For a full list of available versions, see the Directory of published versions
1.2. Relationship to Other Specifications
This section describes how this Implementation Guide (IG) relates to other specifications, standards, and profiling strategies.
1.2.1. Referencing
This IG is based on FHIR R4.0.1 and supports constrained profiles to meet Ontario miCDR business requirements. This implementation guide enhances and extends the FHIR profiles defined in the Ontario Medical Imaging (Transition) HL7® FHIR® Implementation Guide to support the direct contribution of MI data to Ontario EHR.
- Ontario Medical Imaging (Transition) HL7® FHIR® Implementation Guide - v1.0.0 TU
- This implementation guide supports OCINet’s migration from the legacy DICS platform, ongoing MI data submissions from Diagnostic Imaging Repositories (DIRs), and MI data retrieval for the Provincial Viewers and other Point of Service Systems.
- This guide focuses on FHIR representations of MI reports, MI orders, and image manifests. The profiles are based on OCINet data availability and do not represent a provincial FHIR model for medical imaging data.
- Ontario DICOM Implementation Guide v1.0.0
- This implementation guide proivdes guidance on how HICs submit imaging data using DICOM standard to miCDR and VNA solutions while ensuring imaging data is submitted correctly, remains linked to the right patient, and supports reliable interoperability across Ontario’s enterprise imaging ecosystem.
- Ontario Medical Imaging HL7 v2 specification v1.0.0
- This specification provides guidance on the use of HL7 v2 for submitting imaging data to miCDR. It supports contributors who do not yet support HL7 FHIR and may use HL7 v2 until FHIR-based submission is implemented. The data elements in the v2 specification will be aligned with the FHIR data elements in this implementation guide.
- Ontario Clinical Report Exchange (OCRE) Implementation Guide v1.0.0-ballot
- Structure of the medical imaging reports described in the MI FHIR IG is aligned with OCRE FHIR IG to minimize impact on the systems that contribute data to both OCRE and MI.
1.2.2. Profiling Strategy
- Ontario EHR profiles
- Similar to CA Core+ profiles, which provide reusable, high-quality, and standardized data structures that facilitate interoperability across healthcare systems and jurisdictions in Canada, Ontario EHR profiles were developed to support common reusable FHIR artifacts for OH FHIR APIs for harmonization and consistency, and will continue to evolve over time.
- For data submission, some MI FHIR profiles in this IG are labelled "Submission" and are tailored to support the MI data submission requirements.
- For data consumption, this FHIR IG leverages Ontario EHR profiles to reuse the common model for clinical and medical imaging reports to improve consistency with other OH FHIR APIs and minimize unintended discrepancy.
- Profiles not labelled "Submission" are based on Ontario EHR profiles, and they are used for data submission and consumption.
