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The information on this page is dynamically updated as the collaboration activities are progressing with the marketplace and jurisdictional partners. As a result, the content is expected to change very frequently. If interested in participating please bookmark this page and/or use the Watch capability at the top of this page.

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 training webinars;
  • Develop a FHIR document viewer;
  • Deploy an OpenAPI browser for both interface specifications (MHD and CA:FeX);
  • 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
  • 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

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.

RevisionRevision 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.
0.2January 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.
0.2January 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.
0.2January 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.
0.2January 28, 2022
pan-Canadian FHIR Exchange (CA:FeX)
The CA:FeX specification may be accessed here. 
RevisionRevision 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. 
0.1January 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: 

ProfileActor
CA:FeXData Source
Data Consumer
Data Recipient
Data Responder
MHDDocument Source
Document Consumer
Document Recipient
Document Responder
PDQmPatient Demographic Consumer 
PIXmPatient Identifier Cross-reference Consumer 
PMIRPatient Identifier Registry 
IUAAuthorization Client 
Resource Server 
Authorization Server (Authorization Broker)
ATNAService Node / Service Application (SN/SA)
Audit Repository 
CTTime Client 
Time Server 
XDMPortable Media Creator
Portable Media Importer
XDSDocument Source
Document Consumer
Document Repository
Document Registry
SVCMTerminology Consumer
Terminology Repository 


In addition to the pre-Projectathon tests, there will be a Connectivity Testing period between March 1 - 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 March 1, 2022 at 11AM ET. 

Tools


Gazelle Testing Platform

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.

Testing Tools

To support participants' Pre-Projectathon testing, the following tools were developed: 

  • An OpenAPI User Interface for the PS-CA APIs, including the MHD and the CA:FeX options
  • A PS-CA FHIR Renderer used to visualize PS-CA FHIR bundles provided as JSON structured data

A review of these tools will be presented during the Overview of Tools Webinar on February 25, 2022 at 11AM ET. 

Information Sheets and Videos


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

Get Support


Support TypeContact Information
Questions, Issues, Comments related to the Projectathon

InfoCentral Collaboration Group for Patient Summaries - Topic: pan-Canadian Projectathon - March 2022

Training Recordingshttps://moodle.pancanadianio.ca 
Moodle Account AccessContact [email protected] with subject line "Projectathon"

Projectathon Schedule


Important Dates and Events

Key DatesEvent Details

Jan 20

EventParticipant Registration Webinar (Recording available here. Presentation deck available here.)

Details

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
Preparation RequiredN/A

Jan 20 – Feb 21

Event

Participant registration
Details

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, please watch the Participant Registration Webinar, recorded on Jan 20. 
Preparation RequiredComplete registration process.

Feb 17

Event

Pre-Projectathon Testing Webinar (Recording available here. Presentation deck available here.)

Details

This webinar will provide detailed information on:

  • Gazelle, including Gazelle Test Manager, simulators and validators
  • Pre-Projectathon Testing, including objectives, requirements, and test processes
Preparation Required

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:

Feb 17 – Mar 11

Event

Pre-Projectathon Testing
DetailsPre-Projectathon testing will occur between February 17 – March 11.
Preparation Required

Refer to the preparation steps for the Pre-Projectathon Testing Webinar, held on Feb 17th.

Actions Required during the Pre-Projectathon Testing:

  • Perform Pre-Projectathon Testing
  • NOTE: ATNA Certification and ATNA Questionnaire are mandatory pre-Projectathon tests.
Feb 25EventOverview of Tools Webinar
DetailsThis webinar will provide an overview of the tools that will be used to support your participation in the Projectathon. A walkthrough will be provided of: 
  • An OpenAPI User Interface for the PS-CA APIs, including the MHD and CA:FeX options.
  • A PS-CA FHIR Renderer used to visualize PS-CA FHIR bundles provided as JSON structured data.
Preparation RequiredN/A

Mar 1

Event

Connectivity Testing Webinar
DetailsThis webinar will address the objectives, requirements and test processes for the connectivity testing.
Preparation Required Information coming soon.

Mar 1 – Mar 11

Event

Connectivity testing 
DetailsConnectivity testing will occur between February 28 – March 11.
Preparation RequiredInformation coming soon.
Mar 14

Event

Final Touchpoint Webinar
DetailsThis webinar will be a final touchpoint for participants to ask any questions in advance of the Projectathon event. 
Preparation RequiredN/A

Mar 21 – Mar 23

Event

Projectathon Event
DetailsThe Projectathon event will occur from March 21-23.
Preparation RequiredInformation coming soon.

Projectathon Calendar





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