Merge pull request #42 from HL7/alerts-section

Alerts section

input/fsh/aliases.fsh

@@ -31,5 +31,7 @@ Alias: $v3-RouteOfAdministration = http://terminology.hl7.org/CodeSystem/v3-Rout
 Alias: $clinicaldocument = http://hl7.org/fhir/StructureDefinition/clinicaldocument
 Alias: $vitalsigns = http://hl7.org/fhir/StructureDefinition/vitalsigns
 Alias: $data-absent-reason = http://hl7.org/fhir/StructureDefinition/data-absent-reason
+Alias: $workflow-supportingInfo = http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo
+Alias: $flag-priority = http://hl7.org/fhir/StructureDefinition/flag-priority
 Alias: $condition-severity = http://hl7.org/fhir/ValueSet/condition-severity
 Alias: $vital-signs-profile = http://hl7.org/fhir/StructureDefinition/vitalsigns

input/fsh/profiles/BundleUvIps.fsh

@@ -56,6 +56,7 @@ Description: "This profile represents the constraints applied to the Bundle reso
     observation-results-radiology 0..* and
     observation-vital-signs 0..* and
     specimen 0..* and
+    flag 0..* and
     clinicalimpression 0..* and
     careplan 0..* and
     consent 0..* and
@@ -112,6 +113,8 @@ Description: "This profile represents the constraints applied to the Bundle reso
 * entry[observation-vital-signs].resource only $vital-signs-profile
 * entry[specimen].resource 1..
 * entry[specimen].resource only SpecimenUvIps
+* entry[flag].resource 1..
+* entry[flag].resource only FlagAlertUvIps
 * entry[clinicalimpression].resource 1..
 * entry[clinicalimpression].resource only ClinicalImpression
 * entry[careplan].resource 1..

input/fsh/profiles/CompositionUvIps.fsh

@@ -81,7 +81,9 @@ This profile is based on the ClinicalDocument profile."""
     sectionPlanOfCare 0..1 and
     sectionSocialHistory 0..1 and
     sectionPregnancyHx 0..1 and
-    sectionAdvanceDirectives 0..1
+    sectionAdvanceDirectives 0..1 and
+    sectionAlerts 0..1 and
+    sectionPatientStory 0..1
 * section[sectionMedications] obeys ips-comp-1
 * section[sectionMedications] ^extension[0].url = "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name"
 * section[sectionMedications] ^extension[=].valueString = "Section"
@@ -311,4 +313,26 @@ This profile is based on the ClinicalDocument profile."""
 * section[sectionAdvanceDirectives].entry ^short = "Narrative description of the patient's advance directive."
 * section[sectionAdvanceDirectives].entry ^definition = "Contains a narrative description or a Consent entry with information about the patient's advance directive."
 * section[sectionAdvanceDirectives].entry contains advanceDirectivesConsent 0..*
-* section[sectionAdvanceDirectives].entry[advanceDirectivesConsent] only Reference(Consent)
+* section[sectionAdvanceDirectives].entry[advanceDirectivesConsent] only Reference(Consent)
+* section[sectionAlerts] ^extension[0].url = "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name"
+* section[sectionAlerts] ^extension[=].valueString = "Section"
+* section[sectionAlerts] ^short = "IPS Alerts Section"
+* section[sectionAlerts] ^definition = "The alerts section flags potential concerns and/or dangers to/from the patient and may also include obstacles to care."
+* section[sectionAlerts].title 1..
+* section[sectionAlerts].code = $loinc#104605-1
+* section[sectionAlerts].entry only Reference(Flag or DocumentReference)
+* section[sectionAlerts].entry ^slicing.discriminator[0].type = #profile
+* section[sectionAlerts].entry ^slicing.discriminator[=].path = "resolve()"
+* section[sectionAlerts].entry ^slicing.rules = #open
+* section[sectionAlerts].entry ^short = "Alert information."
+* section[sectionAlerts].entry ^definition = "Contains alert information to be communicated. May optionally reference other resources in IPS."
+* section[sectionAlerts].entry contains alertsFlag 0..*
+* section[sectionAlerts].entry[alertsFlag] only Reference(FlagAlertUvIps)
+* section[sectionPatientStory] ^extension[0].url = "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name"
+* section[sectionPatientStory] ^extension[=].valueString = "Section"
+* section[sectionPatientStory] ^short = "IPS Patient Story Section"
+* section[sectionPatientStory] ^definition = "The section contains narrative text along with optional resources that express what matters to a patient. This may include needs, strengths, values, concerns and preferences to others providing support and care. The patient’s story, provided here, may be told by the patient or by a proxy."
+* section[sectionPatientStory].title 1..
+* section[sectionPatientStory].code = $loinc#81338-6
+* section[sectionPatientStory].entry ^short = "Patient Story resources."
+* section[sectionPatientStory].entry ^definition = "Contains resources to support the Patient Story. Instances of DocumentReference or any other suitable resource type may be used."

input/fsh/profiles/FlagAlertUvIps.fsh

@@ -0,0 +1,23 @@
+Profile: FlagAlertUvIps
+Parent: Flag
+Id: Flag-alert-uv-ips
+Title: "Flag - Alert (IPS)"
+Description: """This profile constrains the Flag resource by the International Patient Summary (IPS) FHIR Implementation Guide. A record of an alert is represented in the patient summary as an instance of a Flag resource constrained by this profile. 
+
+This specialized Flag is used to convey information about an alert specific to an IPS. Information is flagged to raise awareness of potential concerns and/or dangers to/from the subject of the IPS. It brings information to the fore and may reference other information from the summary (through the supportingInfo extension) as well as present obstacles to care."""
+* ^version = "2.0.0"
+* ^status = #active
+* ^experimental = false
+* ^date = "2024-07-03T10:50:07-05:00"
+* ^publisher = "HL7 International / Patient Care"
+* ^contact.telecom.system = #url
+* ^contact.telecom.value = "http://www.hl7.org/Special/committees/patientcare"
+* ^jurisdiction = $m49.htm#001
+* ^purpose = "This profile constrains the representation of a record of an alert in the context of the international patient summary as specified by the IPS project of HL7 International."
+* extension contains $workflow-supportingInfo named supportingInfo 0..1
+* extension contains $flag-priority named flag-priority 0..1 MS
+* status = #active (exactly)
+* category MS
+* category only CodeableConceptIPS
+* code MS 
+* code only CodeableConceptIPS