RU 2026 202
Ordinanza del DFI
sulla cartella informatizzata del paziente
(OCIP-DFI)
Modifica del 30 aprile 2026
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. 8f Disposizione transitoria della modifica del 30 aprile 2026
Fino 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 2026.
II
1 Gli allegati 2, 4, 8 e 92 (concerne soltanto il testo francese) sono modificati.
2 L’allegato 5 è sostituito dalla versione qui annessa.
III
La presente ordinanza entra in vigore il 1° giugno 2026.
30 aprile 2026 | Dipartimento federale dell’interno: Elisabeth Baume-Schneider |
Profili d’integrazione
(art. 5)
1 Profili d’integrazione IHE3
Profilo | Documento tecnico | Attori | Transazioni | Adeguamenti nazionali |
|---|---|---|---|---|
ATNA | IHE IT Infrastructure Technical Framework4, Volume 1, Revision 20.0, August 4, 2023 IHE IT Infrastructure Technical Framework, Volume 2, Revision 20.0, August 4, 2023 (ITI-19), and Revision 20.1, December 12, 2024 (ITI-20) | Secure Application Secure Audit | Authenticate Node Record Audit Event | Allegato 5 complemento 15 OCIP-DFI, RESTful ATNA, |
CT | IHE IT Infrastructure Technical Framework, Volume 1, Revision 20.0, August 4, 2023 IHE IT Infrastructure Technical Framework, Volume 2, Revision 20.0, August 4, 2023 | Time Time Server | Maintain Time | No |
HPD | IHE IT Infrastructure Technical Framework, Supplement Healthcare Provider Directory (HPD), Revision 1.8, August 28, 2020 | Provider Information Provider Information Provider Information | Provider Provider Provider | Allegato 5 complemento 1 OCIP-DFI, |
IUA | IHE IT Infrastructure Technical Framework, Supplement Internet User Authorization (IUA), Revision 2.3, May 24, 2024 | Authorization Server Authorization Client Resource Server | Get Access Token [ITI-71] Incorporate Authorization Get Authorization Server Metadata [ITI-103] | Internet User Authorization (IUA), CH EPR FHIR (R4) Implementation Guide, Version 5.0.0, |
mCSD | IHE IT Infrastructure Technical Framework, Mobile Care Services Discovery (mCSD) Implementation Guide, Version 4.0.0, 2025-05-21 | Query Update Client Data Source Directory | Find Matching Care Services [ITI-90] Care Services Feed [ITI-130] | Mobile Care Services Discovery (mCSD), CH EPR FHIR (R4) Implementation Guide, Version 5.0.0, |
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) Implementation Guide, Version 5.0.0, |
PCC | IHE Patient Care Coordination (PCC) Technical Framework, Volume 1, Revision 11.1, November 11, 2016 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, | |
PDQV3 | IHE IT Infrastructure Technical Framework, Volume 1, Revision 20.0, August 4, 2023 IHE IT Infrastructure Technical Framework, Volume 2, Revision 20.1, December 12, 2024 | Patient Demographics Consumer Patient Demographics Supplier | Patient Demographics Query HL7 V3 | Allegato 5 complemento 1 OCIP-DFI, |
PDQm | IHE IT Infrastructure Technical Framework, Patient Demographics Query for Mobile (PDQm) Implementation Guide, Version 3.1.0, 2024-12-12 | Patient Demographics Consumer Patient Demographics Supplier | Patient Demographics Match [ITI-119] | Patient Demographics Query for Mobile (PDQm), CH EPR FHIR (R4) Implementation Guide, Version 5.0.0, |
PIXV3 | IHE IT Infra-structure Technical Framework, Volume 1, Revision 20.0, August 4, 2023 IHE IT Infrastructure Technical Framework, Volume 2, Revision 20.0, August 4, 2023 | Patient Identity Source Patient Identifier Cross- Patient Identifier Cross- | Patient Identity Feed HL7 V3 PIXV3 Query | Allegato 5 complemento 1 OCIP-DFI, |
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- Patient Identifier Cross- | Mobile Patient Identifier Cross- Patient Identity Feed FHIR | Patient Identifier Cross-referencing for mobile (PIXm), CH EPR FHIR (R4) Implementation Guide, Version 5.0.0, |
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, |
SVS | IHE IT Infra-structure Technical Framework, Volume 1, Revision 20.0, August 4, 2023 IHE IT Infrastructure Technical Framework, Volume 2, Revision 20.0, August 4, 2023 | Value Set Consumer Value Set Repository | Retrieve Value Set | No |
XCA | IHE IT Infra-structure Technical Framework, Volume 1, Revision 20.1, December 12, 2024 IHE IT Infrastructure Technical Framework, Volume 2, Revision 20.0, August 4, 2023 (ITI-39), and Revision 20.1, December 12, 2024 (ITI-38) | Initiating Gateway Responding Gateway | Cross Gateway Query Cross Gateway Retrieve [ITI-39] | Allegato 5 complemento 1 OCIP-DFI, |
XCA-I | IHE Radiology Technical Framework, Volume 1 (RAD‑TF‑1), Integration Profiles, Revision 23.0, August 8, 2025 IHE Radiology Technical Framework, Volume 2 | Initiating Imaging Responding | Cross Gateway Retrieve Image Document Set [RAD-75] | No |
XCPD | IHE IT Infra-structure Technical Framework, Volume 1, Revision 20.0, August 4, 2023 IHE IT Infrastructure Technical Framework, Volume 2, Revision 20.1, December 12, 2024 | Initiating Gateway Responding Gateway | Cross Gateway Patient | Allegato 5 complemento 1 OCIP-DFI, |
XDM | IHE IT Infra-structure Technical Framework, Volume 1, Revision 20.1, December 12, 2024 IHE IT Infrastructure Technical Framework, Volume 2, Revision 20.1, December 12, 2024 | Portable Media Creator Portable Media Importer | Distribute | No |
XDS | IHE IT Infra-structure Technical Framework, Volume 1, Revision 20.1, December 12, 2024 IHE IT Infrastructure Technical Framework, Volume 2, Revision 20.0, August 4, 2023 (ITI-42, ITI-43, ITI-44), and Revision 20.1, December 12, 2024 (ITI-18, ITI-41) IHE IT Infra-structure Technical Framework, Volume 3, Revision 20.1, December 12, 2024 | Document Consumer Document Source Document Repository Document Registry Patient Identity Source | Registry Stored Query 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, |
XDS-I.b | IHE Radiology Technical Framework, Volume 1 (RAD‑TF‑1), Integration Profiles, Revision 23.0, August 8, 2025 IHE Radio-logy Technical Framework, | Imaging Document Imaging Document | Provide & Register Retrieve | Allegato 5 complemento 1 OCIP-DFI, |
XDS Metadata Update | IHE IT Infrastructure Technical Framework, Supplement XDS Metadata Update, Revision 1.14, August 4, 2023 | Document Administrator Document Registry | Update Document Set | Allegato 5 complemento 1 OCIP-DFI, |
XUA | IHE IT Infra-structure Technical Framework, Volume 1, Revision 20.0, August 4, 2023 IHE IT Infrastructure Technical Framework, Volume 2, Revision 20.1, December 12, 2024 | X-Service User X-Service Provider X-Assertion Provider User Authentication | Authenticate User Get X-User Assertion Provide X-User Assertion [ITI-40] | Allegato 5 complemento 1 OCIP-DFI, |
2 Profili d’integrazione nazionali
Profilo | Documento tecnico | Attori | Transazioni |
|---|---|---|---|
CH:ADR | Allegato 5 complemento 2.17 OCIP‑DFI, profilo d’integrazione Authorization Decision Request (CH:ADR), edizione 8 | Authorization Decision Provider Authoriza-tion Decision Consumer | Authorization Decision Request (CH:ADR) |
CH:ATC | Audit Trail Consumption (CH:ATC), | Patient Audit Consumer Patient Audit Record Repository | Retrieve ATNA Audit |
CH:CPI | Allegato 5 complemento 2.38 OCIP‑DFI, profilo d’integrazione Community Portal Index (CH:CPI), edizione 8 | 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 | Policy Source Policy Repository Policy Consumer | Privacy Policy Feed (CH:PPQ-1) Privacy Policy Retrieve |
CH:PPQm | Privacy Policy Query for Mobile (CH:PPQm), CH EPR FHIR (R4) Implementation Guide, Version 5.0.0, | 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) |