3.4.0 (#146)

* Added Location and PractitionerRole

* fatfingered a '*'

* Moved NPU subset into its own Code System fragment.

* Remove special treatment of NPU

* Testing out fragments for NPU

* Adjusted unicodes

* Corrected descriptions

* Mapped "comments" using https://hl7.org/fhir/codesystem.html#defined-props

* Added correct property concept values

* Removed locale duplicate displays
Made SCT alias target DK by default

* Refined used of DK profiles

* indented properties

* Reintroduced special url for NPU to remove IGP error.

* Feature ipa support (#132)

* Introduced IPA support

* Update dep of IPA

* Adjusted to 1.0.0

* Removed merge files

* Added compliesWith and child profile for IPA compliance (#133)

* Changed to imposeProfile

* Update release-notes.md

* Update release-notes.md

* Added proper base definition

* Fix: Changed to assignment instead of declaration of imposeProfile

* Update DkCoreObservation.fsh

* Initial commit of ServiceRequest

* Update DkCoreServiceRequest.fsh

* Added content for ServiceRequest

* Update DkCoreServiceRequest.fsh

* Added ignores for NPU-errors

* Update name of profile and content of DkCoreServiceRequestCodes

* priority valueset, reasoncode and reason reference added to ServiceRequest

* changed slice name

* Update StructureDefinition-dk-core-servicerequest-intro.md

* Updated name of intro-file

* Update valueSets.fsh

* ServiceRequest coding updated in the profile, as well as in the documentation.

* ServiceRequest example corrected, documentation for priority and reasonCode added

* Updated scope and usage section according to #136

* Updated scope and usage section according to #135

* added to relationship value set and code system supplement to account for #135 and #134

* Handled issues from consultation

#140, #139, #137

* Update StructureDefinition-dk-core-patient-intro.md

#138

* Update DkCorePatient.fsh

#126

* Update DkCorePatient.fsh

#126

* Updated ServiceRequest ValueSet

* Updated scope and usage section according to #136

* Updated scope and usage section according to #135

* added to relationship value set and code system supplement to account for #135 and #134

* Update DkCorePatient.fsh

#126

* Fixed NPU error codes

* no message

* doc start on IPA inspired by fhir.fh

* Added parts of documentation

* Fixed note templates

* Disabling gh builds as they are not needed.
Added documentation

* Updated Continua/PHD examples to latest PHD release and fixed license-messages and other QA issues

* Fixed some obvious QA warnings: IPA patient and practitioner names should have a .text element and UCUM units with annotations should have the display value including the annotation

* Handled comments from review

* Updated reference to DkCorePractitionerRole

* Separated the IPA profiles into their own file

* Change listing of profiles

* Adjusted naming

* Fixed bugs

* A bit of layout changes

* Added kebab cased id's.

* Added textual descriptions to IPA profiles

* Fixed link

* Removed wrong valueset binding - #152
Created DK supplement for standard codesystem

* Removed QA error

* Update release-notes.md

* Update publication-request.json

* syntax ...

* Update codeSystems.fsh

* Correction to #152

* Removed QA errors

* removed IG version warning

* Fixed spelling error

---------

Co-authored-by: tmsMedcom <88831880+tmsMedcom@users.noreply.github.com>
Co-authored-by: kirstinerosenbeck <kirstine.rosenbeck@gmail.com>
Co-authored-by: Christian Gasser <chg@lakeside.dk>
Co-authored-by: Jacob Andersen <jacob.andersen@alexandra.dk>
Co-authored-by: hagensen-software <132343194+TMHA-Trifork@users.noreply.github.com>

Author: 6 people

.github/workflows/main.yml

@@ -43,9 +43,9 @@ jobs:
           # Run the publisher - don't run the batch script but run the line directly
           args: java -jar ./input-cache/publisher.jar publisher -ig .
 
-      - name: Deploy
-        uses: peaceiris/actions-gh-pages@v3
-        with:
-          github_token: ${{ secrets.GITHUB_TOKEN }}
-          publish_dir: ./output
+#      - name: Deploy
+#        uses: peaceiris/actions-gh-pages@v3
+#        with:
+#          github_token: ${{ secrets.GITHUB_TOKEN }}
+#          publish_dir: ./output
 

input/fsh/DkCoreBasicParameter.fsh

@@ -58,7 +58,7 @@ which requires the value to be unitless.
 Usage: #example
 * category = $observation-category#vital-signs
 * status = #final
-* code.coding[NPU] = $NPU#NPU27280 "Hb(Fe; O₂-bind.;aB)—Oxygen(O₂); sat.(Pulse oximetry) = ?"
+* code.coding[NPU] = $NPU#NPU27280
 * valueQuantity.value = 0.97
 * valueQuantity.code = #1
 * valueQuantity.system = $ucum
@@ -269,13 +269,13 @@ Usage: #example
 * code.coding[LOINC] = $LOINC#9269-2
 * code.coding[+] = $sct#248241002
 * subject = Reference(Max)
-* valueQuantity = 13 '{score}'
-* referenceRange[0].high = 8 '{score}'
+* valueQuantity = 13 '{score}' "score"
+* referenceRange[0].high = 8 '{score}' "score"
 * referenceRange[=].type.text = "Severe TBI"
-* referenceRange[+].low = 9 '{score}'
-* referenceRange[=].high = 12 '{score}'
+* referenceRange[+].low = 9 '{score}' "score"
+* referenceRange[=].high = 12 '{score}' "score"
 * referenceRange[=].type.text = "Moderate TBI"
-* referenceRange[+].low = 13 '{score}'
+* referenceRange[+].low = 13 '{score}' "score"
 * referenceRange[=].type.text = "Mild TBI"
 * effectiveDateTime = "2023-08-08T13:30:00.000Z"
 * component[0].code = $LOINC#9268-4 "Glasgow coma score motor"

input/fsh/DkCoreCondition.fsh

@@ -39,8 +39,8 @@ Description: "HL7 Denmark core profile for professionally asserted conditions, a
   * system 1..
   * system = "urn:oid:1.2.208.176.2.31"
 * subject only Reference(DkCorePatient)
-* recorder only Reference(DkCorePractitioner or PractitionerRole or DkCorePatient or DkCoreRelatedPerson)
-* asserter only Reference(DkCorePractitioner or PractitionerRole)
+* recorder only Reference(DkCorePractitioner or DkCorePractitionerRole or DkCorePatient or DkCoreRelatedPerson)
+* asserter only Reference(DkCorePractitioner or DkCorePractitionerRole)
 
 Instance: ConditionPressureUlcer
 InstanceOf: DkCoreCondition

input/fsh/DkCoreLocation.fsh

@@ -0,0 +1,35 @@
+Profile: DkCoreLocation
+Parent: Location
+Id: dk-core-location
+Title: "Danish Core Location Profile"
+Description: "HL7 Denmark core profile for locations"
+* managingOrganization only Reference(DkCoreOrganization)
+* partOf only Reference(DkCoreLocation)
+
+
+Instance: ambulance
+InstanceOf: DkCoreLocation
+Usage: #example
+* status = #active
+* description = "Ambulance provided by Acme Corp"
+* mode = #kind
+* type = http://terminology.hl7.org/CodeSystem/v3-RoleCode#AMB "Ambulance"
+* telecom.system = #phone
+* telecom.value = "+4523292833"
+* telecom.use = #mobile
+* physicalType = http://terminology.hl7.org/CodeSystem/location-physical-type#ve "Vehicle"
+* managingOrganization = Reference(Organization/b08997bb-4476-4dd0-84dd-2e297f809364)
+
+
+Instance: neuroradiologyUnit
+InstanceOf: DkCoreLocation
+Usage: #example
+* status = #active
+* name = "Neuro unit"
+* mode = #instance
+* type = http://terminology.hl7.org/CodeSystem/v3-RoleCode#RNEU "Neuroradiology unit"
+* telecom.system = #phone
+* telecom.value = "+4523292329"
+* physicalType = http://terminology.hl7.org/CodeSystem/location-physical-type#ro "Room"
+* managingOrganization = Reference(Organization/CenterForDiabetesTeamKvalitet)
+* partOf = Reference(Location/ambulance)

input/fsh/DkCoreObservation.fsh

@@ -1,7 +1,7 @@
 Profile: DkCoreObservation
 Parent: Observation
 Id: dk-core-observation
-Title: "Danish Core Observation Profiles"
+Title: "Danish Core Observation Profile"
 Description: "HL7 Denmark core profile for observations"
 * obeys dk-core-observation-mandatory-units
 * code.coding ^slicing.discriminator.type = #value
@@ -44,9 +44,9 @@ Description: "HL7 Denmark core profile for observations"
   * system 1..
   * system = $SKS (exactly)
   * code 1..
-* subject only Reference(DkCorePatient or Group or Location or Device)
+* subject only Reference(DkCorePatient or Group or DkCoreLocation or Device)
 * subject 1..
-* performer only Reference(DkCorePractitioner or DkCoreOrganization or DkCorePatient or PractitionerRole or CareTeam or DkCoreRelatedPerson)
+* performer only Reference(DkCorePractitioner or DkCoreOrganization or DkCorePatient or DkCorePractitionerRole or CareTeam or DkCoreRelatedPerson)
 * device ^short = "The device used for the measurement. It is recommended that when information about the device is sent, it is contained in the same Bundle as the Observation the device measured."
 * valueQuantity.system = $ucum
 * component.code.coding ^slicing.discriminator.type = #value
@@ -206,6 +206,7 @@ Alias: $BD_ADDR = http://hl7.org/fhir/sid/eui-48/bluetooth
 Alias: $ContinuaDeviceIdentifiers = http://hl7.org/fhir/uv/phd/CodeSystem/ContinuaDeviceIdentifiers
 Alias: $ContinuaPHD = http://hl7.org/fhir/uv/phd/CodeSystem/ContinuaPHD
 Alias: $ContinuaHFS = http://hl7.org/fhir/uv/phd/CodeSystem/ContinuaHFS
+Alias: $PhdObservationCategory = http://hl7.org/fhir/uv/phd/CodeSystem/PhdObservationCategories
 Alias: $observation-gatewayDevice = http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice
 Alias: $v2-0136 = http://terminology.hl7.org/CodeSystem/v2-0136
 Alias: $v2-0203 = http://terminology.hl7.org/CodeSystem/v2-0203
@@ -214,13 +215,20 @@ Alias: $ASN1ToHL7 = http://hl7.org/fhir/uv/phd/CodeSystem/ASN1ToHL7
 
 Instance: Poul
 InstanceOf: DkCorePatient
+Title: "Poul Hansen"
+Description: """
+  A patient admitted to a remote monitoring programme, performing measurements
+  at home.
+"""
 Usage: #example
 * meta.profile = $PhdPatient
+* identifier[cpr].system = "urn:oid:1.2.208.176.1.2"
 * identifier[cpr].value = "3001749995"
 * identifier[cpr].type = $v2-0203#NI
 * name
   * family = "Hansen"
   * given[+] = "Poul"
+  * text = "Poul Hansen"
 
 
 Instance: WeightScale.606405FFFECFC604
@@ -300,7 +308,7 @@ Usage: #example
 
 
 Instance: Weight.Poul.230221
-InstanceOf: DkCoreObservation
+InstanceOf: IpaDkCoreObservation
 Title: "Poul's daily weighing on Feb. 21st"
 Description: """
   Poul has been instructed to perform a daily weighing in the morning. This is his
@@ -312,20 +320,21 @@ Usage: #example
 * meta.profile[+] = $observation-vitalsigns
 * meta.profile[+] = $observation-bodyweight
 * status = #final
-* category.coding = $observation-category#vital-signs "Vital signs"
+* category[+].coding = $observation-category#vital-signs "Vital signs"
+* category[+].coding = $PhdObservationCategory#phd-observation "PHD generated Observation"
 * code
   * coding[+] = $LOINC#29463-7 "Body weight"
   * coding[+] = $IEEEx73#188736 "MDC_MASS_BODY_ACTUAL"
   * coding[+] = $NPU#NPU03804 "Pt—Body; mass = ? kg"
   * text = "MDC_MASS_BODY_ACTUAL: Body weight"
-* subject = Reference(http://example.org/fhir/Patient/Poul)
-* performer = Reference(http://example.org/fhir/Patient/Poul)
+* subject = Reference(Poul)
+* performer = Reference(Poul)
 * effectiveDateTime = "2023-02-21T08:36:40+01:00"
 * valueQuantity = 74.0 'kg' "kg"
 * device = Reference(WeightScale.606405FFFECFC604)
 * extension
   * url = $observation-gatewayDevice
-  * valueReference = Reference(http://example.org/fhir/Telma.FEEDDADADEADBEEF)
+  * valueReference = Reference(Telma.FEEDDADADEADBEEF)
 * derivedFrom = Reference(http://example.org/fhir/CoincidentTimeStamp.0123)
 
 
@@ -338,6 +347,11 @@ Usage: #example
 
 Instance: Telma.FEEDDADADEADBEEF
 InstanceOf: Device
+Title: "Poul's remote patient monitoring app"
+Description: """
+  Poul has been enrolled in a Remote Patient Monitoring programme in order to monitor the
+  state of his CHF condition. This is the app he uses to report the data to his doctor.
+"""
 Usage: #example
 * meta.profile = $PhgDevice
 * identifier[+]
@@ -407,6 +421,11 @@ Usage: #example
 
 Instance: BPMonitor.C4F312FFFE53F2C9
 InstanceOf: Device
+Title: "Poul's A&D blood pressure monitor"
+Description: """
+  This device is Poul's personal blood pressure monitor, which he keeps in the bedroom
+  of his home, and uses for daily monitoring due to his CHF condition.
+"""
 Usage: #example
 * meta.profile = $PhdDevice
 * identifier[+]
@@ -489,6 +508,7 @@ InstanceOf: DkCoreObservation
 Usage: #inline
 * meta.profile[+] = $PhdNumericObservation
 * status = #final
+* category[+].coding = $PhdObservationCategory#phd-observation "PHD generated Observation"
 * code
   * coding[+] = $IEEEx73#67996 "MDC_ATTR_VAL_BATT_CHARGE"
   * text = "MDC_ATTR_VAL_BATT_CHARGE: Battery level"
@@ -504,6 +524,13 @@ Usage: #inline
 
 Instance: CoincidentTimeStamp.0222
 InstanceOf: DkCoreObservation
+Title: "Coincident time stamp from Poul's home blood pressure measurement"
+Description: """
+  A coincident time stamp observation is used to ensure and inspect the consistency
+  of timelines when using battery-operated health devices having their own clock that may
+  or may not be synchronized to local time - and may even travel with their owner across
+  time zones.
+"""
 Usage: #example
 * meta.profile[+] = $PhdCoincidentTimeStampObservation
 * status = #final
@@ -521,14 +548,15 @@ Usage: #example
 
 
 Instance: BloodPressure.Poul.643992
-InstanceOf: DkCoreObservation
+InstanceOf: IpaDkCoreObservation
 Usage: #inline
 * identifier.value = "C4F312FFFE53F2C9-3001749995-urn:oid:1.2.208.176.1.2-150020-118-266016-87-266016-99-266016-20230223T102408.00"
 * meta.profile[+] = $PhdCompoundNumericObservation
 * meta.profile[+] = $observation-vitalsigns
 * meta.profile[+] = $observation-bp
 * status = #final
-* category.coding = $observation-category#vital-signs "Vital signs"
+* category[+].coding = $observation-category#vital-signs "Vital signs"
+* category[+].coding = $PhdObservationCategory#phd-observation "PHD generated Observation"
 * code
   * coding[+] = $LOINC#85354-9 "Blood pressure panel with all children optional"
   * coding[+] = $IEEEx73#150020 "MDC_PRESS_BLD_NONINV"
@@ -541,14 +569,14 @@ Usage: #inline
   * code
     * coding[+] = $LOINC#8480-6 "Systolic blood pressure"
     * coding[+] = $IEEEx73#150021 "MDC_PRESS_BLD_NONINV_SYS"
-    * coding[+] = $Medcom#MCS88019 "Arm—Blodtryk(systolisk) hjemme; tryk = ? mmHg"
+    * coding[+] = $NPU#DNK05472 "Arm—Blodtryk(systolisk); tryk = ? mmHg"
     * text = "MDC_PRESS_BLD_NONINV_SYS: Systolic Blood Pressure"
   * valueQuantity = 118 'mm[Hg]' "mmHg"
 * component[+]
   * code
     * coding[+] = $LOINC#8462-4 "Diastolic blood pressure"
     * coding[+] = $IEEEx73#150022 "MDC_PRESS_BLD_NONINV_DIA"
-    * coding[+] = $Medcom#MCS88020 "Arm—Blodtryk(diastolisk) hjemme; tryk = ? mmHg"
+    * coding[+] = $NPU#05473 "Arm—Blodtryk(diastolisk); tryk = ? mmHg"
     * text = "MDC_PRESS_BLD_NONINV_DIA: Diastolic Blood Pressure"
   * valueQuantity = 87 'mm[Hg]' "mmHg"
 * component[+]
@@ -564,14 +592,20 @@ Usage: #inline
 
 
 Instance: HeartRate.Poul.1974654
-InstanceOf: DkCoreObservation
+InstanceOf: IpaDkCoreObservation
+Title: "Poul's heart rate measurement"
+Description: """
+  Poul has been instructed to measure his blood pressure due to his CHF condition. This heart rate
+  measurement was produced by his blood pressure monitor during one of these measurements.
+"""
 Usage: #example
 * identifier.value = "C4F312FFFE53F2C9-3001749995-urn:oid:1.2.208.176.1.2-149546-93-{beat}/min-20230223T102408.00"
 * meta.profile[+] = $PhdNumericObservation
 * meta.profile[+] = $observation-vitalsigns
 * meta.profile[+] = $observation-heartrate
 * status = #final
-* category.coding = $observation-category#vital-signs "Vital signs"
+* category[+].coding = $observation-category#vital-signs "Vital signs"
+* category[+].coding = $PhdObservationCategory#phd-observation "PHD generated Observation"
 * code
   * coding[+] = $LOINC#8867-4 "Heart rate"
   * coding[+] = $IEEEx73#149546 "MDC_PULS_RATE_NON_INV"
@@ -594,6 +628,7 @@ Usage: #inline
 * identifier.value = "C4F312FFFE53F2C9-3001749995-urn:oid:1.2.208.176.1.2-8410608-8192-20230223T102408.00"
 * meta.profile[+] = $PhdBitsEnumerationObservation
 * status = #final
+* category[+].coding = $PhdObservationCategory#phd-observation "PHD generated Observation"
 * code
   * coding = $IEEEx73#8410608 "MDC_BLOOD_PRESSURE_MEASUREMENT_STATUS"
   * text = "MDC_BLOOD_PRESSURE_MEASUREMENT_STATUS: Blood Pressure measurement problem"

input/fsh/DkCorePatient.fsh

@@ -29,18 +29,22 @@ Description: "HL7 Denmark core profile for a patient"
 * address ^definition = "An address for the individual. Danish addresses must comply with directions issued by https://dawa.aws.dk/ and underlying authorities"
   * extension contains
       MunicipalityCodes named municipalityCode 0..1 and
-      RegionalSubDivisionCodes named regionalSubDivisionCodes 0..1
+      RegionalSubDivisionCodes named regionalSubDivisionCodes 0..1 and
+      http://hl7.org/fhir/StructureDefinition/address-official named address-official 0..1
   * extension[municipalityCode] ^short = "[DA] Kommunekode"
   * extension[regionalSubDivisionCodes] ^short = "[DA] Regionskode"
+  * extension[address-official] ^short = "Indicate that this address is meant to be the 'official' address for that person. This can be indicated by setting the boolean to 'true' or adding a code for the country, e.g. 'DK'. In Denmark the official is the address registered in the CPR-register, see: https://www.retsinformation.dk/eli/lta/2023/1010."
 * maritalStatus from $dk-marital-status_1 (extensible)
 * generalPractitioner ^slicing.discriminator.type = #value
   * ^slicing.discriminator.path = "identifier.system"
   * ^slicing.rules = #open
+* generalPractitioner only Reference(DkCoreOrganization or DkCorePractitioner or DkCorePractitionerRole)
 * generalPractitioner contains referencedSORUnit 0..*
 * generalPractitioner[referencedSORUnit] ^short = "[DA] Praktiserende læges SOR-id på sundhedsinstistutionsniveau"
   * identifier only SORIdentifier
-* contact.relationship from RelatedPersonRelationshipTypes (extensible)
+* managingOrganization only Reference(DkCoreOrganization)
 * link.other only Reference(DkCorePatient or DkCoreRelatedPerson)
+* contact.relationship from extended-patient-contactrelationship (extensible)
 
 Instance: 283
 InstanceOf: DkCorePatient
@@ -54,12 +58,15 @@ Usage: #example
 * name.family = "Mosebryggersen"
 * name.given[0] = "Schwendlund"
 * name.given[1] = "Test"
+* name.text = "Schwendlund Test Mosebryggersen"
 * gender = #male
 * birthDate = "1958-08-01"
-* address.extension[0].url = "http://hl7.dk/fhir/core/StructureDefinition/dk-core-municipalityCodes"
-* address.extension[=].valueCodeableConcept = $dk-core-municipality-codes#0330
-* address.extension[+].url = "http://hl7.dk/fhir/core/StructureDefinition/dk-core-RegionalSubDivisionCodes"
-* address.extension[=].valueCodeableConcept = $dk-core-regional-subdivision-codes#DK-85
+* address.extension[municipalityCode].url = "http://hl7.dk/fhir/core/StructureDefinition/dk-core-municipalityCodes"
+* address.extension[municipalityCode].valueCodeableConcept = $dk-core-municipality-codes#0330
+* address.extension[regionalSubDivisionCodes].url = "http://hl7.dk/fhir/core/StructureDefinition/dk-core-RegionalSubDivisionCodes"
+* address.extension[regionalSubDivisionCodes].valueCodeableConcept = $dk-core-regional-subdivision-codes#DK-85
+* address.extension[address-official].url = "http://hl7.org/fhir/StructureDefinition/address-official"
+* address.extension[address-official].valueCodeableConcept = urn:iso:std:iso:3166#DK
 * address.use = #home
 * address.type = #postal
 * address.line = "Nordre Ringgade 3"
@@ -86,6 +93,7 @@ Usage: #example
 * name.family = "Berggren"
 * name.given[0] = "Ruddi"
 * name.given[1] = "Test"
+* name.text = "Ruddi Test Berggren"
 * gender = #male
 * birthDate = "1977-02-15"
 * address.use = #home
@@ -105,6 +113,7 @@ Usage: #example
 * name.family = "Lauridsen"
 * name.given[0] = "Else"
 * name.given[+] = "Test"
+* name.text = "Else Test Lauridsen"
 * gender = #female
 * birthDate = "1991-02-02"
 * maritalStatus = $v3-MaritalStatus#M "Married"
@@ -121,8 +130,10 @@ Usage: #example
 * name[=].given[0] = "John"
 * name[=].given[+] = "Christian"
 * name[=].prefix = "Mr"
+* name[=].text = "Mr. John Christian Meyerhofen"
 * name[+].use = #usual
 * name[=].given = "Johnny"
+* name[=].text = "Johnny"
 * gender = #male
 * birthDate = "1960-01-02"
 * generalPractitioner.identifier.system = "urn:oid:1.2.208.176.1.1"
@@ -141,6 +152,7 @@ Usage: #example
 * name.given[0] = "Max"
 * name.given[1] = "Test"
 * name.prefix = "Mr"
+* name.text = "Mr. Max Test Berggren"
 * gender = #male
 * birthDate = "1972-07-01"
 * maritalStatus = $dk-marital-status#P
@@ -156,6 +168,7 @@ Usage: #example
 * name.family.extension.url = "http://hl7.org/fhir/StructureDefinition/data-absent-reason"
 * name.family.extension.valueCode = http://terminology.hl7.org/CodeSystem/data-absent-reason#unknown
 * name.given = "Anders"
+* name.text = "Anders"
 * gender = #male
 * birthDate = "1983-06-07"
 
@@ -171,6 +184,7 @@ Usage: #example
 * name.family.extension.url = "http://hl7.org/fhir/StructureDefinition/data-absent-reason"
 * name.family.extension.valueCode = http://terminology.hl7.org/CodeSystem/data-absent-reason#unknown
 * name.given = "Peter"
+* name.text = "Peter"
 * gender = #male
 
 Instance: ukendt-X-eCPR
@@ -182,6 +196,7 @@ Usage: #example
 * identifier.value = "0703921VJ4"
 * name.use = #temp
 * name.family = "Madsen"
+* name.text = "Madsen"
 * gender = #female
 * birthDate = "1992-03-07"