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Interoperability Specifications

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pan-Canadian Patient Summary (Available here: PS-CA v1.0.0 TI)

The PS-CA is composed of four documents, as listed below.

In addition, 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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Release date

PS-CA 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.
1.0.0 TI

 

PS-CA 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.
1.0.0 TI

 

PS-CA 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.
1.0.0 TI

 

PS-CA 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.
1.0.0 TI

 

pan-Canadian FHIR Exchange (Available here: CA:FeX v1.0.0 TI)

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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. 
1.0.0 TI

 

Reference Architecture (Available here: RA v0.1.1 DFT)

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Release Date

  • Provides supporting Reference Architecture for the PS-CA and CA:FeX interoperability specifications.
  • An evolving blueprint of service availability that supports a broader interoperability landscape, not limited to patient summaries. 
  • A conceptual technical view that provides a common vocabulary and a set of actors and transactions representing typical components in a digital health ecosystem (public and private sector solutions). It is a combination of building blocks adopted from international standards development bodies and Canadian developed implementation patterns.
0.1.1 DFT

 

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Registration 

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Participants are required to register for the Projectathon via the Gazelle test platform. The registration period will be open from October 31 - January 15, 2023. A registration webinar was held on January 20, 2022 at 11AM ET. This webinar included an overview of the:

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