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Platform features

Six SMART on FHIR modules, configurable registries, pathway execution with variance detection, patient engagement, service coordination, and pathogen-genomics surveillance, all built on FHIR R4.

Core Platform Capabilities

Variance Detection

Real-time detection of pathway deviations using FHIR DetectedIssue resources. Know when patients deviate from expected care paths.

Implemented in CarePlan module
  • Schedule, clinical, adherence, and milestone variance types
  • FHIR DetectedIssue + Flag resources
  • Automated variance creation from pathway milestones
  • Variance reason taxonomy (patient, system, clinical factors)

SMART on FHIR Launch

All modules are SMART on FHIR apps that can launch from your EMR/EHR with patient context, or run standalone.

Live across all modules
  • OAuth2 with PKCE authentication
  • Patient/provider context passing
  • Custom authorization server
  • EMR/EHR integration ready (Epic, Cerner, MEDITECH)

FHIR R4 Native

Built on HL7 FHIR R4 from day one. Patient, CarePlan, PlanDefinition, Goal, Task, DetectedIssue, all standard resources.

Foundation of all modules
  • FHIR R4 resources throughout
  • HAPI FHIR server for development
  • Azure Health Services ready
  • Custom FHIR extensions for Canadian healthcare

Pathway Templates

Create care plans from pre-built pathway templates. CHF, Diabetes, Post-Surgical, and Chronic Pain templates included.

4 templates in CarePlan module
  • FHIR PlanDefinition pathway templates
  • Goal and activity definitions
  • Template preview before creation
  • Customisable for your clinical programmes

Module Features

Focus

Patient Search

Search patients by PHN, name, or demographics. FHIR Patient lookup with organisation-aware results.

  • PHN (Provincial Health Number) lookup
  • Demographic search (name, DOB)
  • Multi-organisation support
  • Direct FHIR Patient queries
Focus + GU Cancer

Clinical Registries

Pre-built FHIR Questionnaires for specialty registries across cardiac, oncology, trauma, and more.

  • AFib, Cardiac Surgery, Heart Failure, Cath Lab
  • GU Cancer with TNM staging, Gleason scoring
  • Diabetes Pediatric, Stroke, Trauma
  • Custom questionnaire support
Nomics

Genomic Lab Workflow

A FHIR-native LIMS for pathogen genomics, every specimen tracked from receipt through sequencing, analysis, and QC.

  • 7-stage tracking with STAT/Urgent/Routine/Surveillance priority
  • Lineage calls (Pangolin/NextClade) with confidence
  • Variant calling (HGVS) + AMR gene detection
  • Automated QC: coverage depth, Q30, genome completeness
Nomics

Outbreak Detection & Reporting

Faster outbreak detection, continuous SNP clustering with phylogenetics, plus one-click submission to surveillance networks.

  • Automated SNP clustering with configurable thresholds
  • Interactive phylogenetic trees & distance matrices
  • GISAID export (SARS-CoV-2, Influenza, RSV, Mpox)
  • PulseNet Canada export (Salmonella, Listeria, E. coli)
Service Directory

Service Routing

Intelligent patient routing based on service tier, capacity, wait times, and diversion status.

  • 4-tier classification (Primary/Secondary/Tertiary/Quaternary)
  • Multi-factor routing algorithm
  • Diversion status tracking
  • BC & Ontario healthcare data seeded
Engage

Patient Portal

Patient-facing view of care plans, pending assessments, and care team information.

  • PHN-based patient authentication
  • Care plan timeline with milestones
  • PROM/PREM assessment submissions
  • Care team contact information

Technical Foundation

Platform-Level Data Contract

Concept, value, validation, provenance, audit, and time governance enforced at the platform layer, so data is analytics-ready at the point of capture.

  • Stable definitionIds & linkIds
  • Deprecate, do not delete
  • Coded values from authoritative sources
  • Validation at capture
  • Full provenance & audit
  • Native time & location dimensions

Canadian Privacy Compliance

Built for PHIPA, PIPEDA, and provincial privacy laws. Data residency in Azure Canada.

  • PHIPA (Ontario)
  • PIPA (BC)
  • HIA (Alberta)
  • Azure Canada hosting

Multi-Tenancy

SaaS-ready architecture with tenant isolation via PostgreSQL schemas and FHIR Organization partitioning.

  • Tenant schema isolation
  • Organization-based FHIR filtering
  • Subdomain routing
  • X-Tenant-ID headers

PROM/PREM Support

FHIR Questionnaire and QuestionnaireResponse for patient-reported outcomes and experience measures.

  • Questionnaire rendering
  • Response submission
  • History tracking
  • Score calculation

See These Features in Action

Book a demo to see the actual running platform. We'll walk through your specific pathways and show how Tessera works with your clinical programmes.