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The pan-Canadian eReferral / eConsult (CA:eReC) Interoperability Specification is an implementable and testable specification. It defines building blocks to create electronic referrals and electronic consults that will support communication between healthcare practitioners and service providers performing electronic patient referrals and / or electronic consultations. CA:eReC building blocks are configurable to address necessary Canadian jurisdictions variances.
An eReferral is an electronic request for a patient to receive care from a specialist or other services (e.g., home or community care, diagnostic exam). Patient referrals are created, submitted, tracked and managed electronically. It aims to streamline and improve the referral process compared to traditional paper-based methods.
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The implementation approach of the pan-Canadian eReferral / eConsult will span a number of releases on a roadmap. Release 1 will focus on elevating the current eReferral specification, developed by the FHIR® Implementers Community - eReferral Workstream and implemented in Ontario, to meet pan-Canadian needs. It focuses on three use cases that have been identified as priority for Canadian jurisdictions, and their supporting requirements, reference architecture, terminology and FHIR® profiles. This release will include supports for creating, submitting and receiving an eReferral, an eConsult, as well as interacting with a Central Intake.
Future releases may incorporate additional use cases and their supporting requirements, reference architecture, terminology and FHIR® profiles. For example, the implementation roadmap will include interactions with a Service Directory.