First round of QA changes, warnings, HTA, releaseLabel

input/fsh/aliases.fsh

@@ -11,7 +11,6 @@ Alias: $m49.htm = http://unstats.un.org/unsd/methods/m49/m49.htm
 Alias: $loinc = http://loinc.org
 Alias: $v3-ActClass = http://terminology.hl7.org/CodeSystem/v3-ActClass
 Alias: $condition-clinical = http://terminology.hl7.org/CodeSystem/condition-clinical
-Alias: $mms = http://id.who.int/icd/release/11/mms
 Alias: $v2-0074 = http://terminology.hl7.org/CodeSystem/v2-0074
 Alias: $cnk_product_codes = https://cnk.apb.be/codings/cnk_product_codes
 Alias: $media-type = http://terminology.hl7.org/CodeSystem/media-type
@@ -20,7 +19,6 @@ Alias: $v3-ObservationInterpretation = http://terminology.hl7.org/CodeSystem/v3-
 Alias: $referencerange-meaning = http://terminology.hl7.org/CodeSystem/referencerange-meaning
 Alias: $condition-ver-status = http://terminology.hl7.org/CodeSystem/condition-ver-status
 Alias: $icd-10 = http://hl7.org/fhir/sid/icd-10
-Alias: $dose-rate-type = http://terminology.hl7.org/CodeSystem/dose-rate-type
 Alias: $icd-o-3 = http://terminology.hl7.org/CodeSystem/icd-o-3
 Alias: $organization-type = http://terminology.hl7.org/CodeSystem/organization-type
 Alias: $v2-0360 = http://terminology.hl7.org/CodeSystem/v2-0360

input/fsh/instances/IPS-bundle-01.fsh

@@ -194,7 +194,6 @@ Usage: #inline
 * dosage.timing.repeat.count = 1
 * dosage.timing.repeat.periodUnit = #d
 * dosage.route = $standardterms#20053000 "Oral use"
-* dosage.doseAndRate.type = $dose-rate-type#ordered "Ordered"
 * dosage.doseAndRate.doseQuantity = 1 '1' "tablet"
 
 Instance: 47524493-846a-4a26-bae2-4ab03e60f02e

input/fsh/instances/IPS-bundle-with-immunization.fsh

@@ -10,8 +10,8 @@ Usage: #example
 * timestamp = "2017-12-11T14:30:00+01:00"
 * entry[0].fullUrl = "urn:uuid:30551ce1-5a28-4356-b684-1e639094ad4d"
 * entry[=].resource = Inline-Instance-for-IPS-examples-Bundle-with-immunization-1
-* entry[+].fullUrl = "urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e8"
-* entry[=].resource = 2b90dd2b-2dab-4c75-9bb9-a355e07401e8-with-immunization
+* entry[+].fullUrl = "urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e1"
+* entry[=].resource = 2b90dd2b-2dab-4c75-9bb9-a355e07401e1-with-immunization
 * entry[+].fullUrl = "urn:uuid:1c616b24-3895-48c4-9a02-9a64110351ef"
 * entry[=].resource = 1c616b24-3895-48c4-9a02-9a64110351ef-with-immunization
 * entry[+].fullUrl = "urn:uuid:890751f4-2924-4636-bab7-efffc7f3cf15"
@@ -59,7 +59,7 @@ Usage: #inline
 * identifier.value = "3f69e0a5-2177-4540-baab-7a5d0877428f"
 * status = #final
 * type = $loinc#60591-5 "Patient summary Document"
-* subject = Reference(urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e8)
+* subject = Reference(urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e1)
 * date = "2017-12-11T14:30:00+01:00"
 * author = Reference(urn:uuid:1c616b24-3895-48c4-9a02-9a64110351ef)
 * title = "Patient Summary as of December 11, 2017 14:30"
@@ -115,7 +115,7 @@ Usage: #inline
 * section[=].text.div = "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"fr-LU\" lang=\"fr-LU\">\n\t\t\t\t\t\t<p>\n\t\t\t\t\t\t\t<b>Marie Lux-Brennard</b>\n\t\t\t\t\t\t\t(Apr 17, 1998)\n\t\t\t\t\t\t</p>\n\t\t\t\t\t\t<p>Vaccin anti diphtérie-coqueluche-tétanos-poliomyélite, Jun 3, 1998, 10:00:00 PM</p>\n\t\t\t\t\t\t<p>Voie intramusculaire, Cuisse droite</p>\n\t\t\t\t\t</div>"
 * section[=].entry = Reference(urn:uuid:40b7b6a0-c043-423a-9959-be3707e728b2)
 
-Instance: 2b90dd2b-2dab-4c75-9bb9-a355e07401e8-with-immunization
+Instance: 2b90dd2b-2dab-4c75-9bb9-a355e07401e1-with-immunization
 InstanceOf: Patient
 Usage: #inline
 * identifier.system = "urn:oid:2.16.840.1.113883.2.4.6.3"
@@ -186,7 +186,7 @@ Usage: #inline
 * code.coding[=].display.extension.extension[+].url = "content"
 * code.coding[=].display.extension.extension[=].valueString = "opvliegers"
 * code.coding[+] = $icd-10#N95.1 "Menopausal and female climacteric states"
-* subject = Reference(urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e8)
+* subject = Reference(urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e1)
 * onsetDateTime = "2015"
 * recordedDate = "2016-10"
 
@@ -197,12 +197,11 @@ Usage: #inline
 * identifier.value = "b75f92cb-61d4-469a-9387-df5ef70d25f0"
 * status = #active
 * medicationReference = Reference(urn:uuid:976d0804-cae0-45ae-afe3-a19f3ceba6bc)
-* subject = Reference(urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e8)
+* subject = Reference(urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e1)
 * effectivePeriod.start = "2015-03"
 * dosage.timing.repeat.count = 1
 * dosage.timing.repeat.periodUnit = #d
 * dosage.route = $standardterms#20053000 "Oral use"
-* dosage.doseAndRate.type = $dose-rate-type#ordered "Ordered"
 * dosage.doseAndRate.doseQuantity = 1 '1' "tablet"
 
 Instance: 47524493-846a-4a26-bae2-4ab03e60f02e-with-immunization
@@ -212,7 +211,7 @@ Usage: #inline
 * identifier.value = "9e312d6b-c6b6-439a-a730-6efaa5dcf8bc"
 * status = #active
 * medicationReference = Reference(urn:uuid:8adc0999-9468-4ac9-9557-680fa133d626)
-* subject = Reference(urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e8)
+* subject = Reference(urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e1)
 * effectivePeriod.start = "2016-01"
 * dosage.route = $standardterms#20053000 "Oral use"
 
@@ -247,7 +246,7 @@ Usage: #inline
 * category = #medication
 * criticality = #high
 * code = $sct#373270004 "Substance with penicillin structure and antibacterial mechanism of action (substance)"
-* patient = Reference(urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e8)
+* patient = Reference(urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e1)
 * onsetDateTime = "2010"
 
 Instance: c4597aa2-688a-401b-a658-70acc6de28c6-with-immunization
@@ -266,7 +265,7 @@ Usage: #inline
 * code.coding[=].display.extension.extension[+].url = "content"
 * code.coding[=].display.extension.extension[=].valueString = "Borstkanker stadium II zonder aanwijzingen van recidieven na behandeling"
 * code.coding[+] = $icd-o-3#8500/3 "Infiltrating duct carcinoma, NOS"
-* subject = Reference(urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e8)
+* subject = Reference(urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e1)
 * onsetDateTime = "2015-01"
 * abatementDateTime = "2015-03"
 
@@ -283,7 +282,7 @@ Usage: #inline
 * status = #final
 * category = $observation-category#laboratory
 * code = $loinc#882-1 "ABO and Rh group [Type] in Blood"
-* subject = Reference(urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e8)
+* subject = Reference(urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e1)
 * effectiveDateTime = "2015-10-10T09:15:00+01:00"
 * performer = Reference(urn:uuid:45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7)
 * valueCodeableConcept = $sct#278149003 "Blood group A Rh(D) positive"
@@ -294,7 +293,7 @@ Usage: #inline
 * status = #final
 * category = $observation-category#laboratory
 * code = $loinc#945-6 "C Ab [Presence] in Serum or Plasma"
-* subject = Reference(urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e8)
+* subject = Reference(urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e1)
 * effectiveDateTime = "2015-10-10T09:35:00+01:00"
 * performer = Reference(urn:uuid:45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7)
 * valueCodeableConcept = $sct#10828004 "Positive"
@@ -305,7 +304,7 @@ Usage: #inline
 * status = #final
 * category = $observation-category#laboratory
 * code = $loinc#1018-1 "E Ab [Presence] in Serum or Plasma"
-* subject = Reference(urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e8)
+* subject = Reference(urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e1)
 * effectiveDateTime = "2015-10-10T09:35:00+01:00"
 * performer = Reference(urn:uuid:45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7)
 * valueCodeableConcept = $sct#10828004 "Positive"
@@ -316,7 +315,7 @@ Usage: #inline
 * status = #final
 * category = $observation-category#laboratory
 * code = $loinc#1156-9 "little c Ab [Presence] in Serum or Plasma"
-* subject = Reference(urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e8)
+* subject = Reference(urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e1)
 * effectiveDateTime = "2015-10-10T09:35:00+01:00"
 * performer = Reference(urn:uuid:45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7)
 * valueCodeableConcept = $sct#260385009 "Negative"
@@ -327,7 +326,7 @@ Usage: #inline
 * status = #final
 * category = $observation-category#laboratory
 * code.text = "Blood typing"
-* subject = Reference(urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e8)
+* subject = Reference(urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e1)
 * effectiveDateTime = "2015-10-10"
 * performer = Reference(urn:uuid:45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7)
 * hasMember[0] = Reference(urn:uuid:aa11a2be-3e36-4be7-b58a-6fc3dace2741)
@@ -341,7 +340,7 @@ Usage: #inline
 * status = #final
 * category = $observation-category#laboratory
 * code = $loinc#17856-6 "Hemoglobin A1c/Hemoglobin.total in Blood by HPLC"
-* subject = Reference(urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e8)
+* subject = Reference(urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e1)
 * effectiveDateTime = "2017-11-10T08:20:00+01:00"
 * performer = Reference(urn:uuid:45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7)
 * valueQuantity = 7.5 '%' "%"
@@ -353,7 +352,7 @@ Usage: #inline
 * status = #final
 * category = $observation-category#laboratory
 * code = $loinc#42803-7 "Bacteria identified in Isolate"
-* subject = Reference(urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e8)
+* subject = Reference(urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e1)
 * effectiveDateTime = "2017-12-10T08:20:00+01:00"
 * performer = Reference(urn:uuid:45a5c5b1-4ec1-4d60-b4b2-ff5a84a41fd7)
 * valueCodeableConcept = $sct#115329001 "Methicillin resistant Staphylococcus aureus"
@@ -364,14 +363,14 @@ InstanceOf: AllergyIntolerance
 Usage: #inline
 * clinicalStatus = $allergyintolerance-clinical#active
 * code = $sct#429625007 "No known food allergy (situation)"
-* patient = Reference(urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e8)
+* patient = Reference(urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e1)
 
 Instance: 40b7b6a0-c043-423a-9959-be3707e728b2
 InstanceOf: Immunization
 Usage: #inline
 * language = #fr-LU
 * status = #completed
-* vaccineCode.coding[0] = $sct#836508001 "Bordetella pertussis and Clostridium tetani and Corynebacterium diphtheriae and Human poliovirus antigens-containing vaccine product"
+* vaccineCode.coding[0] = $sct#871878002 "Bordetella pertussis and Clostridium tetani and Corynebacterium diphtheriae and Human poliovirus antigens only vaccine product"
 * vaccineCode.coding[=].display.extension.url = "http://hl7.org/fhir/StructureDefinition/translation"
 * vaccineCode.coding[=].display.extension.extension[0].url = "lang"
 * vaccineCode.coding[=].display.extension.extension[=].valueCode = #fr-LU
@@ -384,7 +383,7 @@ Usage: #inline
 * vaccineCode.coding[=].display.extension.extension[+].url = "content"
 * vaccineCode.coding[=].display.extension.extension[=].valueString = "DIPHTERIE - COQUELUCHE - POLIOMYELITE - TETANOS"
 * vaccineCode.text = "Vaccin anti diphtérie-coqueluche-tétanos-poliomyélite"
-* patient = Reference(urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e8)
+* patient = Reference(urn:uuid:2b90dd2b-2dab-4c75-9bb9-a355e07401e1)
 * occurrenceDateTime = "1998-06-04T00:00:00+02:00"
 * primarySource = true
 * lotNumber = "AXK23RWERS"

input/fsh/instances/bundle-minimal.fsh

@@ -151,7 +151,6 @@ Usage: #inline
 * dosage.timing.repeat.count = 1
 * dosage.timing.repeat.periodUnit = #d
 * dosage.route = $standardterms#20053000 "Oral use"
-* dosage.doseAndRate.type = $dose-rate-type#ordered "Ordered"
 * dosage.doseAndRate.doseQuantity = 1 '1' "tablet"
 
 Instance: 6369a973-afc7-4617-8877-3e9811e05a5b

input/fsh/instances/condition-39-07-1.fsh

@@ -7,7 +7,6 @@ Usage: #example
 * clinicalStatus = $condition-clinical#active
 * category = $loinc#75326-9 "Problem"
 * code.coding[0] = $sct#54329005 "Acute myocardial infarction of anterior wall"
-* code.coding[+] = $mms#BA41.Z&XA7RE3 "Acute myocardial infarction, unspecified [Anterior wall of heart]"
 * subject = Reference(Patient/eumfh-39-07) "Alexander Heig (inject 39-07)"
 * onsetDateTime = "2014"
 * asserter = Reference(Practitioner/eumfh-39-07) "Dr. Mark Antonio"

input/fsh/instances/observation-alcoholuse-1.fsh

@@ -7,4 +7,5 @@ Usage: #example
 * code = $loinc#74013-4 "Alcoholic drinks per day"
 * subject = Reference(patient-example-female)
 * effectiveDateTime = "2019-07-15"
-* valueQuantity = 2 '{wine glasses}/d'
+* performer = Reference(eumfh-39-07)
+* valueQuantity = 2 '{wine glasses}/d' "wine glasses per day"

input/fsh/instances/observation-pregnancy-edd-1.fsh

@@ -7,4 +7,5 @@ Usage: #example
 * code = $loinc#11778-8 "Delivery date Estimated"
 * subject = Reference(patient-example-female)
 * effectiveDateTime = "2020-01-10"
+* performer = Reference(eumfh-39-07)
 * valueDateTime = "2020-05-02"

input/fsh/instances/observation-pregnancy-outcome-1.fsh

@@ -7,4 +7,5 @@ Usage: #example
 * code = $loinc#11640-0 "[#] Births total"
 * subject = Reference(patient-example-female)
 * effectiveDateTime = "2020-01-10"
+* performer = Reference(eumfh-39-07)
 * valueQuantity = 1 '1'

input/fsh/instances/observation-pregnancy-status-1.fsh

@@ -7,5 +7,6 @@ Usage: #example
 * code = $loinc#82810-3 "Pregnancy status"
 * subject = Reference(patient-example-female)
 * effectiveDateTime = "2020-01-10"
+* performer = Reference(eumfh-39-07)
 * valueCodeableConcept = $loinc#LA15173-0 "Pregnant"
 * hasMember = Reference(pregnancy-edd-example)

input/fsh/instances/observation-tobaccouse-1.fsh

@@ -7,4 +7,5 @@ Usage: #example
 * code = $loinc#72166-2 "Tobacco smoking status"
 * subject = Reference(patient-example-female)
 * effectiveDateTime = "2019-07-15"
+* performer = Reference(eumfh-39-07)
 * valueCodeableConcept = $loinc#LA15920-4 "Former smoker"

input/fsh/instances/observation-urine-wbc-range.fsh

@@ -9,8 +9,7 @@ Usage: #example
 * subject = Reference(66033)
 * effectiveDateTime = "2018-02-16T09:17:00+01:00"
 * performer = Reference(TII-Organization1)
-* valueRange.low = 10 '/[HPF]' "per HPF"
-* valueRange.high = 20 '/[HPF]' "per HPF"
+* valueQuantity = 10 '/[HPF]' "per HPF"
 * interpretation = $v3-ObservationInterpretation#H
 * referenceRange.high = 5 '/[HPF]' "per HPF"
 * referenceRange.type = $referencerange-meaning#normal "Normal Range"

input/fsh/profiles/CompositionUvIps.fsh

@@ -1,12 +1,11 @@
 Profile: CompositionUvIps
-Parent: $clinicaldocument
+Parent: Composition
 Id: Composition-uv-ips
 Title: "Composition (IPS)"
 Description: """Clinical document used to represent the International Patient Summary (IPS) data set. 
 An International Patient Summary (IPS) document is an electronic health record extract containing essential healthcare information about a subject of care. 
 The IPS dataset is minimal and non-exhaustive; specialty-agnostic and condition-independent; but still clinically relevant. As specified in EN 17269 and ISO 27269, it is designed for supporting the use case scenario for ‘unplanned, cross border care’, but it is not limited to it. It is intended to be international, i.e., to provide generic solutions for global application beyond a particular region or country.
-
-This profile is based on the ClinicalDocument profile."""
+"""
 * ^version = "1.1.0"
 * ^status = #active
 * ^date = "2024-06-19T10:50:07-05:00"

input/fsh/profiles/MedicationRequestIPS.fsh

@@ -5,8 +5,6 @@ Title: "Medication Request (IPS)"
 Description: "This profile represents the constraints applied to the MedicationRequest resource by the International Patient Summary (IPS) FHIR Implementation Guide, based on FHIR R4. A record of a medication request is represented in the patient summary as an instance of a MedicationRequest resource constrained by this profile."
 * ^extension[0].url = "http://hl7.org/fhir/StructureDefinition/structuredefinition-category"
 * ^extension[=].valueString = "Clinical.Medications"
-* ^extension[+].url = "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category"
-* ^extension[=].valueCode = #patient
 * ^version = "1.1.0"
 * ^status = #active
 * ^date = "2021-05-14T21:56:28-05:00"

input/fsh/valuesets/AllergyIntoleranceUvIps.fsh

@@ -14,7 +14,7 @@ SNOMED CT® ECL definition: < 373873005 \|Pharmaceutical / biologic product (pro
 * ^contact.telecom.value = "http://www.hl7.org/Special/committees/patientcare"
 * ^jurisdiction = $m49.htm#001
 * ^immutable = false
-* ^copyright = "The HL7 International IPS implementation guides incorporate SNOMED CT®, used by permission of the International Health Terminology Standards Development Organisation, trading as SNOMED International. SNOMED CT was originally created by the College of American Pathologists. SNOMED CT is a registered trademark of the International Health Terminology Standards Development Organisation, all rights reserved. Implementers of SNOMED CT should review [usage terms](http://www.snomed.org/snomed-ct/get-snomed-ct) or directly contact SNOMED International: [email protected]"
+* ^copyright = "This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement"
 * include codes from system http://snomed.info/sct
     where concept descendent-of #105590001 "Substance (substance)"
 * include codes from system http://snomed.info/sct

input/fsh/valuesets/BodySiteUvIps.fsh

@@ -12,6 +12,6 @@ Description: "IPS body site value set. This value set includes a set of codes fr
 * ^contact.telecom.value = "http://www.hl7.org/Special/committees/patientcare"
 * ^jurisdiction = $m49.htm#001
 * ^immutable = false
-* ^copyright = "The HL7 International IPS implementation guides incorporate SNOMED CT®, used by permission of the International Health Terminology Standards Development Organisation, trading as SNOMED International. SNOMED CT was originally created by the College of American Pathologists. SNOMED CT is a registered trademark of the International Health Terminology Standards Development Organisation, all rights reserved. Implementers of SNOMED CT should review [usage terms](http://www.snomed.org/snomed-ct/get-snomed-ct) or directly contact SNOMED International: [email protected]"
+* ^copyright = "This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement"
 * include codes from system http://snomed.info/sct
     where concept descendent-of #442083009

input/fsh/valuesets/CurrentSmokingStatusUvIps.fsh

@@ -12,7 +12,7 @@ Description: "HL7 SNOMED value set for smoking status."
 * ^contact.telecom.value = "http://www.hl7.org/Special/committees/patientcare"
 * ^jurisdiction = $m49.htm#001
 * ^immutable = false
-* ^copyright = "The HL7 International IPS implementation guides incorporate SNOMED CT®, used by permission of the International Health Terminology Standards Development Organisation, trading as SNOMED International. SNOMED CT was originally created by the College of American Pathologists. SNOMED CT is a registered trademark of the International Health Terminology Standards Development Organisation, all rights reserved. Implementers of SNOMED CT should review [usage terms](http://www.snomed.org/snomed-ct/get-snomed-ct) or directly contact SNOMED International: [email protected]"
+* ^copyright = "This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement"
 * http://snomed.info/sct#449868002 "Smokes tobacco daily"
 * http://snomed.info/sct#449868002 ^extension[0].url = "http://hl7.org/fhir/StructureDefinition/ordinalValue"
 * http://snomed.info/sct#449868002 ^extension[=].valueDecimal = 1