From 0889570e64d3a258a7b7fe53a6c99f2470a7422a Mon Sep 17 00:00:00 2001 From: "lei.ma@icf.com" <42583@icf.com> Date: Fri, 4 Oct 2024 11:30:47 -0500 Subject: [PATCH 1/3] FHIR-46657 --- ...inition-qicore-medicationnotrequested.json | 20 +++++++++++++++++ ...reDefinition-qicore-medicationrequest.json | 22 ++++++++++++++++++- 2 files changed, 41 insertions(+), 1 deletion(-) diff --git a/input/profiles/StructureDefinition-qicore-medicationnotrequested.json b/input/profiles/StructureDefinition-qicore-medicationnotrequested.json index 3092430d..372aa76c 100644 --- a/input/profiles/StructureDefinition-qicore-medicationnotrequested.json +++ b/input/profiles/StructureDefinition-qicore-medicationnotrequested.json @@ -71,6 +71,26 @@ ], "mustSupport": false }, + { + "id" : "MedicationRequest.medicationAdherence", + "extension" : [ + { + "url" : "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-keyelement", + "valueBoolean" : true + } + ], + "path" : "MedicationRequest.extension", + "sliceName" : "medicationAdherence", + "short" : "URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-medication-adherence", + "min" : 0, + "max" : "*", + "type" : [ + { + "code" : "Extension" + } + ], + "mustSupport" : false + }, { "id": "MedicationRequest.status", "extension": [ diff --git a/input/profiles/StructureDefinition-qicore-medicationrequest.json b/input/profiles/StructureDefinition-qicore-medicationrequest.json index 1519a14b..379f71a9 100644 --- a/input/profiles/StructureDefinition-qicore-medicationrequest.json +++ b/input/profiles/StructureDefinition-qicore-medicationrequest.json @@ -70,7 +70,27 @@ } ] }, - { + { + "id" : "MedicationRequest.medicationAdherence", + "extension" : [ + { + "url" : "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-keyelement", + "valueBoolean" : true + } + ], + "path" : "MedicationRequest.extension", + "sliceName" : "medicationAdherence", + "short" : "URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-medication-adherence", + "min" : 0, + "max" : "*", + "type" : [ + { + "code" : "Extension" + } + ], + "mustSupport" : false + }, + { "id": "MedicationRequest.status", "extension": [ { From 9513d1b25d235a70fa4fbd6f711a644b14632ebd Mon Sep 17 00:00:00 2001 From: "lei.ma@icf.com" <42583@icf.com> Date: Fri, 4 Oct 2024 11:45:52 -0500 Subject: [PATCH 2/3] Changes documented --- input/pages/changes.md | 5 + input/pages/changes.md.bak | 522 +++++++++++++++++++++++++++++++++++++ 2 files changed, 527 insertions(+) create mode 100644 input/pages/changes.md.bak diff --git a/input/pages/changes.md b/input/pages/changes.md index 6bcf5161..fbd0f03c 100644 --- a/input/pages/changes.md +++ b/input/pages/changes.md @@ -47,6 +47,11 @@ This page lists the change history for each version of QI-Core. 1. Add list of QI-Core-flagged elements to the narrative ([FHIR-46030](https://jira.hl7.org/browse/FHIR-46030)) Applied in each profile ([here](profiles.html)) 1. QICore MedicationRequest prohibits reportedBoolean ([FHIR-46040](https://jira.hl7.org/browse/FHIR-46040)) Applied ([here](StructureDefinition-qicore-medicationrequest.html)) 1. Update medication[x] content across not done for reason medication actions to assure consistency ([FHIR-46291](https://jira.hl7.org/browse/FHIR-46291)) Applied ([here](StructureDefinition-qicore-medicationnotrequested.html)) and ([here](StructureDefinition-qicore-medicationadministrationnotdone.html)) and ([here](StructureDefinition-qicore-medicationdispensedeclined.html)) +1. QICoreCommunicationRequest description text change ([FHIR-46654](https://jira.hl7.org/browse/FHIR-46654)) Applied ([here](StructureDefinition-qicore-task.html)) +1. Remove "ADDITIONAL USCDI" indicator ([FHIR-46657](https://jira.hl7.org/browse/FHIR-46657)) Applied ([here](StructureDefinition-qicore-medicationnotrequested.html)) and ([here](StructureDefinition-qicore-medicationrequest.html)) +1. QICoreTask description text change ([FHIR-46659](https://jira.hl7.org/browse/FHIR-46659)) Applied ([here](StructureDefinition-qicore-task.html)) +1. Update to QI Core Profile Headings w/Current Version ([FHIR-47398](https://jira.hl7.org/browse/FHIR-47398)) Applied ([here](profiles.html)) +1. Correct duplicate content error from MustSupport Flag section ([FHIR-47407](https://jira.hl7.org/browse/FHIR-47407)) Applied ([here](index.html#mustsupport-flag)) ### STU6 Release (6.0.0) diff --git a/input/pages/changes.md.bak b/input/pages/changes.md.bak new file mode 100644 index 00000000..ab810fae --- /dev/null +++ b/input/pages/changes.md.bak @@ -0,0 +1,522 @@ +{: toc} + +{: #changes} + +This page lists the change history for each version of QI-Core. + +### STU7-ballot (7.0.0) + +1. Should have a CapablityStatement to describe the capabilities of a deployed and configured solution that follows this IG. - 2018-Jan QI-Core #29 ([FHIR-14994](https://jira.hl7.org/browse/FHIR-14994)) Applied ([here](index.html#summary-of-conformance-requirements)) +1. It'd be helpful to list a default retriever for each profile ([FHIR-42084](https://jira.hl7.org/browse/FHIR-42084)) Applied in each profile ([here](profiles.html)) +1. Consider refactoring to Using CQL IG ([FHIR-43570](https://jira.hl7.org/browse/FHIR-43570)) Applied ([here](modelinfo.html)) and ([here](patterns.html)) and ([here](negation.html)) +1. MedicationNotRequested binding is incorrect ([FHIR-44737](https://jira.hl7.org/browse/FHIR-44737)) Applied ([here](StructureDefinition-qicore-medicationnotrequested.html)) +1. MedicationDispenseDeclined negation pattern incorrectly allows for medication reference ([FHIR-44738](https://jira.hl7.org/browse/FHIR-44738)) Applied ([here](StructureDefinition-qicore-medicationdispensedeclined.html)) +1. TLS 1.1 has been deprecated ([FHIR-44743](https://jira.hl7.org/browse/FHIR-44743)) Applied ([here](index.html#privacy-security-and-consent)) +1. Link to Terminology "guidance section" doesn't work as intended ([FHIR-44808](https://jira.hl7.org/browse/FHIR-44808)) Applied ([here](terminology.html)) +1. Add reference to 3 new US Core observation profiles in QI-Core ([FHIR-45359](https://jira.hl7.org/browse/FHIR-45359)) Applied ([here](profiles.html)) +1. Update QI-Core references to USCDI consistent with US Core 7.0 approach ([FHIR-45360](https://jira.hl7.org/browse/FHIR-45360)) Applied in each profile ([here](profiles.html)) +1. Update qiqore-notDoneValueSet Extension ([FHIR-45368](https://jira.hl7.org/browse/FHIR-45368)) Applied ([here](extensions.html)) +1. Update QI-Core to use extensions pack ([FHIR-45369](https://jira.hl7.org/browse/FHIR-45369)) Applied ([here](extensions.html)) +1. Update AllergyIntolerance, CarePlan, CareTeam, and Coverage profiles to address US Core 7.0 ([FHIR-45395](https://jira.hl7.org/browse/FHIR-45395)) Applied ([here](StructureDefinition-qicore-careplan.html)) and ([here](StructureDefinition-qicore-careteam.html)) +1. Update QI-Core Condition Encounter Diagnosis and QI-Core Condition Problems and Health Concerns Profiles to build off of US Core 7.0 ([FHIR-45396](https://jira.hl7.org/browse/FHIR-45396)) Applied ([here](StructureDefinition-qicore-condition-problems-health-concerns.html)) and ([here](StructureDefinition-qicore-condition-encounter-diagnosis.html)) +1. Update QICore DiagnosticReport Profile for Laboratory Results Reporting and QI Core DiagnosticReport Profile for Report and Note Exchange to reflect updates in US Core 7.0's respective profile ([FHIR-45397](https://jira.hl7.org/browse/FHIR-45397)) Applied ([here](StructureDefinition-qicore-diagnosticreport-lab.html)) +1. Update QICore Encounter profile to build off of US Core 7.0 Encounter profile ([FHIR-45398](https://jira.hl7.org/browse/FHIR-45398)) Applied ([here](StructureDefinition-qicore-encounter.html)) +1. Update QI-Core Goal profile to reflect US Core 7.0 Goal profile ([FHIR-45399](https://jira.hl7.org/browse/FHIR-45399)) Applied ([here](StructureDefinition-qicore-goal.html)) +1. Update QI-Core Immunization, QI-Core ImmunizationNotDone profiles to build from US 7.0 Core Immunization Profile ([FHIR-45400](https://jira.hl7.org/browse/FHIR-45400)) Applied ([here](StructureDefinition-qicore-immunizationnotdone.html)) +1. Update QI-Core Location profile consistently with US Core version 7.0 Location Profile ([FHIR-45401](https://jira.hl7.org/browse/FHIR-45401)) Applied ([here](StructureDefinition-qicore-location.html)) +1. Update QI-Core Medication and QI-Core MedicationDispense and QI-Core MedicationDispenseDeclined profiles to build from US Core 7.0 Medication and MedicationDispense profiles ([FHIR-45402](https://jira.hl7.org/browse/FHIR-45402)) Applied ([here](StructureDefinition-qicore-medicationdispense.html)) and ([here](StructureDefinition-qicore-medicationdispensedeclined.html)) +1. Update QI-Core MedicationRequest and QI-Core MedicationNotRequested to changes reflected in US Core 7.0 MedicationRequest Profile ([FHIR-45403](https://jira.hl7.org/browse/FHIR-45403)) Applied ([here](StructureDefinition-qicore-medicationrequest.html)) and ([here](StructureDefinition-qicore-medicationnotrequested.html)) +1. update QI-Core SimpleObservation and ObservationCancelled to reflect changes in US Core 7.0 ([FHIR-45415](https://jira.hl7.org/browse/FHIR-45415)) Applied ([here](StructureDefinition-qicore-simple-observation.html)) and ([here](StructureDefinition-qicore-observationcancelled.html)) +1. Update QI-Core ObservationClinicalResult and QI-Core LaboratoryResultObservation Profile to reflect changes in US Core 7.0 ([FHIR-45416](https://jira.hl7.org/browse/FHIR-45416)) Applied ([here](StructureDefinition-qicore-observation-clinical-result.html)) and ([here](StructureDefinition-qicore-observation-lab.html)) +1. Update QI-Core ObservationScreeningAssessment to reflect changes in US Core 7.0 ([FHIR-45417](https://jira.hl7.org/browse/FHIR-45417)) Applied ([here](StructureDefinition-qicore-observation-screening-assessment.html)) +1. Update QI-Core Organization Profile to reflect changes in US Core 7.0 ([FHIR-45419](https://jira.hl7.org/browse/FHIR-45419)) Applied ([here](StructureDefinition-qicore-organization.html)) +1. Update QI-Core Patient profile to align with changes in US Core 7.0 ([FHIR-45424](https://jira.hl7.org/browse/FHIR-45424)) Applied ([here](StructureDefinition-qicore-patient.html)) +1. Update QI-Core Practitioner profile to reflect changes in US Core 7.0 ([FHIR-45425](https://jira.hl7.org/browse/FHIR-45425)) Applied ([here](StructureDefinition-qicore-practitioner.html)) +1. Update QI-Core PractitionerRole profile to reflect changes in US Core 7.0 ([FHIR-45426](https://jira.hl7.org/browse/FHIR-45426)) Applied ([here](StructureDefinition-qicore-practitionerrole.html)) +1. Update QI-Core Related Person to reflect changes in US Core 7.0 ([FHIR-45427](https://jira.hl7.org/browse/FHIR-45427)) Applied ([here](StructureDefinition-qicore-relatedperson.html)) +1. Update QI-Core Procedure and ProcedureNotDone to reference US Core 7.0 respective profile ([FHIR-45429](https://jira.hl7.org/browse/FHIR-45429)) Applied ([here](StructureDefinition-qicore-procedure.html)) and ([here](StructureDefinition-qicore-procedurenotdone.html)) +1. Update QI-Core QuestionnaireResponse profile to align with updated US Core 7.0 respective profile ([FHIR-45430](https://jira.hl7.org/browse/FHIR-45430)) Applied ([here](StructureDefinition-qicore-questionnaireresponse.html)) +1. Update QI-Core ServiceRequest and QI-Core ServiceNotRequested to align with changes to US Core 7.0 respective profiles ([FHIR-45431](https://jira.hl7.org/browse/FHIR-45431)) Applied ([here](StructureDefinition-qicore-servicerequest.html)) and ([here](StructureDefinition-qicore-servicenotrequested.html)) +1. Update QDM to QI-Core Mapping Tables to reference changes in QI-Core 7.0 ([FHIR-45597](https://jira.hl7.org/browse/FHIR-45597)) Applied ([here](qdm-to-qicore.html)) +1. Limit subject reference in AdverseEvent to patient ([FHIR-45693](https://jira.hl7.org/browse/FHIR-45693)) Applied ([here](StructureDefinition-qicore-adverseevent.html)) +1. Update Negation page to include 3 new US Core observation profiles ([FHIR-45722](https://jira.hl7.org/browse/FHIR-45722)) Applied ([here](negation.html)) +1. Update landing page for version 7.0 ([FHIR-45947](https://jira.hl7.org/browse/FHIR-45947)) Applied ([here](index.html)) +1. Move Negation Value Set to THO ([FHIR-45957](https://jira.hl7.org/browse/FHIR-45957)) Applied ([here](ValueSet-qicore-negation-reason.html)) +1. Update QI-Core Claim to include key elements for present on admission and principal diagnosis ([FHIR-45959](https://jira.hl7.org/browse/FHIR-45959)) Applied ([here](StructureDefinition-qicore-claim.html)) +1. Add (QI) tags to QI-Core profile elements used in test FHIR measures ([FHIR-46015](https://jira.hl7.org/browse/FHIR-46015)) Applied in each profile ([here](profiles.html)) +1. Add list of QI-Core-flagged elements to the narrative ([FHIR-46030](https://jira.hl7.org/browse/FHIR-46030)) Applied in each profile ([here](profiles.html)) +1. QICore MedicationRequest prohibits reportedBoolean ([FHIR-46040](https://jira.hl7.org/browse/FHIR-46040)) Applied ([here](StructureDefinition-qicore-medicationrequest.html)) +1. Update medication[x] content across not done for reason medication actions to assure consistency ([FHIR-46291](https://jira.hl7.org/browse/FHIR-46291)) Applied ([here](StructureDefinition-qicore-medicationnotrequested.html)) and ([here](StructureDefinition-qicore-medicationadministrationnotdone.html)) and ([here](StructureDefinition-qicore-medicationdispensedeclined.html)) +1. Correct duplicate content error from MustSupport Flag section ([FHIR-47407](https://jira.hl7.org/browse/FHIR-47407)) Applied ([here](index.html#mustsupport-flag)) +1. Update medication[x] content across not done for reason medication actions to assure consistency ([FHIR-46291](https://jira.hl7.org/browse/FHIR-46291)) Applied ([here](StructureDefinition-qicore-medicationnotrequested.html)) and ([here](StructureDefinition-qicore-medicationadministrationnotdone.html)) and ([here](StructureDefinition-qicore-medicationdispensedeclined.html)) +1. Update medication[x] content across not done for reason medication actions to assure consistency ([FHIR-46291](https://jira.hl7.org/browse/FHIR-46291)) Applied ([here](StructureDefinition-qicore-medicationnotrequested.html)) and ([here](StructureDefinition-qicore-medicationadministrationnotdone.html)) and ([here](StructureDefinition-qicore-medicationdispensedeclined.html)) +1. Update medication[x] content across not done for reason medication actions to assure consistency ([FHIR-46291](https://jira.hl7.org/browse/FHIR-46291)) Applied ([here](StructureDefinition-qicore-medicationnotrequested.html)) and ([here](StructureDefinition-qicore-medicationadministrationnotdone.html)) and ([here](StructureDefinition-qicore-medicationdispensedeclined.html)) +1. Update medication[x] content across not done for reason medication actions to assure consistency ([FHIR-46291](https://jira.hl7.org/browse/FHIR-46291)) Applied ([here](StructureDefinition-qicore-medicationnotrequested.html)) and ([here](StructureDefinition-qicore-medicationadministrationnotdone.html)) and ([here](StructureDefinition-qicore-medicationdispensedeclined.html)) + +### STU6 Release (6.0.0) + +1. QICore Simple Observation Profile - removed additional subjects ([FHIR-41755](https://jira.hl7.org/browse/FHIR-41755)) +1. QI-Core is spelled various ways throughout the implementation guide ([FHIR-41783](https://jira.hl7.org/browse/FHIR-41783)) +1. Technical correction: remove "`" at the end of the sentence. ([FHIR-41784](https://jira.hl7.org/browse/FHIR-41784)) +1. The first sentence of bullet point 1 in 1.0.1 must be updated ([FHIR-41786](https://jira.hl7.org/browse/FHIR-41786)) +1. Add a space between "support" and "(vMR)"([FHIR-41787](https://jira.hl7.org/browse/FHIR-41787)) +1. Remove comma after "data" ([FHIR-41788](https://jira.hl7.org/browse/FHIR-41788)) +1. Consider capitalizing "url" to "URL" throughout the entire implementation guide. ([FHIR-41789](https://jira.hl7.org/browse/FHIR-41789)) +1. Are any of these duplicates in the table in 8.7? ([FHIR-41790](https://jira.hl7.org/browse/FHIR-41790)) +1. 1.4 Relevance of QI-Core Profiles to Authors ([FHIR-41974](https://jira.hl7.org/browse/FHIR-41974)) +1. 1.5 Scope ([FHIR-41975](https://jira.hl7.org/browse/FHIR-41975)) +1. 1.5 Scope ([FHIR-41976](https://jira.hl7.org/browse/FHIR-41976)) +1. 1.5 Scope ([FHIR-41978](https://jira.hl7.org/browse/FHIR-41978)) +1. 1.6 Privacy, Security, and Consent ([FHIR-41979](https://jira.hl7.org/browse/FHIR-41979)) +1. 1.6 Privacy, Security, and Consent ([FHIR-41980](https://jira.hl7.org/browse/FHIR-41980)) +1. 1.6 Privacy, Security, and Consent ([FHIR-41981](https://jira.hl7.org/browse/FHIR-41981)) +1. 1.7 Provenance ([FHIR-41982](https://jira.hl7.org/browse/FHIR-41982)) +1. 1.8 Relationship to Other Initiatives ([FHIR-41983](https://jira.hl7.org/browse/FHIR-41983)) +1. 1.8 Relationship to Other Initiatives ([FHIR-41984](https://jira.hl7.org/browse/FHIR-41984)) +1. 1.11 MustSupport Flag ([FHIR-41987](https://jira.hl7.org/browse/FHIR-41987)) +1. 1.11 MustSupport Flag ([FHIR-41988](https://jira.hl7.org/browse/FHIR-41988)) +1. 1.11 MustSupport Flag ([FHIR-41989](https://jira.hl7.org/browse/FHIR-41989)) +1. 1.11 MustSupport Flag ([FHIR-41991](https://jira.hl7.org/browse/FHIR-41991)) +1. 1.13.3 Negation Rationale ([FHIR-41994](https://jira.hl7.org/browse/FHIR-41994)) +1. 1.13.3 Negation Rationale ([FHIR-41995](https://jira.hl7.org/browse/FHIR-41995)) +1. 1.13.4 Guidance for the use of Negation Profiles ([FHIR-41996](https://jira.hl7.org/browse/FHIR-41996)) +1. Value Sets ([FHIR-41997](https://jira.hl7.org/browse/FHIR-41997)) +1. 1.13.4 Guidance for the use of Negation Profiles ([FHIR-41999](https://jira.hl7.org/browse/FHIR-41999)) +1. 1.13.4 Guidance for the use of Negation Profiles ([FHIR-42000](https://jira.hl7.org/browse/FHIR-42000)) +1. 1.13.4 Guidance for the use of Negation Profiles ([FHIR-42001](https://jira.hl7.org/browse/FHIR-42001)) +1. 1.13.4 Guidance for the use of Negation Profiles ([FHIR-42002](https://jira.hl7.org/browse/FHIR-42002)) +1. NutritionIntake profile should more closely address the FHIR R5 NutritionIntake modeling ([FHIR-42009](https://jira.hl7.org/browse/FHIR-42009)) +1. onAdmission required value set shoud use QICore Present On Admission Codes ([FHIR-42054](https://jira.hl7.org/browse/FHIR-42054)) +1. Pregnancy Status Profile Needs More Detail ([FHIR-42056](https://jira.hl7.org/browse/FHIR-42056)) +1. Typo in Blood Pressure Profile ([FHIR-42057](https://jira.hl7.org/browse/FHIR-42057)) +1. Typo in Encounter-Related Diagnoses and Procedures ([FHIR-42058](https://jira.hl7.org/browse/FHIR-42058)) +1. Provide Additional Guidance on Negation Profiles ([FHIR-42099](https://jira.hl7.org/browse/FHIR-42099)) +1. Remove Resource Rows from Profile Table ([FHIR-42100](https://jira.hl7.org/browse/FHIR-42100)) +1. Profile Table Typo: DiagnositcReport ([FHIR-42101](https://jira.hl7.org/browse/FHIR-42101)) +1. Links to lines of code on GitHub should be targeted to a commit or release ([FHIR-42153](https://jira.hl7.org/browse/FHIR-42153)) +1. Multiple issues with specification of QICore Nutrition Intake profile ([FHIR-42158](https://jira.hl7.org/browse/FHIR-42158)) +1. Typos found in Quality Data Model (QDM)v5.6 to QI-Core R6 Mapping ([FHIR-42370](https://jira.hl7.org/browse/FHIR-42370)) +1. Typo in 8.8 IP Statement ([FHIR-42371](https://jira.hl7.org/browse/FHIR-42371)) +1. Bad URL link in 5 QI-Core Extensions ([FHIR-42372](https://jira.hl7.org/browse/FHIR-42372)) +1. Typos in 9.12.3 Encounter-Related Diagnoses and Procedures ([FHIR-42375](https://jira.hl7.org/browse/FHIR-42375)) +1. Bolding of "SHALLs" ([FHIR-42406](https://jira.hl7.org/browse/FHIR-42406)) +1. Add space between "patient" and "It" ([FHIR-42407](https://jira.hl7.org/browse/FHIR-42407)) +1. US Core is spelled "US Core" and "USCore" throughout the implementation guide. ([FHIR-42408](https://jira.hl7.org/browse/FHIR-42408)) +1. Change "inherit" to "inherited" in the first sentence of 2.2. ([FHIR-42409](https://jira.hl7.org/browse/FHIR-42409)) +1. Broken Links or Sign In Required ([FHIR-42411](https://jira.hl7.org/browse/FHIR-42411)) +1. Definition of "QICore Reasons Rejecting Goal" in 6.1 ([FHIR-42412](https://jira.hl7.org/browse/FHIR-42412)) +1. Add space between "i.e.," and "no" in last row of table in 9.4 ([FHIR-42415](https://jira.hl7.org/browse/FHIR-42415)) +1. Either parenthesis is included in error after the word "individual/organization" or the other half is missing in last row of 9.5.3. ([FHIR-42416](https://jira.hl7.org/browse/FHIR-42416)) +1. Remove double space between "etc." and "The following" in the first paragraph of 9.8. ([FHIR-42417](https://jira.hl7.org/browse/FHIR-42417)) +1. Regarding the sentence, "Mere disclosure of information would be considered a Communication."...would this be an Encounter, if it's patient to practitioner? ([FHIR-42421](https://jira.hl7.org/browse/FHIR-42421)) +1. Remove sentence in 9.9 ([FHIR-42422](https://jira.hl7.org/browse/FHIR-42422)) +1. Remove double space between "Immunization, Administered." and "The Immunization profile". ([FHIR-42426](https://jira.hl7.org/browse/FHIR-42426)) +1. the comma after "record" should be a period ([FHIR-42427](https://jira.hl7.org/browse/FHIR-42427)) +1. "In" should be lowercase ([FHIR-42429](https://jira.hl7.org/browse/FHIR-42429)) +1. Should skilled nursing facilities, CBRFs, outpatient surgery centers, etc. be included in the list? ([FHIR-42432](https://jira.hl7.org/browse/FHIR-42432)) +1. Remove extra space between "necessary" and "The" ([FHIR-42433](https://jira.hl7.org/browse/FHIR-42433)) +1. Change "self-prescribed" to "self-reported" throughout 9.18.3. ([FHIR-42434](https://jira.hl7.org/browse/FHIR-42434)) +1. Expand list of examples ([FHIR-42437](https://jira.hl7.org/browse/FHIR-42437)) +1. Remove extra space between sentences in 9.21.2. ([FHIR-42438](https://jira.hl7.org/browse/FHIR-42438)) +1. Change "existing" to "exist" ([FHIR-42439](https://jira.hl7.org/browse/FHIR-42439)) +1. Add "(AE)" to the sentence ([FHIR-42440](https://jira.hl7.org/browse/FHIR-42440)) +1. Change "assesment" to "assessment" in two places in 11.0.5: ([FHIR-42442](https://jira.hl7.org/browse/FHIR-42442)) +1. Change "individuals" to "individual's" in two places in 11.0.5: ([FHIR-42444](https://jira.hl7.org/browse/FHIR-42444)) +1. Is it supposed to be "valueset" instead of "valuset"? ([FHIR-42445](https://jira.hl7.org/browse/FHIR-42445)) +1. Change "Inhalent" to "Inhalant" ([FHIR-42446](https://jira.hl7.org/browse/FHIR-42446)) +1. Change "appropiateness" to "appropriateness" in two places in 11.0.5 ([FHIR-42667](https://jira.hl7.org/browse/FHIR-42667)) +1. Develop QI-Core profile based on ODH ([FHIR-42448](https://jira.hl7.org/browse/FHIR-42448)) +1. Remove QI-Core specific Must Support flags ([FHIR-42889](https://jira.hl7.org/browse/FHIR-42889)) +1. Cut-and-paste errors in QDM to QI-Core mapping table ([FHIR-42993](https://jira.hl7.org/browse/FHIR-42993)) +1. QDM to QI-Core Mapping section 9.22.1 - Modify based on FHIR-42158 resolution ([FHIR-42987](https://jira.hl7.org/browse/FHIR-42987)) +1. Relax cardinality for specific elements to stay with US Core cardinality assignments ([FHIR-43010](https://jira.hl7.org/browse/FHIR-43010)) +1. Correct QDM Substance mapping to Observation ([FHIR-44605](https://jira.hl7.org/browse/FHIR-44605)) +1. Correct mapping for prinicpal procedure ([FHIR-44835](https://jira.hl7.org/browse/FHIR-44835)) + + + + +### STU6-ballot (6.0.0) + +1. History page is broken/absent ([FHIR-37970](https://jira.hl7.org/browse/FHIR-37970)) +1. Provide guidance re: convention for differentiating admission from arrival time ([FHIR-40547](https://jira.hl7.org/browse/FHIR-40547)) +1. Remove Must Supports and Adverse Event Profile ([FHIR-41263](https://jira.hl7.org/browse/FHIR-41263)) +1. remove Must Support for Encounter.diagnosis and its respective elements ([FHIR-41265](https://jira.hl7.org/browse/FHIR-41265)) +1. Round out ODH example ([FHIR-41286](https://jira.hl7.org/browse/FHIR-41286)) +1. Reference ODH in Profiles and Extensions ([FHIR-41287](https://jira.hl7.org/browse/FHIR-41287)) +1. Create extension profile for NutritionIntake ([FHIR-41338](https://jira.hl7.org/browse/FHIR-41338)) +1. Adjust QI-Core AllergyIntolerance Must Supports ([FHIR-41461](https://jira.hl7.org/browse/FHIR-41461)) +1. Adjust QI-Core Communication must supports ([FHIR-41462](https://jira.hl7.org/browse/FHIR-41462)) +1. Adjust QI-Core CommunicationNotDone must supports ([FHIR-41463](https://jira.hl7.org/browse/FHIR-41463)) +1. Adjust QI-Core Condition Problems Health Concerns must supports ([FHIR-41464](https://jira.hl7.org/browse/FHIR-41464)) +1. Adjust QI-Core Coverage must supports ([FHIR-41465](https://jira.hl7.org/browse/FHIR-41465)) +1. Adjust QI-Core Device Not Requested must supports ([FHIR-41466](https://jira.hl7.org/browse/FHIR-41466)) +1. Adjust QI-Core Device Request must supports ([FHIR-41467](https://jira.hl7.org/browse/FHIR-41467)) +1. Adjust QI-Core Immunization must supports ([FHIR-41468](https://jira.hl7.org/browse/FHIR-41468)) +1. Adjust QI-Core Laboratory Result Observation must supports ([FHIR-41469](https://jira.hl7.org/browse/FHIR-41469)) +1. Adjust QI-Core Medication Not Requested must supports ([FHIR-41470](https://jira.hl7.org/browse/FHIR-41470)) +1. Adjust QI-Core Medication Administration must supports ([FHIR-41471](https://jira.hl7.org/browse/FHIR-41471)) +1. Adjust QI-Core Medication Administration Not Done must supports ([FHIR-41472](https://jira.hl7.org/browse/FHIR-41472)) +1. Adjust QI-Core Medication Dispense must supports ([FHIR-41473](https://jira.hl7.org/browse/FHIR-41473)) +1. Adjust QI-Core Medication Request must supports ([FHIR-41474](https://jira.hl7.org/browse/FHIR-41474)) +1. Adjust QI-Core Observation must supports ([FHIR-41475](https://jira.hl7.org/browse/FHIR-41475)) +1. Adjust QI-Core Observation Cancelled must supports ([FHIR-41476](https://jira.hl7.org/browse/FHIR-41476)) +1. Adjust QI-Core Observation Clinical Test Result must supports ([FHIR-41477](https://jira.hl7.org/browse/FHIR-41477)) +1. Adjust QI-Core Patient must supports ([FHIR-41479](https://jira.hl7.org/browse/FHIR-41479)) +1. Adjust QI-Core Procedure must supports ([FHIR-41480](https://jira.hl7.org/browse/FHIR-41480)) +1. Adjust QI-Core Procedure Not Done must supports ([FHIR-41481](https://jira.hl7.org/browse/FHIR-41481)) +1. Adjust QI-Core Service Not Requested must supports ([FHIR-41482](https://jira.hl7.org/browse/FHIR-41482)) +1. Adjust QI-Core ServiceRequest must supports ([FHIR-41483](https://jira.hl7.org/browse/FHIR-41483)) +1. Add MS elements to QI-Core Claim profile ([FHIR-41505](https://jira.hl7.org/browse/FHIR-41505)) +1. Update QI-Core Medication Dispense Declined to align with US Core and USCDI ([FHIR-41511](https://jira.hl7.org/browse/FHIR-41511)) +1. Remove Observation Imaging from QI-Core 6.0 (merged with Clinical Result in US Core 6.1.0 ([FHIR-41525](https://jira.hl7.org/browse/FHIR-41525)) +1. Update QI-Core Observation Survey to US Core 6.1.0 Observation Screening Assessment ([FHIR-41526](https://jira.hl7.org/browse/FHIR-41526)) +1. Update QICore ConditionEncounterDiagnosis to US Core ConditionEncounterDiagnosis and remove extraneous elements ([FHIR-41527](https://jira.hl7.org/browse/FHIR-41527)) +1. QI Core Version 6.0 ImmunizationNotDone Update recommendations ([FHIR-41528](https://jira.hl7.org/browse/FHIR-41528)) +1. Remove QI-Core Specimen profile and inherit new US Core Specimen profile ([FHIR-41530](https://jira.hl7.org/browse/FHIR-41530)) +1. Update QI-Core CarePlan Profile consistent with US Core 6.1.0 ([FHIR-41533](https://jira.hl7.org/browse/FHIR-41533)) +1. Update QI-Core CareTeam to align with US Core 6.1.0 and simplify ([FHIR-41534](https://jira.hl7.org/browse/FHIR-41534)) +1. Update QI-Core DiagnosticReportLab to align with US Core 6.1.0 ([FHIR-41535](https://jira.hl7.org/browse/FHIR-41535)) +1. Update QI-Core DiagnosticProfileforReportandNoteExchange ([FHIR-41536](https://jira.hl7.org/browse/FHIR-41536)) +1. Update QI-Core Goal profile to align with US Core 6.1.0 and to simplify ([FHIR-41537](https://jira.hl7.org/browse/FHIR-41537)) +1. Update QI-Core to align with US Core Location profile ([FHIR-41538](https://jira.hl7.org/browse/FHIR-41538)) +1. Update QI-Core Medication profile to align with US Core 6.1.0 ([FHIR-41539](https://jira.hl7.org/browse/FHIR-41539)) +1. Update QI-Core Organization Profile to align with US Core 6.1.0 ([FHIR-41540](https://jira.hl7.org/browse/FHIR-41540)) +1. Update QI-Core Practitioner profile to align with US Core 6.1.0 ([FHIR-41541](https://jira.hl7.org/browse/FHIR-41541)) +1. Update QI-Core PractitionerRole profile to align with US Core 6.1.0 ([FHIR-41542](https://jira.hl7.org/browse/FHIR-41542)) +1. Update QI-Core QuestionnaireResponse profile to align with US Core 6.1.0 ([FHIR-41543](https://jira.hl7.org/browse/FHIR-41543)) +1. Update QI-Core RelatedPerson profile to align with US Core 6.1.0 ([FHIR-41544](https://jira.hl7.org/browse/FHIR-41544)) +1. Include Question to Balloters in QI-Core September Ballot ([FHIR-41545](https://jira.hl7.org/browse/FHIR-41545)) +1. Typo in 11.79.1 AllergyIntolerance Example headers ([FHIR-41555](https://jira.hl7.org/browse/FHIR-41555)) +1. Update QI-Core QDM to QI-Core mapping section for QI-Core 6.0 ([FHIR-41570](https://jira.hl7.org/browse/FHIR-41570)) +1. Add additional notes to commenters in QI-Core 6.0 ballot ([FHIR-41574](https://jira.hl7.org/browse/FHIR-41574)) +1. Update landing page for QI-Core 6.0 ballot ([FHIR-41575](https://jira.hl7.org/browse/FHIR-41575)) +1. Removed NutritionIntake profile and example. Removed related Example-Foods valueset ([FHIR-41258](https://jira.hl7.org/browse/FHIR-41258), [FHIR-42009](https://jira.hl7.org/browse/FHIR-42009)) +1. Altered profiles table in profiles.md to increase readability. ([FHIR-42100](https://jira.hl7.org/browse/FHIR-42100)) +1. Changed "self-prescribed" to "self-reported" throughout section 9.18.3 in QDM-QICore Mapping ([FHIR-42434](https://jira.hl7.org/browse/FHIR-42434)) +1. Added further details to Race, Ethnicity and Sex table elements in QDM-QICore Mapping for Patient Characteristics table ([FHIR-41932](https://jira.hl7.org/browse/FHIR-41932)) +1. Clarifying text edits in QDM-QI Core mapping ([FHIR-42432](https://jira.hl7.org/browse/FHIR-42432), [FHIR-42429](https://jira.hl7.org/browse/FHIR-42429), [FHIR-42422](https://jira.hl7.org/browse/FHIR-42422), [FHIR-42421](https://jira.hl7.org/browse/FHIR-42421) ) + + +### STU5 Release (5.0.0) + +1. Add ODH - 2016-09 qicore #21 ([FHIR-12091](https://jira.hl7.org/browse/FHIR-12091)) +1. Add ODH - 2018-Jan QI-Core #33 ([FHIR-14998](https://jira.hl7.org/browse/FHIR-14998)) +1. Update QI-Core to incorporate changes from US Core 3.2.0 ballot ([FHIR-30116](https://jira.hl7.org/browse/FHIR-30116)) +1. qicore-encounter-diagnosisPresentOnAdmission not applicable for outpatient encounters but always required when sending a diagnosis ([FHIR-31764](https://jira.hl7.org/browse/FHIR-31764)) +1. Update Cumulative Medication Duration examples in upcoming update ([FHIR-32007](https://jira.hl7.org/browse/FHIR-32007)) +1. Add extension for MedicationDispense.statusChange ([FHIR-32805](https://jira.hl7.org/browse/FHIR-32805)) +1. Add pattern for blood pressure ([FHIR-32945](https://jira.hl7.org/browse/FHIR-32945)) +1. QI Core Specimen Profile not used in QI Core ImagingStudy or QI Core ServiceRequest ([FHIR-32967](https://jira.hl7.org/browse/FHIR-32967)) +1. QI Core ImagingStudy needs more Resource types for Referrer and Interpreter ([FHIR-32968](https://jira.hl7.org/browse/FHIR-32968)) +1. Mark timing.bounds as mustSupport ([FHIR-33017](https://jira.hl7.org/browse/FHIR-33017)) +1. Mark mandatory top level elements MUST SUPPORT ([FHIR-33029](https://jira.hl7.org/browse/FHIR-33029)) +1. QI Core Immunization Profile should only allow Completed status and statusReason should not be allowed ([FHIR-33087](https://jira.hl7.org/browse/FHIR-33087)) +1. Remove duplicate profile statements ([FHIR-33199](https://jira.hl7.org/browse/FHIR-33199)) +1. FamilyMemberHistory profile needs to have a more constrained binding on Relationship code set ([FHIR-33230](https://jira.hl7.org/browse/FHIR-33230)) +1. Need ClaimResponse Resource added to QI Core Profiles ([FHIR-33373](https://jira.hl7.org/browse/FHIR-33373)) +1. Should Encounter.diagnosis.condition be restricted to reference (condition) and NOT (procedure) and specify the change in QDM mapping - September Update ([FHIR-33491](https://jira.hl7.org/browse/FHIR-33491)) +1. Medication.code Preferred binding is less than US Core extensible binding ([FHIR-34071](https://jira.hl7.org/browse/FHIR-34071)) +1. Medication.form appears on the Differential View but no apparent change from US Core ([FHIR-34072](https://jira.hl7.org/browse/FHIR-34072)) +1. Aligning with US Core - New conformance expectations page ([FHIR-34154](https://jira.hl7.org/browse/FHIR-34154)) +1. Align with US CORE on VSAC terminology references ([FHIR-34167](https://jira.hl7.org/browse/FHIR-34167)) +1. Change $docref start and end input parameter types from date to dateTime ([FHIR-34169](https://jira.hl7.org/browse/FHIR-34169)) +1. Align with US Core 4.0 - must support complex elements ([FHIR-34176](https://jira.hl7.org/browse/FHIR-34176)) +1. Align with US Core 4.0 - include VSAC instructions in terminology section ([FHIR-34177](https://jira.hl7.org/browse/FHIR-34177)) +1. Align with US Core 4.0 - must support choice of profile elements ([FHIR-34178](https://jira.hl7.org/browse/FHIR-34178)) +1. Align with US Core 4.0 - align invariants and binding change in PractitionerRole ([FHIR-34179](https://jira.hl7.org/browse/FHIR-34179)) +1. CommunicationNotDone profile does not have Subject as Must Support ([FHIR-34313](https://jira.hl7.org/browse/FHIR-34313)) +1. AdverseEvent. referenceDocument does not reference US Core Document Reference ([FHIR-34367](https://jira.hl7.org/browse/FHIR-34367)) +1. AdverseEvent.contributor does not reference QI Core profiles for Contributor or suspectEntity.causality.author ([FHIR-34368](https://jira.hl7.org/browse/FHIR-34368)) +1. Organization profile should mirror US Core telecom must support elements of system and value ([FHIR-34482](https://jira.hl7.org/browse/FHIR-34482)) +1. Add due duration to QI Core Goal.target ([FHIR-34484](https://jira.hl7.org/browse/FHIR-34484)) +1. Consider updating StructureDefinition-qicore-diagnosticreport-lab to mirror US Core for performer element ([FHIR-34531](https://jira.hl7.org/browse/FHIR-34531)) +1. Consider updating choice type for Encounter.referenceReason to mirror US Core ([FHIR-34534](https://jira.hl7.org/browse/FHIR-34534)) +1. Careplan.text.div should be MS to mirror US Core ([FHIR-34535](https://jira.hl7.org/browse/FHIR-34535)) +1. Consider adding MS datatypes on observation.value[x] ([FHIR-34536](https://jira.hl7.org/browse/FHIR-34536)) +1. Consider adding MS datatypes on observation.effective[x] ([FHIR-34537](https://jira.hl7.org/browse/FHIR-34537)) +1. Update definition of diagnosticreport.effective[x] ([FHIR-34557](https://jira.hl7.org/browse/FHIR-34557)) +1. Consider adding MS on medicationrequest.requester choice type of Practitioner ([FHIR-34559](https://jira.hl7.org/browse/FHIR-34559)) +1. ServiceRequest.statusReason is not bound to a value set yet it is an extension added for use by QI Core ([FHIR-35100](https://jira.hl7.org/browse/FHIR-35100)) +1. Change example value sets for MS items to Preferred - Immunization-related ([FHIR-35813](https://jira.hl7.org/browse/FHIR-35813)) +1. Change example value sets for MS items to Preferred - Medication-related ([FHIR-35814](https://jira.hl7.org/browse/FHIR-35814)) +1. Change QI Core Communication Resource MS items to Preferred Value Set bindings ([FHIR-35815](https://jira.hl7.org/browse/FHIR-35815)) +1. QI Core Care Plan and Goal Profiles have MS items with example bindings to value sets - change to Preferred ([FHIR-35816](https://jira.hl7.org/browse/FHIR-35816)) +1. Change value set bindings for QI-Core AllergyIntolerance, AdverseEvent, Condition, Procedure elements with MS ([FHIR-35817](https://jira.hl7.org/browse/FHIR-35817)) +1. QICore Flag profile elements with MS example bindings should change to preferred bindings ([FHIR-35818](https://jira.hl7.org/browse/FHIR-35818)) +1. QICore ServiceRequest, ServiceNotRequested MS item should have preferred value set bindings ([FHIR-35819](https://jira.hl7.org/browse/FHIR-35819)) +1. Change QICore Specimen value set bindings where items are Must Support ([FHIR-35820](https://jira.hl7.org/browse/FHIR-35820)) +1. Device-related QI-Core profile elements that are Must Support should have preferred bindings, not example bindings ([FHIR-35821](https://jira.hl7.org/browse/FHIR-35821)) +1. QI-Core observation-related profile Must Support elements should all have Preferred bindings, not example bindings ([FHIR-35822](https://jira.hl7.org/browse/FHIR-35822)) +1. QI-Core Task profile elements that are Must Support should use preferred bindings to value sets, not examples ([FHIR-35823](https://jira.hl7.org/browse/FHIR-35823)) +1. QI-Core Encounter and Organization Profile MS elements should have preferred value set bindings, not examples ([FHIR-35824](https://jira.hl7.org/browse/FHIR-35824)) +1. QI Core Profile on FamilyMemberHistory has Relationship as a Must Support field but code set is Must Support ([FHIR-35903](https://jira.hl7.org/browse/FHIR-35903)) +1. Nutrition Order is not consistent with out Request pattern resources ([FHIR-35944](https://jira.hl7.org/browse/FHIR-35944)) +1. QI Core Substance has code as Must Support but bound to example code set ([FHIR-35946](https://jira.hl7.org/browse/FHIR-35946)) +1. Goal.target.measure and goal.target.date are both required so should be Must Support ([FHIR-35947](https://jira.hl7.org/browse/FHIR-35947)) +1. Don't assign system values for tax id or other identifiers ([FHIR-35971](https://jira.hl7.org/browse/FHIR-35971)) +1. Need practitionerRole in Encounter.participant.individual as it supports specialty taxonomy which is needed in some quality scenarios ([FHIR-36745](https://jira.hl7.org/browse/FHIR-36745)) +1. Update PractionerRole.specialty value set binding to match US Core 5.0.0 ([FHIR-37365](https://jira.hl7.org/browse/FHIR-37365)) +1. Update ServiceRequest to match US Core 5.0.0 ([FHIR-37447](https://jira.hl7.org/browse/FHIR-37447)) +1. Update QI-Core to reference new US Core 5.0 Observation profiles ([FHIR-37457](https://jira.hl7.org/browse/FHIR-37457)) +1. Create new QI-Core QuestionnaireResponse Profile consistent with US Core 5.0.0 ([FHIR-37458](https://jira.hl7.org/browse/FHIR-37458)) +1. Create new Observation Clinical Test Result profile consistent with US Core 5.0.0 ([FHIR-37459](https://jira.hl7.org/browse/FHIR-37459)) +1. Create new Observation Imaging Result Profile consistent with US Core 5.0.0 ([FHIR-37460](https://jira.hl7.org/browse/FHIR-37460)) +1. Create Observation Sexual Orientation Profile consistent with US Core 5.0.0 ([FHIR-37461](https://jira.hl7.org/browse/FHIR-37461)) +1. Create new Observation Social History Profile consistent with US Core 5.0.0 ([FHIR-37462](https://jira.hl7.org/browse/FHIR-37462)) +1. Create new Observation Survey Profile Consistent with US Core 5.0.0 ([FHIR-37463](https://jira.hl7.org/browse/FHIR-37463)) +1. Add new Conditions Problems and Health Concerns Profile and Encounter Diagnosis Profile consistent with US Core 5.0.0 ([FHIR-37464](https://jira.hl7.org/browse/FHIR-37464)) +1. Update ObservationNotDone profile to indicate use for all observation profiles ([FHIR-37489](https://jira.hl7.org/browse/FHIR-37489)) +1. Update QICore Observation Profile to indicate restricted use ([FHIR-37490](https://jira.hl7.org/browse/FHIR-37490)) +1. Add full QI-Core Laboratory Result Observation Profile ([FHIR-37505](https://jira.hl7.org/browse/FHIR-37505)) +1. Add Must Support for Procedure.usedReference ([FHIR-37532](https://jira.hl7.org/browse/FHIR-37532)) +1. Add note to balloters for feedback in next ballot version ([FHIR-37535](https://jira.hl7.org/browse/FHIR-37535)) +1. Update QDM to QI-Core Mapping section ([FHIR-37536](https://jira.hl7.org/browse/FHIR-37536)) +1. Modify text on introduction page for QI-Core ([FHIR-37539](https://jira.hl7.org/browse/FHIR-37539)) +1. Update Model Info ([FHIR-37579](https://jira.hl7.org/browse/FHIR-37579)) +1. Encounter.hospitalization.dischargeDisposition binding - for QI-Core R5 is incorrect ([FHIR-37627](https://jira.hl7.org/browse/FHIR-37627)) +1. TaskNotDone Task.code binding to task-code value set should be preferred, not example ([FHIR-37656](https://jira.hl7.org/browse/FHIR-37656)) +1. Changes to Coverage profile ([FHIR-37669](https://jira.hl7.org/browse/FHIR-37669)) +1. Remove CCN Number Identifier Slice from QI Core Practitioner as this only applies to an Organization ([FHIR-37751](https://jira.hl7.org/browse/FHIR-37751)) +1. Adding ODH capability to QICore ([FHIR-37755](https://jira.hl7.org/browse/FHIR-37755)) +1. Remove references for .subject in ObservationLab and ObservationClinicalTest ([FHIR-37782](https://jira.hl7.org/browse/FHIR-37782)) +1. Small typo ([FHIR-37788](https://jira.hl7.org/browse/FHIR-37788)) +1. Modify language in section 1.8 - Relationship to Other Initiatives ([FHIR-37806](https://jira.hl7.org/browse/FHIR-37806)) +1. CCN system should use URL not OID ([FHIR-37900](https://jira.hl7.org/browse/FHIR-37900)) +1. Put all Updates in Change tab ([FHIR-38077](https://jira.hl7.org/browse/FHIR-38077)) +1. Blood Pressure Pattern Example ([FHIR-38112](https://jira.hl7.org/browse/FHIR-38112)) +1. Inconsistency In Naming Profiles ([FHIR-38119](https://jira.hl7.org/browse/FHIR-38119)) +1. Provide links to Example Source ([FHIR-38135](https://jira.hl7.org/browse/FHIR-38135)) +1. POA value set codes ([FHIR-38181](https://jira.hl7.org/browse/FHIR-38181)) +1. 2 Resource Profile name for Medication Not Requested / Service Not Requested are not align with other negation profiles ([FHIR-38182](https://jira.hl7.org/browse/FHIR-38182)) +1. Suggest that examples that are CQL based be added to the QICore manual in addition to the FHIR based examples that already exist ([FHIR-38185](https://jira.hl7.org/browse/FHIR-38185)) +1. QICoreProcedureType Value Set missing CLD ([FHIR-38204](https://jira.hl7.org/browse/FHIR-38204)) +1. Consistency of multi-word element names ([FHIR-38213](https://jira.hl7.org/browse/FHIR-38213)) +1. Allergy Example ([FHIR-38217](https://jira.hl7.org/browse/FHIR-38217)) +1. Typo correction to Section 1.4 ([FHIR-38315](https://jira.hl7.org/browse/FHIR-38315)) +1. Encounter.diagnosis reference ([FHIR-38316](https://jira.hl7.org/browse/FHIR-38316)) +1. Typo correction to Section 2.2 ([FHIR-38360](https://jira.hl7.org/browse/FHIR-38360)) +1. Typo correction to Section 9.1 ([FHIR-38363](https://jira.hl7.org/browse/FHIR-38363)) +1. Defining URL should be anchored in THO. 1. ([FHIR-38548](https://jira.hl7.org/browse/FHIR-38548)) +1. Defining URL should be anchored in THO. 2. ([FHIR-38549](https://jira.hl7.org/browse/FHIR-38549)) +1. Defining URL should be anchored in THO. 3. ([FHIR-38550](https://jira.hl7.org/browse/FHIR-38550)) +1. Defining URL should be anchored in THO. 4. ([FHIR-38551](https://jira.hl7.org/browse/FHIR-38551)) +1. Defining URL should be anchored in THO. 5. ([FHIR-38552](https://jira.hl7.org/browse/FHIR-38552)) +1. Defining URL should be anchored in THO. 6. ([FHIR-38553](https://jira.hl7.org/browse/FHIR-38553)) +1. Defining URL should be anchored in THO. 7. ([FHIR-38554](https://jira.hl7.org/browse/FHIR-38554)) +1. Defining URL should be anchored in THO. 8. ([FHIR-38555](https://jira.hl7.org/browse/FHIR-38555)) +1. Defining URL should be anchored in THO. 9. ([FHIR-38556](https://jira.hl7.org/browse/FHIR-38556)) +1. Defining URL should be anchored in THO. 10. ([FHIR-38557](https://jira.hl7.org/browse/FHIR-38557)) +1. Defining URL should be anchored in THO. 11. ([FHIR-38558](https://jira.hl7.org/browse/FHIR-38558)) +1. Defining URL should be anchored in THO. 12. ([FHIR-38559](https://jira.hl7.org/browse/FHIR-38559)) +1. Defining URL should be anchored in THO. 13. ([FHIR-38560](https://jira.hl7.org/browse/FHIR-38560)) +1. Defining URL should be anchored in THO. 14. ([FHIR-38561](https://jira.hl7.org/browse/FHIR-38561)) +1. Defining URL should be anchored in THO. 15. ([FHIR-38562](https://jira.hl7.org/browse/FHIR-38562)) +1. Defining URL should be anchored in THO. 16. ([FHIR-38563](https://jira.hl7.org/browse/FHIR-38563)) +1. Defining URL should be anchored in THO. 20. ([FHIR-38567](https://jira.hl7.org/browse/FHIR-38567)) +1. Defining URL should be anchored in THO. 21. ([FHIR-38568](https://jira.hl7.org/browse/FHIR-38568)) +1. Defining URL should be anchored in THO. 22. ([FHIR-38569](https://jira.hl7.org/browse/FHIR-38569)) +1. Defining URL should be anchored in THO. 23. ([FHIR-38570](https://jira.hl7.org/browse/FHIR-38570)) +1. Defining URL should be anchored in THO. 25. ([FHIR-38572](https://jira.hl7.org/browse/FHIR-38572)) +1. Defining URL should be anchored in THO. 27. ([FHIR-38574](https://jira.hl7.org/browse/FHIR-38574)) +1. Consider topic, rather than reasonCode as the primary code path for Communication and CommunicationNotDone ([FHIR-38591](https://jira.hl7.org/browse/FHIR-38591)) +1. Ensure negation profiles are disjoint ([FHIR-38788](https://jira.hl7.org/browse/FHIR-38788)) +1. Provide consistent naming for QI-Core negation profiles ([FHIR-38850](https://jira.hl7.org/browse/FHIR-38850)) +1. Update QICoreCommon Library ([FHIR-39164](https://jira.hl7.org/browse/FHIR-39164)) +1. Update QDM to QI-Core Mappings for new terms for negation profiles ([FHIR-39307](https://jira.hl7.org/browse/FHIR-39307)) +1. statusReason extension is unbounded ([FHIR-39361](https://jira.hl7.org/browse/FHIR-39361)) + + + +### STU4.1 Release with 1 Technical Errata for FHIR R4 (v4.1.1) + + +* [FHIR-35873](https://jira.hl7.org/browse/FHIR-35873): Corrected version-independent links to USCore throughout +* [FHIR-35802](https://jira.hl7.org/browse/FHIR-35802): Corrected negation examples and added guidance for usage of valueset-based negation + +### STU4.1 Release for FHIR R4 (v4.1.0) + + +1. Broken Link for QUICK AdverseEvent actuality value set binding ([FHIR-23934](https://jira.hl7.org/browse/FHIR-23934)) +1. Immunization.occurrence should remove the String choice ([FHIR-26407](https://jira.hl7.org/browse/FHIR-26407)) +1. MedicationNotDispensed ([FHIR-26409](https://jira.hl7.org/browse/FHIR-26409)) +1. Naming of QUICK vs QI-Core Logical View ([FHIR-26592](https://jira.hl7.org/browse/FHIR-26592)) +1. Medication list patient reported medications use Intent = Plan (not order) ([FHIR-26829](https://jira.hl7.org/browse/FHIR-26829)) +1. wrong link in QDM to QICore mapping ([FHIR-27031](https://jira.hl7.org/browse/FHIR-27031)) +1. Remove imagingStudy must support from the QICoreDiagnosticReportLab profile ([FHIR-27163](https://jira.hl7.org/browse/FHIR-27163)) +1. Add TIN to QICore Organization Profile ([FHIR-27804](https://jira.hl7.org/browse/FHIR-27804)) +1. DEQM Practitioner and DEQM Organization Profile should be added to QI Core ([FHIR-28157](https://jira.hl7.org/browse/FHIR-28157)) +1. Patient resource generalpractitioner needs to consider PractitionerRole (https://jira.hl7.org/browse/FHIR-28220)) +1. Can you add my affiliation? ([FHIR-28231](https://jira.hl7.org/browse/FHIR-28231)) +1. change D.role to D.use in example with Encounter.diagnosis ([FHIR-28241](https://jira.hl7.org/browse/FHIR-28241)) +1. Add MUST HAVE for MedicationRequest timing elements ([FHIR-28286](https://jira.hl7.org/browse/FHIR-28286)) +1. Update Present On Admission in QDM to QI Core Mapping ([FHIR-29703](https://jira.hl7.org/browse/FHIR-29703)) +1. Change mapping of \"Encounter, Performed\" code from Encounter.class to Encounter.type ([FHIR-29819](https://jira.hl7.org/browse/FHIR-29819)) +1. QDM to QI-Core mapping for AdverseEvent error ([FHIR-30098](https://jira.hl7.org/browse/FHIR-30098)) +1. Add QICoreModelInfo ([FHIR-30771](https://jira.hl7.org/browse/FHIR-30771)) +1. Include US Core errata (3.1.1) to QI-Core Update process ([FHIR-31350](https://jira.hl7.org/browse/FHIR-31350)) +1. Add MedicationDispense.whenPrepared MUST SUPPORT ([FHIR-31609](https://jira.hl7.org/browse/FHIR-31609)) +1. Update QDM to QI-Core Mapping to address QDM 5.6 ([FHIR-31629](https://jira.hl7.org/browse/FHIR-31649)) +1. Add guidance about use of references in profiles QI-Core inherits from US Core and FHIR ([FHIR-31738](https://jira.hl7.org/browse/FHIR-31738)) +1. Update QDM to QI-Core mapping for ([FHIR-31740](https://jira.hl7.org/browse/FHIR-31740)) +1. Profile Procedure NOT Done - why is element code not required ([FHIR-31929](https://jira.hl7.org/browse/FHIR-31929)) +1. Procedure NOT Done - what is the intent of the valueset-reference in Code element ([FHIR-31930](https://jira.hl7.org/browse/FHIR-31930)) +1. Procedure NOT Done - recorded does not have a clear description ([FHIR-31931](https://jira.hl7.org/browse/FHIR-31931)) +1. Coverage.period shows in Differential but we cannot identify the change from FHIR Core ([FHIR-31932](https://jira.hl7.org/browse/FHIR-31932)) +1. QI Core Observation.code binding is just example to LOINC ([FHIR-31933](https://jira.hl7.org/browse/FHIR-31933)) +1. QI Core IG does not have a Table of Contents page ([FHIR-31935](https://jira.hl7.org/browse/FHIR-31935)) +1. QDM to QI-Core mapping Section 8.1 correct text to QDM 5.6 ([FHIR-31974](https://jira.hl7.org/browse/FHIR-31974)) +1. Adverse Event QDM-to-QI-Core mapping errata ([FHIR-31975](https://jira.hl7.org/browse/FHIR-31975)) +1. QDM to Qi-Core mapping AllergyIntolerance ([FHIR-31976](https://jira.hl7.org/browse/FHIR-31976)) +1. QDM to Qi-Core sections 8.4.1, 8.4.3 Assessment Order/Recommended ([FHIR-31977](https://jira.hl7.org/browse/FHIR-31977)) +1. QDM to QI-Core mapping Communication, Performed ([FHIR-31978](https://jira.hl7.org/browse/FHIR-31978)) +1. QDM to Qi-Core mapping for Device Order, Device Recommended ([FHIR-31979](https://jira.hl7.org/browse/FHIR-31979)) +1. QDM to QI-Core mapping Diagnostic Study corrections ([FHIR-31980](https://jira.hl7.org/browse/FHIR-31980)) +1. QDM to QI-Core mapping - Encounter ([FHIR-31981](https://jira.hl7.org/browse/FHIR-31981)) +1. QDM to QI-Core mapping Immunization Administered status error ([FHIR-31982](https://jira.hl7.org/browse/FHIR-31982)) +1. QDM to QI-Core mapping Intervention performed errors ([FHIR-31983](https://jira.hl7.org/browse/FHIR-31983)) +1. QDM to QI-Core mapping Laboratory order and recommended error ([FHIR-31984](https://jira.hl7.org/browse/FHIR-31984)) +1. QDM to QI-Core mapping Medication Administered error ([FHIR-31985](https://jira.hl7.org/browse/FHIR-31985)) +1. QDM to QI-Core mapping Medication, Discharge error ([FHIR-31987](https://jira.hl7.org/browse/FHIR-31987)) +1. QDM to QI-Core mapping update for Medication, Dispensed ([FHIR-31988](https://jira.hl7.org/browse/FHIR-31988)) +1. QDM to QI-Core mapping Physical Exam Order and Recommended error ([FHIR-31989](https://jira.hl7.org/browse/FHIR-31989)) +1. QDM to QI Core mapping changes for Procedure, Order, Procedure, Recommended and Procedure, Performed ([FHIR-31990](https://jira.hl7.org/browse/FHIR-31990)) +1. QDM to QI-Core mapping - error in Immunization, Administered not done mapping ([FHIR-32005](https://jira.hl7.org/browse/FHIR-32005 +1. QDM to QI-Core mapping for \"Medication, Order\" status constraints ([FHIR-32037](https://jira.hl7.org/browse/FHIR-32037 +1. CommunicationNotDone code requires change in cardinality and modeling ([FHIR-32052](https://jira.hl7.org/browse/FHIR-32052)) +1. DeviceRequestNotDone code binding and cardinality may require a specific slice for the eCQM use case ([FHIR-32053](https://jira.hl7.org/browse/FHIR-32053)) +1. ImmunizationNotDone should allow indication an individual immunization was not performed and a slice to indicate none of the members of a value set was performed ([FHIR-32054](https://jira.hl7.org/browse/FHIR-32054)) +1. MedicationNotAdministered requires ability to specify a single medication or an entire value set slice ([FHIR-32055](https://jira.hl7.org/browse/FHIR-32055)) +1. MedicationNotDispensed should allow indication of a single medication not dispensed or a slice to indicate an entire value set was not dispensed ([FHIR-32056](https://jira.hl7.org/browse/FHIR-32056)) +1. MedicationNotRequested should allow reference to a single medication not requested or a slice for a value set of all medications not requested ([FHIR-32057](https://jira.hl7.org/browse/FHIR-32057)) +1. ObservationCancelled should allow reference to a single observation not performed or a slice for a value set for which none of the items were performed ([FHIR-32058](https://jira.hl7.org/browse/FHIR-32058)) +1. ServiceNotRequested requires ability to specify a single service not requested or a slice for any one of a value set of services not requested ([FHIR-32059](https://jira.hl7.org/browse/FHIR-32059)) +1. DiagnosticReportLab does not have Performer or Issued as Must Support even though the US Core Specification Does ([FHIR-32235](https://jira.hl7.org/browse/FHIR-32235)) +1. How to reference TaskNotDone ([FHIR-32273](https://jira.hl7.org/browse/FHIR-32273)) +1. Create QICorePresentOnAdmission value set ([FHIR-32378](https://jira.hl7.org/browse/FHIR-32378)) +1. Add Must Support to Procedure.usedCode ([FHIR-32991](https://jira.hl7.org/browse/FHIR-32991)) +1. Add Must Support for ServiceRequest.intent, MedicationRequest.intent, NutritionOrder.intent, NutritionOrder.status ([FHIR-33027](https://jira.hl7.org/browse/FHIR-33027)) +1. Update identifiers throughout ([FHIR-33085](https://jira.hl7.org/browse/FHIR-33085)) +1. Remove Authoring section ([FHIR-33260](https://jira.hl7.org/browse/FHIR-33260)) + + + +#### The following tickets listed below were incorporated from the **US Core errata (3.1.1)**: + +* Add guidance for representing patient name suffix and previous patient name to the US Core Patient Profile ([FHIR-28129](https://jira.hl7.org/browse/FHIR-28129)) +* Correct copy/paste error in Goal Profile ([FHIR-28109](https://jira.hl7.org/browse/FHIR-28109)) +* Correct US Core Provider Speciality (NUCC) ValueSet to hide abstract grouping codes ([FHIR-27975](https://jira.hl7.org/browse/FHIR-27975)) +* Added example of US Core Direct Extension to Practitioner-2 Example ([FHIR-27947](https://jira.hl7.org/browse/FHIR-27947)) +* Corrected technical errors in pediatric profiles StructureDefinitions ([FHIR-27946](https://jira.hl7.org/browse/FHIR-27946)) +* Corrected errors in DiagnosticReport Cardiology Example ([FHIR-27913](https://jira.hl7.org/browse/FHIR-27913)) +* Update Federal Register link for OMB race and ethnicity category classifications. ([FHIR-27907](https://jira.hl7.org/browse/FHIR-27907)) +* Clarified token search syntax ([FHIR-27897](https://jira.hl7.org/browse/FHIR-27897)) +* Corrected US Core DocumentReference Profile to support multiple attachments ([FHIR-25778](https://jira.hl7.org/browse/FHIR-25778)) +* Fix FHIRPath Expression in USCoreGoalTargetDate ([FHIR-27892](https://jira.hl7.org/browse/FHIR-27892)) +* Fix FHIRPath Expression in USCoreProcedureDate ([FHIR-27887](https://jira.hl7.org/browse/FHIR-27887)) +* Add omitted ge comparators to SearchParameters ([FHIR-27893](https://jira.hl7.org/browse/FHIR-27893)) +* Remove Must Support References to non US Core Profiles ([FHIR-27876](https://jira.hl7.org/browse/FHIR-27876)) +* Add missing reaction to the US Core AllergyIntolerance Profile ([FHIR-27867](https://jira.hl7.org/browse/FHIR-27867)) +* Clarify reference to US Core Patient in Vitals Signs Profiles ([FHIR-27857](https://jira.hl7.org/browse/FHIR-27857)) +* Corrected US Core Pulse Oximetry Profile component.valueQuantity.code and component.valueQuantity.unit min from 0 to 1 to be consistent with the valueQuantity constraints within US Core ([FHIR-27846](https://jira.hl7.org/browse/FHIR-27846)) +* Correct UCUM Unit in US Core Pulse Oximetry Profile Text Summary ([FHIR-27845](https://jira.hl7.org/browse/FHIR-27845)) +* Update Procedure Codes Value Set to include ICD-10 PCS codes ([FHIR-27836](https://jira.hl7.org/browse/FHIR-27836)) +* Update Procedure Codes Value Set to include CDT codes ([FHIR-27737](https://jira.hl7.org/browse/FHIR-27737)) +* Clarify that pediatric vital sign percentile Observations should reference growth chart ([FHIR-27549](https://jira.hl7.org/browse/FHIR-27549)) +* Added Missing US core Head Occipital-frontal Circumference Percentile Profile ([FHIR-27542](https://jira.hl7.org/browse/FHIR-27542)) +* Correct requirements for supporting CLIA identifiers ([FHIR-27158](https://jira.hl7.org/browse/FHIR-27158)) +* Change Description of ICD-10-PCS Value Set ([FHIR-27116](https://jira.hl7.org/browse/FHIR-27176)) +* Correct AllergyIntolerance guidance for verificationStatus ([FHIR-27096](https://jira.hl7.org/browse/FHIR-27096)) +* Fix example US Core heart-rate example ([FHIR-27086](https://jira.hl7.org/browse/FHIR-27086)) +* Review period comments Update smoking status codes to align with USCDI ([FHIR-27082](https://jira.hl7.org/browse/FHIR-27082)) +* Fix invariant provenance-1 ([FHIR-27065](https://jira.hl7.org/browse/FHIR-27065)) +* Fix invalid json snippet ([FHIR-27001](https://jira.hl7.org/browse/FHIR-27001)) +* Review period comments Remove Provenance requirement from Medication, Location, Practitioner, PractitionerRole, and Organization and correct copy and paste error to Medication and Provenance searchType support in CapabilityStatement ([FHIR-26840](https://jira.hl7.org/browse/FHIR-26840)),([FHIR-28161](https://jira.hl7.org/browse/FHIR-28161)) +* Correction on USCDI Table change MedicationStatement to MedicationRequest and remove references to MedicationStatement in the Medication Profile and CapabilityStatements ([FHIR-26840](https://jira.hl7.org/browse/FHIR-26840)) +* Clarify that US Core Location/PractitionerRole are not being referenced by other resources ([FHIR-26840](https://jira.hl7.org/browse/FHIR-26840)) +* Correct editing error restoring Write and Operation capability guidance into DocumentReference QuickStart ([FHIR-26840](https://jira.hl7.org/browse/FHIR-26840)) +* Clarify guidance that servers SHALL support search with status if status required ([FHIR-26840](https://jira.hl7.org/browse/FHIR-26840)) +* Correct canonical URL for ImplementationGuide ([FHIR-26686](https://jira.hl7.org/browse/FHIR-26686)) +* Correct system URI for ICD-10 procedure codes ([FHIR-26679](https://jira.hl7.org/browse/FHIR-26679)) +* Fix invariant us-core-1 ([FHIR-26605](https://jira.hl7.org/browse/FHIR-26605)) +* Change valueCode min from 0 to 1 for US Core Birth Sex Extension and valueBoolean min from 0 to 1 forUS Core Direct email Extension ([FHIR-26459](https://jira.hl7.org/browse/FHIR-26459)) +* Change valueQuantity min from 1 to 0 for US Core Pediatric BMI for Age Observation Profile and US Core Pediatric Weight for Height Observation Profile ([FHIR-26363](https://jira.hl7.org/browse/FHIR-26363)) +* Add page contents to Clinical Notes and Basic Provenance pages ([FHIR-25785](https://jira.hl7.org/browse/FHIR-25785)) +* Fix duplicate URL causing validation failure. ([FHIR-25536](https://jira.hl7.org/browse/FHIR-25536)) +* Fix Invariant us-core-8 ([FHIR-25459](https://jira.hl7.org/browse/FHIR-25459)) +* Corrected the wording should support to shall support in Clinical Notes Guidance ([FHIR-25455](https://jira.hl7.org/browse/FHIR-25455)) +* Fix Invariant us-core-8 to allow for Data Absent Reason Extension on Patient name.([FHIR-25249](https://jira.hl7.org/browse/FHIR-25249)) +* Fix Link to LOINC LP29708-2 ([FHIR-25213](https://jira.hl7.org/browse/FHIR-25213)) +* Corrected guidance for conveying Patient-Reported medications ([FHIR-25035](https://jira.hl7.org/browse/FHIR-25035)) + +### STU4 Release for FHIR R4 (v4.0.0) + + +* Created negation profiles +* Added patterns pages and CQL examples +* Corrections throughout +* Updated QDM-to-QI-Core mapping +* Added negation reason value set and bindings + +### STU4 Ballot for FHIR R4 (v3.3.0) + + +* Updated profiles to be based on FHIR R4 and US Core STU 3 +* #22645 Added profiles on Immunization and Evaluation +* #15012 Added a profile on NutritionOrder +* #20727 Updated Observation documentation to provide clarity on use of FHIR and US Core profiles +* #20610 Created the notDone extension and modified the DeviceUseStatement profile to use it; added the DeviceRequest profile, use the doNotPerform extension +* #22646 Relaxed Must Support requirement on some fields of Immunization and ImmunizationRecommendation profiles +* #14991 Added an example of using body position with an Observation + +### STU3.2 Release for FHIR STU3 (v3.2.0) + + +* Updated profiles to be based on US Core 2.0.0 +* Derived Encounter and PractitionerRole profiles from US Core profiles + +### STU3 Release for FHIR STU3 (v3.1.0) + + +* Added profile for PractitionerRole and removed Practitioner.role extension +* Added profile for Task +* Established pattern for representing QDM Principal Diagnosis in Encounters +* Relaxed conformance requirements from all profiles to profiles that are relevant to a particular use case + +### STU3 Ballot for FHIR STU3 (v2.1.0) + + +* Incorporates ballot reconciliation from all comments from the September 2016 ballot which have been applied to FHIR 3.0 and US Core Release 1.0.1 +* Includes mapping to QDM Version 5.3 Annotated available at: https://ecqi.healthit.gov/qdm +* Includes an updated Mapping table from the QI-Core metadata to QDM 5.3 +* Includes a direct mapping from QDM version 5.3 to QI Core + +### STU2 Release for FHIR STU3 (v2.0.0) + + +* Updated to FHIR STU3 (3.0.1) +* Changed from Universal Realm to US Realm +* Derived from US Core profiles where possible +* Added support for Claim and Coverage resources +* Changed AdverseEvent profile to use the base resource +* Numerous typographical and technical errors corrected + +### STU2 Ballot for FHIR STU3 Ballot (v1.6.0) + + +* Moved out of main FHIR publication package to its own home +* Updated QI-Core profiles for changes to underlying specification +* Added an additional profile on Condition +* The QUICK logical model is included + +### STU1 Release for FHIR DSTU2 (v1.0.2) + +DSTU 1 (Permanent home) + +### DSTU1 Preview for FHIR STU1 (v1.0.0) + +DSTU1 Preview + +### DSTU1 Ballot for FHIR STU1 (v0.5.0) + +DSTU1 Ballot From 04ab8e4dad23b105384975b44d4e04e2d5e05601 Mon Sep 17 00:00:00 2001 From: "lei.ma@icf.com" <42583@icf.com> Date: Mon, 4 Nov 2024 12:16:44 -0600 Subject: [PATCH 3/3] FHIR-46657 extension fix --- ...eDefinition-qicore-medicationnotrequested.json | 13 ++++++++----- ...uctureDefinition-qicore-medicationrequest.json | 15 +++++++++------ 2 files changed, 17 insertions(+), 11 deletions(-) diff --git a/input/profiles/StructureDefinition-qicore-medicationnotrequested.json b/input/profiles/StructureDefinition-qicore-medicationnotrequested.json index 372aa76c..13da84da 100644 --- a/input/profiles/StructureDefinition-qicore-medicationnotrequested.json +++ b/input/profiles/StructureDefinition-qicore-medicationnotrequested.json @@ -81,16 +81,19 @@ ], "path" : "MedicationRequest.extension", "sliceName" : "medicationAdherence", - "short" : "URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-medication-adherence", + "short" : "Reported adherence to prescribed medication instructions.", "min" : 0, "max" : "*", "type" : [ - { - "code" : "Extension" + { + "code" : "Extension", + "profile" : [ + "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medication-adherence" + ] } - ], + ], "mustSupport" : false - }, + }, { "id": "MedicationRequest.status", "extension": [ diff --git a/input/profiles/StructureDefinition-qicore-medicationrequest.json b/input/profiles/StructureDefinition-qicore-medicationrequest.json index 379f71a9..b05aac89 100644 --- a/input/profiles/StructureDefinition-qicore-medicationrequest.json +++ b/input/profiles/StructureDefinition-qicore-medicationrequest.json @@ -80,17 +80,20 @@ ], "path" : "MedicationRequest.extension", "sliceName" : "medicationAdherence", - "short" : "URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-medication-adherence", + "short" : "Reported adherence to prescribed medication instructions.", "min" : 0, "max" : "*", "type" : [ - { - "code" : "Extension" + { + "code" : "Extension", + "profile" : [ + "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medication-adherence" + ] } - ], + ], "mustSupport" : false - }, - { + }, + { "id": "MedicationRequest.status", "extension": [ {