AS 2025 309
Ordinanza del DFI sulla cartella informatizzata del paziente (OCIP-DFI)
Preambolo
Il Dipartimento federale dell’interno (DFI)
ordina:
I
L’ordinanza del DFI del 22 marzo 20171 sulla cartella informatizzata del paziente è modificata come segue:
Art. 8e Disposizione transitoria della modifica del 30 aprile 2025Fino al 31 maggio 2027 gli emittenti di strumenti d’identificazione, le comunità e le comunità di riferimento non sono tenuti ad attuare la modifica del 30 aprile 2025.
II
1 Gli allegati 2–4 e 82 sono modificati.
2 L’allegato 5 è sostituito dalla versione qui annessa.
III
La presente ordinanza entra in vigore il 1° giugno 2025.
30 aprile 2025 | Dipartimento federale dell’interno: Elisabeth Baume-Schneider |
(art. 5)
Profili d’integrazione
1 Profili d’integrazione IHE3
Profilo | Documento tecnico | Attori | Transazioni | Adeguamenti nazionali |
|---|---|---|---|---|
ATNA | IHE IT Infrastructure Technical Framework, Volume 2, Revision 19.0, June 17, 2022 | Secure Application Secure Node Audit Record Repository | Authenticate Node [ITI‑19] Record Audit Event [ITI‑20] | Allegato 5 complemento 14 OCIP‑DFI, edizione 8 RESTful ATNA, CH EPR FHIR (R4), RESTful ATNA, Implementation Guide Version 4.0.1, 2024‑12‑18 |
CT | IHE IT Infrastructure Technical Framework, Volume 2, Revision 19.0, June 17, 2022 | Time Client Time Server | Maintain Time [ITI‑1] | No |
HPD | IHE IT Infrastructure Technical Framework, Supplement Healthcare Provider Directory (HPD), Revision 1.8, August 28, 2020 | Provider Information Source Provider Information Consumer Provider Information Directory | Provider Information Query [ITI‑58] Provider Information Feed [ITI‑59] Provider Information Delta Download (CH:PIDD) | Allegato 5 complemento 1 OCIP‑DFI, edizione 8 |
IUA | IHE IT Infrastructure Technical Framework, Supplement Internet User Authorization (IUA), Revision 2.2, June 17, 2022 | Authorization Server Authorization Client Resource Server | Get Access Token [ITI‑71] Incorporate Authorization Token [ITI‑72] Get Authorization Server Metadata [ITI‑103] | Internet User Authorization (IUA), CH EPR FHIR (R4), IUA, Implementation Guide Version 4.0.1, 2024‑12‑18 |
mCSD | IHE IT Infrastructure Technical Framework, Mobile Care Services Discovery (mCSD), Implementation Guide Version 3.8.0, 2022‑08‑12 | Care Services Selective Consumer Care Services Selective SupplierCare Services SourceCare Services Directory | Find Matching Care Services [ITI‑90] Care Services Feed [CH:mCSD‑1] | Mobile Care Services Discovery (mCSD), CH EPR FHIR (R4), mCSD, Implementation Guide Version 4.0.1, 2024‑12‑18 |
MHD | IHE IT Infrastructure Technical Framework, Mobile access to Health Documents (MHD), Implementation Guide Version 4.2.2, 2024‑05‑18 | Document Source Document Recipient Document Consumer Document Responder | Provide Document Bundle [ITI‑65] Find Document References [ITI‑67] Retrieve Document [ITI‑68] Update Document Metadata [CH:MHD‑1] | Mobile Access to Health Documents (MHD) with XDS on FHIR, CH EPR FHIR (R4), MHD, Implementation Guide Version 4.0.1, 2024-12-18 |
PCC | IHE Patient Care Coordination (PCC) Technical Framework, Volume 2, Revision 11.1, April 14, 2021 | Content Creator Content Consumer | Allegato 5 complemento 1 OCIP‑DFI, edizione 8 | |
PDQV3 | IHE IT Infrastructure Technical Framework, Volume 2, Revision 19.0, June 17, 2022 | Patient Demographics Consumer Patient Demographics Supplier | Patient Demographics Query HL7 V3 [ITI‑47] | Allegato 5 complemento 1 OCIP‑DFI, edizione 8 |
PDQm | IHE IT Infrastructure Technical Framework, Patient Demographics Query for Mobile (PDQm), Implementation Guide Version 3.0.0, 2024‑02‑23 | Patient Demographics Consumer Patient Demographics Supplier | Patient Demographics Match [ITI‑119] | Patient Demographics Query for Mobile (PDQm), CH EPR FHIR (R4), PDQm, Implementation Guide Version 4.0.1, 2024‑12‑18 |
PIXV3 | IHE IT Infrastructure Technical Framework, Volume 2, Revision 19.0, June 17, 2022 | Patient Identity Source Patient Identifier Cross-reference Consumer Patient Identifier Cross-reference Manager | Patient Identity Feed HL7 V3 [ITI‑44] PIXV3 Query [ITI‑45] | Allegato 5 complemento 1 OCIP‑DFI, edizione 8 |
PIXm | IHE IT Infrastructure Technical Framework, Patient Identifier Cross-referencing for Mobile (PIXm), Implementation Guide Version 3.0.4, 2024‑02‑23 | Patient Identity Source Patient Identifier Cross-reference Consumer Patient Identifier Cross-reference Manager | Mobile Patient Identifier Cross-reference Query [ITI‑83] Patient Identity Feed FHIR [ITI‑104] | Patient Identifier Cross-referencing for mobile (PIXm), CH EPR FHIR (R4), PIXm, Implementation Guide Version 4.0.1, 2024‑12‑18 |
RMU | IHE IT Infrastructure Technical Framework, Supplement Restricted Metadata Update (RMU), Revision 1.3, July 2, 2021 | Update Initiator Update Responder | Restricted Update Document Set [ITI‑92] | Allegato 5 complemento 1 OCIP‑DFI, edizione 8 |
SVS | IHE IT Infrastructure Technical Framework, Volume 2, Revision 19.0, June 17, 2022 | Value Set Consumer Value Set Repository | Retrieve Value Set [ITI‑48] | No |
XCA | IHE IT Infrastructure Technical Framework, Volume 2, Revision 19.0, June 17, 2022 | Initiating Gateway Responding Gateway | Cross Gateway Query [ITI‑38] Cross Gateway Retrieve [ITI‑39] | Allegato 5 complemento 1 OCIP‑DFI, edizione 8 |
XCA-I | IHE Radiology Technical Framework, Volume 3 (RAD‑TF‑3), Cross-Transaction Specifications and Content Specifications, Revision 22.0, June 25, 2024 | Initiating Imaging Gateway Responding Imaging Gateway | Cross Gateway Retrieve Image Document Set [RAD‑75] | No |
XCPD | IHE IT Infrastructure Technical Framework, Volume 2, Revision 19.0, June 17, 2022 | Initiating Gateway Responding Gateway | Cross Gateway Patient Discovery [ITI‑55] | Allegato 5 complemento 1 OCIP‑DFI, edizione 8 |
XDM | IHE IT Infrastructure Technical Framework, Volume 2, Revision 19.0, June 17, 2022 | Portable Media Creator Portable Media Importer | Distribute Document Set on Media [ITI‑32] | No |
XDS | IHE IT Infrastructure Technical Framework, Volume 2, Revision 19.0, June 17, 2022 | Document Consumer Document Source Document Repository Document Registry Patient Identity Source | Registry Stored Query [ITI‑18] Provide and Register Document Set‑b [ITI‑41] Register Document Set‑b [ITI‑42] Retrieve Document Set [ITI‑43] Patient Identity Feed HL7v3 [ITI‑44] | Allegato 5 complemento 1 OCIP‑DFI, edizione 8 |
XDS-I.b | IHE Radiology Technical Framework, Volume 3 (RAD‑TF‑3), Cross-Transaction Specifications and Content Specifications, Revision 22.0, June 25, 2024 | Imaging Document Source Imaging Document Consumer | Provide & Register Imaging Document Set – MTOM/XOP [RAD‑68] Retrieve Imaging Document Set [RAD‑69] | Allegato 5 complemento 1 OCIP‑DFI, edizione 8 |
XDS Metadata Update | IHE IT Infrastructure Technical Framework, Supplement XDS Metadata Update, Revision 1.13, June 17, 2022 | Document Administrator Document Registry | Update Document Set [ITI‑57] | Allegato 5 complemento 1 OCIP‑DFI, edizione 8 |
XUA | IHE IT Infrastructure Technical Framework, Volume 2, Revision 19.0, June 17, 2022 | X-Service User X-Service Provider X-Assertion Provider User Authentication Provider | Authenticate User Get X-User Assertion Provide X-User Assertion [ITI‑40] | Allegato 5 complemento 1 OCIP‑DFI, edizione 8 |
2 Profili d’integrazione nazionali
Profilo | Documento tecnico | Attori | Transazioni |
|---|---|---|---|
CH:ADR | Allegato 5 complemento 2.15 OCIP‑DFI, profilo d’integrazione Authorization Decision Request (CH:ADR, edizione 7 | Authorization Decision Provider Authorization Decision Consumer | Authorization Decision Request (CH:ADR) |
CH:ATC | Audit Trail Consumption (CH:ATC), CH ATC, Implementation Guide Version 3.3.0, 2024‑12‑18 | Patient Audit Consumer Patient Audit Record Repository | Retrieve ATNA Audit Event [ITI‑81] |
CH:CPI | Allegato 5 complemento 2.36 OCIP‑DFI, profilo d’integrazione Community Portal Index (CH:CPI), edizione 7 | CH:CPI Consumer CH:CPI Provider | Community Information Query (CH:CIQ) Community Information Delta Download (CH:CIDD) |
CH:PPQ | Allegato 5 complemento 2.1 OCIP‑DFI, profilo d’integrazione Privacy Policy Query (CH:PPQ), edizione 7 | Policy Source Policy Repository Policy Consumer | Privacy Policy Feed (CH:PPQ‑1) Privacy Policy Retrieve (CH:PPQ‑2) |
CH:PPQm | Privacy Policy Query for Mobile (CH:PPQm), CH EPR FHIR (R4), CH:PPQm, Implementation Guide Version 4.0.1, 2024‑12‑18 | Policy Repository Policy Source Policy Consumer | Mobile Privacy Policy Feed (PPQ‑3) Mobile Privacy Policy Bundle Feed (PPQ‑4) Mobile Privacy Policy Retrieve (PPQ‑5) |