Changelog

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

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

Patient (ehealth-patient)

• Changed referenced resources to use aggregation type “referenced”

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

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

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

Consent (ehealth-consent)

• 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)

Appointment (ehealth-appointment)

• Location is no longer required
• Changed description due to new cardinalities

AppointmentResponse (ehealth-appointmentresponse)

• References changed from general to ehealth-specific profiles

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