Projectathon March 2022

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Table of Contents

Introduction

The objective of the first pan-Canadian 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 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.

Participants

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

By participating in the Projectathon, you will:

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 your products;
Identify dependencies and integration challenges;
Interact with the jurisdictional teams that will ultimately use your products;
Ensure quality for the benefit of clinicians and patients;
Accelerate your 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.

Additionally, through participation in the Projectathon, participants can prepare for practical applications of the PS-CA Specifications.

Approach

A suite of virtual tools, collectively referred to as Gazelle, will be deployed to support a free, 3-day remote testing event from March 21-23, 2022. 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.

The Projectathon event is organized by Infoway with support from a world leader organization in the space - IHE Catalyst.

Preparation and Requirements

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

Host three training webinars;
Develop a FHIR document viewer;
Deploy an OpenAPI browser for both interface specifications (MHD and CA:FeX);
Work with participants to develop clinical scenarios that will identify the required test data for the Projectathon;
Offer helpdesk support prior to and during the Projectathon; and
Publish a report on learnings after the Projectathon.

Participants will be required to:

Register for the event, including completing Terms of Participation
Attend 3 training webinars
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

Interoperability Specifications

pan-Canadian Patient Summary (PS-CA) The PS-CA Interoperability Bundle is comprised of the following specification documents that may be accessed here.	Revision	Revision 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.	0.2	January 28, 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.	0.2	January 28, 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.	0.2	January 28, 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.	0.2	January 28, 2022
pan-Canadian FHIR Exchange (CA:FeX) The CA:FeX specification may be accessed here.	Revision	Revision 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.	0.1	January 28, 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.

Registration

Participants are required to register for the Projectathon via the Gazelle test platform. The registration period will be open from January 20 - February 21, 2022. A registration webinar will be held on January 20, 2022 at 11AM ET. This webinar will include an overview of the:

Scope of the Projectathon, including profiles and use cases
Gazelle tool
Registration in Gazelle
How the Projectathon will be organized
Relevant documentation, including specifications and training materials

Click here to register to Gazelle Test Management.

Pre-Projectathon Preparations

For successful participation in the Projectathon, pre-Projectathon tests and connectivity tests are important.

The purpose of the Pre-Projectathon tests are to help vendors:

Test their IHE profile implementation in their system using the virtual systems in Gazelle to find and fix issues;
Improve the quality of their tests prior to the Projectathon; and
Help familiarize themselves with the Gazelle tool prior to the Projectathon, including how to access and use Gazelle simulators to perform the tests.

The Pre-Projectathon Test period will be open from February 17 - March 11, 2022. A Pre-Projectathon Test webinar will be held on February 17, 2022 at 11AM ET. During this webinar, participants will be shown how to access and use Gazelle in order to perform the tests. The profiles that will be tested during the Projectathon are:

Profile	Actor
CA:FeX	Data Source
	Data Consumer
	Data Recipient
	Data Responder
MHD	Document Source
	Document Consumer
	Document Recipient
	Document Responder
PDQm	Patient Demographic Consumer
PIXm	Patient Identifier Cross-reference Consumer
PMIR	Patient Identifier Registry
IUA	Authorization Client
	Resource Server
	Authorization Server (Authorization Broker)
ATNA	Service Node / Service Application (SN/SA)
ATNA	Audit Repository
CT	Time Client
CT	Time Server
XDM	Portable Media Creator
XDM	Portable Media Importer
XDS	Document Source
	Document Consumer
	Document Repository
	Document Registry
SVCM	Terminology Consumer
SVCM	Terminology Repository

In addition to the pre-Projectathon tests, there will be a Connectivity Testing period between February 25 - March 11, 2022. The purpose of the Connectivity Testing period is to check, in advance, whether participants' systems are configured and ready to communicate with other vendor systems during the Projectathon event. A Connectivity Testing webinar will be held on February 25, 2022 at 11AM ET.

Tools

The pan-Canadian Interoperability Gazelle Platform is available at https://pancanadianIO.ca. From the home page, you may access the documentation for various support tools, test tools, and utilities, by clicking on the respective PDF icon.

Information Sheets and Videos

Below you will find some information to support your registration for the Projectathon:

Get Support

Questions, Issues, Comments related to the Projectathon	InfoCentral Collaboration Group for Patient Summaries - Topic: pan-Canadian Projectathon - March 2022
Training Recordings	https://moodle.pancanadianio.ca
Moodle Account Access	Contact [email protected] with subject line "Projectathon"

Projectathon Schedule

Important Dates and Events

Key Dates	Activity and Overview	Preparation Required
January 20	Participant Registration Webinar This webinar will include an overview of the: Scope of the Projectathon, including profiles and use cases Gazelle tool Registration in Gazelle How the Projectathon will be organized Relevant documentation, including specifications and training materials
January 20 – February 21	Participant registration will be open from January 20 – February 21. Click here to register to Gazelle Test Management. For more information on how to register your system, watch this webinar recording.
February 17	Pre-Projectathon Testing Webinar This webinar will provide detailed information on: Gazelle, including Gazelle Test Manager, simulators and validators Pre-Projectathon Testing, including objectives, requirements, and test processes	By February 17th, you will need to: Watch a short 15-minute video titled ‘Pre-Projectathon Webinar’ You can access this video by: Logging into our Moodle platform at: https://moodle.pancanadianio.ca Selecting the Course “Pan-Canadian Projectathon Webinars” Selecting the video “Pre-Projectathon Webinar” Come prepared with any questions Optional: Watch information videos on the Gazelle Tools. You may use these tools as part of your pre-Projectathon tests in Gazelle. For some test cases, you may need to use Gazelle simulators or Gazelle validators, and these videos will show you how to access the tools and how to perform your tests using the tools. There are videos available for the following tools: EVS Client Gazelle Security Suite – ATNA Questionnaire Gazelle Security Suite – Certificates Patient Manager XDS StartClient Tool XDS Testing Tool You can access these videos by: Logging into our Moodle platform at: https://moodle.pancanadianio.ca Selecting the Course “Tools Usage Guide” Selecting the relevant videos
February 17 – March 11	Pre-Projectathon testing will occur between February 17 – March 11.
February 25	Connectivity Testing Webinar This webinar will address the objectives, requirements and test processes for the connectivity testing.
February 28 – March 11	Connectivity testing will occur between February 28 – March 11.
March 21 – March 23	Projectathon Event

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