DFT - For a full list of available versions, see the Directory of published versions

Overview

Technical Background

This section provides guidance on how to apply specific IHE Integration Profiles and pan-Canadian Interoperability Specifications to address interoperability needs pertaining to the Patient Summary-CA use cases. It defines the interoperability landscape and outlines the rules of engagement to support the development of interconnected solutions to safely exchange Patient Summaries.

For more information on core IHE Profiles and specific Canadian implementation guidance, refer to the Reference Architecture available here.

The main patterns leveraged for implementing the Patient Summary-CA use cases, that are further described in detail throughout the technical sections, are:

• Mobile Access to Health Documents (MHD)
  • IHE Integration Profile Document Sharing using FHIR, that leverages the document content and format-agnostic metadata concepts
• Canadian FHIR Exchange (CA:FeX)
  • Pan-Canadian FHIR Data and Document Exchange Specification, that serves as the primary entry point for the standard exchange of FHIR data and documents.
• Pan-Canadian Shareable Health Links (CA:SHL)
  • Canadian Interoperability Specification, that leverages shareable links often converted in a QR code format, enabling patient-mediated sharing of heath data.

The transactions patterns presented above represent initial options to implement the Patient Summary use cases and are expected to evolve as we hear from the implementer community, and use cases are refined and added.