STU3 Sequence

Date IG Version FHIR Version Description
Ongoing draft 4.0.1 UK Core Implementation Guide STU3 Sequence
Changes for this version

General IG improvements:
  • Added MustSupport flag to UKCore-Patient.managingOrganization, to give IHE alignment
  • Swap Example, ValueSet, CodeSystem, Extension, and Profile pages to use Simplifier templating
  • Updated all examples to have text elements, to describe what they are used for, and render this via the Simplifier template
  • Altered Profiles sub menu from on hover opening to click to show
  • Altered Profiles sub menu to restore its state via cookie
  • Altered Profiles sub menu to have a sub menu for derived profiles
  • Added cookie consent pop-up
  • Added Detailed View to Profile tabs
  • Added Feedback to tabs, which links to the relevant Simplifier issues page to raise an issue for the asset
  • Added "View UK Core guidance" link in pinnable panel, for elements where additional guidance is detailed on a page
  • Added "or UK Core equivalent profile" guidance in pinnable panel, for Reference datatype elements where the resources include a UK Core profile
  • Added clickable element headers, that show / hide the relevant element details from the Detailed view
  • Clicking an element in the left-hand navigation list automatically displays the detailed view as per the above item
  • Added configurable display options for displaying a UK Code profile within an iframe
  • Added configurable display options to highlight specific sections of an example
  • CodeSystem-UKCore-FundingCategory - amended to replace develoved nations with the individual nations
  • CodeSystem-UKCore-SampleCategory - amended to add the concepts solid-tumour, liquid-tumour and other
  • StructureDefinition/extension-Condition.bodyStructure - backported from R6
  • CodeSystem-UKCore-BiopsyState - removed it and replaced it with CodeSystem-UKCore-PrimarySampleState
  • ValueSet-UKCore-BiopsyState - removed it and replaced it with ValueSet-UKCore-SampleState
  • StructureDefinition/UKCore-Specimen - amended to replace the ValueSet from BiospyState to SampleState for specimen.condition binding
C&TA Sprint 7 Assets:
  • Changed proposed assets from draft to active
  • value[x] and specimen cardinality set to 0..0 on UKCore-Observation-AverageBloodPressure and UKCore-Observation-VitalSigns-BloodPressure
  • Revised and simplified ECL's, and expansion of the ValueSet contents
  • Improved description and purpose of added profiles
  • Altered binding strength on Observation.method to bring it in line with UK Core Design and Development Approach
  • Improved cardinality on LOINC / SNOMED CT, and systolicBP / diastolicBP slices
  • Moved LOINC / SNOMED CT slicing on Observation.component from UKCore-Observation-VitalSigns to UKCore-Observation-VitalSigns-BloodPressure as they only applied for this derived profiles
  • Improved guidance on the use of code, value[x], and component elements for UKCore-Observation-AverageBloodPressure and UKCore-Observation-VitalSigns-BloodPressure
STU2 Sequence Ballot Assets:
  • Synchronization of STU2 Ballot reconciliation actions into STU3 assets and implementation guidance - this includes multiple BREAKING CHANGES, for more details, see STU2 Sequence
20th Sept 2023 1.7.0 4.0.1 UK Core Implementation Guide STU3 Sequence - Sprint 7 Review
Changes for this version

General IG improvements:
  • Extension based example id's and filenames have been updated
  • Example sub pages have made consistent regarding the presence of Tree View
  • New Examples Index page, showing examples alphabetically based on their type (profile / extension), the sprint they were added in, and a summary for all examples per resource type
  • NHS Digital IG style sort buttons have been added to CodeSystem / ValueSet tables
  • Intelligent expansion of tree nodes, to ensure altered nodes are displayed
  • Intelligent redirection within Profile tree views, to UK Core guidance pages for referenced profiles / extensions, and bound valuesets
  • Intelligent auto hiding of expanded ValueSets, with a clickable 'concepts' link to show / hide the table
  • Intelligent redirection of SNOMED CT concepts in examples and ValueSet tables to the SNOMED CT UK Terminology Browser
  • CSS and HTML id changes to improve Web Accessibility
  • Fix unclosed tables causing Bindings to appear incorrectly
  • Add missing FQL for UKCore-ServiceRequest-Lab details
  • Added links to raise issues, on new assets callout box
  • Added Usage view to Profile tabs
  • Swapped Snapshot/Differential/Hybrid renders to the new single Simplifier render with swappable view buttons
C&TA Sprint 7 Proposals:
  • Changes to the existing draft UKCore-Observation-VitalSigns derived profile
  • Addition of draft proposed profiles for vital signs: Blood Pressure, BMI, Head Circumference, Heart Rate, Height, Oxygen Saturation, Respiratory Rate, Temperature, and Weight, derived from UKCore-Observation-VitalSigns
  • Addition of draft proposed profiles for clinical observations: ACVPU, Alcohol Consumption, Blood Glucose, Early Warning Total Score, Inspired Oxygen, Tobacco Consumption, derived from UKCore-Observation
  • Addition of associated draft proposed Extensions, CodeSystems, and ValueSets
  • Addition of guidance for draft UKCore-Device profile, along with draft proposed UKCore-Device-BloodPressure
27th February 2023 1.6.0 4.0.1 UK Core Implementation Guide STU3 Sequence - Sprint 6 Review
Note: This content has since been added to the STU2 Sequence, and this version is listed for historic purposes only

Changes for this version
  • Added draft C&TA Sprint 6 Profiles (UKCore-Consent, UKCore-DiagnosticReport, UKCore-FamilyMemberHistory, UKCore-ImagingStudy, UKCore-Observation, UKCore-Specimen) and associated Extensions, ValueSets, and CodeSystems.

  • For UKCore-DiagnosticReport:
    • Added a Derived Profile: UKCore-DiagnosticReport-Lab
    • Removed slices on category, code, conclusionCode
    • Added Extension UKCore-DeviceReference
    • Added backported R5 elements as proxy extensions using R5 URL's for note, composition
    • Reverted code binding from UKCore-FindingCode to base ValueSet as they were identical
  • For UKCore-FamilyMemberHistory:
    • Added an existing Extension UKCore-AssociatedEncounter
    • Added backported R5 element as proxy extensions using R5 URL's for participant
    • Bound relationship to ValueSet UKCore-PersonRelationshipType
    • Existing base bindings have been assured, and strength raised to preferred or extensible, in line with the Design and Development Approach
    • Retired draft Extension UKCore-Recorder, as this is replaced by backported R5 element participant
  • For UKCore-Observation:
    • Added Derived Profiles: UKCore-Observation-LabGroup and UKCore-Observation-Lab
    • Removed slices on code, bodySite
    • Reverted bodySite binding from UKCore-BodySite to base ValueSet as they were identical
    • Added backported R5 element as proxy extensions using R5 URL's for triggeredBy
  • For UKCore-Specimen:
    • Removed slices on type, collection.bodySite
    • Added Extension UKCore-SampleCategory
    • Added Extension UKCore-BodySiteReference, to replicate CodeableReference allowed in R5
    • Added backported R5 element as proxy extensions using R5 URL's for collection.collector, to replicate additional references allowed in R5
    • Added ValueSet UKCore-SpecimenCondition, bound to condition, which extends the base ValueSet, with CodeSystem UKCore-BiopsyState
  • For UKCore-ServiceRequest:
    • Added Derived Profiles: UKCore-ServiceRequest-Lab
    • Added Extensions UKCore-AdditionalContact, UKCore-PriorityReason, UKCore-Coverage
    • Added an open slice to category, discriminated by coding.system, to the ValueSet UKCore-GenomicsSequencingCategory
  • For UKCore-Patient:
    • Added Extension UKCore-NHSNumberUnavailableReason
  • For UKCore-Organization:
    • Added ValueSet UKCore-OrganizationType, bound to type, which extends the base ValueSet, with CodeSystem UKCore-OrganizationTypeGenomics