Changelog

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

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

Consent (ehealth-consent)

• 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

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)

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