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Revision History

VERSION NO. DATE SUMMARY OF CHANGE
v0.1.0 2022-02-01 Initial draft version based on FHIR 4.0.1
v0.9.0 2023-03-23 Updated version to v0.9.0 with scope of the first release of acCDR replacement project
v1.0.0 2025-09-24 Updated version to v1.0.0 that includes changes from OH EHR harmonization work, and other changes from internal and vendor feedback. Please see below

v1.0.0 Profiling Changes

Generic Changes

  • Removed meta.profile from all profiles
  • Updated references to EHR profiles where applicable
  • Net new profile added for AllergyIntolerance under EHR

Patient Profile Changes

Patient profile has been updated to EHR Patient profile, which includes these changes

  • Patient.identifier (JHN) cardinality changed from 1..* to 0..*
  • Patient.identifeir (MRN) cardinality changed from 0..1 to 0..*
  • Patient.name cardinality changed from 1..* to 0..*
  • Patient.gender cardinality changed from 1..1 to 0..1
  • Removed MustSupport on Patient.deceased
  • Removed MustSupport on Patient.address.period

Practitioner Profile Changes

Practitioner profile has been updated to EHR Practitioner profile, which includes these changes

  • Practitioner.name cardinality changed from 0..1 to 0..*
  • name.family cardinality changed from 1..1 to 0..1
  • Removed MustSupport on Practitioner.telecom, Practitioner.address, Practitioner.qualification, and Practitioner.communication

PractitionerRole Profile Changes

PractitionerRole profile has been updated to EHR PractitionerRole profile, which includes these changes

  • PractitionerRole.code value set binding changed from "required" to "preferred"

Organization Profile Changes

Organization profile has been updated to EHR Organization profile, which includes these changes

  • Organization.identifier.system and value cardinality changed from 1..1 to 0..1
  • Organization.name cardinality changed from 1..1 to 0..1
  • Organization.telecom.value cardinality changed from 1..1 to 0..1
  • Organization.address.line, city, and country's mininum cardinality changed from 1 to 0

Location Profile Changes

Location profile has been updated to EHR Location profile, which includes these changes

  • Added MustSupport on Location.address (cardinality 0..1) with MustSupport on address.type, line, city, state, postalCode, and country

Encounter Profile Changes

Encounter profile has been updated to EHR Encounter profile, which includes these changes

  • Encounter.class value set binding changed from http://ontariohealth.ca/fhir/ValueSet/acCDR-encounter-class to http://ontariohealth.ca/fhir/ehr/ValueSet/encounter-class
  • Encounter.serviceType value set binding changed from http://hl7.org/fhir/ValueSet/service-type (example) to http://cihi.ca/fhir/ValueSet/aac-hospital-service (extensible)
  • Added MustSupport on Encounter.length (cardinality 0..1)

Condition Profile Changes

Condition profile has been updated to EHR Condition profile, which includes these changes

  • Added MustSupport on Condition.clinicalStatus (cardinality 0..1)
  • Condition.code value set binding changed from http://hl7.org/fhir/ValueSet/condition-code (example) to https://fhir.infoway-inforoute.ca/ValueSet/clinicalfindingcode (preferred)
  • Added MustSupport on Condition.onset (cardinality 0..1)

DocumentReference Profile Changes

.category

  • Added additionbinding value sets to support document ontology information in the response. The ontology includes "subject matter domain", "type of service", "kind of document", "role" and "setting"

.subject

  • Updated reference to EHR patient profile

.author

  • Updated references to EHR PractitionerRole, Practitioner, and Organization profile

.custodian

  • Updated references to EHR Organization profile

.relatesTo.target

  • Added reference to DocumentReference profile

.context.encounter

  • Updated reference to EHR encounter profile

Composition Profile Changes

TBD