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Revision History

VERSION NO. DATE SUMMARY OF CHANGE CHANGED BY/AUTHOR
v 0.1.0 2025/03/31 Initial draft OH Digital Health Standards Team
v 1.0.0 TU 2025/10/08 Final draft with updates to support viewer:
  • FetchDocumentReference - added notes for future release
  • All search pages - Updated sort parameter for all the search pages, added "_include" parameter and usage
OH Digital Health Standards Team

Nov 2025 changes for data migration and live OCINet feed:

  • In Transaction Bundle profile, add notes to map bundle.timestamp to XDS Submission Time
  • In ServiceRequest profile, add MustSupport to ServiceRequest.category to support practice setting code of the clinical context of the order
  • In DiagnosticReport profile, add DiagnosticReport.language to map to DICS report language
  • In DiagnosticReport profile, add MustSupport to DiagnosticReport.cateogry to support practice setting code of the clinical context of the report
  • In DiagnosticReport profile, add DiagnosticReport.performer to support report author. performerFunction extension must be used with code AUT to indicate the role of the author with reference to the Practitioner or PractitionerRole.
  • In ImagingStudy profile, add series.performer as MustSupport to support author institution from XDS, this changes includes:
    • performer.function should contain the code AUT from valueset http://hl7.org/fhir/ValueSet/series-performer-function
    • performer.actor should contain the reference to the organization in the bundle

Jan 2026 changes based on latest feedback:

For Data in:

  • Adding Provenance profile to be part of submission bundle. This is only used in OCINet's live feed. Updated "submit order" example to include Provenance.
  • Adding support for service type information in submission of ServiceRequest, DiagnosticReport, ImagingStudy:
    • Service type must be provided in ServiceRequest.category, DiagnosticReport.category, ImagingStudy.extension:ImagingStudyServiceType
  • Adding PractitionerRole and Organization in ServiceRequest.requester, ServiceRequest.performer, DiagnosticReport.performer, DiagnosticReport.resultInterpreter, ImagingStudy.referrer, ImagingStudy.interpreter to support organization information if available
  • Updated request.method and Url in submission bundle examples to support conditional update. Please refer to submssion examples for how to populate the elements. Note that we are still working on how to support resources that do not have business identifier such as PractitionerRole.
  • Adding ServiceRequest.requisition as MustSupport element. This element is optional and should be sent if placer group number (ORC-4) exists.
    • 2026-01-24: Added requisition.type as mandatory that must have code PGN from system http://terminology.hl7.org/CodeSystem/v2-0203 with display Placer Group Number
    • 2026-02-03: ServiceRequest.requester, ServiceRequest.performer, DiagnosticReport.performer, DiagnosticReport.resultsInterpreter, ImagingStudy.referrer, ImagingStudy.interpreter: when providing reference to the Practiitoner/PractitionerRole/Organization, also provide type as mandatory to indicate the Resource type for the reference (i.e. "Practitioner", "PractitionerRole", "Organzation)
    • 2026-02-09:
      • Added Patient.address.type as MustSupport
      • Added Observation.code.text as MustSupport when there is no code in v2

For Data out:

  1. Added Service Type value set to EHR in ServiceRequest.category, DiagnosticReport.category, and ImagingStudy extension
  • 2026-03-17:
    • Added OperationOutcome example for consent block
    • Added Bundle example with OperationOutcome due to consent block