PAC Interoperability Services Canada

Seamlessly integrate patient data across Canadian healthcare systems with secure, standards-based connectivity.

Empowering Connected Care Across Canada

PAC Interoperability Services Canada helps hospitals, clinics, laboratories, and provincial agencies share critical patient information quickly, securely, and in full compliance with Canadian regulations. Our cloud-native integration platform supports HL7 v2, HL7 v3, FHIR, DICOM, CDA, and emerging standards, allowing disparate systems—from EMRs and LIS to pharmacy and imaging solutions—to exchange data in real time. By eliminating data silos, we give care teams a 360-degree patient view that reduces duplicate testing, speeds diagnosis, and improves outcomes.

We understand the complexities of provincial privacy laws, Infoway standards, and jurisdiction-specific electronic health record (EHR) initiatives. Our team of interoperability architects, clinical informaticians, and cybersecurity specialists design solutions that respect those nuances while delivering lightning-fast performance and bullet-proof security. Whether you need a one-time integration project or a managed interoperability service, PAC provides the strategy, implementation, and 24/7 support to keep your data flowing and your clinicians focused on care—not on IT headaches.

OUR TECHNOLOGY STACK

FHIR & HL7 Engines
HAPI FHIR, Smile CDR, Mirth Connect, Rhapsody

Cloud Platforms
Azure Health Data Services, AWS HealthLake, Google Cloud FHIR Store

Integration Frameworks
Apache Camel, Spring Integration, Node-RED, Boomi

Security & IAM
Keycloak, Azure AD, OAuth 2.0, OpenID Connect, TLS 1.3

Terminology Services
SNOMED CT, LOINC, RxNorm, Canadian Edition Terminology Gateway

DevOps & CI/CD
GitHub Actions, Azure DevOps, Terraform, Helm, Kubernetes

Databases
PostgreSQL, MongoDB, Microsoft SQL Server, Cosmos DB

Monitoring & APM
Prometheus, Grafana, Elastic Stack, Azure Application Insights

Imaging Standards
DICOMweb, Orthanc, OHIF Viewer, DCMTK

Messaging Protocols
REST, gRPC, WebSockets, AMQP, MQTT

Analytics & BI
Power BI, Tableau, Apache Spark, Databricks

Testing Tools
Inferno, Touchstone, SoapUI, Postman

Schedule a free interoperability readiness assessment

Why Choose PAC Interoperability Services Canada?

Healthcare integration is more than connecting systems—it is connecting people. PAC’s singular focus on Canadian interoperability means we speak your language, understand your regulatory landscape, and appreciate the critical nature of every lab result, prescription, and discharge summary flowing through your network. Our specialists have designed and operated interfaces for academic medical centres, rural hospitals, and national public-health initiatives from coast to coast.

Security is woven into every layer of our architecture. We follow Zero-Trust principles, encrypt data in transit and at rest with Canadian-hosted keys, and align our processes with PHIPA, PIPEDA, Quebec Bill 64, and other privacy legislation. Our DevSecOps pipeline automates vulnerability scans and compliance checks so that every deployment meets the highest standards without slowing delivery.

But technology alone is not enough. We embed clinicians in every project to ensure workflows match real-world practice and that data is meaningful at the bedside. Our training programs upskill your staff, while our bilingual (EN/FR) support desk provides rapid, empathetic assistance. When you partner with PAC, you gain a long-term ally committed to advancing connected care across Canada.

Our Proven Integration Process

  1. Discovery & Assessment – We engage stakeholders, catalogue systems, and define data-flow requirements.
  2. Design & Roadmap – Detailed architecture diagrams, security controls, and phased rollout schedules are created and approved.
  3. Build & Configure – Interfaces, mappings, and validation rules are developed in an isolated sandbox before promotion.
  4. Testing & Certification – Unit, system, and user-acceptance testing validate performance, compliance, and clinical usability.
  5. Go-Live & Support – Cutover is executed with on-site/remote support, followed by continuous monitoring and optimization.

Our Industry Experience

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Healthcare

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Ecommerce

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Fintech

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Travel and Tourism

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Security

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Automobile

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Stocks and Insurance

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Restaurant

Speak with an integration architect today

Frequently Asked Questions

1. Do you support both HL7 v2 and FHIR?
Absolutely. Our integration engine natively handles HL7 v2.x, v3, and every published FHIR release (DSTU2 through R5). We can:

  • Translate messages in real time (e.g., HL7 ORU-R01 to FHIR DiagnosticReport).
  • Expose RESTful FHIR APIs while continuing to consume classic HL7 feeds.
  • Maintain version-specific conformance profiles so downstream systems always get data in the exact structure they expect.

This means you can modernize at your own pace—adopting FHIR where it creates value without disrupting existing interfaces that still depend on HL7 v2.

2. Where is patient data hosted?
All data is processed and stored exclusively in Canadian data centres certified to SOC 2 Type II and ISO 27001. We operate active-active clusters in geographically separate regions to ensure high availability while keeping data sovereignty within Canada. Encryption is applied:

  • In transit — TLS 1.3 with forward secrecy.
  • At rest — AES-256 with keys managed by a Canadian-hosted HSM.

Only you control data-access policies, and our audit logs provide complete traceability for compliance reporting.

3. How long does a typical integration project take?
Timelines vary with scope, but our proven accelerators keep things predictable:

Project TypeAverage Duration
Single-interface (e.g., LIS → EMR)6–8 weeks
Multi-system hospital integration3–4 months
Province-wide data hub6–9 months

Key factors affecting duration include the number of systems, vendor responsiveness, and the availability of test environments. We provide a detailed Gantt chart during project kickoff so you know exactly what to expect.

4. What security certifications do you hold?
Security is non-negotiable. PAC’s platform and processes are:

  • SOC 2 Type II audited annually.
  • Aligned with ISO 27001 controls (formal certification in progress).
  • Subjected to third-party penetration testing twice per year.
  • Benchmarked against NIST 800-53 and CIS Level 1 hardening guides.

Additionally, every member of our engineering team completes annual HIPAA/PHIPA privacy training, and our DevOps pipeline blocks deployments that fail automated security scans.

5. Can you work with our in-house IT team?
Yes, collaboration is at the heart of our methodology. We can adapt to:

  • Co-development—our engineers pair-program with yours, sharing repositories and CI/CD pipelines.
  • Shared operations—you retain first-line support while we handle escalation and platform maintenance.
  • Full outsourcing—we take on end-to-end responsibility with agreed-upon SLAs.

You decide how much control to keep; we supply the tools, documentation, and knowledge transfer to make the partnership friction-free.

6. Is bilingual (English/French) support available?
Oui. All customer-facing teams—support desk, onboarding, and training—are staffed with fluent English and French speakers. Support channels include:

  • 24/7 phone and secure portal ticketing.
  • Live chat during business hours (08:00–18:00 ET).
  • On-site workshops anywhere in Canada.

This ensures language is never a barrier to resolving issues quickly or maximizing the value of your interoperability investment.