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New IG package that uses the latest EHR v1.1.0 IG package
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These changes are implemented in this release:
- Fix Provenance.meta.tag slicing discriminator field (DT-214)
- Fix Medication profile extension slice naming inconsistency: MonitoredDrugIndicator and CompoundIndicator (DT-190)
- Change request for ProvenanceAgentType value set and ProvenanceParticipantType codesystem (DT-210)
- Fix the code with null value for a required data element designation.value in the PractitionerSpecialtyEHR value set (DT-189)
- Fix the ProviderOrganizationRoleTypeEHR value set so that all codes in the value set are also present in the code system (DT-187)
- Fix the codesystem ProviderOrganizationRoleTypeEHR by removing unrecognized metadata element (DT-188)
- Add MS flags on child elements of Patient.contact.telecom (DT-102)
- Update ICD10CA and ICD9CM latest canonical url in valueset binding in Condition.code and ServiceRequest.reasonCode profiles (DT-185)
- Update the cardinality on DocumentReference.category from mandatory to optional (DT-184)
- Add or restore the codesystem CountryCodeEHR which was previously removed (DT-181)
- Add all acCDR and MI related ValueSets to the additional bindings of DocumentReference.context.event, Retain the original base FHIR R4 binding strength (i.e example) of the base binding of DocumentReference.context.event (DT-178)
- Update the binding strength on the base binding of DocumentReference.practiceSetting (i.e. HospitalService) from extensible to preferred and add additional binding (i.e. ProcedureServiceTypeEHR) to accommodate MI mapping (DT-177)
- Update the binding strength on the base binding of DocumentReference.type (i.e. DocumentReferenceTypeEHR) from required to preferred and add additional binding (i.e. LocalDocumentTypeEHR) (DT-176)
- Add PractitionerRole reference to generalPractitioner element in Patient profile (DT-174)
- Add contained reference to RelatedPersonEHR for recorder/asserter linkage in AllergyIntolerance profile (DT-173)
- Align ICD10CA, ICD9CM with CA Core+, change in the profile valueset binding using new canonical url (DT-156)
- Add additional codes in MimeTypeEHR codesystem (DT-154)
- Duplicate Codesystem for additionalBinding (DT-151)
- ICD10CA in CA Core+ changed the canonical url (DT-71)
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# Changelog SGRDV — release `1.1.4`
**Date de publication :** 20 juillet 2026
> Légende : 🔴 = rupture sur contrat de production (`experimental = false`) · 🟠 = rupture sur contrat en validation (`experimental = true`) · 🟢 = ajout ou assouplissement rétrocompatible
---
## 1. Versionnement et statut
### 1.1 Bump `1.1.2` → `1.1.4`
Cette release correspond à un bump PATCH. L'artefact modifié porte `experimental = true`. Le changement est un assouplissement rétrocompatible.
Résumé des changements :
- §2 — Patient de recherche commun : l'extension d'admissibilité au Guichet d'accès première ligne (`admisGap`) passe de obligatoire à facultative. 🟢
### 1.2 Version explicite sur tous les artefacts
Tous les artefacts définitionnels du guide portent désormais explicitement **`1.1.4`** : profils, extensions, `ValueSet`, `CodeSystem`, `OperationDefinition` et `CapabilityStatement`. Les ressources `NamingSystem` ne portent pas de version — l'élément `version` n'existe pas sur cette ressource en FHIR R4.
---
## 2. Patient de recherche — `admisGap` rendu facultatif 🟢
L'extension portant l'admissibilité du patient au Guichet d'accès première ligne était obligatoire sur le profil Patient utilisé dans les demandes de disponibilités. Elle devient facultative.
| Élément | Avant (1.1.2) | Après (1.1.4) |
|---|---|---|
| `extension[admisGap]` | `1..1 MS` | **`0..1 MS`** |
L'admissibilité n'est pas pertinente dans tous les contextes. L'appelant peut désormais omettre l'extension lorsqu'elle ne s'applique pas ; lorsqu'elle est connue et pertinente, il la renseigne comme auparavant.
Le profil Patient de réservation hérite de cette cardinalité — aucune action supplémentaire n'est requise sur la demande `$book`.
**Impact appelant :** aucun. Un appelant qui continue de transmettre l'extension reste conforme. La suppression de la contrainte n'invalide aucune charge utile existante.
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Bei diesem **Release Package** handelt es sich um die Version **ohne ValueSet-Expansions**. Das Release Package mit Expansions ist [hier](https://simplifier.net/packages/kvdigital.vermittlungscode-abrufen-pvs/1.12.0-expansions) zu finden.
---
Die Release Notes sind im [Implementation Guide](https://simplifier.net/guide/implementierungsleitfaden-vermittlungscode-anfordern-fuer-pvs/Vermittlungscode-Anfordern-f%C3%BCr-PVS/Implementierung/Release-Notes-FHIR-Ressourcen#1.12.0) zu finden.
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**fix:** Remove identifier.type to adjust to new indentifiers
Examples/HospitalRoomLocation.json
Examples/InekEinrichtung01.json
Examples/InekEinrichtung02.json
Examples/InekKrankenhaus.json
Examples/InekStandort.json
Examples/LaborLocation.json
Examples/LaborLocationSub.json
Examples/LaborOrganization.json
Examples/Organization-44588981.json
Examples/OrganizationEpiWarn.json
Examples/Station01.json
StructureDefinitions/EmigaHospitalRoomLocation.json
**feat:** Adjust examples to new identifiers
Examples/HospitalRoomLocation.json
Examples/InekEinrichtung01.json
Examples/InekEinrichtung02.json
Examples/InekKrankenhaus.json
Examples/InekStandort.json
Examples/LaborLocation.json
Examples/LaborLocationSub.json
Examples/LaborOrganization.json
Examples/Organization-44588981.json
Examples/OrganizationEpiWarn.json
Examples/Station01.json
**feat:** Add EmigaFileNumber and EmigaId identifiers, remove EinrVId and EinrVfilenumber identifiers
Deprecated/IdentifierEmigaEinrVFileNumber.json
Deprecated/IdentifierEmigaEinrVId.json
StructureDefinitions/EmigaDepartmentOrganization.json
StructureDefinitions/EmigaHospitalFacilityLocation.json
StructureDefinitions/EmigaHospitalLocation.json
StructureDefinitions/EmigaHospitalOrganization.json
StructureDefinitions/EmigaHospitalRoomLocation.json
StructureDefinitions/EmigaLocation.json
StructureDefinitions/EmigaOrganization.json
StructureDefinitions/EmigaPublicHealthLocation.json
StructureDefinitions/EmigaPublicHealthOrganization.json
**fix:** Remove unused NamingSystems, CodeSystems and ValueSets
CodeSystem/EinrVBundleId.json
CodeSystem/EinrVBundleVersion.json
NamingSystem/EmigaEinrVFileNumber.json
NamingSystem/EmigaEinrVId.json
StructureDefinitions/EinrVBundle.json
ValueSet/EinrVBundleId.json
ValueSet/EinrVBundleVersion.json
**fix:** Remove unused NamingSystems
Deprecated/EmigaEinrVFileNumber.json
Deprecated/EmigaEinrVId.json
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Bei diesem **Release Package** handelt es sich um die Version **ohne ValueSet-Expansions**. Das Release Package mit Expansions ist [hier](https://simplifier.net/packages/kvdigital.terminschnittstelle-fuer-kven/2.5.0-expansions) zu finden.
---
Die Release Notes sind im Implementation Guide auf der Seite [Release Notes](https://simplifier.net/guide/implementierungsleitfaden-terminschnittstelle-fuer-kven/Terminschnittstelle-fuer-KVen/Release-Notes/Release-Notes-FHIR-Ressourcen#2.5.0) zu finden.
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Release to support Order Management Private Beta
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Bei diesem **Release Package** handelt es sich um die Version **ohne ValueSet-Expansions**. Das Release Package mit Expansions ist [hier](https://simplifier.net/packages/kvdigital.terminschnittstelle-fuer-dritte/2.8.0-expansions) zu finden.
---
Die Release Notes sind im Implementation Guide auf der Seite [Release Notes](https://simplifier.net/guide/implementierungsleitfaden-terminschnittstelle-fuer-dritte/Terminschnittstelle-f%C3%BCr-Dritte/Release-Notes/2.8.0) zu finden.
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Siehe Release Notes der einzelnen Implementierungsleitfäden.
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### Pathway Display Name and PROMs Code Updates
| Simplifier Name | New Pathway Display Value | PROMs Pathway Code |
| ---------------------------------------------------------------------------- | --------------------------------------------------------------- | ------------------ |
| Knee pathway - arthroplasty | Knee - Arthroplasty | KNA |
| Cancer pathway - lung - generic | Lung Cancer | CLU |
| Cardiac pathway - heart failure | Heart Failure | CHF |
| Hip pathway - arthroplasty | Hip Arthroplasty | HIA |
| Hip pathway - non-arthroplasty | Hip Non-Arthroplasty | HIN |
| Ophthalmology pathway - cataracts | Cataracts | OPC |
| Inflammatory bowel disease pathway | IBD | IBD |
| Knee pathway - non-arthroplasty | Knee Non-Arthroplasty | KNN |
| Knee pathway - ACL | Knee - ACL | KNL |
| Knee pathway - osteotomy | Knee - Osteotomy | KNO |
| Knee pathway - patellofemoral conditions | Knee - Patellofemoral | KNP |
| Foot and ankle pathway - arthroplasty | Foot and Ankle - Arthroplasty | FAA |
| Foot and ankle pathway - non-arthroplasty | Foot and Ankle - Non-Arthroplasty | FAN |
| Musculoskeletal pathway | MSK | MSK |
| Dermatology pathway - generic | Dermatology - Rashes | DEG |
| Shoulder pathway - arthroplasty | Shoulder - Arthroplasty | SHA |
| Shoulder pathway - non-arthroplasty | Shoulder - Non-Arthroplasty | SHN |
| Shoulder pathway - instability | Shoulder - Instability | SHI |
| Elbow pathway - arthroplasty | Elbow - Arthroplasty | ELA |
| Elbow pathway - non-arthroplasty | Elbow - Non-Arthroplasty | ELN |
| Hand pathway - hand arthritis (inc. OA/RA/post-traumatic) - arthroplasty | Hand - Arthritis (inc. OA/RA/post-traumatic) - Arthroplasty | HAA |
| Hand pathway - hand arthritis (inc. OA/RA/post-traumatic) - non-arthroplasty | Hand - Arthritis (inc. OA/RA/post-traumatic) - Non-Arthroplasty | HAN |
| Hand pathway - Dupuytren's | Hand - Dupuytren's | HAD |
| Hand pathway - general conditions/non-wrist trauma | Hand - General Conditions/Non-Wrist Trauma | HAG |
| Hand pathway - carpal tunnel | Hand - Carpal Tunnel | HAC |
| Hand pathway - rheumatoid wrist | Hand - Rheumatoid Wrist | HAR |
| Hand pathway - wrist conditions | Hand - Wrist Conditions | HAW |
| Hand pathway - wrist/carpal injury trauma | Hand - Wrist/Carpal Injury Trauma | HAT |
| Cancer pathway - myeloma | Myeloma | CMY |
| Spine pathway - cervicothoracic degenerative | Spine - Cervicothoracic Degenerative | SCD |
| Spine pathway - adult deformity | Spine - Adult Deformity | SAD |
| Spine pathway - infection | Spine - Infection | SIF |
| Spine pathway - intradural | Spine - Intradural | SIT |
| Spine pathway - lumbar degenerative | Spine - Lumbar Degenerative | SLD |
| Spine pathway - tumour | Spine - Tumour | STU |
| Spine pathway - trauma | Spine - Trauma | STR |
| Cancer pathway - prostate | Prostate Cancer | CPS |
| ENT pathway - tonsillectomy (age 5+) | Tonsillectomy (Age 5+) | ENT |
| ENT pathway - rhinosinusitis | Rhinosinusitis | ENR |
| Lymphoedema pathway - adult | Lymphoedema (Adult) | LAD |
| Critical care pathway | Critical Care | CCA |
| Chronic liver disease pathway | Chronic Liver Disease | CLD |
| Palliative care pathway | Palliative and End of Life Care | PAL |
| Cardiac pathway - Acute coronary syndrome (ACS) | Acute Coronary Syndrome (ACS) | CAC |
| Enhanced Community Care | Enhanced Community Care | ECC |
| Type 1 Diabetes | Type 1 Diabetes | DIA |
| All Other Diabetes (including Type 2) | All Other Diabetes (including Type 2) | DAO |
| Mental Health (Adult Generic) | Mental Health Inpatient (Adult) | MHI |
| Fracture Liaison Service | Fracture Liaison Service | FLS |
| Adult Epilepsy | Epilepsy (Adult) | EPA |
| Type 1 Diabetes (Paediatric) | Type 1 Diabetes (Paediatric) | DIP |
| Other PROMs pathway | Other PROMs | OTH |
### Pathways Removed
* **SPD** – Spine pathway – paediatric deformity
* **ADH** – Ad Hoc PROMs unrelated to pathway
* **MJT** – Major trauma pathway
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- Business Requirements
- Added clarifications to Business Requirements IR-007, SR-005, SR-006
- App Catalog
- Multilingual Support
- Distinguished Catalog Metadata Translation (translation of application metadata in the catalog response) and Application Runtime Translation (translation of the application after launch) as separate, independent concepts, and clarified translation handling further
- Clarified multilingual metadata field names by renaming lang to contentLanguage and langSupported to languagesSupported
- Registration elements
- Added registrationModes and preassignedCredentials elements holding the App registration details to support scalable registration with an Identity Provider (IdP)
- Intents element
- Added intents element to support UI contexts or workflows during a SMART launch.
- Design Considerations
- Added App Registration and Authentication & Securing the App Catalog sections.
- Renamed section Security, Authentication and Authorization to Federated Identity and Single Sign-On
- Renamed sub-section title from Recommended SSO Approach: Federated Identity Sign-On to Recommended SSO Approach: Federated Single Sign-On
- Subscriptions
- Updated the Subscriptions page to reflect that an active subscription is required for state-changing interactions only
- User Perspective Guides
- Key HALO Sections - Added links to Design Considerations, Integration Profiles Overview, Interoperability Recommendations
- Added clarification to the SMART App Developers User Perspective Guide that Apps are discoverable within the jurisdiction
- Operation:$set-context
- Added State-changing Scopes section to the $set-context page
- Operation:$clear-context
- Updated the Overview section on the $clear-context page to include SOFA recommendations.
- Minor spelling and grammar corrections
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- Anpassung der Versionsnummer für die eRezept-Profile auf 1.4.4
- Aufnahme des Constraints -erp-angabeDosierkennzeichenPflicht
- Aufnahme des Constraints -erp-angabeDosierkennzeichenBtMT-RezeptPflicht
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Create new package for the IG release
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