privacy and Security and Claims. Our common services include Common Implementation Guides, Terminology Shared Interactions and Data Types.

Drug

The Drug Standards provide physicians, pharmacists and other health care providers with an improved ability to manage complete patient medication profiles across the continuum of care through a jurisdictional Drug Information System. This domain provides support for Prescribing, Dispensing, Adding other medication to a patient's record such as physician samples or over-the-counter medications, Patient medication queries including contraindications that have previously been identified and managed, Drug queries, Checking contraindications such as drug-to-drug interactions, drug-to-allergy interactions or dosage checking and managing prescription status (e.g. prescriptions that are put on hold)

Lab

The Laboratory Standards allow access, management and storage of patient laboratory orders and results across the continuum of care through a jurisdictional Laboratory Informational System. Laboratory results are a critical factor in clinical decision making. Many patients complete tests in different healthcare locations. If online sharing of test information is limited, test results are often duplicated when a patient then visits different healthcare providers. This lack of available laboratory test information limits timely clinical decision making.

Location Registry

Location Registry Standards allow unique identification of locations that deliver patient care across the continuum of care (e.g. hospitals, clinics, physician offices, etc.), through a Service Delivery Location Registry system. The Location Registry is a single directory or “yellow pages” per jurisdiction, providing a comprehensive and unambiguous identification of where health services are provided.

Privacy & Security

Privacy and Security Standards provide a code of practice for information security management. They establish guidelines and general principles for initiating, implementing, maintaining, and improving an organization’s information security management.

Provider Registry

Provider Registry Standards allow unique identification of Canadian health care providers across the continuum of care, through a jurisdictional Provider Registry system. The Provider Registry is a single directory or “yellow pages” per jurisdiction providing a comprehensive and unambiguous identification of participating health care providers (physicians, pharmacists, nurses and other health care providers). Demographic information includes name, role, gender, Regulatory College license number, and the different locations in which health care providers deliver services.

Public Health

The Public Health Standards allow the identification and management of immunizations through a jurisdictional Public Health Surveillance system. These standards support Public Health Surveillance business practice in the areas of immunization management.

Shared Health

The Shared Health Standards allow support for health records that could be shared across multiple domains. The transactions include: adverse events, allergy, clinical observations, discharge care summary, care compositions, health conditions, professional services, and referral.

Education

Learn more about clinical interoperability and standards through our regularly scheduled webinar series. 

More information available on the InfoCentral Event Calendar.

Standards

HL7 Explorer: Browse Pan-Canadian Standards Online

The HL7 Explorer view provides an easy to navigate web based rendering of the pan-Canadian standards.

Downloadable Artifacts

 

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The scope of the changes in the MR 02.06 release are limited to generated artifacts in the Terminology domain.

Therefore, all links to domains or materials outside of this scope are to artifacts found in the MR 02.05 and MR 02.05.01 releases.

MR 02.06

Purpose of the Release notes

The Release Notes provide a high level summary of the changes made to the Terminology artifacts in support of the MR02.06 release of the pan-Canadian standards. A detailed description of all of the changes can be found in the corresponding Terminology Change File (SC-3004-EN-Terminology Change

The following table contains all artifacts updated as part of the scope of the MR 02.06 release.

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MR02.06 -20160311).

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MR 02.05.01

The following table contains the most current artifacts for all domains except Terminology. For Terminology domain artifacts, please see the MR 02.06 table above.

 

NameDescription
Release Notes MR02.05.01 - 20141020Release Notes, Terminology Release Notes, a Change Log and a Terminology Change Log.
Zip of all Provider Registry Artifacts and the Common Services in this release MR_02.05.01 - 20141020A file that contains all of the artifacts listed below, including the common services artifacts.
{{ url{ url: 'https://infocentral.infoway-inforoute.ca/2_Standards/1_pan-Canadian_Standards/Messaging/s_Common_Services_(HL7_v3)/Terminology_-_Current_Releases/MR_02.05.01_-_Terminology', caption: 'Terminology', title: 'Terminology', track: 'link'} }}This page includes all of the Terminology artifacts for this release, including the Terminology Implementation Guide, the Master Terminology Worksheet, the Vocabulary MIF and the Terminology Reference to Message Models file.
{{ url{ url: 'https://infocentral.infoway-inforoute.ca/@api/deki/files/8953/=SC-2003-EN_-_Volume_5_Provider_Registry_-_Models_-_MIFv1_-_MR02.05.01_-_20141020.zip', caption: 'Models MIF-1 View MR02.05.01 - 20141020', title: 'SC-2003-EN_-_Volume_5_Provider_Registry_-_Models_-_MIFv1_-_MR02.05.01_-_20141020.zip', track: 'file'} }}This file contains message models in MIF(Model Interchange Format) version 1 format generated from the V3 generator legacy tools.
{{ url{ url: 'https://infocentral.infoway-inforoute.ca/@api/deki/files/8954/=SC-2003-EN_-_Volume_5_Provider_Registry_-_Models_-_MIFv2_-_MR02.05.01_-_20141020.zip', caption: 'Models MIF-2 View MR02.05.01 - 20141020', title: 'SC-2003-EN_-_Volume_5_Provider_Registry_-_Models_-_MIFv2_-_MR02.05.01_-_20141020.zip', track: 'file'} }}This file contains message models in MIF(Model Interchange Format) version 2 format generated from the V3 legacy tools.
{{ url{ url: 'https://infocentral.infoway-inforoute.ca/@api/deki/files/8957/=SC-2004-EN_-_Volume_5_Provider_Registry_-_XML_Schemas_-_MR02.05.01_-_20141020.zip', caption: 'XML Schemas - MR02.05.01 - 20141020', title: 'SC-2004-EN_-_Volume_5_Provider_Registry_-_XML_Schemas_-_MR02.05.01_-_20141020.zip', track: 'file'} }}This file contains all XML schemas for message types and interactions as well as the core schema files (narrative block, infrastructure root, vocab schema and datatype schema).
{{ url{ url: 'https://infocentral.infoway-inforoute.ca/@api/deki/files/8958/=SC-2005-EN_-_Volume_5_Provider_Registry_-_Message_Worksheets_-_Excel_View_XLS_-_MR02.05.01_-_20141020.zip', caption: 'Message Worksheets - Excel (xls) View MR02.05.01 - 20141020', title: 'SC-2005-EN_-_Volume_5_Provider_Registry_-_Message_Worksheets_-_Excel_View_XLS_-_MR02.05.01_-_20141020.zip', track: 'file'} }}This file contains all message models in Excel (XLS) format
{{ url{ url: 'https://infocentral.infoway-inforoute.ca/@api/deki/files/8959/=SC-2005-EN_-_Volume_5_Provider_Registry_-_Message_Worksheets_-_Table_View_-_MR02.05.01_-_20141020.zip', caption: 'Message Worksheets - Table View MR02.05.01 - 20141020', title: 'SC-2005-EN_-_Volume_5_Provider_Registry_-_Message_Worksheets_-_Table_View_-_MR02.05.01_-_20141020.zip', track: 'file'} }}This file contains all message models in Table View format.
{{ url{ url: 'https://infocentral.infoway-inforoute.ca/@api/deki/files/8955/=SC-2003-EN_-_Volume_5_Provider_Registry_-_Models_-_Visio_-_MR02.05.01_-_20141020.zip', caption: 'Models - Visio View MR02.05.01 - 20141020', title: 'SC-2003-EN_-_Volume_5_Provider_Registry_-_Models_-_Visio_-_MR02.05.01_-_20141020.zip', track: 'file'} }}This file contains all message models in Visio format.
{{ url{ url: 'https://infocentral.infoway-inforoute.ca/@api/deki/files/8956/=SC-2003-EN_-_Volume_5_Provider_Registry_-_Models_-_Word_View_-_MR02.05.01_-_20141020.zip', caption: 'Models - Word View MR02.05.01 - 20141020', title: 'SC-2003-EN_-_Volume_5_Provider_Registry_-_Models_-_Word_View_-_MR02.05.01_-_20141020.zip', track: 'file'} }}This file contains a business rendering of the message models in Word format.
MR 02.05

The following table contains the most current artifacts for all domains except Provider Registry and Terminology. For Provider Registry domain artifacts, please see the MR 02.05.01 table above.

 

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Name

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Description

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{{ url{ url: 'https://infocentral.infoway-inforoute.ca/@api/deki/files/8490/=SC-5001-EN_-_Release_Notes_-_MR02.05_-_20131212.zip', caption: 'Release Notes - MR02.05 - 2013-12-12', title: 'SC-5001-EN_-_Release_Notes_-_MR02.05_-_20131212.zip', track: 'file'} }}

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Release Notes, Terminology Release Notes, a Change Log and a Terminology Change File

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{{ url{ url: 'https://infocentral.infoway-inforoute.ca/@api/deki/files/8507/=All_Domains_-_MR02.05_-_20131212.zip', caption: 'The entire MR02.05 Release (all domains)', title: 'All_Domains_-_MR02.05_-_20131212.zip', track: 'file'} }}

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This is a zip of the entire MR 02.05 Release

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{{ url{ url: 'https://infocentral.infoway-inforoute.ca/@api/deki/files/8505/=SC-2006-EN_-_Implementation_Guide_-_MR02.05_-_20131212.zip', caption: 'Implementation Guides - MR02.05 - 2013-12-12', title: 'SC-2006-EN_-_Implementation_Guide_-_MR02.05_-_20131212.zip', track: 'file'} }}

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The purpose of these documents is to provide implementation, compliance and conformance guidelines for use in developing software that conforms to the pan-Canadian HL7 v3 Message and Terminology Specifications developed through the Standards Collaborative governance process.

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{{ url{ url: 'https://infocentral.infoway-inforoute.ca/@api/deki/files/8487/=SC-3002-EN_-_Data_Type_Specification_-_MR02.05_-_20131212.zip', caption: 'Data Type Specification - MR02.05 - 2013-12-12', title: 'SC-3002-EN_-_Data_Type_Specification_-_MR02.05_-_20131212.zip', track: 'file'} }}

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General guidance and specifications on data type usage.

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The Release Notes are intended to be used in conjunctions with the other business (e.g. HL7 Explorer) and technical artifacts (e.g. Vocabulary MIFs) published as part of this release.

Stakeholders are strongly encouraged to review the Release Notes prior to exploring the rest of the published artifacts.

Synopsis of the Release Changes

To support existing and new implementations, there were a considerable number of changes applied to MR 02.06, which include: 

 

  • Updates to Value set content reflecting implementation status (deprecation of temporary concepts) 

  • Updates to Value Set content based on implementation requests in the following domains: 

    • Drug domain o Laboratory domain 
    • Provider Registry domain 
    • Shared Health Record domain 
    • Infrastructure domain 

  • Value sets were updated to the: Deprecation of Non-human subset as a result of SNOMED CT version update

    • January 2015 release of SNOMED CT International and May 2015 release of SNOMED CT Canadian Extension; 

Details of all of these changes can be found in the Terminology Change File (SC-3004EN-Terminology Change MR02.06 -20160311) which is an Excel file that allows implementers to filter by any of the column headings on the respective tabs of the Excel file to identify relevant changes. The Change File contains a “How to Read” tab to assist implementers with determining the changes that may impact them.

List of Known Issues

The following are general known issues that will be addressed and reflected in a subsequent release (full or delta):

  • Value Sets with noted Value Set Comments (e.g. ActProfessionalServiceCode, DiagnosisValue, NonDrugAgentEntity) 

  • Empty Value Sets – these require implementation and business requirement input: 

    • ProviderQueryResponseObject • RoutedDocumentType 
    • Binding strength (CNE or CWE) discrepancy between models and terminology documentations. 
    • The source of truth of each concept domain’s binding strength resides in the Terminology Worksheet. 
    • Where the model reference a value set, the source of truth of the binding strength resides in the specific model attribute. 
    • Risk of Changes indicated in Master Terminology Worksheet, Vocabulary Summary tab, column E (Risk of Change) 
      • For example OtherIdentifierRoleType concept domain name will be renamed as PersonIdentifierRoleType 


For guidance on how to implement and use the Master Terminology Worksheet, please refer to the SC-0006-EN - Implementation Guide Volume 2 - Terminology- MR02.05_Release - 20130923.doc.

Guidance for Existing and New Implementers

New Implementers

A new implementer is one that has not implemented any of the pan-Canadian HL7 messaging standards into their environment. New implementers are encouraged to begin with the latest release of the Master Terminology Worksheet, associated HL7 messaging standards and supporting documents.

Existing Implementers

Existing implementers are those that have implemented one or more versions of the pan-Canadian HL7 messaging standards into their environment. Careful consideration of the impact of the changes associated with this release must be reviewed when planning to upgrade from a previous release. All changes associated with the artifacts in use must be reviewed and considered. 


Implementations that have implemented a single HL7 domain specific messaging standard and are now adding new domains will want to consider ensuring that the content for both domains is compatible (e.g. upgrade the existing domain to the latest version, implement a compatible previous version or ensure the most recent version is compatible with the existing domain version).

Summary of HL7 Terminology and SC Code System related changes 

Summary of Changes

Domain(s) Affected

Updated QualifiedRoleType value set with added provider expertise and credential types

Provider Registry 

Updated HealthcareProviderRoleType value set with concepts requested to be added and deprecated concepts that are not in use.

Provider Registry 

Updated value sets to support Pharmacy domain (e.g. ActDetectedIssueCode)

Drugs 

Updated value sets to support Shared Health Record domain (e.g. ActCareEventType)

Shared Health Record

Updated value sets to support Lab domain (e.g. ObservationInterpretationSusceptibility)

Lab

Summary of SNOMED CT related changes

The changes made to SNOMED CT Value Sets were to the January 2015 release of SNOMED CT International and May 2015 release of SNOMED CT Canadian Extension. 

Summary of Changes

Domain(s) Affected

Removal of Non-human subset in value set filters

Shared Health Record 

Inactive content replaced with active content

Drug, Immunization,  Shared Health Record 

Updated concept details e.g. concept name

Provider Registry 

New content added to support implementation requirements (e.g.  AssignedRoleType value set)

Provider Registry

Page properties
hiddentrue
TerminologyMinor

Anchor
download
download

Downloadable Artifacts

 

The following table contains all artifacts updated as part of the scope of the MR 02.06 release.

NameDescription
Release Notes MR02.06 - 20141020Release Notes, and a Terminology Change File.
Master Terminology Worksheet (MTW) MR02.06 - 20160311Master Terminology Worksheet (MTW) is an artifact that specifies the pan-Canadian terminologies developed to support the electronic communication in pan-Canadian standards

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{{ url{url: 'https://infocentral.infoway-inforoute.ca/@api/deki/files/8275/=SC-3004-EN_-_Terminology_Reference_to_Message_Models_-_MR02.05_-_20131212.xml', caption: 'Terminology Reference to Message Models - MR02.05 - 20131212', track: 'file', title: 'Right click and select Save target as... to download the file'} }}

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...

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DEFN=XX=VO=MR02.

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06 -

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20160311.zipVocabulary MIFs represent the MTW in a computable format which allows computer systems to consume the content

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{{ url{ url: 'https://infocentral.infoway-inforoute.ca/@api/deki/files/8496/=SC-2001-EN_Scope_%2526_Tracking_Framework_-_MR02.05_-_20131212.zip', caption: 'Scope and Tracking Framework MR02.05 - 2013-12-12', title: 'SC-2001-EN_Scope_%2526_Tracking_Framework_-_MR02.05_-_20131212.zip', track: 'file'} }}

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This spreadsheet is a pivotal document in that it ties together the scope of the pan-Canadian HL7 v3 Specifications from a transaction perspective, through to interactions and finally to messages.

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{{ url{ url: 'https://infocentral.infoway-inforoute.ca/@api/deki/files/8499/=SC-2003-EN_-_Models_-_MIFv2_Remixer_Beta_-_MR02.05_-_20131212.zip', caption: 'Model MIF-2 View Remixer (beta) MR02.05 - 2013-12-12', title: 'SC-2003-EN_-_Models_-_MIFv2_Remixer_Beta_-_MR02.05_-_20131212.zip', track: 'file'} }}

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This file contains message models in MIF(Model Interchange Format) version 2 format. These files have been generated from Remixer, our new HL7 messaging development tool. These MIFs are considered beta for this release, but the goal is to only publish Remixer MIFs in future releases.

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{{ url{ url: 'https://infocentral.infoway-inforoute.ca/@api/deki/files/8497/=SC-2003-EN_-_Models_-_MIFv1_-_MR02.05_-_20131212.zip', caption: 'Models MIF-1 View - MR02.05 - 20131212', title: 'SC-2003-EN_-_Models_-_MIFv1_-_MR02.05_-_20131212.zip', track: 'file'} }}

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This file contains message models in MIF(Model Interchange Format) version 1 format generated from the V3 generator legacy tools.

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{{ url{ url: 'https://infocentral.infoway-inforoute.ca/@api/deki/files/8498/=SC-2003-EN_-_Models_-_MIFv2_-_MR02.05_-_20131212.zip', caption: 'Models MIF-2 View -_MR02.05 - 20131212', title: 'SC-2003-EN_-_Models_-_MIFv2_-_MR02.05_-_20131212.zip', track: 'file'} }}

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This file contains message models in MIF(Model Interchange Format) version 2 format generated from the V3 legacy tools.

...

{{ url{ url: 'https://infocentral.infoway-inforoute.ca/@api/deki/files/8502/=SC-2004-EN_-_XML_Schemas_-_MR02.05_-_20131212.zip', caption: 'XML Schemas - MR02.05 - 20131212', title: 'SC-2004-EN_-_XML_Schemas_-_MR02.05_-_20131212.zip', track: 'file'} }}

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This file contains all XML schemas for message types and interactions as well as the core schema files (narrative block, infrastructure root, vocab schema and datatype schema)

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{{ url{ url: 'https://infocentral.infoway-inforoute.ca/@api/deki/files/8503/=SC-2005-EN_-_Message_Worksheets_-_Excel_View_-_MR02.05_-_20131212.zip', caption: 'Message Worksheets - Excel (xls) View - MR02.05 - 20131212', title: 'SC-2005-EN_-_Message_Worksheets_-_Excel_View_-_MR02.05_-_20131212.zip', track: 'file'} }}

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This file contains all message models in Excel (XLS) format

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{{ url{ url: 'https://infocentral.infoway-inforoute.ca/@api/deki/files/8504/=SC-2005-EN_-_Message_Worksheets_-_Table_View_-_MR02.05_-_20131212.zip', caption: 'Message Worksheets - Table View - MR02.05 - 20131212', title: 'SC-2005-EN_-_Message_Worksheets_-_Table_View_-_MR02.05_-_20131212.zip', track: 'file'} }}

...

This file contains all message models in Table View format.

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{{ url{ url: 'https://infocentral.infoway-inforoute.ca/@api/deki/files/8500/=SC-2003-EN_-_Models_-_Visio_Models_-_MR02.05_-_20131212.zip', caption: 'Models - Visio View - MR02.05 - 20131212', title: 'SC-2003-EN_-_Models_-_Visio_Models_-_MR02.05_-_20131212.zip', track: 'file'} }}

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This file contains all message models in Visio format

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{{ url{ url: 'https://infocentral.infoway-inforoute.ca/@api/deki/files/8501/=SC-2003-EN_-_Models_-_Word_View_-_MR02.05_-_20131212.zip', caption: 'Models - Word View - MR02.05 - 20131212', title: 'SC-2003-EN_-_Models_-_Word_View_-_MR02.05_-_20131212.zip', track: 'file'} }}

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This file contains a business rendering of the message models in Word format

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{{ url{ url: 'https://infocentral.infoway-inforoute.ca/@api/deki/files/8506/=SC-2010-EN_-_Example_Message_Instances_-_MR02.05_-_20131212.zip', caption: 'Example Messages - MR02.05 -20131212', title: 'SC-2010-EN_-_Example_Message_Instances_-_MR02.05_-_20131212.zip', track: 'file'} }}

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This file contains example messages in XML format

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{{ url{ url: 'https://infocentral.infoway-inforoute.ca/@api/deki/files/8508/=SC-0009-EN_-_Conformance_Profiles_-_MR02.05_-_20131212.zip', caption: 'Conformance Profiles - MR02.05 - 20131212', title: 'SC-0009-EN_-_Conformance_Profiles_-_MR02.05_-_20131212.zip', track: 'file'} }}

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This file contains pan-Canadian Conformance Profiles. These Profiles can be used to guide organizations developing, implementing or testing the Message Specifications

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