PS-CA:BC Library of Profiles
The 'PS-CA:BC Patient Summary FHIR Implementation Guide' is aligned to Pan-Canadian Patient Summary (PS-CA) v2.0.0 DFT-Ballot with BC guidance, with the following exceptions:
- Attestor will not be included in the PS-CA:BC.
- Additions include:
- Advance Directives (future Release 2+ from PS-CA)
- Family Member History (currently an extension by Alberta, though will be unstructured in the PS-CA:BC version)
- Current Clinical Concerns (unique to BC)
- Note: In Release 1 of the PS-CA:BC these sections are represented as narrative/text fields (no structured content). As the PS-CA specifications evolve and PS-CA:BC work progresses, we will be utilizing profiles for the structured entry.
| PS-CA:BC Section | FHIR Profiles |
|---|---|
| Subject | Patient (PS-CA) |
| Author | Practitioner-Lab (PS-CA) |
| PractitionerRole-Lab (PS-CA) | |
| Organization-Lab (PS-CA) | |
| Custodian | Organization-Lab (PS-CA) |
| Allergies & Intolerances | AllergyIntolerance (PS-CA) |
| Conditions | Condition (PS-CA) |
| Immunizations | Immunization (PS-CA) |
| Procedures | Procedure (PS-CA) |
| Medications | Medication (PS-CA) |
| MedicationStatement (PS-CA) | |
| Social History | SHx Observation:Social History (PS-CA) |
Note*** Sections of the PS-CA:BC Patient Summary Release 1 are included as content sections. However, they do not have specific FHIR Profiles, but use text for entry. These include Advance Directives, Family History and Current Clinical Concerns.
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Bundle
The Bundle (PS-CA) profile represents the constraints the PS-CA project applies to the Bundle resource.
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Composition
The Composition (PS-CA) profile represents the constraints the PS-CA project applies to the Composition resource. A Canadian Patient Summary (PS-CA) document is an electronic health record extract containing essential healthcare information about a subject of care. The IPS-UV Composition profile informs it. Still, it differs primarily in its application of Must Support flags on some sections to allow jurisdictional implementers to have flexibility in which sections systems must support to show conformance to their respective patient summaries.
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Header Section
The Patient (PS-CA) profile represents the constraints applied to the Patient resource by the PS-CA project to represent the minimum expectations for the Patient resource when used in the PS-CA composition profile or in one of the referred resources. The constraints inform it of the Patient (IPS) profile and the Canadian Baseline Patient Profile.Determining which profiles (e.g., practitioner, practitionerRole, organization, device) are used to convey header details (e.g., author, attester, custodian, etc.) is determined by the workflow of the implementing jurisdiction. Readers are encouraged to review the Jurisdictional Context to review the approaches jurisdictions are implementing.
Note: Some elements in the Header section (author, attester, custodian) reference resources that do not currently have appropriate equivalent profiles in the current PS-CA specification; implementers are encouraged to utilize the minimal profiling expectations outlined in the Canadian Baseline profiles in these cases:
Practitioner Lab (PS-CA) Profile
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Immunizations Section
The Immunization (PS-CA) profile represents the constraints applied to the Immunization resource by the PS-CA project to represent an immunization record in the patient summary. It is informed by the constraints of the Immunization (IPS) profile and the Canadian Baseline Immunization Profile to allow for cross-border and cross-jurisdiction sharing of Medication Summary information. It describes the event of a patient being administered a vaccination or a record of vaccination as reported by a patient, a clinician, or another party.
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Medications Section
The Medication (PS-CA) profile represents the constraints applied to the Medication resource by the PS-CA project to represent a medication in the patient summary. It is informed by the constraints of the Medication (IPS) profile and the Canadian Baseline Medication Profile to allow for cross-border and cross-jurisdiction sharing of Medication Summary information.
The MedicationStatement (PS-CA) profile represents the constraints applied to the MedicationStatement resource by the PS-CA project to represent a record of a medication statement in the patient summary. It is informed by the constraints of the Medication Statement (IPS) profile and the Canadian Baseline MedicationStatement Profile to allow for cross-border and cross-jurisdiction sharing of Medication Summary information.
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Problems Section
The Condition (PS-CA) profile represents the constraints applied to the Condition resource by the PS-CA project, which is informed by the constraints of the Condition (IPS) profile and the Canadian Baseline Condition Profile to allow for cross-border and cross-jurisdiction sharing of patient conditions. A record of a problem is represented in the patient summary as an instance of the Condition resource constrained by this profile.
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Allergies & Intolerances Section
The AllergyIntolerance (PS-CA) profile represents the constraints applied to the AllergyIntolerance resource by the PS-CA project, which is informed by the constraints of the Allergy Intolerance (IPS) profile and the Canadian Baseline AllergyIntolerance Profile to allow for cross-border and cross-jurisdiction sharing of Allergies and Intolerances. It documents the relevant allergies or intolerances (conditions) for a patient, describing the kind of reaction (e.g., rash, anaphylaxis); preferably the agents that cause it; and optionally the criticality and the certainty of the allergy.
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Procedures Section
The Procedure (PS-CA) profile represents the constraints applied to the Procedure resource by the PS-CA project, which is informed by the constraints of the Procedure (IPS) profile and the Canadian Baseline Procedure Profile to allow for cross-border and cross-jurisdiction sharing of the History of Procedure information.
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Social History Section
The SHx Observation: Social History (PS-CA) profile represents the constraints applied to the Observation resource by the PS-CA project to represent a more generic social history profile used to represent health related lifestyle factors or lifestyle observations in a patient summary. Currently, there is no equivalent IPS UV profile, however there are ISO CEN IPS 17269 requirements for a more generic social history section that were used to inform this profile. This profile is considered a draft version and is informed and created as per the requirements of the first jurisdiction (i.e. Alberta) to pilot its use in patient summary within jurisdictional context. The constraints have been compared against other Social History FHIR profiles in Canada and internationally (US Core, Cyprus Core, Malaysia Core) and share many constraints in common with those profiles but represent the minimum requirements as they are known in Canada today. This profile is expected to be refined further as more jurisdictional requirements are defined and as more is known about use in the international patient summary space.
Research Notes
Potential Data Sources: