**Profiles & Interactions – All Profiles** - .meta and .meta.profile - Cardinality changed to 1..1 - MS flag added - Canonical URLs standardized for consistent formatting and usage notes updated accordingly **Profile: Patient** - birthDateEstimatedFlag cardinality changed from 0..1 to 1..1 - address.state value set link updated to ProvinceCode **Profile: Encounter** - Encounter.type usage notes updated with correct codes **Terminology** - OrganizationReferralSource value set updated to include self and family/friends under CAMHDATISReferralSourceCodes - FunctionCentreCodes value set updated with new codes A3531 and A3533 - CanadianJurisdiction value set removed and replaced with ProvinceCode - icd10ca-fragment code system created for the ICD-10-CA codes - Confirmed diagnosis value set updated to reference the ICD-10-CA code system

Message samples- `payer` display name was updated

DrugServiceCoverageEHR value set- display was updated

Adding "service type" value set in submission profiles in DiagnosticReport.category, ServiceRequest.category, Imagingstudy.extension:servicetype Adding DiagnosticReport.imagingStudy as MS for data in Using the latest EHR package to reflect changes on data out to align with data in

New version

**fix:** Add missing german language designations in VS ValueSets/CommonLanguages.json

Die Änderungen betreffen nur die Schnittstelle "Terminsynchronisation – TVS". Die Release Notes sind im [Implementation Guide](https://simplifier.net/guide/Implementierungsleitfaden-Terminsynchronisation-TVS/Terminsynchronisation-TVS/Release-Notes/Release-Notes-FHIR-Ressourcen#1.12.0) (Version 1.12.0 der FHIR-Ressourcen) zu finden.

Migration des Webservice auf den FHIR R4

Release für Ballotierungsverfahren

updated after latest EHR package snapshot14

Neue Version nach der Ballotierung - Transfer zu fsh - Ausbesserung kleinerer Fehler - intern - Ausbesserung kleinerer Fehler - gematik - Anpassung der Namenskonvention

**fix:** Update Bundle Examples with 1..1 cardinality on meta.security by Practiotioner(EmigaUser) Examples/Bundle.json Examples/BundleCreateTask.json **feat:** Remove version from meta.profile Examples/Bundle.json Examples/BundleCreateTask.json Examples/Composition.json Examples/Patient.json StructureDefinitions/ContactEventComposition.json **feat:** Generalized Extension Note StructureDefinitions/ExtensionCompositionNote.json StructureDefinitions/ExtensionNote.json **feat:** Add Extension on Composition, open event.period StructureDefinitions/ContactEventComposition.json **feat:** Add Extension Composition.note StructureDefinitions/ExtensionCompositionNote.json **feat:** Add ContactEventComposition Profile StructureDefinitions/ContactEventComposition.json

SpireCore initial package release - Includes examples generated automatically by Simplifier. - Documentation for a single usecase (Enquiry) included for guidance. - All profiles created as draft with references to other SpireCore profiles. - Profiles with a populated useContext will be set to Active and included in the IG. - Released for the purpose of testing validators.