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Table of Contents

Overview 

Objective


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 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:

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 in March 2022. Gazelle provides jurisdictions and 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.

Scope


Infoway will stand up a virtualized instance of the Gazelle platform and collaborate to define clinical scenarios for both EMR and HIS solutions, including “create and submit a summary” and “query and retrieve a published summary”.

Provincial solutions will act as repositories and Patient Summary content will consist of the Header, Medication Summary, Allergies & Intolerances, Problem List, History of Procedures, and Past History of Illness.

Preparation and Requirements


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

Participant requirements for participation in the Projectathon include:


Vendor

Jurisdiction

Register for event, including signing a Participation Agreement

X

X

Attend 3 training webinars

X

X

Complete connectivity testing

X

X

Validate test cases and clinical scenarios

X

X

Integrate to Gazelle platform

X

X

Create test records

X


Implement APIs

X


Prototype FHIR transactions

X

X

Prototype the PS-CA FHIR document

X


Prototype export of FHIR document

X

X

Registration 

Registration Period


The registration period will be open from January 20 - February 11, 2022. 

Registration Webinar


A registration webinar will be held on January 20, 2022 at 11AM ET. This webinar will include an overview of the:

Pre-Projectathon Preparations

Pre-Projectathon Tests Period


The Pre-Projectathon Tests Period will be open from February 14 - March 11, 2022. The purpose of the Pre-Projectathon test are to help vendors: 

Pre-Projectathon Tests Webinar


A Pre-Projectathon Tests webinar will be held on February 14, 2022. This webinar, participants will be shown how to access and use Gazelle in order to perform the tests. 

Connectivity Testing Period


The Connectivity Testing Period will be open from February 25 - March 11, 2022. The purpose of the Connectivity Testing Period is to check, in advance, whether your system is configured and ready to communicate with other vendor systems during the Projectathon event. 

Connectivity Testing Webinar


A Connectivity Testing webinar will be held on February 25, 2022. 

Preparation Material 

Specifications

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


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.

Tool Documentation

Tool documentation is available at https://pancanadianIO.ca. From the home page, you may access the documentation for each tool by clicking on the respective PDF icon.

Tool Connection Details 

Below are the connection details for the testing tool hosted in the testing environment. All tools can be accessed at this IP address: XXX.  


REQUIRED ACTORS 

Participants must play the role of one of the required actors from the table below.

Tested ActorTransactionSimulated ActorPortComments
Tool: TBD
MHD Document Source

MHD* Provide Document Bundle [ITI-65]

MHD Document Recipient 

MHD Document Consumer 

MHD* Find Document Lists [ITI-66]

MHD Document Responder 

MHD Document Consumer MHD* Find Document References [ITI-67]MHD Document Responder 

MHD Document Consumer MHD* Retrieve Document [ITI-68]MHD Document Responder 

Tool: TBD
CA:FeX Document SourceCA:FeX* Submit FHIR Bundle [CA:FeX-1] CA:FeX Document Recipient 

CA:FeX Document Consumer

CA:FeX* Search FHIR Bundle [CA:FeX-2] 

CA:FeX Document Responder 

CA:FeX Document ConsumerCA:FeX* Retrieve FHIR Bundle [CA:FeX-3] CA:FeX Document Responder 


OPTIONAL ACTORS

Participants may also choose to play the role of any of the optional actors from the table below,  

Tested ActorTransactionSimulated ActorPortComments
Tool: TBD 

PDQm Patient Demographic Consumer  

PDQm Mobile Patient Demographics Query [ITI-78]

PMIR Patient Identifier Registry 

PIXm Patient Identifier Cross-reference Consumer PIXm Mobile Patient Identifier Cross-reference Query  [ITI-83]PMIR Patient Identifier Registry 

Tool: TBD
IUA Authorization Client IUA* Get Access Token [ITI-71]IUA Authorization Server (Authorization Broker)

IUA Authorization Client IUA* Incorporate Access Token  [ITI-72]IUA Resource Server 

IUA Resource Server IUA* Introspect Token [ITI-102]IUA Authorization Server (Authorization Broker)

Tool: TBD
ATNA SN / SA

ATNA* Node Authentication [ITI-19]

ATNA Audit Repository 

ATNA SN / SAATNA* Record Audit Event [ITI-20]ATNA Audit Repository 

CT Time Client CT* Maintain Time  [ITI-1]CT Time Client / Time Server 

Tool: TBD 
SVCM Terminology Consumer 

SVCM* Query Value Set  [ITI-95]

SVCM Terminology Repository 

SVCM Terminology Consumer SVCM* Query Code System  [ITI-96]SVCM Terminology Repository 

Information Sheets

Below are short information sheets to support your preparation for the Projectathon: 

Get Support

Technical Manager
Google Group
Live Environment
Recordings of Training
Helpdesk

Projectathon Schedule

Important Dates and Events


Key Dates

Activity and Overview

January 20

Participant Registration Webinar

This webinar will include an overview of the:

  • 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 17 – February 11

Participant registration will be open from January 17 – February 11.

February 14

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

February 14 – March 11

Pre-Projectathon testing will occur between February 14 – 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

Projectathon Calendar