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A pan-Canadian Standard is a document or artefact established by pan-Canadian consensus and approved through the Standards Collaborative governance process.

Pan-Canadian Standards provide the technical language and clinical terminology to enable the thousands of health care providers across the country to communicate and share health information in a consistent, safe and reliable manner. When used in eHealth solutions, these standards:

  • support members of the care team to accurately interpret and exchange information needed for safe and effective care
  • facilitate clinical decision support for alerts and reminders
  • enable data to be aggregated, with appropriate approvals, for clinical research, ultimately leading to better outcomes

Pan-Canadian Standards Inventory

This inventory includes all standards that have been designated as pan-Canadian Standards through the Standards Collaborative pan-Canadian Standards Decision Making Process. These standards have gone through an open, transparent evaluation governed by jurisdictional representatives, clinicians, vendors and leading experts in standards and architecture. Pan-Canadian Standards can be internationally based, led by Infoway, or developed by external stakeholders for a specific Canadian initiative. As a pan-Canadian Standard progresses through the standards lifecycle, from development to maintenance, its stage is reviewed and approved at specific decision points, as defined in the Standards Collaborative pan-Canadian Decision Making Process.

Pan-Canadian StandardStatusDomain
Canadian Emergency Department Diagnosis Shortlist (CED-DxS)

Business Functions »
  • Reporting of Emergency Department (ED) diagnoses in Canada
  • Facilitates comparative reporting, identifies patient populations and describes demand for types of service
CAS Emergency and Ambulatory care
Canadian Outcomes for Better Information and Care (C-HOBIC) Data Set

Business Functions »
  • A suite of standardized clinical terms and concepts that reflect nursing practice and document patient outcomes in electronic health records
CAS Cross-Domain
Client Registry Standard

Business Functions »
  • Uniquely identifies a health care client within the health care system
  • Supports the ability to query, add and update health care client demographics as required
CAS Non-Clinical Registries
College of American Pathologists (CAP) Cancer Protocols
and the AJCC Cancer Staging Protocols

Business Functions »
  • Facilitates the standardized electronic reporting of cancer pathology and staging data to provincial and territorial cancer registries
CAS Cancer Pathology

Business Functions »
  • Standard for handling, storing, printing, and transmitting information in medical imaging.
  • Enables the integration of scanners, servers, workstations, printers, and network hardware from multiple manufacturers into a picture archiving and communication system (PACS).
CAS Diagnostic Imaging
Drug Standard

Business Functions »
  • Prescribing
  • Dispensing
  • Adding other medication such as physician samples or over-the-counter medications
  • Patient medication queries including contraindications that have previously been identified and managed
  • Drug queries
  • Checking contraindications such as drug-to-drug interactions, drug-to-allergy interactions or dosage checking
  • Managing prescription status (e.g. prescriptions that are put on hold).
CAS Medication Management
GS1 Global Location Number (GLN)

Business Functions »
  • Enables legal entities (e.g. provincial health authorities, hospitals, manufacturers, etc.) and physical locations (e.g. a hospital wing or manufacturer's warehouse) to be uniquely identified in Canada and globally.
CAS Cross-Domain
GS1 Global Trade Item Number (GTIN)

Business Functions »
  • Enables products such as pharmaceuticals (prescription and over the counter products) and other products (e.g., medical devices, food products) to be uniquely identified in Canada and globally
CAS Cross-Domain; Medication Management
Health Canada Drug Identification Number (DIN)

Business Functions »
  • Identifies drug products when prescribing, dispensing and submitting financial claims
CAS Medication Management
IHE Cross-Enterprise Document Sharing for Imaging (XDS-I)

Business Functions »
  • Enables the discovery and retrieval of relevant diagnostic imaging documents (Image & Report)
  • Distributing imaging documents to authorized users/systems across a group of affiliated enterprises (Affinity Domains)
CAS Diagnostic Imaging
Interoperable EHR Standard

Business Functions »
  • Supports clinical information-sharing generated primarily on the basis of clinical assessments. Includes:
    • Clinical Observations
    • Professional Services
    • Health Conditions
    • Care Compositions
    • Allergy/Intolerance/Adverse Reaction
    • Patient Note
    • Clinical Documents (Discharge/Care Summary, Referral, Clinical Observation Document)
    • EHR Clinical Summary/Profile
CDFU Cross-Domain
interRAI Assessment Instruments

Business Functions »
  • Support clinical practice by assessing persons across the continuum of care (in home and continuing care and mental health care settings), identifying preferences, needs and strengths of persons, and providing evidence-based information to support clinical decision-making
  • Support health system uses such as clinical program management, health system management, and research
CAS Cross-Domain
ISO 27799:2008 Health informatics - Information security management in health using ISO/IEC 27002

Business Functions »
  • specifies a set of detailed controls for managing health information security and provides health information security best practice guidelines
CAS IT Privacy and Security Services
ISO/IEC 27002:2005 Information technology – Security techniques – Code of practice for information security management

Business Functions »
  • Guidelines and general principles for initiating, implementing, maintaining, and improving an organization’s information security management
CAS IT Privacy and Security Services
ISO 3166-1: 2006 and ISO 3166-2:2007 – Codes for the representation of names of countries and their subdivisions

Business Functions »
  • Country codes
  • Country subdivision codes
CAS Cross-Domain
Laboratory Messaging Standard

Business Functions »
  • Human: submit orders; query order status; access results; refer and redirect lab-to-lab orders
  • Disciplines supported by the laboratory standard, but not limited to, are: clinical chemistry (e.g. glucose); hematology (eg. Hemoglobin); microbiology (e.g. urine culture); pathology (e.g. biopsy); (limited) transfusion medicine (blood group and antibody screening);
  • Non-Human: supports sharing of non-human laboratory information between clinical laboratories; includes water, food, animal suspicious substances testing and environmental swabs in point-to-point interfaces that affect population health; activate or revise an order; access results.
CDFU/CAS Laboratory
Pan-Canadian Master Terminology Worksheet and Messaging Artifacts

Business Functions »

To support the pan-Canadian messaging standards, the following business and technical artifacts have been created:

  • Master Terminology Worksheet (MTW): A human readable Excel file that provides links between the messaging artifacts and the terminology worksheet. It also includes the business rules to generate the allowable value set contents and URLs to the related code systems. It covers all messaging standard domains.
  • Terminology Implementation Guide: Provides implementation, compliance and conformance guidelines for use in developing software that conforms to Infoway’s Message Specifications. The Implementation Guide has been available since Maintenance Release 2009.
  • Vocabulary Model Interchange Format (MIF): Files that provide a way for computer systems to consume the information in the MTW. The MIF has been available since Maintenance Release 2009.
CDFU Cross-Domain
National e-Claims (NeCST) Standards

Business Functions »
  • Supports electronic claims management
  • NeCST Standards currently support invoicing; predetermination, special authorization and statements of financial activity in the pharmacy, physio-chiro and vision lines of business, through defined messages.
CDFU Claims
Pan-Canadian LOINC Observation Code Database (pCLOCD) Nomenclature Standard

Business Functions »
  • Provides standardization for disparate lab tests across multiple organizations and platforms allowing for comparability and analysis of consolidated lab data
  • Provides options for standardizing laboratory test names and reporting units across disparate lab systems for use in a consolidated system
  • Facilitates semantic interoperability between disparate lab systems
  • Supports all commonly used lab tests and the majority of tests done in specialty areas
  • Supports both ordering and reporting lab tests
CAS Laboratory
Primary Health Care (PHC) Reference Sets

Business Functions »

References sets are available for the following:

  • Client Demographic Information: Client Identifier Type Code; Client Identifier Assigning Authority Code, Highest Level Education Code, Housing Status Code; Language Code; Client Status Code; Ethnicity Code
  • Provider Information: Provider Identifier Type Code; Provider Identifier Assigning Authority Code; Provide Role Code; Provider Expertise Code
  • Encounter: Client Reason for Encounter Code; Encounter Type Code; Encounter Pay or Source Code; Encounter Payment Type Code; Health Concern Code; Family History Social Behaviour Code; Intervention Code; Family Member Relationship Code; Client Social Behaviour Code; Referral Service Code; Service Delivery Location Code
  • Laboratory: Observation Orderable Lab Type; Observation Resultable Lab Type; Laboratory Observation Unit of Measure Code
  • Allergy and Intolerance: Allergy Intolerance Type Code; Non Drug Allergen Code; Allergy Intolerance Severity Code; Allergy Intolerance Status Code
  • Medication and Vaccine: Medication Prescribed Dose Unit of Measure Code; Medication Prescribed Adherence Code; Vaccine Administered Name Code; Reason Vaccine Not Administered Code
  • Observation: Blood Pressure Anatomical Location Code; Blood Pressure Body Position Code; Representative Blood Pressure Reading Code; Unit of Measure Codes for Height, Weight and Waist Circumference;
  • Intervention: Intervention Code; Reason Intervention Refused Code;
pan-Canadian Standard
Provider Registry Standard

Business Functions »
  • Uniquely identifies a health care provider within the health care system
  • Supports queries, additions and updates to health care provider demographics
CAS Non-Clinical Registries
Immunization Standard

Business Functions »
  • Forecasting patient-specific immunization
  • Recording immunization
  • Accessing immunization history
  • Determining jurisdictional immunization coverage
  • Distributed immunization management
CDFU Public Health
Service Delivery Location Registry Standard

Business Functions »
  • Identifies a service delivery location within the health care system
  • Supports the ability to query, add and update service delivery locations as required
CDFU Non-Clinical Registries
Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT)

Business Functions »

SNOMED CT is the most comprehensive, multilingual clinical healthcare terminology in the world. The following clinical information groups outlined below have been approved CAS.

  • Diagnosis
  • Family history
  • Genetic condition
  • Non-drug agent adverse reaction
  • Non-drug offending agent type
  • Non-drug offending agent description risk factor
  • Risk factor
  • Clinical findings (health of symptom problem)
  • Physical assessment findings
  • Anatomical site
  • Patient health problem
CAS Cross-Domain
Transport Level Interoperability (TLI) Standard

Business Functions »
  • Ensures that sensitive health care remains secure, non-repudiated and private when shared across systems
  • Ensures reliable and efficient end-to-end communication of health care information
  • Routes and dispatches health care information to appropriate sources/systems
  • Handles exceptions experienced during information exchange
  • Leverages Service Oriented Architecture transport features
CAS Infostructure

* Status Definitions

A pan-Canadian Standard is a document or artefact established by pan-Canadian consensus and approved through the Standards Collaborative governance process. As a pan-Canadian Standard progresses through the standards lifecycle, from development to maintenance, its stage is reviewed and approved at specific decision points, including those defined below:

Canadian Draft for Use (CDFU) - The standard has been developed but it may or may not be implemented or be in use. The standard is considered ready to be used by early adopters: however, change is probable as stakeholders begin using the standard in implementations.

Canadian Approved Standards (CAS) - The standard is in use for the purpose(s) or context(s) for which it was intended. Only those parts of the standard that have been implemented or are in use can progress for consideration as CAS. This decision point signifies that the standard has reached a level of stability and is comprehensive enough such that major changes are not expected.

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