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
  • 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
  • UKCore-Specimen - amended to replace the ValueSet from BiospyState to SampleState for specimen.condition binding
  • UKCore-Observation-VitalSigns-BodyHeight - value[x] changed to allow code for centimeters as well the the original metres
  • ValueSet-UKCore-BodySite - include all descendants of the SNOMED hierarchy 278001007 | Nonspecific site |to allow for the user case when a clinician is prescribing a cutanious cream or similar to an affected area of the skin. Rather than the clinician having to select all the areas of the body that are affected they can just select the code 22201000087104 | Affected area |.
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