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Revision History
| VERSION NO. | DATE | SUMMARY OF CHANGE | CHANGED BY |
|---|---|---|---|
| v0.1 | 2016-08-18 | Initial Draft, based on DHDR v0.3.3 Specification | Ontario Health Digital Services MOHLTC |
| v0.2 | 2016-08-23 | Updated content for Use Cases, Ontario Health Digital Services | Ontario Health Digital Services |
| v0.3 | 2016-08-24 | Completed content for Use Cases Formatting Consistency |
Ontario Health Digital Services |
| v0.4 | 2016-08-29 | Formatting Indentation Table Labels DHDR Spec Alignment FHIR Version Alignment BRD References FHIR Definitions |
Ontario Health Digital Services MOHLTC |
| v1.0 | 2016-09-08 | Finalized for Distribution | Ontario Health Digital Services |
| v1.1 | 2016-10-31 | Updated dispense identifier to support NMS data. Updated examples and data elements’ comments. |
Ontario Health Digital Services MOHLTC |
| v1.2 | 2016-11-28 | Version change to align w/ terminology worksheet Change to Consent SDM value to, to reflect DHDR initial release |
Ontario Health Digital Services |
| v1.2.1 | 2017-04-12 | Corrected cardinalities to align with DHDR v0.4 specification: MedicationDispense.whenHandedOver (1..1)Corrected description for: MedicationOrder.prescriber: “…individual responsible for prescribing ...”Corrected comment for: Practitioner.telecom.system: “ValueSet: “phone” or “fax” only (ValueSet previously defined in wrong row “telecom.value”)Updated Appendix B to reflect latest revisions; removed Change Log from Appendix B due to outdated content |
Ontario Health Digital Services |
| v2.0.0 | 2017-06-22 | Updated to align with FHIR STU3 (v3.0.1) Renamed MedicationOrder resource to MedicationRequestAdditional Details available in Appendix B: DHDR R2 Change Log |
Ontario Health Digital Services MOHLTC |
| v2.0.1 | 2017-08-09 | Updates in accordance with the dispositions of the comments received during the open review. | Ontario Health Digital Services MOHLTC |
| v2.0.2 | 2017-09-28 | Changed cardinality of patient & practitioner names for consent unblock from optional to required. Added a text RelatedPerson relationship element when consent unblock is provided by an extended family member |
MOHLTC |
| v2.0.3 | 2018-03-16 | Updated value set and examples of MedicationDispense.category to distinguish between dispenses of drugs/devices and pharmacy services. Updated mime format from “json+fhir” & “xml+fhir” to “fhir+json” & “fhir+xml” (FHIR DSTU2 to STU3 change). Updated sorting syntax from “:desc” qualifier to “-“ prefix (STU3 change). Updated Patient Id search parameter from patient:patient.identifier to patient.identifier. Changed whenandedover search parameter to lowercase (the element is still whenHandedOver in the resource). Added a note that DetectedIssue.implicated is not used in the current release. Added a note that DetectedIssue.severity (for DetectedIssue-dur-message-nms profile) is not used in the current release. Relaxed cardinality of MedicationDispense.performer from 1..2 to 0..2 to accommodate dispense records where pharmacy is unknown, e.g. HNS Receipt. Updated RelatedPerson.relationship.text element to be used for Extended Family or Sibling (previously only Extended Family) Updated section title for 4.4.3.2 to Patient Demographics Profile, to match the profile name |
MOHLTC |
| v2.0.4 | 2018-08-10 | For Consent, relaxed cardinality of Practitioner.identifier and Organization.name from 1..1 to 0..1 with a note describing when these elements are supposed to be populated. Added an example of OperationOutcome indicating that some information is presented due to a temporary consent unblock. |
MOHLTC |
| v2.0.5 | 2018-10-30 | Removed Patient Demographics profile: only patient information from the dispense record would be returned (DHDR consumers would get patient demographics information from PCR or from their own database). Changed the way 3-point validation is performed: gender & date of birth parameters are matched against PCR rather than against historical dispense records. |
MOHLTC |
| v3.0.0 | 2019-03-29 | Updated to FHIR R4. Updated to address requirements for new data elements. Added search by POST in addition to GET. Added “whenprepared” search parameter (and removed “whenhandedover” search parameter). Replaced references to the Terminology Worksheet with links to Infoway’s Terminology Gateway Value Sets for codes and to the Canadian URI Registry for URIs. Added “source” extension to meta data to indicate a source of MedicationDispsense. MedicationDispense profile changes: added mandatory “whenPrepared” (a dispense date), changed cardinality of “whenHandedOver” to optional and changed definition of whenHandedOver to indicate that this is a pickup date rather than a dispense date; Added “refillsRemaining” & “quantityRemaining” extensions; Updated “identifier” to contain the Current Rx number; Added optional “unit”, “system” & “code” sub-elements to “quantity” for records that have this information; Added “dosageInstruction” element with sub-elements for: Dosage Specification, Patient Dosage Instruction, Frequency, PRN (asNeeded) Indicator, Administrable Route, Administrable Dose. Medication profile changes: Added an option of using CCDD terminology in addition to DIN/PIN codes; Added an optional coded drug dosage form in addition to the textual one for records that have coded information, Added compound-indicator extension. MedicationRequest profile changes: Added original Rx “identifier” to replace the “identifier” definition from the previous version; Added an option of having SNOMED CT “reasonCode” codes from the Canadian “indication for use” value set in addition to ODB reason codes for limited use drugs. OperationOutcome profile changes: Added “expression” element, deprecated “location” element. Removed DUR information (DetectedIssue). Added Bundle.timestamp. Updated Consent purpose code. Updated examples. |
MOHLTC |
| v3.0.1 | 2019-06-11 | Corrected previous wording of MedicationRequest profile changes in the change log – “identifier” is not sliced. | MOHLTC |
| v3.0.2 | 2019-08-26 | Updated Ontario logo. Corrected OperationOutcome search example. Added Appendix E Integration Traceability. |
MOHLTC |
| v3.0.3 | 2019-09-12 | Corrected severity in OperationOutcome consent block example | MOHLTC |
| v3.0.4 | 2020-01-08 | Replaced Instances of “eHealth Ontario” with “Ontario Health Digital Services”, and “eHO” with “OHDS” Changed “HL7 FHIR R4 (Dec 2018 Build, v4.0.0)” “HL7 FHIR R4 (First Normative Content, v4.0.1)” Added “EMPI” to Acronyms table Replace instances of “eHealth Ontario Gateway” with “Ontario Health Provider Gateway”, and “eHO Gateway” with “OH Provider Gateway” Changed refills remaining and quantity remaining extensions to the [base-structure] namespace, as all other extensions are defined, i.e. http://ehealthontario.ca/fhir/StructureDefinition Add Example with Contained Resources in appendix Change value set for route of administration |
MOHLTC |
| v3.0.5 | 2020-02-11 | Changed DHDR extensions namespace for quantity and refill remaining to “[base-structure]/ca-on-medications-ext-quantity-remaining and “[base-structure]/ca-on-medications-ext-refills-remaining”for consistency Minor Edits to the fill contained resource example POST search – removed query string parameters from URL definition to help ensure personal health information is not captured in logs |
MOH |
| v3.0.6 | 2020-02-12 | The following changes have been made to support the implementation of the Provincial Consent Override Interface (PCOI) by Ontario Health Digital Services (OHDS). PCOI documentation will be available by contacting OHDS (architecture@ehealthontario.on.ca): Updated Use Care Diagram to include PCOI Viewlet Updated Temporary Consent Unblock Use Case to reference the Ontario Health Provincial Consent Override User Interface Updated acronyms to add “PCOI” Updated Figure 4 to include PCOI Viewlet Updated Use Case Category: Temporary Consent Unblock to include PCOI Viewlet flow Updated resource list to reflect use of PCOI Viewlet Removed Consent interaction from Summary of Supported Operations Updated "Create Temporary Consent Unblock" to reference PCOI Viewlet documentation. Updated list of resources and profiles: FHIR Resources to reflect use of PCOI Viewlet Removed Consent Profiles Removed Consent Operation Examples Removed Response Codes related to Consent operation Updated extension titles to match extension names Replaced instances of “MOHLTC” with “MOH” Changed [id-system-local-base] to http://ehealthontario.ca/fhir/NamingSystem Changed [id-system-global-base] to https://fhir.infoway-inforoute.ca/NamingSystem |
OHDS |
| v3.0.7 | 2020-05-11 | Fix documentation error extension URIs (Refills Remaining, Quantity Remaining) | OHDS |
| v3.0.8 | 2020-11-04 | Added a table that contains a mapping of the DHDR data elements to the FHIR resources | MOHLTC |
| v4.0.0 | 2023-03-31 | Added MedicationDispense Submit and Update operation Added MedicationAdministration Search, Read, Submit and Update operations Added PractitionerRole resource to MedicationDispense Search and Read Operations Changed [code-system-local-base] to http://ehealthontario.ca/fhir/CodeSystem MedicationDispense profile changes: Added Paid By extension Added identifier "Original RX Number" Changed MedicationDispense.performer:performerOrganization.actor.reference and MedicationDispense.performer:performerPractitioner.actor.reference to MedicationDispense.performer.actor.reference "practitionerRole" resourceRelaxed cardinality of MedicationDispense.quantity from 1..1 to 0..1Constrained cardinality of MedicationDispense.dosageInstruction.doseAndRate.dose[x] from 0..1 to 1..1Medication profile changes: Removed Medication Strength extension Added Monitored Drug extension Added CCDD and HC-NPN terminology for medication code Removed PINs local/global, drug class and drug subclass terminology Added medication.ingredient for compound medication Added medication.code.text element Removed medication.form elementMedicationRequest profile changes: Removed ODB reason codes terminology Relaxed cardinality of reasonCode from 0..1 to 0..5 Added medicationRequest.reasonCode.text element Patient profile changes: Added patient.address and patient.telecom elementsAdded patient.identifier.type elementRemoved slice from patient.identifierConstrained patient.name cardinality from 0..1 to 1..1 Organization profile changes: Added organization.address element PractitionerDispenser/Administrator profile changes: Constrained practitioner.name cardinality from 0..1 to 1..1 |
Ontario Health |
| v4.0.1 | 2024-01-24 | Replaced contained model with discrete model Added Composition and Bundle (Document) resouces Replaced MedicationDispense Submit and MedicationAdministration Submit operations with Submit Medication Document Bundle operation Replaced MedicationDispense Read/Search and MedicationAdministration Read/Search operations with Search Medication Document Bundle operation Added "composition.type" search parameter Removed phone number from Practitioner profile and added to the PractitionerRole profile Renamed PaidBy extension to DrugServiceCoverage Updated Expected Behavior table Added new error codes Relaxed cardinality of medicationRequest.dosageInstruction.text from 1..1 to 0..1 Relaxed cardinality of MedicationRequest.repeat.timing from 1..1 to 0..1 Changed OCP college URL from https://simplifier.net/canadianuriregistry/ca-on-pharmacy-id-ocp tohttps://fhir.infoway-inforoute.ca/NamingSystem/ca-on-license-pharmacist-org Added references to practitioner and organization profiles in addition to practitionerRole in MedicationAdministration and MedicationRequest profiles Added doseRange element to MedicationRequest and MedicationRequest (Submission) profiles Updated composition.patient.birthDate search parameter to composition.patient.birthdate Updated [base] URI to [base-submit] and [base-search] |
Ontario Health |
| v4.0.2 | 2024-04-10 | Relaxed cardinality of medicationRequest.dosageInstruction, practitioner.name.given, patient.telecom, patient.addres from 0..1 to 0..* Relaxed cardinality of practitioner.name.given from 1..1 to 1..* in the Patient (Submission) resource Added description to the usage notes to the Patient (Submission) profile Added secutiry.tag element to the bundle (document) resource Removed meta.profile element from the bundle (searchset) resourceMedication profile: Added Medication Strength extension, form field and updated usage notes Updated medication.code to support CCDD NTP and CCDD TM codesUpdated MedictaionRequest profile to support dosageInstruction.sequence element Relaxed cardinality of medicationRequest.requester from 1..1 to 0..1Added two error messages for the submit operation FHIR_PTNT_1002/1003 Removed two error messages from the submit operation FHIR_MED_2004/2005 Defined uplifted whenprepared and effective-time search parameters for the sorting purpose Updated search example |
Ontario Health |