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Standard

Fit for Purpose

Stewardship

Quality

Fits
Requirements

Implementation
Type 

Vendor Support

Canadian
Steward

SDO
Maintained

Complexity

Standard
Maturity

Training, Support
and Tooling

FHIR Immunization

Yes

Pilot
in Canada Medium

HTML
<script src="https://ajax.googleapis.com/ajax/libs/jquery/1.12.0/jquery.min.js"></script>
<script src="https://maxcdn.bootstrapcdn.com/bootstrap/3.3.6/js/bootstrap.js"></script>
<link rel="stylesheet" href="https://maxcdn.bootstrapcdn.com/bootstrap/3.3.6/css/bootstrap.css">
<link rel="stylesheet" href="https://maxcdn.bootstrapcdn.com/font-awesome/4.6.1/css/font-awesome.min.css">
<link href="https://maxcdn.bootstrapcdn.com/bootstrap/3.3.6/css/theme.css" rel="stylesheet">

<div class="progress">
	<div class="progress-bar progress-bar-info" aria-valuenow="30" style="width: 30%;" data-toggle="tooltip" data-placement="top" title="Constantly growing"></div>

No

Yes

Medium

Draft for Use

HTML
<div class="progress">
	<div class="progress-bar progress-bar-info" aria-valuenow="40" style="width: 40%;" data-toggle="tooltip" data-placement="top" title="Require some data modeling"></div>

Draft for Use

HTML
<div class="progress">
	<div class="progress-bar progress-bar-info" aria-valuenow="90" style="width: 90%;" data-toggle="tooltip" data-placement="top" title="Active Community"></div>
Yes
pan-Canadian Immunization Messaging Standard (Public Health MR 02.05)
Yes
Production
in Canada 
Low
Yes
Localized
High
Normative
 HTML
<div class="progress">
	<div class="progress-bar progress-bar-info" aria-valuenow="10" style="width: 10%;" data-toggle="tooltip" data-placement="top" title="Limited to Jurisdictional projects"></div>
Yes
Localized
 HTML
<div class="progress">
	<div class="progress-bar progress-bar-info" aria-valuenow="100" style="width: 100%;" data-toggle="tooltip" data-placement="top" title="HL7 V3 based"></div>
Normative
 HTML
<div class="progress">
	<div class="progress-bar progress-bar-info" aria-valuenow="30" style="width: 30%;" data-toggle="tooltip" data-placement="top" title="Limited"></div>
Yes
Architectural Constraints and Considerations
Secondary Benefits
FHIR’s modular components, foundation on web standards and support for RESTful architectures make the standard generally less complex and more accessible to developers of client applications than the pan-Canadian standards which are based on HL7 v3.
No notable secondary benefits.
Recommendation
Supporting Rationale
It is recommended that Panorama based new implementations adopt FHIR.
FHIR supports the use cases described above without further extension or localization. In the event that extension is required to support future requirements, FHIR provides a straightforward mechanism for creating extensions.
Canada-specific terminology value sets can be used while remaining “FHIR conformant”, as the FHIR Immunization resource only specifies examples; implementers are free to use any value set they choose.
FHIR has significant momentum among vendors and developers, meaning the long-term sustainability of FHIR-based implementations will likely be superior.
There is a substantial ecosystem of open-source tools and reference implementations for FHIR that implementers can leverage to accelerate their projects.
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