eHealth Infrastructure
3.1.0 - release

eHealth Infrastructure - Local Development build (v3.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Changelog

This is the log of changes made to the eHealth Implementation Guide.

3.1.0 (2024-05-14)

General changes

Custom operations

  • Added custom operation “retrieve-and-transform-QRD” on DocumentQuery service
  • Added custom operation “retrieve-and-transform-APD” on DocumentQuery service
  • Added custom operation “retrieve-and-transform-PHMR” on DocumentQuery service
  • Operation “retrieve-document” on DocumentQuery service has been extended with parameters consentOverride and reason to be able to specify if the operation should override the lack of consent from a patient to view their medical documents, and to indicate the reason for the override.

System operations

Instance operations

Code systems

ValueSets

ConceptMaps

Resource/profile changes

  • DkCorePractitioner set as parent for the ehealth-practitioner profile

Search parameters

  • Added search parameters consentOverride and reason on ehealth-documentreference (DocumentReference) search operation in DocumentQuery service, to be able to specify if the search should override the lack of consent from a patient to view their medical documents, and to indicate the reason for the override.

3.0.0 (2024-01-08)

General changes

  • Publisher for all resources has been changed to “Den telemedicinske infrastruktur (eHealth Infrastructure)” instead of “Systematic Trifork”

Custom operations

  • Added custom operation “deprecate-document” on DocumentTransformation service
  • Added custom operation “upload-QFDD” on DocumentTransformation service
  • Added custom operation “transform-from-QRD-based-on-questionnaire” on DocumentTransformation service
  • Updated description of “import” operation on PlanDefinition service
  • Updated description of “export” operation on PlanDefinition service

    System operations

    Instance operations

    Code systems

  • Added http://ehealth.sundhed.dk/cs/measurement-sharing-approval-policies
  • Updated urn:oid:1.2.208.176.2.1 with NPU22089 and NPU03963
  • Updated urn:oid:1.2.208.176.2.4 with ALAL codes
  • Added urn:oid:1.2.208.176.7.3.1
  • Updated urn:oid:1.2.208.184.100.1 with CMR, PDC and MADC
  • Updated urn:oid:1.2.208.184.100.10 with codes
  • Added http://ehealth.sundhed.dk/cs/ehealth-questionnaire-elements
  • Added http://ehealth.sundhed.dk/cs/clinicalimpression-investigation-item-codes
  • Updated http://ehealth.sundhed.dk/cs/ehealth-usage-context-type with questionnaire-related code

    ValueSets

  • Added http://ehealth.sundhed.dk/vs/measurement-sharing-approval-policies
  • Updated ValueSet-sundhedsdatastyrelsen-dk-ihe-classcode-vs to match DK-IHE_Metadata Value_sets 0.96.5
  • Updated ValueSet-sundhedsdatastyrelsen-dk-ihe-eventcodelists-vs to match DK-IHE_Metadata Value_sets 0.96.5
  • Updated ValueSet-sundhedsdatastyrelsen-dk-ihe-formatcode-vs to match DK-IHE_Metadata Value_sets 0.96.5
  • Updated ValueSet-sundhedsdatastyrelsen-dk-ihe-practicesettingcode-vs to match DK-IHE_Metadata Value_sets 0.96.5
  • Updated ValueSet-sundhedsdatastyrelsen-dk-ihe-typecode-vs to match DK-IHE_Metadata Value_sets 0.96.5
  • Updated ValueSet-ehealth-questionnaire-item-control to contain code slider
  • Added http://ehealth.sundhed.dk/vs/clinicalimpression-investigation-item-codes
  • Added http://ehealth.sundhed.dk/vs/ehealth-questionnaire-elements
  • Removed 412776001 and 412777005 SNOMED CT codes from http://ehealth.sundhed.dk/vs/careplan-category due to codes being removed from SNOMED CT

    ConceptMaps

  • Added http://ehealth.sundhed.dk/ConceptMap/activitydefinition-code-to-perform-sharing The map controls whether the sharingApprovalPolicy-field should be set on the given resource.

    Resource/profile changes

  • Added extension ehealth-ext-sharingApprovalPolicy to ActivityDefinition and ServiceRequest
  • Added extension ehealth-clinicalimpression-assesor-organization to ClinicalImpression
  • Added invariant to Questionnaire that only allows one sliderStepValue at a time
  • Added extention ehealth-resolved-timing to Task
  • Added extention ehealth-external-identifier to Questionnaire.QuestionnaireItem
  • Updated binding for ClinicalImpression.investigation.code to http://ehealth.sundhed.dk/vs/clinicalimpression-investigation-item-codes (example)

    Search parameters

  • Added search parameter communicationParticipant on ehealth-message (Communication) to be able to query either by CareTeam or Patient/Practitioner

2.10.0 (2023-11-09)

General changes

Custom operations

System operations

  • Added description of -s-execute-careplan-and-episode-of-care-stats operation
  • Added description of -s-execute-careplan-customization-stats operation
  • Added description of -s-execute-careplan-duration-stats operation
  • Added description of -s-execute-careplans-by-patient operation
  • Added description of -s-execute-careteam-stats operation
  • Added description of -s-execute-measurement-stats operation
  • Added description of -s-execute-patient-devices operation
  • Added description of -s-execute-patient-gdpr operation
  • Added description of -s-execute-patient-total operation
  • Added description of -s-execute-patient-usage-stats operation
  • Added description of -s-execute-practitioner-gdpr operation
  • Added description of -s-execute-practitioner-stats operation
  • Added description of -s-execute-questionnaireresponses operation
  • Added description of -s-execute-ssl-orders operation
  • Added description of -s-fetch-patient-usage-stats operation
  • Added description of -s-fetch-questionnaireresponses operation
  • Added description of -s-get-report-job-status operation
  • Added description of -s-schedule-patient-usage-stats operation
  • Added description of -s-schedule-questionnaireresponses operation#### Instance operations

    Instance operations

    Code systems

    ValueSets

    ConceptMaps

    Resource/profile changes

  • Added ehealth-questionnaire-helpText to Questionnaire.QuestionnaireItem
  • Added ehealth-enableBehavior-conditionId to EnableBehaviour in Questionnaire.QuestionnaireItem

    CarePlan (ehealth-careplan)

  • Added search parameter ‘condition’
  • Added search parameter ‘instantiates-canonical’

2.9.0 (2023-08-29)

General changes

  • Added missing documentation for group appointment/video appointment events

Custom operations

System operations

  • Added enforcement on Task (ehealth-task). Requires Task.for to contain Patient reference if Task.episodeOfCare is populated.

    Instance operations

    Code systems

    ValueSets

    ConceptMaps

  • Added http://ehealth.sundhed.dk/ConceptMap/activitydefinition-code-to-do-reminder: The map controls whether an activity shall be able to result in the production of reminders.
  • Added http://ehealth.sundhed.dk/ConceptMap/activitydefinition-code-to-measurement-resource-type: The map controls what measurement-resource-type is relevant as submission for a given activity.

Resource/profile changes

2.8.0 (2023-06-01)

General changes

  • Added mention of dataAbsentReason to intro for Observation.

Custom operations

System operations

Instance operations

Code systems

  • Added “MeasurementForAssessmentAbsentValue” to http://ehealth.sundhed.dk/cs/task-category
  • Added “data-absent” to http://ehealth.sundhed.dk/cs/clinicalimpression-finding-codes

    ValueSets

  • Added http://ehealth.sundhed.dk/vs/data-absent-reason

    ConceptMaps

    Resource/profile changes

  • Added ehealth-servicerequest-statusHistory and ehealth-servicerequest-statusSchedule to ServiceRequest
  • ehealth-observation dataAbsentReason changed to http://ehealth.sundhed.dk/vs/data-absent-reason (required)

2.7.0 (2023-03-29)

General changes

  • Changed the description in section “Automatic NemSMS Notifications” for Ehealth-message. This is related to “CCR0167 Ingen automatisk NemSMS for ehealth-message med kategori message” from Release 13.
  • Changed the descriptions of ehealth-message category to reflect CCR0154 changes.

    Custom operations

    System operations

    Instance operations

    Code systems

  • Two new codes “AppointmentReminder” and “VideoAppointmentReminder” added to “ehealth-message-reasonCode” code system.

    ValueSets

    ConceptMaps

    Resource/profile changes

  • EpisodeOfCare is now optional on Ehealth-communication-request.
    • Changed intro text for Ehealth-communication-request.
  • Clinical Impression Codes valueSet reference was accidentally deleted from Ehealth-clinicalImpression.code in last IG release. Has been reintroduced
  • Ehealth-message changed to reflect CCR0154 changes. This includes the following:
    • Device-type sender is no longer allowed for category “message”.
    • For categories “advice” and “notification”, only Device-type senders are now allowed.

2.6.0 (2023-01-16)

General changes

  • Change ValueSet bindings from id to url (FUT1-6050)
  • Fix broken SearchParameter links in patient CapabilityStatement

    Custom operations

    System operations

    Instance operations

    Code systems

  • Added http://ehealth.sundhed.dk/cs/message-reasonCode
  • Change supplement link in v3-TimingEvent to R4 link: http://terminology.hl7.org/ValueSet/v3-TimingEvent (FUT1-7461)

    ValueSets

  • Updated http://ehealth.sundhed.dk/vs/message-reasonCode to include http://ehealth.sundhed.dk/cs/message-reasonCode
  • Removed codesystem http://ehealth.sundhed.dk/cs/device-types from valueset http://ehealth.sundhed.dk/vs/device-types

    ConceptMaps

    Resource/profile changes

  • telecom.system valueset binding updated in CareTeam and Organization.

2.5.0 (2022-10-25)

General changes

Custom operations

System operations

Instance operations

Code systems

  • Updated http://ehealth.sundhed.dk/cs/task-category with new Danish descriptions.

    ValueSets

    ConceptMaps

  • Added http://ehealth.sundhed.dk/ConceptMap/activitydefinition-code-to-do-missing-measurement The map controls whether an activity shall be subjected to missing measurements checks or not.

    Resource/profile changes

2.4.0 (2022-10-11)

General changes

Custom operations

System operations

Instance operations

Code systems

  • Added codesystem for tags: http://ehealth.sundhed.dk/cs/ehealth-system
  • Added “DI50: Hjertesvigt” concept to SKS CodeSystem
  • Moved “DZ76: Personer i kontakt med sundhedsvæsenet af andre årsager” to correct place in SKS CodeSystem hierarchi

    ValueSets

  • Added “DI50: Hjertesvigt” to ehealth-conditions ValueSet

    ConceptMaps

    Resource/profile changes

  • Updated life cycle descriptions for ehealth-device and ehealth-deviceusestatement.

2.3.0 (2022-09-27)

General changes

Custom operations

System operations

Instance operations

Code systems

  • Added codes to ehealth-clinicalimpression-finding-codes: no-effective-answer-significance and no-answer-significance-defined.
  • Updated definition of green-question-answer and yellow-question-answer codes in ehealth-clinicalimpression-finding-codes.

    ValueSets

    ConceptMaps

    Resource/profile changes

  • Added extension ehealth-questionnaireresponse-basis to ehealth-clinicalimpression for additional info regarding the finding.

    Search parameters

  • Added search on ‘about’ on ehealth-message

2022.2 (2022-06-30)

General changes

Custom operations

System operations

Instance operations

Code systems

  • Added http://ehealth.sundhed.dk/cs/ehealth-clone-operation for Clone operation codes major-version, minor-version and copy
  • Updated SKS with new concepts from exttest
  • Updated some descriptions of DAK-E-Codes

    Naming systems

  • Added http://ehealth.sundhed.dk/id/ehealth-environment as naming system for all ehealth environments

    ValueSets

  • http://ehealth.sundhed.dk/vs/trigger-behavior now includes concept one-or-more instead of any
  • Updated http://ehealth.sundhed.dk/vs/conditions with new conditions from exttest

    ConceptMaps

    Resource/profile changes

    ActionGuidance

  • Cardinality of ehealth-actionguidance-for changed to 0..*

    View

  • Cardinality of ehealth-view-for changed to 0..*

    ActivityDefinition, PlanDefinition and Questionnaire

  • Added extension ehealth-base as an Identifier to describe the first business-version of a resource for ehealth-activitydefinition, ehealth-plandefinition and ehealth-questionnaire in ehealth-plandefinition.fsh, ehealth-activitydefinition.fsh and ehealth-questionnaire.fsh
  • Added extension ehealth-predecessor as Identifier to describe which business-version precessed the current resource for ehealth-activitydefinition, ehealth-plandefinition and ehealth-questionnaire in ehealth-plandefinition.fsh, ehealth-activitydefinition.fsh and ehealth-questionnaire.fsh
  • Added extension ehealth-base-environment as Identifier to describe which ehealth environment a resource originate from for ehealth-activitydefinition, ehealth-plandefinition and ehealth-questionnaire in ehealth-plandefinition.fsh, ehealth-activitydefinition.fsh and ehealth-questionnaire.fsh
  • Added extension ehealth-employee-title as title directed at clinicians for ehealth-activitydefinition, ehealth-plandefinition and ehealth-questionnaire in ehealth-activitydefinition.fsh, ehealth-plandefinition.fsh and ehealth-questionnaire.fsh

    Questionnaire

  • Added extension ehealth-usage as description directed at clinicians for ehealth-activitydefinition in ehealth-questionnaire.fsh
  • Added extension item.ehealth-questionnaire-shortText for ehealth-questionnaire in ehealth-questionnaire.fsh
  • Added more detailed description of Answer Significance to the Questionnaire profile.

    PlanDefinition

  • Added description of group-actions and timing to PlanDefinition intro

2022.1 (2022-01-19)

General changes

  • Cleaned up some obselete references to ProcedureRequest
  • Added link to Documentreference Search in operations list

Custom operations

  • Added description of output parameters for $get-patient-procedures

    System operations

    Instance operations

    Code systems

  • Added CodeSystem http://ehealth.sundhed.dk/cs/action-type
  • Added CodeSystem http://ehealth.sundhed.dk/cs/action
  • Added CodeSystem http://ehealth.sundhed.dk/cs/trigger-enablement-code
  • Added approved-view to CodeSystem: http://ehealth.sundhed.dk/cs/clinicalimpression-codes
  • Added citizen-view-approved to CodeSystem: http://ehealth.sundhed.dk/cs/clinicalimpression-decision-codes

ValueSets

  • Added ValueSet http://ehealth.sundhed.dk/vs/action
  • Added ValueSet http://ehealth.sundhed.dk/vs/trigger-behavior
  • Added ValueSet http://ehealth.sundhed.dk/vs/trigger-enablement-code

ConceptMaps

Resource/profile changes

  • Removed mediaInvestigationItem from ehealth-clinicalimpression.fsh
  • Added ehealth-media as option for investigation.item in ehealth-clinicalimpression.fsh

ActionGuidiance and View

  • Both ActonGuidance and View extends Basic FHIR resource. New added extensions common for both:
    • actionguidance-view-title - http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-actionguidance-view-title
    • version - http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-version
    • description - http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-description
    • purpose - http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-purpose
    • useContext - http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-useContext
    • status - http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-status
    • content - http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-content
    • code - http://ehealth.sundhed.dk/fhir/StructureDefinition/basic-resource-type
  • New extensions for ActionGuidance
    • actionguidance-type - http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-actionguidance-type
    • actionguidance-for -http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-actionguidance-for
  • New extensions for View
    • view-type - http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-view-type
    • view-for - http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-view-for

ClinicalImpression

  • Added extension: ehealth-clinicalimpression-viewInvestigationItem

Questionnaire

  • added new xhtml extensions

QuestionnaireAdvanced

  • QuestionnaireAdvanced extends EHealthQuestionnaire with new added extensions:
    • calculatedExpression - http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression
    • UsageMode - http://hl7.org/fhir/StructureDefinition/questionnaire-usageMode
    • OrdinalValue - http://hl7.org/fhir/StructureDefinition/ordinalValue
    • Variable - http://hl7.org/fhir/StructureDefinition/variable

PlanDefinition

  • added extensions to PlanDefinition to enable actions performed by the planDefinition along with the conditions for the action
    • Action ActionTrigger - Profile http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-actionTrigger
    • TriggerCondition - Profile http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-triggerCondition

ServiceRequest

  • added extension to ServiceRequest to enable a reaction to trigger conditions expressed in other activities.
    • TriggerEnablementCode - profile http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-trigger-enablement-code

Task

  • Clarified the use of Task.focus element

2021.3 (2021-10-28)

General changes

The changes described here are those beyond changes made with the FHIR R4 migration (see section Changes with FHIR R4 Migration).

Custom operations

System operations

Instance operations

Code systems

  • Added CodeSystem http://ehealth.sundhed.dk/cs/questionnaire-item-significance-indicator

ValueSets

  • Added ValueSet http://ehealth.sundhed.dk/vs/questionnaire-item-control
  • Added ValueSet http://ehealth.sundhed.dk/vs/questionnaire-item-significance-indicator
  • Added ValueSet http://ehealth.sundhed.dk/vs/questionnaire-item-image-format

ConceptMaps

Resource/profile changes

Questionnaire

  • Added extensions to Questionnaire Item to support small images on items and answer options, as well as item control, answer significance and answer conditions:
    • Item Image - Profile http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-appointment
    • Item Control - Profile http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
    • Item AnswerSignificance - Profile http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-questionnaire-answerSignificance
    • AnswerCondition - Profile http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-answer-Condition

StructureDefinition ehealth-modifier-role and ehealth-recommendation

  • Replaced TBD in StructureDefinitions ehealth-modifier-role and ehealth-recommendation

Changes with FHIR R4 Migration

The entire eHealth Implementation Guide has been migrated from FHIR STU3 to FHIR R4. Core migration changes described in https://www.hl7.org/fhir/r4/diff.html are mentioned in the changelog entries below only when significant to eHealth use. For instance, such mentioning could be that another FHIR element, possible introduced with FHIR R4, is now used instead of a FHIR STU3 element.

Custom operations

System operations

Instance operations

Code systems

ValueSets

  • Removed ValueSet with url http://ehealth.sundhed.dk/vs/it-selfreliance as not used and defined using system SNOMED CT but non-SNOMED CT concepts.

    ConceptMaps

    Resource/profile changes

  • Added extension workflow-episodeOfCare to reintroduce reference to EpisodeOfCare (as removed with FHIR R4). This extension is added to all clinical resources that previously had a context reference. The episodeOfCare reference is now mandatory in all cases.

Communication (ehealth-message)

  • Added search parameter ‘episodeOfCare’ for querying extension http://hl7.org/fhir/StructureDefinition/workflow-episodeOfCare

Appointment

  • Element ‘reasonCode’ is used instead of ‘reason’ as that har been removed in FHIR R4

  • serviceType must now be set depending on the value of meta/profile (with system “http://ehealth.sundhed.dk/cs/appointment-servicetype” for all codes):

      Profile 'http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-appointment' => code = 'regular'
  Profile 'http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-videoappointment' => code = 'video'
  Profile 'http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-group-appointment' => code = 'group'
  Profile 'http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-group-videoappointment' => code = 'group-video'

Patient

  • Now inherits from dk-core Patient: https://build.fhir.org/ig/hl7dk/dk-core//StructureDefinition-dk-core-patient.html
  • This means that earlier ehealth-patient extensions are replaced by corresponding dk-core extensions
  • Also, earlier CRN/CPR slicing on identifier, telecom, and address is replaced by the corresponding dk-core slicing

CarePlan

DeviceUseStatement

  • No change: FHIR STU3 element whenUsed period to be modelled through element timing (as whenUsed removed in FHIR R4).

ProcedureRequest

  • Removed in FHIR R4. Replaced by ServiceRequest

ServiceRequest

  • Added and adapted as replacement for ProcedureRequest

2021.2 (2021-05-05)

System operations

  • Added description and example of -s-get-patient-procedures operation

Code systems

  • Added new code mg/L to http://ehealth.sundhed.dk/cs/ehealth-ucum-printsymbol-supplement
  • Added new code Cel to http://ehealth.sundhed.dk/cs/ehealth-ucum-printsymbol-supplement
  • Added new code 1/min to http://ehealth.sundhed.dk/cs/ehealth-ucum-printsymbol-supplement
  • Added new code percentpoint to http://ehealth.sundhed.dk/cs/ehealth-ucum-printsymbol-supplement
  • Added new code percentpoint to http://ehealth.sundhed.dk/cs/ehealth-unit-code
  • Added concept ‘ExpectedDelivery’ to http://ehealth.sundhed.dk/cs/task-category
  • Added concept ‘MeasurementForAssessmentNotTriaged’ to http://ehealth.sundhed.dk/cs/task-category
  • Changed content value from ‘fragment’ to ‘complete’ in urn:oid:1.2.208.184.100.1
  • Changed content value from ‘fragment’ to ‘complete’ in urn:oid:1.2.208.176.2.4
  • Changed content value from ‘fragment’ to ‘complete’ in urn:ietf:bcp:47
  • Added relative reference values to http://ehealth.sundhed.dk/cs/reference-range-type
  • Added new code system: http://ehealth.sundhed.dk/cs/goal-description
  • Added new code system: http://ehealth.sundhed.dk/cs/resolved-timing-type
  • Added new code system: http://ehealth.sundhed.dk/cs/ehealth-provenance-policies
  • Removed offending HTML from display: urn:oid:1.2.208.176.2.1
  • Removed offending HTML from display: urn:oid:1.2.208.184.100.8
  • Removed concepts marked as deprecated from code system http://ehealth.sundhed.dk/cs/careteam-participant-role
  • Removed concepts marked as deprecated from code system http://ehealth.sundhed.dk/cs/oio-bpp-roles

    ValueSets

  • Added new valueSet: http://ehealth.sundhed.dk/vs/goal-description
  • Added new valueSet: http://ehealth.sundhed.dk/vs/goal-target-measure
  • Added new valueSet: http://ehealth.sundhed.dk/vs/resolved-timing-type
  • Changed valueSet: http://ehealth.sundhed.dk/vs/ehealth-provenance-policies
  • Changed valueSet: http://ehealth.sundhed.dk/vs/facility-type-codes

    ConceptMaps

  • Added mapping for code mg/L to http://ehealth.sundhed.dk/ConceptMap/conceptmap-ucum-to-printsymbol
  • Added mapping for code Cel to http://ehealth.sundhed.dk/ConceptMap/conceptmap-ucum-to-printsymbol
  • Added mapping for code /min to http://ehealth.sundhed.dk/ConceptMap/conceptmap-ucum-to-printsymbol
  • Added mapping for code percentpoint to http://ehealth.sundhed.dk/ConceptMap/conceptmap-ucum-to-printsymbol
  • Added mapping for code NPU08676 to http://ehealth.sundhed.dk/ConceptMap/conceptmap-obs-code-to-ucum
  • Added mapping for code NPU19748 to http://ehealth.sundhed.dk/ConceptMap/conceptmap-obs-code-to-ucum
  • Changed mapping for code MCS88023 in http://ehealth.sundhed.dk/ConceptMap/conceptmap-obs-code-to-ucum
  • Added mapping for code NPU08676 to http://ehealth.sundhed.dk/ConceptMap/conceptmap-obs-code-to-value-type
  • Added mapping for code NPU19748 to http://ehealth.sundhed.dk/ConceptMap/conceptmap-obs-code-to-value-type
  • Removed mapping for code urn:dk:sundhed:ehealth:role:supporter in http://ehealth.sundhed.dk/ConceptMap/oio-bpp-roles-to-careteam-participant-roles
  • Removed mapping for code urn:dk:sundhed:ehealth:role:team_administrator in http://ehealth.sundhed.dk/ConceptMap/oio-bpp-roles-to-careteam-participant-roles
  • Removed mapping for code urn:dk:sundhed:ehealth:role:administrator in http://ehealth.sundhed.dk/ConceptMap/oio-bpp-roles-to-careteam-participant-roles
  • Removed mapping for code urn:dk:sundhed:ehealth:role:report_generator in http://ehealth.sundhed.dk/ConceptMap/oio-bpp-roles-to-careteam-participant-roles
  • Removed mapping for code urn:dk:sundhed:ehealth:role:treatment_responsible in http://ehealth.sundhed.dk/ConceptMap/oio-bpp-roles-to-careteam-participant-roles
  • Removed mapping for code urn:dk:sundhed:ehealth:role:monitoring_responsible in http://ehealth.sundhed.dk/ConceptMap/oio-bpp-roles-to-careteam-participant-roles
  • Removed mapping for code urn:dk:sundhed:ehealth:role:healthcare_professional in http://ehealth.sundhed.dk/ConceptMap/oio-bpp-roles-to-careteam-participant-roles
  • Removed mapping for code urn:dk:sundhed:ehealth:role:administrative_personnel in http://ehealth.sundhed.dk/ConceptMap/oio-bpp-roles-to-careteam-participant-roles
  • Removed mapping for code urn:dk:sundhed:ehealth:role:tele_medicine_actor in http://ehealth.sundhed.dk/ConceptMap/oio-bpp-roles-to-careteam-participant-roles
  • Removed mapping for code urn:dk:sundhed:ehealth:role:incident_locator in http://ehealth.sundhed.dk/ConceptMap/oio-bpp-roles-to-careteam-participant-roles
  • Removed mapping for code urn:dk:sundhed:ehealth:role:user_administrator in http://ehealth.sundhed.dk/ConceptMap/oio-bpp-roles-to-careteam-participant-roles

    Resource/profile changes

  • Added ehealth-goal profile. Used to specify reference base values for relative reference ranges.
  • Added new extension: ehealth-resolved-timing to Observation, QuestionnaireResponse, Media

2020.8 (2021-01-12)

Code systems

  • Added http://ehealth.sundhed.dk/cs/ehealth-usage-context-type

    ValueSets

  • Added http://ehealth.sundhed.dk/vs/ehealth-usage-context-type
  • Expanded http://ehealth.sundhed.dk/vs/clinicalimpression-finding-codes with http://ehealth.sundhed.dk/vs/observation-codes

    ConceptMaps

  • Added http://ehealth.sundhed.dk/ConceptMap/conceptmap-obs-code-to-value-type

Resource/profile changes

Appointment (ehealth-appointment)

  • Added search parameter intended-audience
  • Added performing organization to appointments in order to support export of CDA’s. Use is required when stating legal basis

Video appointment (ehealth-videoappointment)

  • Added performing organization to appointments in order to support export of CDA’s. Use is required when stating legal basis

Group appointment (ehealth-group-appointment)

  • Initial version

Group video appointment (ehealth-group-videoappointment)

  • Initial version

Creator (ehealth-creator)

  • Initial version

Assigning careteam (ehealth-assigning-careteam)

  • Initial version

Registration deadline (ehealth-registration-deadline)

  • Initial version

Min participants (ehealth-min-participants)

  • Initial version

Library (eHealth-library)

  • Changed valueset binding for useContext to http://ehealth.sundhed.dk/vs/ehealth-usage-context-type

2020.7 (2020-10-28)

Code systems

  • Added http://ehealth.sundhed.dk/cs/overviewUsageMode

    ValueSets

  • Added http://ehealth.sundhed.dk/vs/overviewUsageMode

Resource/profile changes

  • Added extension OverviewUsageMode

Appointments (ehealth-appointment)

  • Removed organization as an option for being listed as responsible on all appointments

Video appointments (ehealth-videoappointment)

  • Made responsible mandatory on video appointments
  • Removed organization as an option for being listed as responsible on all appointments

Questionnaire

  • Added extension OverviewUsageMode to item

PlanDefinition

  • Added extension OverviewUsageMode to action

Defined question (ehealth-definedquestion)

  • Initial version

Code systems

  • Added new code 1/30sec to http://ehealth.sundhed.dk/cs/ehealth-ucum-printsymbol-supplement
  • Added new system http://ehealth.sundhed.dk/cs/ehealth-unit-code with code 1/30sec
  • Added new code RequiredQuestionAnswerMissing to http://ehealth.sundhed.dk/cs/task-category
  • Added new code RefBaseFixingNeeded to http://ehealth.sundhed.dk/cs/task-category
  • Added new code RefBaseNeeded to http://ehealth.sundhed.dk/cs/task-category
  • Added new code RefRangeFixingNeeded to http://ehealth.sundhed.dk/cs/task-category
  • Added new code RefRangeNeeded to http://ehealth.sundhed.dk/cs/task-category
  • Added new code LibraryUseMismatchFixingNeeded to http://ehealth.sundhed.dk/cs/task-category
  • Added new code MeasurementForAssessmentFailureInAutoProcessing to http://ehealth.sundhed.dk/cs/task-category
  • Added new code red-question-answer to http://ehealth.sundhed.dk/cs/clinicalimpression-finding-codes
  • Added new code yellow-question-answer to http://ehealth.sundhed.dk/cs/clinicalimpression-finding-codes
  • Added new code green-question-answer to http://ehealth.sundhed.dk/cs/clinicalimpression-finding-codes

ValueSets

  • Added new valueSet http://ehealth.sundhed.dk/vs/ehealth-unit to include the valueSets http://ehealth.sundhed.dk/vs/ehealth-unit-code and http://hl7.org/fhir/ValueSet/ucum-common
  • Added new valueSet http://ehealth.sundhed.dk/vs/ehealth-unit-code to include the system http://ehealth.sundhed.dk/cs/ehealth-unit-code
  • Changed includes in http://ehealth.sundhed.dk/vs/task-category to include the system http://ehealth.sundhed.dk/cs/task-category instead of the concepts individually

ConceptMaps

  • Added new group in http://ehealth.sundhed.dk/ConceptMap/conceptmap-obs-code-to-ucum
  • Added new group in http://ehealth.sundhed.dk/ConceptMap/conceptmap-ucum-to-printsymbol

Resource/profile changes

Reference range (ehealth-referenceRange)

  • ehealth-referenceRange, used in ActivityDefinition and ProcedureRequest, definitions have been added to clarify that low and high values are inclusive, just like they are on Observation.referenceRange

Questionnaire

  • Updated introduction to describe use of minOccurs and maxOccurs.

2020.6.1 (2020-09-04)

Code systems

  • Added http://ehealth.sundhed.dk/cs/ehealth-ucum-printsymbol-supplement

    ValueSets

  • Added http://ehealth.sundhed.dk/vs/ehealth-ucum-printsymbol-supplement

    ConceptMaps

  • Added http://ehealth.sundhed.dk/ConceptMap/conceptmap-obs-code-to-ucum
  • Added http://ehealth.sundhed.dk/ConceptMap/conceptmap-ucum-to-printsymbol

2020.6 (2020-08-20)

General changes

Custom operations

  • added plandefinition-export and plandefinition-import

    Code systems

  • Added new code CalibrationNeeded to http://ehealth.sundhed.dk/cs/task-category
  • Added new code OpenSSLOrder to http://ehealth.sundhed.dk/cs/task-category

    ValueSets

  • Added new code CalibrationNeeded to http://ehealth.sundhed.dk/vs/task-category
  • Removed code 313299006 from http://ehealth.sundhed.dk/vs/conditions
  • Added new code OpenSSLOrder to http://ehealth.sundhed.dk/vs/task-category

    SearchParameters

  • added careteamParticipant as search parameter on Appointments

    Resource/profile changes

  • added minimum requirement of 1 identifier for eHealth-Organization
  • added administrative-status required on eHealth-Message
  • DeviceMetric.type and DeviceMetric.unit strength changed from ‘preferred’ to ‘required’

2020.5 (2020-06-25)

Resource/profile changes

Patient

  • Fixed krs profile name and slicing on identifier
  • Opened up that patients does not necessarily have an address (the case for patients with name and address protection)

Careplan

  • Added teamSchedule and statusSchedule

EpisodeOfCare

  • Added teamSchedule and statusSchedule

CommunicationRequest

  • Changed cardinality of BasedOn to 0..1

2020.4 (2020-05-25)

Custom operations

System operations

  • Changed description and example of -s-persist-login operation

Resource/profile changes

Appointment (ehealth-appointment / ehealth-videoappointment)

  • Changed binding to correct jurisdiction valueset is now enforced

Organization (ehealth-organization)

  • Added description of extension organization-source to intro

2020.3 (2020-04-30)

Custom operations

Instance operations

  • Updated descriptions for reporting operations
  • Added traverse-to-sor instance operation

2020.2 (2020-03-27)

Custom operations

System operations

  • Added description and example of -s-persist-login operation

Instance operations

  • Changes to CodeSystem, ValueSet, ConceptMap and NamingSystem are limited to those not entirely defined through the terminology administration application.

Resource/profile changes

Device (ehealth-device)

  • Changed so status is mandatory

Observation (ehealth-observation)

  • Changed so device is not mandatory

Task (ehealth-task)

  • Changed introduction to reflect Task elements for resources created by automated processing.

2020.1 (2020-02-04)

General changes

  • Changed wording in Reader’s Guide on value sets and code systems
  • Added capability statement for Document Query Service
  • Added capability statement for Reporting Service
  • Changed typos on UCUM in General Guidance

Example operations updated.

Custom operations

System operations

Instance operations

Code systems

  • Added urn:oid:1.2.208.184.100.9
  • Added urn:oid:1.2.208.184.100.10
  • Added http://ehealth.sundhed.dk/cs/jurisdiction
  • Added http://ehealth.sundhed.dk/cs/message-category
  • Added http://ehealth.sundhed.dk/cs/message-medium
  • Added http://snomed.info/sct/554471000005108/version/20150731
  • Added http://snomed.info/sct/554471000005108/version/20180331
  • Added http://snomed.info/sct/554471000005108/version/20180930
  • Changed http://ehealth.sundhed.dk/cs/careteam-participant-role
  • Changed http://ehealth.sundhed.dk/cs/oio-bpp-roles
  • Changed http://ehealth.sundhed.dk/cs/organization-relation-type
  • Changed https://www.iso.org/obp/ui/#iso:code:3166:DK
  • Changed urn:oid:1.2.208.184.100.8
  • Changed urn:oid:1.2.208.176.2.1
  • Removed http://ehealth.sundhed.dk/cs/document-class
  • Removed http://ehealth.sundhed.dk/cs/document-type
  • Removed http://www.example.com/medcom/document-class
  • Added urn:oid:1.2.208.176.2.4
  • Updated urn:oid:1.2.208.176.2.1
  • Updated urn:oid:1.2.208.184.100.8
  • Removed http://ehealth.sundhed.dk/cs/practitioner-role

ValueSets

  • Added http://sundhedsdatastyrelsen.dk/terminologi/dk-ihe-eventcodelists-vs
  • Added http://sundhedsdatastyrelsen.dk/terminologi/dk-ihe-classcode-vs
  • Added http://sundhedsdatastyrelsen.dk/terminologi/dk-ihe-formatcode-vs
  • Added http://sundhedsdatastyrelsen.dk/terminologi/dk-ihe-healthcarefacilitytypecode-vs
  • Added http://sundhedsdatastyrelsen.dk/terminologi/dk-ihe-practicesettingcode-vs
  • Added http://sundhedsdatastyrelsen.dk/terminologi/dk-ihe-typecode-vs
  • Added http://ehealth.sundhed.dk/vs/jurisdiction
  • Added http://ehealth.sundhed.dk/vs/message-reasonCode
  • Changed http://ehealth.sundhed.dk/vs/document-class
  • Changed http://ehealth.sundhed.dk/vs/document-type
  • Changed http://ehealth.sundhed.dk/vs/event-type-codes
  • Changed http://ehealth.sundhed.dk/vs/facility-type-codes
  • Changed http://ehealth.sundhed.dk/vs/format-codes
  • Changed http://ehealth.sundhed.dk/vs/organization-specialty
  • Changed http://ehealth.sundhed.dk/vs/practice-setting-codes
  • Changed http://ehealth.sundhed.dk/vs/reference-range-type
  • Changed http://ehealth.sundhed.dk/vs/regional-subdivision-codes
  • Changed http://ehealth.sundhed.dk/vs/sor-organization-specialty
  • Changed http://ehealth.sundhed.dk/vs/sor-organization-type
  • Included ValueSet http://ehealth.sundhed.dk/vs/observation-codes in ValueSet http://ehealth.sundhed.dk/vs/reference-range-type
  • Included ValueSet http://ehealth.sundhed.dk/vs/observation-codes in ValueSet http://ehealth.sundhed.dk/vs/activitydefinition-code
  • Removed http://ehealth.sundhed.dk/vs/practitioner-role

NamingSystems

  • Added ehealth-identifier - An identifier used internally in eHealth, possibly used for identifiers when transforming to CDA document representations of resources

ConceptMaps

  • Removed http://fhir.ch/ig/ch-core/ConceptMap/maritalstatus-ech11-to-fhir
  • Added http://ehealth.sundhed.dk/ConceptMap/oio-bpp-roles-to-careteam-participant-roles

Resource/profile changes

  • Added deceased extension for use on Person when doing Person$match
  • Removed http://ehealth.sundhed.dk/cs/practitioner-role profile
  • Added PractitionerRole structure definition

#### CareTeam (ehealth-careteam)

  • Added extension telecom

ActivityDefinition (ehealth-activitydefinition)

  • ActivityDefinition.jurisdiction bound to ValueSet “http://ehealth.sundhed.dk/vs/jurisdiction”

Appointment (ehealth-appointment)

  • Updated introduction to describe group-id
  • Added
    • Appointment.extionsion:responsible.value[x]:valueReference
    • Appointment.extension:groupId
    • Appointment.extension:legalBasis
    • Appointment.extionsen:releasableResource
  • Changed
    • Appointment.supportingInformation
      • Cardinality max 1
      • Reference to ehealth-episodeofcare
    • Appointment.participant.extension:careteam
      • Cardinality max 1

AppointmentResponse (ehealth-appointmentresponse)

  • Removed

EpisodeOfCare (ehealth-episodeofcare)

  • Updated introduction to mention correct initial status

CommunicationRequest (ehealth-communication-request)

  • Added introduction

DeviceMetric (ehealth-devicemetric)

  • Changed valueset binding for type/unit to http://ehealth.sundhed.dk/vs/device-measurement-unit

Library (ehealth-library)

  • Library.jurisdiction bound to ValueSet http://ehealth.sundhed.dk/vs/jurisdiction

Message (ehealth-message)

  • Updated introduction to explain use of group-id
  • Added
    • Communication.extension:threadId.valueString:valueString
    • Communication.extension:groupId
  • Profiled
    • Communication.reasonCode.coding

Organization (ehealth-organization)

  • Updated introduction to mention organizations not maintained by SOR or STS-ORG registries

Observation (ehealth-observation)

  • Changed element Observation.component.code value set binding to http://ehealth.sundhed.dk/vs/observation-codes
  • Changed strength of Observation.component.code value set binding to “required”
  • Observation.component.referenceRange.type was changed to http://ehealth.sundhed.dk/vs/reference-range-type
  • Observation.component.value[x] was changed to contain either Quantity or CodeableConcept

PlanDefinition (ehealth-plandefinition)

  • PlanDefinition.jurisdiction bound to ValueSet http://ehealth.sundhed.dk/vs/jurisdiction

Questionnaire (ehealth-questionnaire)

  • Profiled
    • Questionnaire.jurisdiction

Task (ehealth-task)

  • Updated intro description

VideoAppointment (ehealth-videoappointment)

  • Updated introduction to mention vmr-uri, host pin code, group id
  • Added
    • Appointment.extension.value[x]
    • Appointment.extension.groupId
  • Changed
    • Appointment.responsible
      • cardinality 0..1
    • Appointment.participant.careteam
      • cardinality 0..1

Events

  • Added description of EHealthContextEvent

2019.6.1 (2019-12-04)

Code systems

  • All CodeSystem migrated to active status
  • Added http://ehealth.sundhed.dk/cs/oio-organization-type
  • Added http://ehealth.sundhed.dk/cs/oio-bpp-roles

ValueSets

  • All ValueSet migrated to active status
  • Added http://ehealth.sundhed.dk/vs/oio-organization-type
  • Added http://ehealth.sundhed.dk/vs/oio-bpp-roles
  • Changed include of http://hl7.org/fhir/ValueSet/practitioner-role in ehealth-practitioner-role to be of type valueSet instead of system
  • Included ValueSet http://hl7.org/fhir/ValueSet/metric-category in ValueSet http://ehealth.sundhed.dk/vs/ssl-catalogue-item-annotations

ConceptMaps

  • All ConceptMap migrated to active status
  • Added oiobpp-roles-to-participant-role

Resource/profile changes

  • Added CommunicationRequest profile

Appointment (ehealth-appointment)

  • Max. one CareTeam per participant (0..n by mistake)
  • Organization no longer possible as responsible
  • Added extension for (optional) group-id to correlate different appointments
  • Added search parameter for group-id

VideoAppointment (ehealth-videoappointment)

  • Max. one CareTeam per participant (0..n by mistake)
  • At most one responsible party (was 0..n by mistake)
  • Organization no longer possible as responsible
  • Added extension for (optional) group-id to correlate different video appointments
  • Added search parameter for group-id

Message (ehealth-message)

  • Added “title” extension to allow message “subject”
  • Maximum allow 1 senderCareTeam/recipientCareTeam (multiple were allowed earlier by error)
  • ReasonCode extended to allow task-category codes
  • Added extension for (optional) group-id to correlate different messages
  • Fixed search parameter for restriction-category
  • Added search parameter for group-id

2019.6 (2019-11-08)

General changes

  • Added list of error messages
  • Added missing operations in operations tables for capability statements (issue fixed by new release of IG Publisher tool used for generating this Implementation Guide)
  • Added capabilitystatement for CarePlan Service, Device Service, Library Service, Document Transformation Service, Task Service and Plan Service
  • Removed capabilitystatement for Clinical Domain Stub - Systematic
  • Updated -s-create-episode-of-care operation examples for ehealth-episodeofcare
  • Added description of message broker event messages
  • Changed extension modifierRole to contain only ehealth-organization type reference
  • Added page containing operation examples for all custom operations
  • Update all operation examples
  • Restructured Operations and Search parameters section
  • Added specification of how Quantity and its defined variations should be used to General Guidance
  • Emptied FHIR Resources Slated for Use or Profiling on page Profiles
  • Removed descriptions of unused extensions ehealth-author, ehealth-questionnaire-author, and ehealth-questionnaire-custodian.
  • Removed ehealth-appointmentresponse profile
  • Removed ehealth-detached-provenance (FUT1-2623 and FUT1-2734)

Custom operations

System operations

  • Changed description of -s-create-episode-of-care
  • Added description and example of -s-is-context-allowed operation
  • Changed description of Library-i-evaluate
  • Changed description of createPatient
  • Added description of match on Person

Instance operations

Code systems

  • Added http://ehealth.sundhed.dk/cs/library-type defining code automated-processing
  • Added http://ehealth.sundhed.dk/cs/device-safety
  • Added http://ehealth.sundhed.dk/cs/device-calibration-period
  • Added http://ehealth.sundhed.dk/cs/device-calibration-actor
  • Added http://ehealth.sundhed.dk/cs/device-service-type
  • Added http://ehealth.sundhed.dk/cs/clinicalimpression-decision-codes
  • Added http://ehealth.sundhed.dk/cs/restriction-category
  • Added http://ehealth.sundhed.dk/cs/organization-source
  • Added http://ehealth.sundhed.dk/cs/sor-organization-type
  • Added http://ehealth.sundhed.dk/cs/sor-organization-specialty
  • Added http://ehealth.sundhed.dk/cs/organization-synchronization-status
  • Added http://ehealth.sundhed.dk/cs/fs3-citizen-importance-scores
  • Added http://ehealth.sundhed.dk/cs/fs3-citizen-performance-scores
  • Added http://ehealth.sundhed.dk/cs/fs3-group-communitylife
  • Added http://ehealth.sundhed.dk/cs/fs3-group-mentalfunctions
  • Added http://ehealth.sundhed.dk/cs/fs3-group-mobility
  • Added http://ehealth.sundhed.dk/cs/fs3-group-practicaltasks
  • Added http://ehealth.sundhed.dk/cs/fs3-group-selfcare
  • Added http://ehealth.sundhed.dk/cs/fs3-health-communication
  • Added http://ehealth.sundhed.dk/cs/fs3-health-excretion-of-waste-materials
  • Added http://ehealth.sundhed.dk/cs/fs3-health-function-level
  • Added http://ehealth.sundhed.dk/cs/fs3-health-knowledge-and-development
  • Added http://ehealth.sundhed.dk/cs/fs3-health-musculoskeletal
  • Added http://ehealth.sundhed.dk/cs/fs3-health-nutrition
  • Added http://ehealth.sundhed.dk/cs/fs3-health-pain-and-sensory-impressions
  • Added http://ehealth.sundhed.dk/cs/fs3-health-psychosocial-conditions
  • Added http://ehealth.sundhed.dk/cs/fs3-health-respiration-and-circulation
  • Added http://ehealth.sundhed.dk/cs/fs3-health-sexuality
  • Added http://ehealth.sundhed.dk/cs/fs3-health-skin-and-mucous-membranes
  • Added http://ehealth.sundhed.dk/cs/fs3-health-sleep-and-rest
  • Added http://ehealth.sundhed.dk/cs/fs3-scores
  • Added http://ehealth.sundhed.dk/cs/percentage-codes
  • Added http://ehealth.sundhed.dk/cs/ehealth-communication-category
  • Added new code SSLPCI to http://ehealth.sundhed.dk/cs/consent-category
  • Added new codes 550891000005100, 398070004, 550811000005108, 557511000005107, 550411000005105, 264372000, 557501000005109, 554851000005102, 557531000005103, 20078004, 722173008, 554221000005108, 554031000005103, 546821000005103, 702871004, 554061000005105, 276037005, 550861000005106, 547011000005103, 546811000005109, 554881000005108, 554861000005100, 554821000005109, 550621000005101, 702824005, 557591000005104, 554411000005101, 550631000005103, 550641000005106, 557521000005101, 557561000005105, 557541000005106, 550651000005108, 550661000005105, 557581000005102, 557671000005101, 42665001, 554211000005102, 554871000005105, 550711000005101, 556841000005105, 550821000005102, 550671000005100, 264361005, 554041000005106, 554021000005101, 703069008, 550681000005102, 550691000005104, 550701000005104, 554231000005106, 554051000005108, 550871000005101, 554241000005103, 309964003, 550841000005107, 309904001, 551611000005102, 309939001, 225728007, 554071000005100, 550831000005104, 255203001, 449171008, 448225001 to http://snomed.info/sct
  • Added new specialty codes 394537008, 394577000, 394579002, 394580004, 394581000, 394582007, 394583002, 394584008, 394585009, 394587001, 394588006, 394589003, 394591006, 394592004, 394594003, 394596001, 394600006, 394601005, 394603008, 394604002, 394605001, 394608004, 394609007, 394610002, 394611003, 394612005, 394801008, 394803006, 394805004, 394807007, 394809005, 394810000, 394811001, 394812008, 394821009, 394914008, 394915009, 408443003, 408448007, 408454008, 408463005, 408472002, 418112009, 419192003, 421661004, 551411000005104, 554011000005107, 773568002 to http://snomed.info/sct
  • Changed http://ehealth.sundhed.dk/cs/derived-quality-base so the codes are not in all caps

ValueSets

  • Added http://ehealth.sundhed.dk/vs/library-type including code automated-processing
  • Added http://ehealth.sundhed.dk/vs/device-measurement-unit
  • Added http://ehealth.sundhed.dk/vs/device-safety
  • Added http://ehealth.sundhed.dk/vs/device-calibration-type
  • Added http://ehealth.sundhed.dk/vs/device-calibration-period
  • Added http://ehealth.sundhed.dk/vs/device-calibration-actor
  • Added http://ehealth.sundhed.dk/vs/device-service-types
  • Added http://ehealth.sundhed.dk/vs/ssl-catalogue-item-annotations
  • Added http://ehealth.sundhed.dk/vs/clinicalimpression-decision-codes
  • Added http://ehealth.sundhed.dk/vs/restriction-category
  • Added http://ehealth.sundhed.dk/vs/sor-organization-type
  • Added http://ehealth.sundhed.dk/vs/sor-organization-specialty
  • Added http://ehealth.sundhed.dk/vs/organization-source
  • Added http://ehealth.sundhed.dk/vs/organization-specialty
  • Added http://ehealth.sundhed.dk/vs/organization-synchronization-status
  • Added http://ehealth.sundhed.dk/vs/fs3-categories
  • Added http://ehealth.sundhed.dk/vs/fs3-citizen-importance-scores
  • Added http://ehealth.sundhed.dk/vs/fs3-citizen-performance-scores
  • Added http://ehealth.sundhed.dk/vs/fs3-health
  • Added http://ehealth.sundhed.dk/vs/fs3-scores
  • Added http://ehealth.sundhed.dk/vs/itcompetencelevel-codes
  • Added http://ehealth.sundhed.dk/vs/ehealth-communication-category
  • Added http://ehealth.sundhed.dk/vs/ehealth-administrative-status
  • Changed http://ehealth.sundhed.dk/vs/organization-type
  • Added new code http://ehealth.sundhed.dk/policy/ehealth/organization-administration to http://ehealth.sundhed.dk/vs/ehealth-provenance-policies
  • Changed http://ehealth.sundhed.dk/vs/contactpoint-system to include http://hl7.org/fhir/ValueSet/contact-point-system
  • Added new code PITEOC to http://ehealth.sundhed.dk/vs/consent-category
  • Added SNOMED CT codes 449171008 and 448225001 to http://ehealth.sundhed.dk/cs/clinicalimpression-finding-codes
  • Changed http://ehealth.sundhed.dk/vs/ehealth-provenance-policies added new policy : http://ehealth.sundhed.dk/policy/ehealth/reuse-of-measurement-chosen-by-citizen

Resource/profile changes

ActivityDefinition (ehealth-activitydefinition)

  • Added ehealth-reuseCriteria extension
  • Added sharingPolicy extension

Appointment (ehealth-appointment & ehealth-videoappointment)

  • Location is no longer required
  • Changed description due to new cardinalities
  • Added CodeSystem for appointmentType, updated example accordingly
  • Added ValueSet “ehealth-appointment-reason”
  • Added ‘responsible’ extension
  • Added careteam as possible participant
  • Added FhirPath constraint that assert responsible is always part of the participants
  • Updated intro

CarePlan (ehealth-careplan)

  • Removed extension responsibilitySummary
  • Removed extension responsibleHistory
  • Removed extension responsible
  • Added extension careTeamHistory
  • Updated intro

CareTeam (ehealth-careteam)

  • Added reasonCode
  • Changed cardinality of element subject to 0..0
  • Changed cardinality of element context to 0..0
  • Changed cardinality of element reasonReference to 0..0
  • Changed cardinality of element status to 1..1
  • Updated intro

ClinicalImpression (ehealth-clinicalimpression)

  • Added extension careplan
  • Added extension decisionContext
  • Added extension decision
  • Added option “Observation” as contained element to finding.item
  • Removed extension decisionRule
  • Removed option “Encounter” from context
  • Removed option “Group” from subject
  • Removed option “eHealth-Observation” from finding.item
  • Updated intro

Communication (ehealth-communication)

  • Added extension senderCareTeam
  • Added extension restrictionCategory
  • Changed category to ‘http://ehealth.sundhed.dk/vs/communication-category’
  • Changed cardinality of element sender to 0..1
  • References to organization were removed from ‘sender’ and ‘recipient’
  • Added context reference to Encounter
  • Added PATCH example
  • Possible to use CareTeam as recipient using extension
  • Updated intro

Composition (ehealth-composition)

  • Change so references can be bundled or contained
  • Updated intro
  • Added general resource description

EpisodeOfCare (ehealth-episodeofcare)

  • Removed extension careManagers
  • Removed extension careManagersHistory
  • Removed extension responsible
  • Removed extension responsibleHistory
  • Added extension caremanagerOrganization
  • Added extension teamHistory
  • Updated intro

Library (ehealth-library)

  • Removed extension basedOn
  • Removed extension parameterBinding
  • Removed extension parameterName
  • Updated general resource description
  • Changed Library.type value set reference to http://ehealth.sundhed.dk/vs/library-type - to allow value automated-processing. Changed to be required.

Media (ehealth-media)

  • Removed sharingPolicy extension
  • Changed cardinality of element occurence[x] to 1..1

Message (ehealth-message)

  • Added CareTeam as recipient/sender option and changed sender/recipient requirement to 0
  • Only one recipient is allowed
  • Device added as possibility for sender
  • CareTeam removed as possible recipient (profiling defect, extension must be used instead)
  • Legal PATCH operations described
  • Available search parameters added
  • Added administrative-status and period (part of discarding detached-provenance)
  • Restricted value set for status (ehealth-status)
  • Added “priority” extension with value set as specified in R4 spec (but not included in R3)

Observation (ehealth-observation)

  • Observation.referenceRange.type was changed to http://ehealth.sundhed.dk/vs/reference-range-type
  • Observation.context reference to Encounter was added
  • Removed sharingPolicy extension
  • Updated intro

Organization (ehealth-organization)

  • Added extension cvrNumber
  • Added extension regionCode
  • Added extension municipalityCode
  • Added extension source (mandatory)
  • Added extension synchronizationStatus (mandatory)
  • Added extension providerIdentifier
  • Added extension specialty
  • Changed referenced ValueSet for type
  • Changed type of extension element contact.telecom.custodian from code to CodeableConcept
  • Changed type of extension element contact.telecom.system from code to CodeableConcept
  • Renamed extension element contact.telecom.system to contact.telecom.telecomSystem
  • Renamed extension element contact.telecom.value to contact.telecom.telecomValue
  • Changed cardinality of extension element contact.telecom.telecomValue inside extension to min 1

Patient (ehealth-patient)

  • Added PATCH example
  • Added municipality code CodeSystem (DK: kommunekoder)
  • Changed it-competence-level multiplicity from 0-1 to 0-*, and added ValueSet (ehealth-itcompetencelevel-codes)
  • Added it-competence-level support for device-type and description data
  • Removed managingOrganization
  • Legal PATCH operations described
  • Changed referenced resources to use aggregation type “referenced”
  • Removed functional-capacity extension (not to be used for now)

PlanDefinition (ehealth-plandefinition)

  • Removed role
  • Updated intro

ProcedureRequest (ehealth-procedurerequest)

  • Added ehealth-reuseCriteria extension
  • Added sharingPolicy extension
  • Updated intro

Provenance (ehealth-provenance)

  • Added value set link for element Provenance.agent.role (issue fixed by new release of IG Publisher tool used for generating this Implementation Guide)
  • Added optional dateTimeOfReusedEntity
  • Updated intro

Questionnaire (ehealth-questionnaire)

  • Removed reuseCriteria extension

Questionnaire reuseCriteria (ehealth-questionnaire-reuseCriteria)

  • Renamed to ehealth-reuseCriteria

QuestionnaireResponse (ehealth-questionnaireresponse)

  • Changed cardinality of element authored to 1..1

ReuseCriteria (ehealth-reuseCriteria)

  • Removed dataActuality (integer) & dataActualityUnit (timing)
  • Added dataActuality (1 .. 1) consisting of a FHIR Duration.
  • Renamed operationQuality to usageQuality
  • Renamed dataQuality to deviceMeasuringQuality

Task (ehealth-task)

  • Added extension restriction-category
  • Remove Organization as possible task-responsible

2019.5.3 (2019-06-07)

General changes

  • Titles and headlines made more homogeneous

Resource/profile changes

ActivityDefinition (ehealth-activitydefinition)

  • Added general resource description

Condition (ehealth-condition)

  • Added general resource description

Media (ehealth-media)

  • Enhanced resource description

Patient (ehealth-patient)

  • Added general resource description

Practitioner (ehealth-practitioner)

  • Added general resource description

ProcedureRequest (ehealth-procedurerequest)

  • Added general resource description

RelatedPerson (ehealth-relatedperson)

  • Added general resource description

2019.5.2 (2019-05-29)

General changes

  • Added note to General Guidance on Coding code and system must be provided despite being optional in FHIR

Code systems

  • Added new codes 22232009, 394761003, 550881000005103, 547211000005108, 550851000005109 to http://snomed.info/sct
  • Updated description of values in http://ehealth.sundhed.dk/cs/ehealth-quality-types to define relation to valid quality codes.

ValueSets

  • Added http://ehealth.sundhed.dk/vs/organization-type

Resource/profile changes

ActivityDefinition (ehealth-activitydefinition)

  • Added definition of minimumQuality
  • Added definition of modifierRole
  • Changed definition of reference
  • Changed referenced resources to use aggregation type “referenced”

Appointment (ehealth-appointment)

  • Changed referenced resources to use aggregation type “referenced”

AppointmentResponse (ehealth-appointmentresponse)

  • Changed referenced resources to use aggregation type “referenced”

CarePlan (ehealth-careplan)

  • Changed referenced resources to use aggregation type “referenced”

CareTeam (ehealth-careteam)

  • Changed description, reflecting that current use of CareTeam is not tied to patient
  • Changed referenced resources to use aggregation type “referenced”

Communication (ehealth-communication)

  • Changed referenced resources to use aggregation type “referenced”

Composition (ehealth-composition)

  • Changed referenced resources to use aggregation type “referenced”

Provenance (ehealth-detached-provenance)

  • Changed referenced resources to use aggregation type “referenced”

Device (ehealth-device)

  • Updated resource description
  • Updated description of privatelyOwned
  • Updated description of suppliers
  • Changed cardinality for patient to 0..0
  • Changed referenced resources to use aggregation type “referenced”

DeviceMetric (ehealth-devicemetric)

  • Updated resource description

DeviceUseStatement (ehealth-deviceusestatement)

  • Added resource description
  • Added extension context reference to CarePlan

DocumentReference (ehealth-documentreference)

  • Added resource description
  • Changed referenced resources to use aggregation type “referenced”

GuidanceResponse (ehealth-guidanceresponse)

  • Added introduction
  • Changed referenced resources to use aggregation type “referenced”
  • Changed element module to use aggregation types “referenced” and “contained”

Library (ehealth-library)

  • Added extension modifierRole

Organization (ehealth-organization)

  • Added description of telecomCustodian, telecomSystem and telecomValue
  • Updated introduction
  • Updated description of relatedTo.target
  • Changed element type value set binding to http://ehealth.sundhed.dk/vs/organization-type

Media (ehealth-media)

  • Added Encounter as possible reference type for context

RelatedPerson (ehealth-patient-relatedPerson)

  • Changed referenced resources to use aggregation type “referenced”

PlanDefinition (ehealth-plandefinition)

  • Added definition of modifierRole
  • Added definition of role
  • Changed referenced resources to use aggregation type “referenced”

Provenance (ehealth-provenance)

  • Added resource description
  • Changed referenced resources to use aggregation type “referenced”

QuestionnaireResponse (ehealth-questionnaireresponse)

  • Updated descriptions of quality.qualityType and quality.qualityCode.
  • Changed referenced resources to use aggregation type “referenced”

RelatedPerson (ehealth-relatedperson)

  • Changed referenced resources to use aggregation type “referenced”

Task (ehealth-task)

  • Updated resource description

2019.5.1 (2019-05-15)

Code systems

  • Removed http://ehealth.sundhed.dk/cs/careplan-status

ValueSets

  • Added new codes 250554003, 445988008 to http://ehealth.sundhed.dk/vs/ehealth-activitydefinition-code.
  • Removed http://ehealth.sundhed.dk/vs/careplan-status

Resource/profile changes

CarePlan (ehealth-careplan)

  • Changed element CarePlan.statusHistory.status value set binding to http://hl7.org/fhir/care-plan-status

PlanDefinition (ehealth-plandefinition)

  • Changed element topic value set binding to http://ehealth.sundhed.dk/vs/topic-type

2019.5 (2019-05-07)

General changes

  • Updated operation examples for most of the resources

Resource/profile changes

ActivityDefinition (ehealth-activitydefinition)

  • Changed element code to be mandatory
  • Added definition of modifierRole

PlanDefinition (ehealth-plandefinition)

  • Added definition of modifierRole
  • Added definition of role

ProcedureRequest (ehealth-procedurerequest)

  • Changed element code to require code from value set http://ehealth.sundhed.dk/vs/activitydefinition-code
  • Changed element code.coding removed value set binding

2019.5 (2019-05-07)

General changes

  • Added operations examples for ehealth-activitydefinition, ehealth-careplan, ehealth-careteam, ehealth-clinicalimpression, ehealth-communication, ehealth-message, ehealth-condition, ehealth-consent, ehealth-device, ehealth-devicemetric, ehealth-deviceUseStatement, ehealth-episodeofcare, ehealth-library, ehealth-media, ehealth-observation, ehealth-organization, ehealth-plandefinition, ehealth-practitioner, ehealth-practitionerRole, ehealth-procedurerequest, ehealth-provenance, ehealth-questionnaire and ehealth-questionnaireresponse.
  • Added custom operations for transformations between DK-HL7 QRD/eHealth QuestionnaireResponse, DK-HL7 APD/eHealth Appointment and DK-HL7 PHRM/eHealth Observation.
  • Added http://ehealth.sundhed.dk/fhir/ as base-url to intra-IG links
  • Added operation examples for most of the resources
  • Changed DK CRN Identifier, Identifier.assigner marked Referenced
  • Changed strength of all value bindings to “required”
  • Added capabilitystatements for Measurement Service, Organization Service, Questionnaire Service and Terminology Service
  • Updated capabilitystatement for Patient Service

Custom operations

System operations

  • Added description of -s-submit-measurement
  • Added description of -s-transformToObservation
  • Added description of -s-transformToPHMR
  • Added description of -s-transformToAppointment
  • Added description of -s-transformToAPD
  • Added description of -s-transformToQuestionnaireResponse
  • Added description of -s-transformToQRD
  • Changed description of -s-search-measurements, parameter period now required
  • Changed description of -s-create-episode-of-care
  • Deleted fetch-external-organizations
  • Deleted fetch-external-practitioners
  • Deleted search-organization-and-practitioner-external

Instance operations

  • Added description of Library-i-evaluate
  • Added description of PlanDefinition-i-apply
  • Changed return value of Library-i-evaluate to Parameters

Code systems

  • Added http://www.example.com/medcom/document-class
  • Added http://snomed.info/sct
  • Added http://www.example.com/medcom/message-codes
  • Added http://ehealth.sundhed.dk/cs/reference-range-type
  • Added http://ehealth.sundhed.dk/cs/modifier-role
  • Added http://ehealth.sundhed.dk/cs/conditions
  • Added http://ehealth.sundhed.dk/cs/device-use-reason
  • Changed http://ehealth.sundhed.dk/cs/careplan-status
  • Changed http://ehealth.sundhed.dk/cs/careteam-participant-role
  • Changed http://ehealth.sundhed.dk/cs/clinicalimpression-codes
  • Changed http://ehealth.sundhed.dk/cs/clinicalimpression-finding-codes
  • Changed http://ehealth.sundhed.dk/cs/decision-rule-codes
  • Changed http://ehealth.sundhed.dk/cs/device-types
  • Changed http://ehealth.sundhed.dk/cs/plandefinition-recommendation
  • Changed http://ehealth.sundhed.dk/cs/quality-types
  • Changed http://ehealth.sundhed.dk/cs/questionnaire-recommendation
  • Changed http://ehealth.sundhed.dk/cs/questionnaire-types
  • Changed http://ehealth.sundhed.dk/cs/usage-quality
  • Changed (renamed) http://ehealth.sundhed.dk/cs/submission-sharing-policy to http://ehealth.sundhed.dk/cs/submission-sharing-policies
  • Changed (renamed) http://ehealth.sundhed.dk/cs/submission-sharing-policies to http://ehealth.sundhed.dk/cs/measurement-sharing-policies

ValueSets

  • Added http://ehealth.sundhed.dk/vs/clinicalimpression-codes
  • Added http://ehealth.sundhed.dk/vs/device-use-reason
  • Added http://ehealth.sundhed.dk/vs/event-type-codes, referenced by
    • ehealth-composition
    • ehealth-documentreference
  • Added http://ehealth.sundhed.dk/vs/facility-type-codes, referenced by
    • ehealth-documentreference
  • http://ehealth.sundhed.dk/vs/format-codes, referenced by
    • ehealth-documentreference
    • ehealth-plandefinition-role
  • Added http://ehealth.sundhed.dk/vs/modifier-role
  • Added http://ehealth.sundhed.dk/vs/practice-setting-codes, referenced by
    • ehealth-documentreference
  • Added http://ehealth.sundhed.dk/vs/reference-range-type
  • Changed http://ehealth.sundhed.dk/vs/activitydefinition-code
  • Changed http://ehealth.sundhed.dk/vs/careplan-category
  • Changed ehealth-careplan-status
  • Changed http://ehealth.sundhed.dk/vs/careteam-participant-role
  • Changed http://ehealth.sundhed.dk/vs/clinicalimpression-finding-codes
  • Changed http://ehealth.sundhed.dk/vs/decision-rule-codes
  • Changed http://ehealth.sundhed.dk/vs/device-types
  • Changed http://ehealth.sundhed.dk/vs/document-class
  • Changed http://ehealth.sundhed.dk/vs/document-type
  • Changed http://ehealth.sundhed.dk/vs/plandefinition-recommendation
  • Changed http://ehealth.sundhed.dk/vs/ehealth-provenance-policies
  • Changed http://ehealth.sundhed.dk/vs/quality-types
  • Changed http://ehealth.sundhed.dk/vs/questionnaire-recommendation
  • Changed http://ehealth.sundhed.dk/vs/questionnaire-types
  • Changed http://ehealth.sundhed.dk/vs/topic-type
  • Changed http://ehealth.sundhed.dk/vs/usage-quality
  • Changed (renamed) http://ehealth.sundhed.dk/vs/submission-sharing-policies to http://ehealth.sundhed.dk/vs/measurement-sharing-policies

Resource/profile changes

ActivityDefinition (ehealth-activitydefinition)

  • Added extension modifierRole as a replacement for elements author and owner
  • Changed extension element minimumQuality to be of type ehealth-quality
  • Deleted element author
  • Deleted element owner

CarePlan (ehealth-careplan)

  • Added extension responsibilitySummary
  • Changed referenced resources to use aggregation type “referenced”
  • Changed element CarePlan.category value set binding to http://ehealth.sundhed.dk/vs/careplan-category
  • Deleted extension monitoringResponsible
  • Deleted extension monitoringResponsibleHistory

CareTeam (ehealth-careteam)

  • Changed referenced resources to use aggregation type “referenced”
  • Changed element documentation

ClinicalImpression (ehealth-clinicalimpression)

  • Changed referenced resources to use aggregation type “referenced”
  • Changed resource description
  • Changed element ClinicalImpression.action to support ehealth-appointment
  • Changed element ClinicalImpression.code value set binding to http://ehealth.sundhed.dk/vs/clinicalimpression-codes

Condition (ehealth-condition)

  • Changed referenced resources to use aggregation type “referenced”
  • Changed element Condition.note.author[x] to support ehealth-relatedperson
  • Changed referenced resources to use aggregation type “referenced”
  • Changed element category value set binding to http://ehealth.sundhed.dk/vs/consent-category

Communication (ehealth-correspondance)

  • Changed referenced resources to use aggregation type “referenced”
  • Changed element category to require code from value set http://hl7.org/fhir/ValueSet/communication-category

Communication (ehealth-message)

  • Changed referenced resources to use aggregation type “referenced”
  • Changed element medium is now optional (not always relevant)

Composition (ehealth-composition)

  • Added resource and relevant ValueSets

Device (ehealth-device)

  • Changed referenced resources to use aggregation type “referenced”

DeviceMetric (ehealth-devicemetric)

  • Changed referenced resources to use aggregation type “referenced”

DeviceUseStatement (ehealth-deviceusestatement)

  • Changed referenced resources to use aggregation type “referenced”
  • Changed indication to require code from value set http://ehealth.sundhed.dk/vs/device-use-reason

DocumentReference (ehealth-documentreference)

  • Added resource and relevant ValueSets

EpisodeOfCare (ehealth-episodeofcare)

  • Changed referenced resources to use aggregation type “referenced”

GuidanceResponse (ehealth-guidanceresponse)

  • Added the profile as it is used as return parameter in library$evaluate operation

Library (ehealth-library)

  • Changed referenced resources to use aggregation type “referenced”
  • Changed (renamed) element parameterbinding.name to boundParameterName

Media (ehealth-media)

  • Changed referenced resources to use aggregation type “referenced”
  • Changed the type of extension element qualityType and qualityCode to CodeableConcept
  • Changed the type of extension element ehealth-sharingPolicy to CodeableConcept
  • Removed ehealth-careplan from Media.basedOn element

Observation (ehealth-observation)

  • Added element specimen referencing FHIR Specimen
  • Changed referenced resources to use aggregation type “referenced”
  • Changed the type of extension element qualityType and qualityCode to CodeableConcept
  • Changed the type of extension element ehealth-sharingPolicy to CodeableConcept

Organization (ehealth-organization)

  • Added extensions for system and value to be used inside organization.contact.telecom
  • Changed referenced resources to use aggregation type “referenced”
  • Changed element contact.telecom.extension.system to be mandatory

PlanDefinition (ehealth-plandefinition)

  • Added extension modifierRole as a replacement for elements author and owner
  • Deleted element author
  • Deleted element owner

Practitioner (ehealth-practitioner)

  • Changed referenced resources to use aggregation type “referenced”

PractitionerRole (ehealth-practitionerrole)

  • Changed referenced resources to use aggregation type “referenced”

ProcedureRequest (ehealth-procedurerequest)

  • Changed referenced resources to use aggregation type “referenced”
  • Deleted extension responsible
  • Deleted extension responsibleHistory

Provenance (ehealth-detached-provenance)

  • Added as an unchanged copy of the existing ehealth-provenance to allow provenance to exist on multiple HAPI FHIR instances

Provenance (ehealth-provenance)

  • Changed referenced resources to use aggregation type “referenced”.

Questionnaire (ehealth-questionnaire)

  • Added extension modifierRole as a replacement for elements author and custodian
  • Added element type as replacement of element code
  • Added extension QuestionnaireType
  • Changed referenced resources to use aggregation type “referenced”
  • Changed element code to default with 0-0 cardinality
  • Changed recommendation extension from Coding to CodeableConcept
  • Changed extension QuestionnaireReuseCriteria from Coding to CodeableConcept for elements situationQuality, operationQuality and dataQuality
  • Changed extension QuestionnaireRecommendation from Coding to CodeableConcept
  • Deleted element author
  • Deleted element custodian

QuestionnaireResponse (ehealth-questionnaireresponse)

  • Changed referenced resources to use aggregation type “referenced”
  • Changed the type of extension element qualityType and qualityCode to CodeableConcept
  • Changed element context to be mandatory
  • Changed element subject to be mandatory

RelatedPerson (ehealth-relatedperson)

  • Added resource definition
  • Changed element relationship value set should not be a ResourceReference
  • Changed (renamed) related-person to relatedperson
  • Added description for contactNote

Task (ehealth-task)

  • Changed referenced resources to use aggregation type “referenced”
  • Changed ehealth-task-category to CodeableConcept type
  • Added extension responsible

v1.0.0 - 2019-03-06