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Revision History

VERSION NO. DATE SUMMARY OF CHANGE
v 0.9.0 2021-08-12 Draft for provincial open review
v 0.9.1 2022-03-03 Incorporate feedback from open review
v 0.10.0 2022-10-15 Updates to align with PS-CA v1.0 & IPS CI Build (2022-09)

v 0.10.0 Release Notes & Change Notes

Glossary Page: Breadcumbs updated from "Acryonyms/Abbrev" to "Glossary"

Added StructureDefinition.fhirVersion="4.0.1" to the following profiles (previously absent from these profiles): Composition, PractitionerRole, Patient, Practitioner, Organization, MedicationStatement

Approval History added to landing page, in alignment with other Ontario Health FHIR Specification IGs

Renamed IG root from "Home" to "Table of Contents"

Remove MS from the following elements, based on MS relaxation in IPS and PS-CA:

  • Composition profile parent element
  • Composition.encounter
  • Composition.confidentiality
  • Composition.relatesTo(backbone)
  • Composition.relatesTo.code
  • Composition.relatesTo.target[x]
  • Composition.event(backbone)
  • Composition.event.careProvisioningEvent
  • Patient profile parent element
  • Patient.contact(backbone)
  • Patient.contact.relationship
  • Patient.contact.name
  • Patient.contact.telecom
  • Patient.contact.address
  • Patient.contact.organization
  • Patient.communication
  • Patient.language
  • Allergyintolerance.abatementDateTime(extension)
  • Allergyintolerance.asserter
  • Condition profile parent element
  • Condition.abatement(backbone)
  • Condition.abatementDateTime
  • Condition.asserter
  • Medication profile parent element
  • MedicationStatement profile parent element
  • MedicationStatement.informationSource
  • MedicationStatement.dosage.route
  • MedicationRequest profile parent element
  • MedicationRequest.dosageInstruction.route
  • Immunization profile parent element
  • Immunization.site
  • Immunization.route

Removed non-substative changes in order to improve differential view. Removed elements listed in StructureDefinition.differential with no changes in cardinality, binding, or must-support. Non-substantive descriptions/texts moved to Usage Notes on respective IG page:

  • Procedure profile parent element
  • Procedure.id definition
  • Patient.id definition
  • Composition.id definition
  • AllergyIntolerance profile parent element definition
  • AllergyIntolerance.id definition
  • AllergyIntolerance.note (empty diff)
  • AllergyIntolerance.clinicalStatus (empty diff)
  • conditionprofile parent element definition
  • Procedure.id definition
  • Medication profile parent element
  • Medication.id definition
  • MedicationStatement.id definition
  • MedicationRequest.id definition
  • Immunization profile parent element definition
  • Immunization.id definition
  • Immunization.lotNumber (empty diff)
  • PractitionerRole profile parent element
  • PractitionerRole.id
  • Practitioner profile parent element
  • Practitioner.id
  • Organization profile parent element
  • Organization.id
  • Device profile parent element
  • Coding profile parent element

Updated Profile Metadata value in PractitionerRole.publisher

Update of Composition.section All Slice to make the 1..1 cardinality on section.text and section.code clearer - this change was made in alignment with PS-CA and IPS-UV change

Patient.contact.relationship.code binding relaxed from required to extensible (same as base FHIR 4.0.1).

Composition.event.code (all slices) and Composition.event:careProvisioningEvent.code - binding to v3.ActClass(preferred) has been removed, and reverted to base FHIR R4.0.1 binding v3.ActCode(example)

Composition.event:careProvisioningEvent.code.coding.system+code usage note added re: fixedValues

Updated Composition.event:careProvisioningEvent.code.coding.system FixedCode to FixedUri (wrong data type)

Medication.form.coding:formSCTCA Slice binding updated from https://fhir.infoway-inforoute.ca/ValueSet/PharmaceuticalDoseFormCode to https://fhir.infoway-inforoute.ca/ValueSet/pharmaceuticaldoseformcode

Removed PractitionerRole constraint ca-baseline-pracRole-1 "PractitionerRole.code or PracitionerRole.specialty SHOULD be present"

Updated Examples (all three), due to invalid codes (not in ValueSet)

  • Medication.form.coding.code=385057009 to 421026006
  • Medication.form.coding.display="Film-coated tablet" to "Oral tablet"
  • Immunization.site.coding.code=11207009 to 32696007
  • Immunization.site.coding.display="Right thigh" to "Right leg"
  • Immunization.site.text="Right thigh" to "Right leg"

Updated Examples (all three), removing elements that no longer have MustSupport flags in v0.10.0 (see list above).

Addition of $DocRef operation IGuide Page & CapabilityStatement