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titleWelcome to the Projectathon March 2023 Event Page.

This page provides introductory information about the approach, participants and requirements for the March 2023 Projectathon.

For information about the Projectathon agenda, daily reports and session webinars, please visit the Schedule: Projectathon 20222023 page.


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Introduction

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The objective of the first pan-Canadian Projectathon was this Projectathon is to test and improve the quality of the pan-Canadian Patient Summary Interoperability Specifications (PS-CA Specifications) to ensure they are implementable, testable and meet expectations. The PS-CA supports several implementation patterns including MHD and a new Canadian National integration profile called CA:FeX. The CA:FeX supports saving and retrieving clinical data to and from a central document repository.

The aims of the Projectathon were are to identify potential issues in the basic specifications, give implementers a chance to test their implementations in live environments, and strengthen implementation guidelines and standards in the health sector. Infoway views this as a preliminary event before any conformity assessment, quality label or certification process.

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Vendors and jurisdictions who planned plan= to implement the PS-CA Specifications were are invited to participate in the Projectathon. In addition, any interested party that has Patient Summaries in their future roadmap were are welcome to participate.

Participants of the Projectathon were are able to:

  • Have the opportunity to be an early adopter and an influencer of the final specification;
  • Gain a better understanding of the expected integration patterns for their products;
  • Identify dependencies and integration challenges;
  • Interact with the jurisdictional teams that will ultimately use their products;
  • Ensure quality for the benefit of clinicians and patients;
  • Accelerate their readiness for implementation;
  • Save time and money through a harmonized pan-Canadian approach;
  • Get familiar with the validation/testing processes and tools; and
  • Help achieve our collective goals of developing a quality national standard.

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A suite of virtual tools, collectively referred to as Gazelle, were will be deployed to support the free, 34-day remote testing event from March 216-239, 20222023. Gazelle provides vendors an opportunity to validate the role they will be playing in an ecosystem and ensure they are able to satisfy the interoperability requirements. Furthermore, Gazelle offers several self-serve, self-test and innovation opportunities for jurisdictions and vendors to test their alignment to the represented integration profiles.

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In preparation for the Projectathon, Infoway and IHE Catalyst will:

  • Hosted Host training webinars;
  • Developed Develop a FHIR document viewer;
  • Deployed Deploy an OpenAPI browser for both interface specifications (MHD and CA:FeX);
  • Developed Develop clinical scenarios that identified the required test data for the Projectathon;
  • Offered Offer helpdesk support prior to and during the Projectathon; and
  • Published Publish a report on learnings after the Projectathon.

Participants were are required to:

  • Register for the event
  • Attend training webinars
  • Review training materials
  • Complete pre-Projectathon and connectivity testing
  • Validate test cases and clinical scenarios
  • Integrate to Gazelle platform
  • Create test records
  • Implement APIs
  • Prototype FHIR transactions
  • Prototype the PS-CA FHIR document
  • Prototype export of FHIR document

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pan-Canadian Patient Summary (PS-CA)

The PS-CA Interoperability Bundle is comprised of the following specification documents that may be accessed here.

RevisionRevision Release date

pan-Canadian Patient Summary Interoperability Specifications (PS-CA Specifications)

  • Implementable and testable specifications, based on the IHE International Patient Summary specification and the HL7 IPS Implementation Guide.
  • Building blocks to create and share condition-independent and specialty-agnostic patient summaries, irrespective of the condition of the patient or the treatment sought or specialty of the provider delivery care.
1.0.20January 28October 31, 2022

pan-Canadian Patient Summary – FHIR Implementation Guide

  • Implementable, testable specification for the HL7 FHIR composition that defines the data payload of the PS-CA specification, based on the HL7 FHIR IPS implementation guide.
  • Contains information for solution developers to implement the PS-CA content data model using the HL7® Fast Healthcare Interoperability Resources (FHIR®) standard. It describes the data elements & types, cardinality, constraints, and code system references.
1.0.20January 28October 31, 2022

pan-Canadian Patient Summary - Companion Guide to Use Cases & Definitions

  • Companion document to the PS-CA Specifications that presents the broader context for clinical, business, interoperability and solution development considerations that were discovered during the development of the PS-CA. 
  • Defines the healthcare problem that the PS-CA addresses and includes healthcare use cases and interoperability requirements in terms that will be traceable to the content in the pan-Canadian Patient Summary - Companion Guide to Reference Architecture.
1.0.20January 28October 31, 2022

pan-Canadian Patient Summary - Companion Guide to Reference Architecture

  • Contains background information on the abstracted PS-CA actors and transactions for the Pan-Canadian Patient Summary Interoperable Specifications, describes baseline information on the recommended IHE profiles, and includes links to the IHE source documentation where stakeholders can get additional details on each PS-CA actor and transaction.
  • Includes descriptions of alternatives and choices for implementation patterns and ecosystem architectures to support the PS-CA in current state, including sequence diagrams that demonstrate the relationship and dependencies between the PS-CA actors and transactions.
1.0.20January 28October 31, 2022
pan-Canadian FHIR Exchange (CA:FeX)
The CA:FeX specification may be accessed here. 		RevisionRevision Release Date
  • Addresses standardized sharing of vital patient information for the benefit of health care providers and patients using FHIR based information exchange.
  • Similar to, and accomplishes the same objectives as, a Health Information Exchange (HIE).
  • The first priority of this specification will be to define a document exchange interface for CA:FeX, clearly defining how a FHIR document can be transacted with a Clinical Data Repository. 
1.0.10January 28October 31, 2022


In addition to the PS-CA Interoperability Bundle, you may wish to review this diagram which provides a high-level view of relevant Integration Profiles to support the PS-CA project. This view contains a superset of profiles that offer alternatives to exchanging Patient Summaries, depending on Jurisdictional service type and availability. Mandatory and optional capability support is described in the sequence diagrams associated with each Use Case analysis.

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