Change Log

CA Core+ v0.2 DFT - Ballot Reconciliation

• Updated the the profiles and pages to temporarily remove obligations from this release in order to align the approach to the forthcoming CACDI artefact in the pCHDCF

• Updated the profile pages to remove the duplicative rendering of additionalBinding details now that they are rendering in the Simplifier profile views

• Updated select mapping concept names and descriptions across all the Profile pages

• Removed select mapping concepts from Patient (CA-Core) due to pCHDCF refinements:

  • Person Name Text

• Removed select mapping concepts from Condition (CA-Core) due to pCHDCF refinements:

  • Health Concern Stage Summary
  • Health Concern Stage Assessment
  • Health Concern Stage Type
  • Health Concern Specialist First Name
  • Health Concern Specialist Last Name
  • Health Concern Specialist ID

• Removed select mapping concepts from Immunization (CA-Core) due to pCHDCF refinements:

  • Immunization Reaction Time (consolidated into Immunization Reaction Date)
  • Immunization Protocol (concept previously mapped to backbone element)

• Removed select mapping concepts from Medication (CA-Core)due to pCHDCF refinements:

  • Medication Brand Name (replaced by Medication Code or Description)
  • Medication Generic Name (replaced by Medication Code or Description)
  • Medication Amount
  • Medication Status

• Removed select mapping concepts from MedicationRequest (CA-Core) due to pCHDCF refinements:

  • Medication Brand Name (replaced by Medication Code or Description)
  • Medication Generic Name (replaced by Medication Code or Description)
  • Medication Dose + Medication Prescribed Dose ( consolidated into Medication Dose Value)
  • Medication Frequency + Medication Administration Instruction Time (consolidated into Medication Timing)
  • Medication Request Priority
  • Medication Prescriber First Name
  • Medication Prescriber Last Name
  • Medication Prescriber ID
  • Medication Reason Preferred Product Not Prescribed
  • Preferred Pharmacy Name
  • Preferred Pharmacy Identifier
  • Preferred Pharmacy Code
  • Preferred Pharmacy Phone Number
  • Preferred Pharmacy Fax Number

• Updated Known Issues & Future Development to close issues related to additionalBinding and Extension Registry extensions, added an issue regarding extensions for cross-version concepts (e.g., Immunization.supportingInformation)

• Refined re-profiled individual-pronouns extensions to include full valueSet from LOINC answer list (https://loinc.org/90778-2/)

• Added General Guidance page to provide guidance around handling of Additional Elements not currently part of CA-Core+.

CA Core+ v0.2 DFT - Ballot

• Added the following profiles and profile pages:
  • AllergyIntolerance (CA-Core),
  • Condition (CA-Core),
  • Immunization (CA-Core),
  • Medication (CA-Core),
  • MedicationRequest (CA-Core)
  • Data Type Profiles
• Updated the page urls for Patient, Practitioner, PractitionerRole, and Organization pages to remove additional dashes for consistency
• Updated pCHDCF Concept names and definitions Patient (CA-Core), Practitioner (CA-Core), PractitionerRole (CA-Core), and Organization (CA-Core) pages
• Changes to Patient (CA-Core) mappings and obligations to account for changes in the pCHDCF:
  • Added mappings and obligations for concepts introduced in pCHDCF (e.g., patient.active, patient.address.extension:no-fixed-address, patient.telecom.period)
  • Removed table mappings for Most Responsible Provider details (enrolment start and termination date, termination reason, etc.) which were replaced with Most Responsible Provider Period concept

CA Core+ v0.1 DFT - Ballot Reconciliation

• Created Mapping Logic page to convey logic for how pCHDCF and obligation mapping was applied, ensuring that mapping is consistent and that reviewers have the rationale for primary and secondary mappings
• Created Relationship to Other Specifications page to convey relationship between this guide and other pan-Canadian specifications
• Created Change Log,Known Issues & Future Development, and Specification Feedback pages
• Shifted to using the updated obligation codes from the recent 5.1.0-snapshot publication of the extension registry guide
• Removed identifier slices from Patient (CA-Core) and Practitioner (CA-Core)
• Removed mapping & obligations on elements that mapped to concepts that have since been removed in the pCHDCF Data Content Standard: Patient Notes
• Modified the way that the following concepts are profiled in Patient (CA-Core) to align to updates in pCHDCF Data Content Standard to allow for better concept separation
  • name, telecom, address, contact relationship & role
• Updated name invariant on Patient (CA-Core) to be better aligned to IPA modelling
• Socialized individual-recordedSexOrGender extension on the Patient (CA-Core) profile
• Temporarily removed obligations (and mappings) on provider concepts that could be mapped to Practitioner & PractitionerRole FHIR Resources until pCHDCF data modelling is further along for Care Team Member concepts
• Applied technical corrections (typos, corrected mapping tables in guide to match mapping element in profiles, added hyperlinks to external content, adjusted diagrams, removed unintentional conformance language from actor definitions, etc.)
• Applied update to CA Baseline package version (1.1.5->1.1.7) in the dependencies file to accommodate bug fixes between versions