• Update on I-CLSC, PANORAMA and the Electronic Medical Record
déc. 14, 2015


First, it is important to mention the significant effort invested by several communities to deploy the I-CLSC in their health centre and/or first-line preventive social services centre. Congratulations for your effort and commitment!

To date, about 20 First Nations communities and/or organizations use the I-CLSC primarily to collect the first-line preventive social services and health services rendered. This facilitates in part the coordination and planning of services, and also makes it possible to produce a number of reports for the community and funders. Even more significantly, the I-CLSC can be used to consult the services provided to people, with a view of offering better services.

The coming year will be one of big transitions for the I-CLSC. Indeed, 2016 will mark the end of deployment efforts in the participating communities (although it’s never too late for other communities that want to implant it), the start of the FNQLHSSC’s offer of personalized training for communities to help them become more efficient in entering data and producing statistics, as well as the start of deployment for the all new, completely bilingual and revamped version (5.2) of the I-CLSC. Finally, next year will also be the year we’ll be able to operate within an updated normative framework for health services.[U1] 

Together, we must continue taking the time and making the effort to firmly anchor the I-CLSC in our clinical and administrative practices. You can count on the FNQLHSSC’s IT team for support at all times, so do not hesitate to contact us.


The project to deploy the management system for immunization information falls under the purview of the Ministère de la Santé et des Services sociaux (MSSS)/Direction générale des technologies de l’information (DGTI) and the Institut national de santé publique du Québec (INSPQ).

A dozen First Nations communities received support from the MSSS through their centre intégré de santé et de services sociaux (CISSS), formerly centre de santé et de services sociaux (CSSS), for the deployment of PANORAMA with the vaccine inventory module and the immunization module.

Other First Nations communities will also benefit from the abridged version of PANORAMA, which is currently being deployed by the MSSS/DGTI, in collaboration with the INSPQ.

You should hear from your centre intégré universitaire de santé et de services sociaux (CIUSS) regarding the dates the PANORAMA (abridged version) deployment will take place in your community. The MSSS/DGTI aims to complete the deployment efforts for this version by January 2017.

Until January 2017, the FNQLHSSC recommends that you keep your current immunization system (VAXIN) and your people’s vaccinations booklets up to date and ensure that your IT services back up your records regularly.

If you have any questions, do not hesitate to contact the First Nations resource person at your regional CISSS. This person should help guide you and keep you informed regarding the deployment of PANORAMA, abridged version. If you have trouble reaching the resource person in your region’s CISSS, do not hesitate—not even for a moment—to contact the FNQLHSSC. 


Electronic Medical Record

The electronic medical record is rapidly gaining ground in the health sector, and has in fact been adopted by several organizations in the Quebec health system. To date, two First Nations communities use an electronic medical record.

An electronic medical record is used to digitize the entirety of a patient’s file; in other words, it is a tool that allows centres to transition from the paper era to the electronic era. But electronic medical records are more than just digital files: they can serve to take appointments, produce and record prescriptions, store laboratory results and diagnostic imaging, issue reminders and take clinical notes. In addition, the electronic medical record can also be used as a clinical decision-making tool.

These features carry a number of advantages. For instance, it cuts the time needed to handle files, ensures better communication between members of the clinical teams and with patients, and allows for a better management of the results of laboratory and other diagnostic tests.

This type of information management system in the health sector has a great deal of potential as a tool and may be useful for the First Nations communities in Quebec.

However, deploying an electronic medical record requires a great deal of effort from your teams. As such, it is strongly recommended that you contact the FNQLHSSC so that it may propose tools both to assess your level of preparedness and eligibility and to facilitate the introduction of an electronic medical record, clarify issues of complementarity and interoperability with your other information management systems (e.g. I-CLSC, PANORAMA) and steer you towards programs to help fund an electronic medical record.

If you have any questions, do not hesitate to contact the FNQLHSSC’s IT team.