Ontario Surgical Efficiency Reporting Information System – HL7® FHIR® Implementation Guide
The Ontario Surgical Efficiency Reporting Information System (“SERIS”) HL7® FHIR® Implementation Guide (IG) supports implementers of digital health assets that will use HL7 FHIR to enable electronic sharing of Ontario surgical services case scheduling and completion information for the purposes of evaluating surgical services capacity and operational efficiency. The guide specifies a set of rules for using FHIR resources to publish and retrieve SERIS data to/from a provincial repository provisioned by Ontario Health.
The SERIS is based on the work of the Perioperative coaching teams between 2005 and 2010. It was designed with Ontario clinician input by the Surgical Process Analysis and Improvement Expert Panel (“SPAI”). The goal of the SERIS initiative is to enhance and incorporate the availability of surgical efficiency data (SETP) reporting.
Scope
The Surgical Efficiency Reporting Information System ("SERIS") HL7 FHIR Implementation Guide (IG) supports the submission of data from various hospitals and health centres providing clients with surgical services. SERIS aims to improve surgical performance in Ontario through measurement and reporting of surgical management Key Performance Indicators (KPIs), benchmarking performance of comparable facilities, and establishing provincial performance targets in support of process improvements.
The product will leverage a standardized specification defining the electronic data interchange based on HL7-FHIR R4.0.1. The new developed standard will be accompanied by an Implementation Guide (IG) defining an API usable by participating hospitals. The guide includes:
- a description of the SERIS's intended use, data elements and terminologies,
- considerations for system-to-system integration using FHIR, and
- conformance expectations.
The Surgical Efficiency Reporting Information System ("SERIS") HL7 FHIR Implementation Guide (IG) is a web-based specification hosted on the Canadian FHIR Registry powered by SIMPLIFIER.NET*. The reader will be re-directed to the implementation guide’s home page on the Canadian FHIR Registry website after registering and clicking the “Agree and Download” button.
Status
This implementation guide is for trial use and will go through a formal governance committee review and approval process.
The provincial open review period starts January 26, 2024, and runs to February 29, 2024. Download the comment spreadsheet to provide feedback.
FHIR is an evolving trial-for-use standard, so additional changes by HL7 are expected. We will continue to monitor developments and assess any potential impacts and publish updates as they emerge.
*SIMPLIFIER.NET is a web-based FHIR registry built by Firely that serves as the hosting platform for the Canadian FHIR Registry sponsored by Canada Health Infoway.