This page is part of the FHIR eMedication exchange formats for the implementation effort of CARA within its EPR community (v2.0.0: STU2) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Changelog

All notable changes to this project will be documented in this file.

The format is based on Keep a Changelog, and this project adheres to Semantic Versioning.

2.0.0 - 2025-01-21

Added

• Added Bq, kBq, MBq and GBq units to the CHEMEDEPRAmountQuantityUnitCode value set, added in CH EMED 4.0.1 to the parent UnitCode value set.
• Added nanomole and Application units to the CHEMEDEPRAmountQuantityUnitCode value set.
• Added an example for a medication statement with split dosage: MedicationStatementDafalganEffSplitDose.
• Added a new example for a medication statement with max dose per period: MedicationStatementDafalganEffMaxDosePerPeriod.
• Set cardinality of PMLC medication statement (CHEMEDEPRMedicationStatementCard) extension lastConsideredDocument, added with CH EMED 5.0.0, to 1..1 and added it to the IG examples.
• Added profiles CHEMEDEPRMedicationRequestChangedList and CHEMEDEPRMedicationStatementChangedList as entries in CHEMEDEPRDocumentMedicationList and CHEMEDEPRCompositionMedicationList for the changed resources. Added examples for this two new profiles.
• Added an alternative scenario to the Use Case to showcase a PADV CHANGE and a PML including changed resources.
• Added CHEMEDEPRPaperFormatCS coding system and CHEMEDEPRPaperFormat value set for paper formats to be used in PMLC queries.
• Added the following concept maps to provide guidance on translation between HCI's CdTyp9 codes and the quantity and time unit value sets in this IG: CdTyp9ToCHEMEDEPRAmountQuantityUnitCode, CHEMEDEPRAmountQuantityUnitCodeToCdTyp9, CdTyp9ToCHEMEDEPRTimeQuantityUnitCode and CHEMEDEPRTimeQuantityUnitCodeToCdTyp9.
• Added a new invariant to all medication statement, medication request and medication dispense profiles to enforce that all dosage elements (when having split dosage) use the same unit.
• Added a (warning) invariant to all composition profiles to check that the composition title is correct for the composition's language.
• Added a new guidance page on comments/notes.

Fixed

• Updated dates on DocumentPadv2 so that it can be published after the sequence DocumentMtp1, DocumentPadv1, DocumentPre1, DocumentDis1 when testing.
• Fixed profile for examples MedicationStatementParacetamolAxapharmPmlc and MedicationStatementParacetamolDafalganEffPmlc to be CHEMEDEPRMedicationStatementCard instead of CHEMEMedicationStatementCard.
• Added base-dosage-text invariant to base main-dosage-ruleset, hence to CHEMEDEPRDosage and CHEMEDEPRDosageMedicationRequest profiles. This invariant produces a warning if the Dosage.text is missing or blank. Updated all affected dosage examples to include .text.
• Fixed PADV document profile CHEMEDEPRDocumentPharmaceuticalAdvice for entry slices MedicationStatementChanged and MedicationRequestChanged to use the CH EMED EPR resources CHEMEDEPRChangedMedicationStatement and CHEMEDEPRChangedMedicationRequest respectively instead of the CH EMED ones.
• Fixed the time-quantity-only-integer constraint on the CHEMEDEPRTimeQuantity profile, that was badly express and would not work at all. See #71.
• Reintroduced the binding of substitution codes for medication statements and medication requests to CHEMEDEprActSubstanceAdminSubstitutionCode. See #72.
• Fixed the CHEMEDEprActSubstanceAdminSubstitutionCode VS to have both N and E codes allowed. See #82
• informationSource on medication statements now accepts only references to CHEMEDEPRPractitionerRole, CHEMEDEPRPatient or CHEMEDEPRRelatedPerson, as for other similar references, instead of upstream profiles.
• Fixed (overridden from CH EMED) invariants with error severity for GLN, AHVN13, EPR-SPID and VEKA values, which were not being applied. Note: CH EMED checks with warning severity were always applied.
• The description of the asNeeded field of dosage resources now properly states that the default value if omitted is false.

Changed

• Moved cardinality 1..1 on route.text and route.id from common-dosage-ruleset to main-dosage-ruleset (since split dosage cardinality in CH EMED is forced to 0).
• Replace {Piece} unit code with SCT 246205007 (Quantity) in CHEMEDEPRAmountQuantityUnitCode and in the MedicationWithTwoIngredients example.
• Updated the descriptions of CHEMEDEPRDosage and CHEMEDEPRDosageMedicationRequest .text, .additionalInstruction, and .patientInstruction fields to reflect the changes proposed in https://github.com/CARA-ch/ch-emed-epr/issues/61.
• Flagged CHEMEDEPRMedicationRequest, CHEMEDEPRChangedMedicationRequest and CHEMEDEPRMedicationRequestList .dispenseRequest.dispenseInterval as not supported.
• Changed cardinality of partOf to 0..0 for the following profiles:
  • CHEMEDEPRMedicationStatement
  • CHEMEDEPRMedicationStatementList
  • CHEMEDEPRMedicationStatementCard
• Changed cardinality of supportingInformation to 0..0 for profiles CHEMEDEPRMedicationRequest and CHEMEDEPRMedicationRequestList.
• Updated dependencies to:
  • CH EMED 5.0.0
  • CH Core 5.0.0
• Minor improvements to the Document PMLC page text content.
• Updated the description of the validity period within the Document PRE content.

Removed

1.0.0 - 2024-01-24

Added

• First release of CH EMED EPR

Fixed

Changed

Removed