Release Notes

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

v2.0.0 STU2

As part of our commitment to quality assurance and interoperability, we undertook an exercise to review and align the existing FHIR Standards Wales Package with UK Core STU2 (fhir.r4.ukcore.stu2 2.0.1). This resulted in us rationalising the FHIR Standards Wales Package where possible, removing detail that can already be derived from UK Core STU2, whilst still adhering to the principles of FHIR and supporting Wales specific content where required. In addition to the removal of replicate content, the following changes were made:

Package:

  • Profiles and Extensions:
    • Changes to Profiles
      • DataStandardsWales-AllergyIntolerance
        • Updated version number from 1.0.0 to 1.1.0
        • Reference changes:
          • .encounter. Removed reference to UKCore-Encounter. Added reference to DataStandardsWales-Encounter
          • extension:evidence. Removed reference to UKCore-DiagnosticReport. Added reference to DataStandardsWales-DiagnosticReport
        • Binding strength changes:
          • .reaction.substance. From extensible to preferred
          • .reaction.manifestation. From extensible to preferred
          • .reaction.exposureRoute. From extensible to preferred
      • DataStandardsWales-AllergyList
        • Updated version number from 1.1.0 to 1.2.0
        • Reference changes:
          • .encounter. Removed reference to UKCore-Encounter. Added reference to DataStandardsWales-Encounter
          • .source. Removed reference to Device. Added reference to DataStandardsWales-Device
      • DataStandardsWales-DiagnosticReport
        • Updated version number from 0.0.5 to 0.1.0
        • Reference changes:
          • .performer. Added reference to CareTeam
        • Removed Slices:
          • .code
          • .conclusionCode
      • DataStandardsWales-DiagnosticReport-Lab
        • Updated version number from 0.0.5 to 0.1.0
        • .conclusionCode.Removed Slice
      • DataStandardsWales-Dosage
        • Updated version number from 0.0.5 to 0.1.0
        • All Must Support flags removed
        • Binding strength changes:
          • .asNeeded[]. From example to preferred
        • Binding terminology changes:
          • .site. Removed binding to value set SNOMEDCTAnatomicalStructureForAdministrationSiteCodes. Added binding to value set UKCoreBodySite. Binding strength set as preferred
          • .route. Removed binding to value set SNOMEDCTAdministrationMethodCodes. Added binding to value set UKCoreSubstanceOrProductAdministrationRoute. Binding strength set as preferred
          • .method. Removed binding to value set SNOMEDCTAdministrationMethodCodes. Added binding to value set UKCoreUKCoreMedicationDosageMethod. Binding strength set as preferred
      • DataStandardsWales-Encounter
        • Updated version number from 0.0.5 to 0.1.0
        • Must Support changes:
          • .reasonCode. Added must support
          • .reasonReference. Added must support
        • Extension changes:
          • .hospitalization. Added .extension:admissionMethod
        • Reference changes:
          • .reasonReference. Removed reference to UKCore-Observation. Added reference to DataStandardsWales-Observation
      • DataStandardsWales-Immunization
        • Updated version number from 0.0.5 to 0.1.0
        • Binding strength changes: *.statusReason. From example to preferred
        • Binding terminology changes:
          • .vaccineCode. Added binding to value set UKCore-VaccineCode. Binding strength set as preferred
          • .site. Removed binding to value set UKCore-BodySite. Added binding to value set UKCore-ImmunizationAdministrationBodySite. Binding strength set as preferred
          • .route. Added binding to value set UKCore-SubstanceOrProductAdministrationRoute. Binding strength set as preferred
        • Reference changes:
          • .protocolApplied.authority . Removed reference to UKCore-Organization. Added reference to DataStandardsWales-Organization
      • DataStandardsWales-Location
        • Updated version number from 1.0.1 to 1.1.0
      • DataStandardsWales-Medication
        • Updated version number from 1.0.0 to 1.1.0
        • Reference changes:
          • .manufacturer. Added reference to DataStandardsWales-Organization
          • .ingredient.item[]. Removed reference to Medication. Added reference to DataStandardsWales-Medication
      • DataStandardsWales-MedicationAdministration
        • Updated version number from 1.0.1 to 1.1.0
        • Reference changes:
          • .reasonReference. Removed references to UKCore-Observation and UKCore-DiagnosticReport. Added references to DataStandardsWales-Observation and DataStandardsWales-DiagnosticReport
        • Binding strength changes:
          • .dosage.site. From extensible to preferred
          • .dosage.route. From extensible to preferred
          • .dosage.method. From extensible to preferred
      • DataStandardsWales-MedicationDispense
        • Updated version number from 1.0.1 to 1.1.0
        • Must Support changes:
          • .dosageInstruction.text. Added must support
          • .dosageInstruction.timing. Added must support
          • .dosageInstruction.doseAndRate. Added must support
          • .dosageInstruction.doseAndRate.dose[]. Added must support
          • .dosageInstruction.doseAndRate.rate[]. Added must support
        • Binding strength changes:
          • .dosageInstruction.site. From extensible to preferred
          • .dosageInstruction.route. From extensible to preferred
          • .dosageInstruction.method. From extensible to preferred
        • Binding terminology changes:
          • .dosageInstruction.asNeeded[]. Removed binding to value set UKCoreMedicationPrecondition. Added binding to value set SNOMEDCTMedicationAsNeededReasonCodes. Binding strength set as preferred
        • Reference changes:
          • .context. Removed reference to UKCore-Encounter. Added reference for DataStandardsWales-Encounter
        • Cardinality change:
          • .receiver. Cardinality changed by UK Core STU2
      • DataStandardsWales-MedicationList
        • Updated version number from 1.0.0 to 1.1.0
      • DataStandardsWales-MedicationRequest
        • Updated version number from 1.0.0 to 1.1.0
        • Must Support changes:
          • .dosageInstruction. Added must support
          • .dosageInstruction.text. Added must support
          • .dosageInstruction.timing. Added must support
          • .dosageInstruction.doseAndRate. Added must support
          • .dosageInstruction.doseAndRate.dose[]. Added must support
          • .dosageInstruction.doseAndRate.rate[]. Added must support
        • Binding strength changes:
          • .dosageInstruction.site. From extensible to preferred
          • .dosageInstruction.route. From extensible to preferred
          • .dosageInstruction.method. From extensible to preferred
        • Binding terminology changes:
          • .dosageInstruction.asNeeded[]. Removed binding to value set UKCoreMedicationPrecondition. Added binding to value set SNOMEDCTMedicationAsNeededReasonCodes. Binding strength set as preferred
        • Reference changes:
          • .requester. Removed reference to Device. Added reference to DataStandardsWales-Device
          • .reasonReference. Removed Reference to UK Core Observation. Added Reference to DataStandardsWales-Observation
      • DataStandardsWales-MedicationStatement
        • Updated version number from 1.0.0 to 1.1.0
        • Must Support changes:
          • .dosage. Added must support
        • Binding strength changes:
          • .dosage.site. From extensible to preferred
          • .dosage.route. From extensible to preferred
          • .dosage.method. From extensible to preferred
        • Binding terminology changes:
          • .dosage.asNeeded[]. Removed binding to value set UKCoreMedicationPrecondition. Added binding to value set SNOMEDCTMedicationAsNeededReasonCodesSet. Binding strength set as preferred
        • Reference changes:
          • .basedOn. Removed reference to UKCore-ServiceRequest. Added reference to DataStandardsWales-ServiceRequest
      • DataStandardsWales-Observation
        • Updated version number from 0.0.6 to 0.1.0
        • Reference changes:
          • .basedOn. Removed reference to MedicationRequest. Added reference to DataStandardsWales-MedicationRequest
          • .partOf. Removed references to MedicationAdministration, MedicationDispense, MedicationStatement, Procedure and Immunization. Added references to DataStandardsWales-MedicationAdministration, DataStandardsWales-MedicationDispense, DataStandardsWales-MedicationStatement, DataStandardsWales-Immunization, and UKCore-Procedure
          • .subject. Removed reference to Device. Added reference to DataStandardsWales-Device
          • .note.author[]. Added references to UKCore-RelatedPerson, DataStandardsWales-Organization, DataStandardsWales-Patient, and DataStandardsWales-Practitioner
          • .device. Removed reference to Device. Added reference to DataStandardsWales-Device
          • .hasMember. Added references to QuestionnaireResponse and MolecularSequence
        • Slices removed:
          • .code.coding
          • .coding:snomedCT
          • .coding:loinc
          • .bodySite.coding
          • .bodySite.coding:snomedCT
      • DataStandardsWales-Observation-Lab
        • Updated version from 0.0.5 to 0.1.0
        • Reference changes:
          • .subject. Removed references to Group, Device and DataStandardWales-Location
          • .device. Removed reference to Device. Added reference to DataStandardWales-Device
          • .hasMember. Added references to QuestionnaireResponse and MolecularSequence
        • Binding terminology changes:
          • .code. Removed binding to value set LOINCCodes. Added binding to value set UKCore-PathologyAndLaboratoryMedicineObservables. Binding strength set as preferred
        • Slices removed:
          • .code.coding
          • .code.coding:snomedCT
          • .code.coding:loinc
          • .bodySite.coding
          • .bodySite.coding:snomedCT
          • .component.code.coding
          • .component.code.coding:snomedCT
      • DataStandardsWales-Organization
        • Updated version from 1.0.0 to 1.1.0
      • DataStandardsWales-Patient
        • Updated version from 1.1.0 to 1.2.0
        • Slicing changes:
          • .identifier:bcuhbCentralPasIdentifier renamed to .identifier:bcuhbPasIdentifier. Fixed Value, Short Description and Definition updated to correspond.
        • Slices removed:
          • .identifier. Removed slices for bcuhbEastPasIdentifier and bcuhbWestPasIdentifier
      • DataStandardsWales-Practitioner
        • Updated version number from 1.0.1 to 1.1.1
        • Must Support changes:
          • .identifier.system. Added must support
          • .identifier.value. Added must support
          • .identifier:gdcNumber.system. Added must support
          • .identifier:gdcNumber.value. Added must support
          • .identifier:gmcNumber.system. Added must support
          • .identifier:gmcNumber.value. Added must support
          • .identifier:gmpNumber.system. Added must support
          • .identifier:gmpNumber.value. Added must support
          • .identifier:hcpcNumber.system. Added must support
          • .identifier:hcpcNumber.value. Added must support
          • .identifier:nmcNumber.system. Added must support
          • .identifier:nmcNumber.value. Added must support
          • .identifier:gphcCode.system. Added must support
          • .identifier:gphcCode.value. Added must support
          • .identifier:sdsUserId.system. Added must support
          • .identifier:sdsUserId.value. Added must support
          • .name.family. Added must support
          • .telecom. Added must support
          • .telecom.system. Added must support
          • .telecom.value. Added must support
      • DataStandardsWales-PractitionerRole
        • Updated version from 1.0.0 to 1.1.0
        • Must Support changes:
          • .location. Added must support
          • .telecom.system. Added must support
          • .telecom.value. Added must support
      • DataStandardsWales-ServiceRequest
        • Updated version number from 0.0.5 to 0.1.0
        • Reference changes:
          • .note.author[]. Removed references to Organization, Patient, Practitioner, and RelatedPerson. Added references to DataStandardsWales-Organization, DataStandardsWales-Patient, DataStandardsWales-Practitioner, and UKCore-RelatedPerson
          • .relevantHistory. Removed reference to Provenance. Added reference to DataStandardsWales-Provenance
        • Binding terminology changes:
          • .orderDetail. Removed ValueSet ServiceRequestOrderDetailsCodes. Replaced with ValueSet UKCoreProcedureCode. Binding changed to preferred
      • DataStandardsWales-Specimen
        • Updated version from 0.0.5 to 0.1.0
        • Binding terminology changes:
        • Slices removed:
          • .type.coding
          • .type.coding:snomedCT
          • .collection.bodySite.coding
          • .collection.bodySite.coding:snomedCT
        • Reference changes:
          • .subject. Removed reference to Device. Added reference to DataStandardsWales-Device
        • Extension changes:
          • Added extension for sampleCategory
          • .collection. Added extension for specialHandling
          • .collection.collector. Added extension for collectionCollectorR5
          • .collection.bodySite. Added extension for bodySiteReference

Examples:

Guide:

v1.2.1 STU1

Package:

  • Extensions:
    • Changes to Profiles
      • DataStandardsWales-AllergiesList
        • Added Extensions for:
          • DataStandardsWales-SingleRecord-AllergiesListUpdated
          • DataStandardsWales-SingleRecord-AllergiesListConfirmedDateurceTimestamp
          • DataStandardsWales-SingleRecord-AllergiesListConfirmedBy
    • New Extensions
      • DataStandardsWales-SingleRecord-AllergiesListUpdated
      • DataStandardsWales-SingleRecord-AllergiesListConfirmedDateurceTimestamp
      • DataStandardsWales-SingleRecord-AllergiesListConfirmedBy
    • Changes to Extensions
      • DataStandardsWales-CDRPatientRecordType
        • Removed this extension as the data item will be captured in tags
      • DataStandardsWales-CDRSourceTimestamp
        • Removed this extension as the data item will be captured in tags
  • Naming Systems
    • Changes to Identifiers
      • Consolidated BCUHBCentralPASIdentifier, BCUHBEastPASIdentifier and BCUHBWestPASIdentifier to BCUHBPASIdentifier
  • Examples:

Guide:

v1.1.1 STU1

Package:

  • Profiles:
    • Changes to Profiles
      • DataStandardsWales-Provenance
        • Updated references to use Data Standards Wales profiles
  • Extensions:
    • Changes to Extensions
      • DataStandardsWales-DemographicsAsRecorded
        • Renamed the DOB extension to birtDate
        • Updated the extension URL
        • Updated the items within the extension URLs
      • DataStandardsWales-CDRPatientRecordType
        • Updated the name of the extension
      • DataStandardsWales-CDRSourceTimestamp
        • Updated the name of the extension

Guide:

v1.1.0 STU1

Package:

  • Profiles:

    • New Profiles
      • DataStandardsWales-Device
      • DataStandardsWales-Provenance
    • Changes to Profiles
      • DataStandardsWales-Patient
        • Added Extensions for:
          • DataStandardsWales-CDRPatientRecordType
          • DataStandardsWales-CDRSourceTimestamp

  • Extensions:

    • New Extensions
      • DataStandardsWales-CDRPatientRecordType
      • DataStandardsWales-CDRSourceTimestamp
      • DataStandardsWales-DemographicsAsRecorded

  • Value Sets:

    • New Value Sets
      • DataStandardsWales-ProvenanceActivity
      • DataStandardsWales-PatientRecordType

  • Naming Systems:

    • Corrected oid references. Changed from 2.16.840.1.113883.2.1.8.1.5.nnn to 2.16.840.1.113883.2.1.8.1.3.nnn

Guide:

v1.0.1 STU1

Package:

  • Profiles:
    • DataStandardsWales-Practitioner
      • Quotes removed from sdsuserid
    • DataStandardsWales-Location
      • Cardinality changed from 1..1 to 0..1:
        • .address
        • .managingOrganization.identifier
    • DataStandardsWales-MedicationDispense
      • Cardinality changed from 1..1 to 0..1:
        • .authorizingPrescription
        • .authorizingPrescription.reference
        • .identifier
        • .performer
        • .location.display
        • .quantity.value
        • .quantity.unit
        • .quantity.system
        • .quantity.code
      • Must support added to:
        • .location
        • .receiver
        • .context
    • DataStandardsWales-Observation
      • Cardinality changed from 1..1 to 0..1:
        • .partOf.identifier
    • DataStandardsWales-Observation-Lab Resource
      • Corrected spelling error
  • Code Systems:
    • DataStandardsWales-GenderIdentity
      • Trailing space removed from display value
    • DataStandardsWales-Sex
      • Trailing space removed from display value
  • Value Set:
    • DataStandardsWales-GenderIdentity
      • Trailing space removed from display value
    • DataStandardsWales-Sex
      • Trailing space removed from display value
    • DataStandardsWales-Title
      • Code expansion format corrected
  • Concept Maps:
    • DataStandardsWales-GenderIdentity-HL7AdministrativeGender Resource
      • Corrected spelling error
      • Changed the targetURI to correct valueset
    • DataStandardsWales-HL7AdministrativeGender-GenderIdentity Resource
      • Changed the targetURI to correct valueset
    • DataStandardsWales-MaritalStatus-UKCorePersonMaritalStatusCode Resource
      • Changed the targetURI to correct valueset
      • Leading space removed from target value
  • Extension:
    • DataStandardsWales-MedicationCourseOfTherapyType
      • Change to correct valueset
  • Naming Systems:
    • Velindre PAS namespace OID corrected
    • BCUHB Central PAS Identifier corrected inconsistency
  • Examples:
    • Organization - Glangwili General Hospital
      • Removed hospital classification extension
    • Organization - Neath - Port Talbot Hospital
      • Removed hospital classification extension
  • Fixed render issues in ConceptsMaps, CodeSystem, NamingSystem & ValueSet by using HL7 FHIR XML element order
  • Spaces removed in NamingSystems name to conform to HL7 as name can be used as id

Guide:

  • DataStandardsWales-MedicationDispense
    • Mandatory and Must Support Data Elements list updated to reflect changes made to the profile and correct previously omitted information:
      • Updated the must have list as per current profile settings
      • Updated the must support list as per current profile settings

v1.0.0 STU1

  • Changes made following feedback from the publication of the pre-release

v1.0.0 STU1 - pre release

  • Changes made in response to the ballot feedback process

v0.1.1 STU1 - for ballot

  • Minor errata to fix asset rendering issues

v0.1.0 STU1 - for ballot

  • First pass review of profiles
  • Medication Scenarios
  • Improvements to navigation
  • Fixed page links and spelling
  • Removed duplicate guidance
  • References to HL7 or UK Core guidance where necessary

0.0.5 - Discovery

Experimental medication profiles were added.

  • Immunization
  • MedicationAdministration

The following experimental profiles were amended.

  • MedicationDispense
  • MedicationRequest

0.0.4 - Discovery

Experimental medication profiles were added.

  • MedicationRequest
  • MedicationDispense

A profile can now be designated as "Experimental" to show publishing intent in the near future.

0.0.2 & 0.0.3 - Discovery

Various profile drafts and fixes have been added.

0.0.1 - Discovery

The initial draft of the Data Standards Wales FHIR Implementation Guide, and should be considered 'under construction'. It contains only the base FHIR 'people and places' administrative resources.

This version is not intended for use, but is published for early comment and feedback.

Wales FHIR Implementation Guide Version History

Detailed description of the implementation guide changes