FHIR Data Standards Wales for PSOM v1.0.0-rc6-PREVIEW
Important: This is the release candidate of the FHIR Data Standards Wales for PSOM version 1.0.0-rc6-PREVIEW Implementation Guide. It is intended for trial use, and is published for early comment and feedback. Click here to give feedback.

Release Notes

This page describes the published versions of this implementation guide and differences between versions.

v1.0.0-rc6-PREVIEW

Package: fhir.r4.wales.psom

FHIR Implementation Guide

  • #709 - Fixed example renderings: several example pages did not render their example because of incorrect set references. Resolved by introducing reusable page templates across the guide pages.
  • #710 - Documented the psom-update message type, which was referenced in the Service Design page but missing from the listed transactions: added an "Updating PSOM administrative information" transaction to the Health Board and PROMs provider page, and updated the Service Design page to list five interaction types.
  • #713 - PSOM FHIR Data Model – Data Model Overview Diagram: Corrected the CarePlan subject reference to point to Patient instead of QuestionnaireResponse/CarePlan.
  • #711 Added guidance on the National PSOM Clinical Circumstance Identifier to the PSOM FHIR Data Model and CarePlan pages.
  • #714 Updated the PSOM FHIR Data Model and CarePlan pages: the Originating Organisation is now documented on CarePlan.identifier:clinicalCircumstanceIdentifier.assigner and CarePlan.author on the Senior Responsible Professional.

FHIR Artefacts

  • #710 Added the DataStandardsWales-PSOM-MessageDefinition-PSOM-Update MessageDefinition for the psom-update message type, plus an example Bundle showing a Health Board updating the treatment specialty and Senior Responsible Professional of a Myeloma pathway.
  • #711 CarePlan: added the mandatory 1..1 .identifier:clinicalCircumstanceIdentifier slice and updated the CarePlan examples accordingly. Added the DataStandardsWales-PSOM-ClinicalCircumstance-Identifier NamingSystem registering the national identifier namespace.
  • #714 CarePlan: .author now captures the Senior Responsible Professional only and accepts a reference to DataStandardsWales-Practitioner or DataStandardsWales-PractitionerRole; the Originating Organisation mapping (MDDPX002X) moved to ClinicalCircumstanceIdentifier.assigner, which is now 1..1 and references DataStandardsWales-Organization. Examples updated accordingly.

v1.0.0-rc5

Package: fhir.r4.wales.psom

FHIR Artefacts

  • #708 - Changes to multiple pathway display values, one changed pathway code and removal of three pathways

v1.0.0-rc4

Package: fhir.r4.wales.psom

Implementation Guide

  • #511 - Fix non-resolving hyperlinks in the guide.
  • #502 - IG section 2.1.2 mismatch with related MessageDefinition.
  • #493 - Clarify the "collection events" in the IG

FHIR Artefacts

  • #685 - Add four new Pathway Type codes.
  • #683 - Add snapshot component to StructureDefinitions.
  • #512 - Update all QuestionnaireResponse examples so they match the latest DSCNs.
  • #510 - Update dependencies to latest fhir.r4.wales and ukcore.
  • #509 - Addition of 3 new pathway type codes.
  • #507 - CarePlan.category:pathwayType binding instead of pattern.
  • #506 - Change conformance resources status to active.
  • #505 - Add more guidance for population of CarePlan.intent.
  • #504 - Set dependency to SDC to solve missing CodeSystem definition warning in IG Publisher.
  • #503 - Update CarePlan.category cardinality
  • #501 - Fix CarePlan profile by setting correct discriminator path for CarePlan.activity

v1.0.0-rc3

Package: fhir.r4.wales.psom 1.0.0-rc3

Implementation Guide

  • Handling Exceptions page:
    • added more guidance on the use of the exception-response message type.
  • added links for PractionerRole profile and example.

FHIR Artefacts

  • MessageHeader
    • added a constraint for the exception-response message type.
  • ReferralIdentifier
    • removed mapping for Originating Organisation code (MDDPX002X).
  • CarePlan
    • added mapping for Originating Organisation code (MDDPX002X).
    • changed the targetProfile for .author from Practitioner to PractitionerRole.
    • added more guidance on the use of .author.
    • changed the cardinality of .author to 1..1.
    • changed the cardinality of .identifier:referraliIdentifier to 0..*.
    • changed the cardinality of .category:treatmentSpecialty to 1..1.
    • changed the cardinality of .extension.pathwayLaterality to 1..1.
    • changed the mapping of Treatment Specialty Code to .category.
  • Task
    • added a constraint for the Task.executionPeriod.end when the Task constains an output.
    • changed .executionPeriod to 1..1.
    • changed the cardinality of .input to 2..*.
    • changed the cardinality of .input:promsTriggerEventDate to 0..1.
    • changed the cardinality of .input:promsLateraliy to 1..1.
    • changed the cardinality of .input:questionnaire to 1..1.
  • QuestionnaireResponse
    • changed the cardinality of .subject to 1..1.
    • changed the cardinality of .author to 1..1.
    • changed the cardinality of .language to 1..1

v1.0.0-rc2

Package: fhir.r4.wales.psom 1.0.0-rc2

Implementation Guide:

  • Guidance tab:
    • added Handling Exceptions page.
    • Service Design page:
      • changed structure to improve readability.
      • added links to the pages within Transaction Groups tab.
      • removed State tracking section.
      • removed details on the construction of a FHIR Message and added to the Health Board and PROMs provider page.
    • PSOM FHIR Data Model page:
      • added General FHIR Considerations section.
      • added Administrative resources section.
      • added Proxy completion of Questionnaires section.
      • added a legend to the FHIR Data Model diagram.
      • added guidance on the derivation of the profiles.
      • added a diagram for how a Collection Event is represented by FHIR Resources.
  • added Transaction Group tab.
  • Design tab:
    • Profiling Guidelines page:
      • changed the structure to improve readability.
      • added Implementation Guide Formatting section.
      • added Functional model as a Base section.
      • added Questionnaire Copyright subsection.
    • removed Naming Systems page.
    • changed the content of the Naming Conventions page.
  • Help and Support tab:
    • added Deployment page.
    • added Release Notes page.

FHIR Artefacts

  • changed mapping to DSCN Metadata version "2024004".
  • changed the slicing for ReferralIdentifier on CarePlan.identifier and added a separate Referral Idenfitier profile.
  • changed the mapping of TriggerEventDate from CarePlan.activity to Task.input.
  • changed the cardinality of Task.reasonCode to 1..1.
  • changed the Trigger Event Type CodeSystem.
  • changed slicing on CarePlan.activity.
  • added a MessageDefinition for Exception Response and a MessageEvent code exception-response.
  • added Pathway Laterality Extension to the CarePlan.
  • added examples for exception scenarios.
  • removed reference to CarePlan on QuestionnaireResponse.basedOn due to circular references (CarePlan -> Task -> QuestionnaireResponse -> CarePlan).
  • removed Metadata DSCN mapping of CarePlan.category:treatmentSpecialty.system.

Package: fhir.r4.wales.psom.dscn 1.0.0-rc2

  • changed Regenerated DSCN PROM questionnaires (52 in total) and terminology.

v1.0.0-rc1

Package: fhir.r4.wales.psom 1.0.0-rc1

  • added Initial release for trial use.

Package: fhir.r4.wales.psom.dscn 1.0.0-rc1

  • added Initial release containing 37 DSCN PROM questionnaires.