Work Plan and Phases

Phase 1 - Foundation

• Review BC and Ontario ontologies
• Identify common concepts (~600+)
• Establish Canadian Ontological Structure
• Resolve key semantic issues (e.g., capitalization, Canadian SMDs)

Phase 2 - Pan-Canadian Harmonization

• Create pan-Canadian display name extensions
• Define handling of synonyms and granularity
• Define extension code strategy
• Agree on storage and distribution formats

Phase 3 - Implementation Guidance

• Draft Implementation Guide
• Define sender and receiver responsibilities
• Provide mapping and fallback strategies
• Align with FHIR DocumentReference

Phase 4 - Jurisdictional Adoption

• Support early adopter provinces
• Vendor engagement
• Feedback-driven refinement