All significant changes to this FHIR implementation guide will be documented on this page.
- Different authors:
- #113: Mapping of the author of the medical decision and the author of the document for the Medication List document.
- Add separate profiles (MedicationStatement/MedicationDispense/MedicationRequest/Observation) for use in the Medication List document (#114).
- #133: Use case for prescription authors clarified by the separate list profiles and guidance (without additional adaptation needed)
- Add description/use cases for the use of the different authors at the different document levels (document/section/entry) under Guidance - Different Authors and update the profiles/examples according to the guidance (#113):
- MTP/PRE/DIS/PADV:
- Composition.author: Reference(CH EMED PractitionerRole | CH Core Patient EPR | RelatedPerson) (remove CH EMED Practitioner | CH Core Organization EPR | Device)
- Composition.section.author: dito
- CARD:
- Composition.author: Reference(CH EMED PractitionerRole | Device | CH Core Patient EPR | RelatedPerson) (remove CH EMED Practitioner | CH Core Organization EPR)
- Composition.section.author: remove this element from differential
- Entries - Author document: use CH Core Extension (remove ch-emed-ext-documentauthor) (#146, #114)
- Entries - Author medical decision: only allow PractitionerRole (remove ch-emed-ext-representedorganization) (#114)
- LIST:
- Composition.author: Reference(Device) (remove CH EMED Practitioner | CH EMED PractitionerRole | CH Core Patient EPR | RelatedPerson | CH Core Organization EPR)
- Composition.section.author: remove this element from differential
- Entries: add seperate list profiles as mentioned above
- MTP/PRE/DIS/PADV:
- #132, #125: Practitioner and his/her organization (Composition.author) are mapped via PractitionerRole (updated profiles: all Compositions, PractitionerRole, Practitioner, Organization)
- #151: Include various inputs on the topic
- #113: Mapping of the author of the medical decision and the author of the document for the Medication List document.
- #72: Add mapping for reserve medication as 'Dosage.asNeeded'
- #161: Home: Include the new IG fragments (IP Statements/Cross Version Analysis/Dependency Table/Globals Table) and remove Copyright (new included in IP Statements)
- Update dependency to the current version of CH Core -> STU3 (v3.0.0)
- #123: Update of the introduction according to the current status
- #120: Change mapping for patient instruction from 'Entry.note' to 'Dosage.patientInstruction' to be able to map the annotation comment in the Medication Card document to 'MedicationStatemtent.note'
- #116: Update the description of 'Observation.note'.
- Allow additional elements in CH EMED Dosage Non-Structured:
- #150: Due to the decision that the CDA format will no longer be supported, CDA specific elements have been removed/adapted:
- Remove extensions from differential (since they are defined in the underlying CH Core EPR profiles, they can theoretically still be used):
- Remove time-extension (http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time) in author elements (profiles/examples)
- Remove sectionId-extension (http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-sectionid) in Composition.section (profiles/examples) (#155)
- Remove mapping between CDA and FHIR in profiles (#157)
- Remove the links to the CDA-CH-EMED documents (in the document tabs)
- Remove extensions from differential (since they are defined in the underlying CH Core EPR profiles, they can theoretically still be used):
- #144: Typo
- #135: Broken link
- #160: Add missing elements 'experimental=false' and 'description' to CodeSystems
- #119: Update the mapping to CDA for the Observation is no longer necessary
- #95: Update description of Composition/Bundle.identifier
- #86: Update minimum cardinality of Composition.custodian (due to relaxation in the underlying CH Core profile)
- #101: Update profiles -> Composition.author.extension:time (according to update in CH Core)
- #103: Dosage - Do not allow unstructured dosage text when normal/split dosing issue90-dosage
- #90: Dosage in Medication Prescription document - Relax minimum cardinality of Dosage.timing.repeat.boundsPeriod to 0
- #106: Improve slicing that info entry[x] warnings are not shown
- #110: Update title of the profiles for a better readability of the references
- Update value sets
- #89: ActivePharmaceuticalIngredient -> fix typo (Nicotine)
- #94: EDQM - RouteOfAdministration -> add EDQM code '20087000' (Extrapleural use)
- #93: UnitCode -> add UCUM code 'a' (year)
- UnitCode -> update the fr-CH display value for '732982009' from 'poche' to 'sac'
- #111: UnitCode -> add UCUM code 'mo' (month)
During the ballot, the following comments came in, which will be taken into account in the further development of CH EMED:
- #72 Representation of status "in reserve" (InRes) for a medication is missing.
See also open issues on GitHub.
- #73: Add warning if non-recommended timing-event codes are used in the structured dosage.
- #76: Elaboration of the repeated dispense.
- Additional tab with detailed description
- Add element
MedicationRequest.dispenseRequest.validityPeriodto be able to represent possible use cases (profile, mapping to CDA)
- #64: Dosage.timing.repeat.bounds[x] restricted to Period (start/end) instead of Duration, Range, Period to be equivalent to CDA.
- #75: Set mustSupport = true for patient (Composition.subject) and author (Composition.author) of the Medication Card document, because they belong to the minimal data set of IPAG.
- #74: Change the description of the identifiers of MedicationStatement, MedicationRequest, MedicationDispense and Observation (clear naming without relation to the naming of the equivalent CDA element).
- #62: Provide a separate paragraph on the flag mustSupport on the front page of the IG.
- #76: Set minimum cardinality for element
MedicationRequest.dispenseRequest.numberOfRepeatsAllowed(andMedicationRequest.dispenseRequest) back to 0, according to changes in CDA. - #80: Update references for the document author (Composition.author)
- Change references for Composition.author from 'CH Core Practitioner Profile EPR' to 'CH EMED Practitioner Profile' and from 'CH Core Practitioner Role Profile' to 'CH EMED PractitionerRole Profile'.
- Add profiles (derived from CH Core EPR profiles)
- CH EMED Practitioner Profile: Practitioner.address 1..*, set MS
- CH EMED PractitionerRole Profile: PractitionerRole.practitioner 1..1
- #63: Typo in constraint "ch-emed-sect-annot"
- #66: Removed element Organization.telecom with the value 'nullFlavor' (extension), if no value is set, the element will not be represented.
- #71: Typo in constraint "ch-emed-sect-padv"
- #69: Wrong data in example 2-6 Medication Prescription document (base64 pdf, MedicationRequest.dispenseRequest)