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Actually Built, Not Just Promised

Features That Exist Today

Every feature listed here is implemented and running. 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 with patient context, or run standalone.

Live across all modules
  • OAuth2 with PKCE authentication
  • Patient/provider context passing
  • Custom authorization server
  • EMR 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
  • Customizable for your clinical programs

Module Features

Focus

Patient Search

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

  • PHN (Provincial Health Number) lookup
  • Demographic search (name, DOB)
  • Multi-organization 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

Turn days into hours — 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

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 programs.