FHIR® in Canada

2017 Infoway Partnership Conference

Calgary, AB
November 17, 2017

©Canada Health Infoway 2017

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Presenters

Yaron Derman Attila Farkas

Manager, eHealth Standards, Director, FHIR Strategy and Implementation,
eHealth Ontario Canada Health Infoway

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Agenda

and the future

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 Setting the stage

2011 2013 2014-2015 2017 2018...

FHIR is born from A number of Resources Resources become

Principles are proven Agencies and vendors
“The Fresh Look” initiative close to maturity normative, adoption
Momentum building Getting involved
(HL7 International) Clinical use cases possible prevalent

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 FHIR Components

Structure Definitions
CapabilityStatement
The complete collection of FHIR
A system’s capability contract. Resource profiles that make up
The envelope that brings the solution described by the
together a FHIR solution CapabilityStatement

Terminology
The referenced Terminologies
Extensions
conveying the solution’s
semantic meaning
The list of Extensions to profile
definitions describing parts not
covered by the base standard

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 International landscape

Strong, collaborative
International community
Truly international community of experts collaborating around the
clock in furthering the standard based on real life use cases

Community Industry Tooling

Policy, innovation and tooling contributions from around the globe

are bringing together the needed ingredients for FHIR to succeed.
Technical Connectathons, tooling for authoring, publishing,
collaborating, clinical design, test and validation are all maturing
alongside and together with the standard.

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 Early days in Canada

FHIR is spreading
FHIR has started to appear in Canada in
modest but constantly growing numbers

International Community Vendor Technical Momentum

Participation Engagement Uptake Events Building

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 FHIR Implementations Working Group - InfoCentral

Past early days

Established in November 2016

National coverage
Regular participation from 5 provinces

Growing user base

Over 130 members

DISCOVER LEARN DISCUSS

DEVELOP CONNECT ENGAGE

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 FHIR Implementation WG - streams
Tooling

Solution
eReferral
Architecture

FHIR
Working
Group
SMART on
The Case
FHIR & CDS
for FHIR
Hooks

Client and
Provider
Registries

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 What makes FHIR different?

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 Collaboration and reuse

Local to National

Publish your FHIR profiles so that others can:

- Learn
- Reuse
- Avoid reinventing the wheel…

Everybody wins

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 FHIR Components
Structure Definitions
CapabilityStatement

Terminology

Extensions

ImplementationGuide

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 Canadian FHIR Registry

Open for business

Don’t reinvent the wheel!

High percentage of problems

80% have already been solved for

with solutions developed by
others. Reuse, don’t reinvent.

Components, terminologies, workflows are

key ingredients to interoperability. Unbound
proliferation of them only helps to break
interoperability.

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 Terminology Gateway

Complete Browsable
Terminologies Subsets

RESTful RESTful
FHIR Access Subset Access

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 InfoScribe
InfoCentral
Working Groups
Additional help
Terminology
Gateway

FHIR
Registry

InfoAPI

Enablers to aid FHIR implementations

Complexity in healthcare cannot be solved for by simply adding tooling. There are
enablers however, that can help you learn, reuse, work smarter, speak better.

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 Final take-away

If you are doing FHIR implementations

in Canada, consider getting involved in the

FHIR Implementations Working Group

and adopt the

Canadian FHIR Registry

Come talk to us, we can help!

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©Canada Health Infoway 2017