2.1.0 (#77)

* first version of Condition

* changed version number to 1.2.0 and status to draft

* nyt eksempel condition

* added new condition instances and a new GP organization instance

* Condition documentation added

* Update StructureDefinition-dk-core-condition-intro.md

* Added NotFollowedAnymore, and asserter. More detailed documentation

* Updated Organization and Patient profiles and removed LPR3-identifier

#74 - removed LPR3-identifier
#73 - added description of 'NNDNK' as identifier.type to DKCorePatient
#72 - added description of selection of SOR and ydernummer to DkCoreOrganization
#69 - removed '(GP's)' from DkCoreOrganization

* Changes made to resolve issue #66 Danish/English names and #67 shorts added to slices and extension

* target audience added to index.md, and scope and usage sections in patient and practioner strengthend to resolve issue #68

* Added section about connection between dk-core and common Danish architectures and standard to resolve issue #71

* Changes applied based on review comments

* Changes to Condition following review, added pregancy example and a female patient

* itemization and display for SCT code corrected

* Added legal text

* Re-fsh'ed

* index description of approvals specified

* Released v2.1.0

Co-authored-by: kirstinerosenbeck <[email protected]>
Co-authored-by: tmsMedcom <[email protected]>

input/fsh/AuthorizationIdentifier.fsh

@@ -0,0 +1,18 @@
+Profile: AuthorizationIdentifier
+Parent: Identifier
+Id: dk-core-authorization-identifier
+Title: "Danish Health Professionals Authorization Identifier"
+Description: "Identifier holding the official [authorization identifier](https://en.stps.dk/en/health-professionals-and-authorities/online-register-registered-health-professionals/) for a practitioner."
+* system 1..
+* system = "https://autregweb.sst.dk" (exactly)
+* value 1..
+  * obeys authorization-id-format
+  * ^maxLength = 5
+// WARNING: The constraint index in the following rule (e.g., constraint[0]) may be incorrect.
+// Please compare with the constraint array in the original definition's snapshot and adjust as necessary.
+  * ^constraint.source = "https://stps.dk/da/autorisation/om-autorisationer/autorisations-id/"
+
+Invariant: authorization-id-format
+Description: "Authorization ID consists of exactly 5 consonants and Y and or numbers in any order"
+Severity: #error
+Expression: "matches('^([b-df-hj-np-tv-zB-DF-HJ-NP-TV-Z0-9]){5}$')"

input/fsh/CVRIdentifier.fsh

@@ -8,22 +8,14 @@ Description: "Identifier holding a danish [CVR](https://datacvr.virk.dk/data/) n
 * system 1..
 * system = "http://cvr.dk" (exactly)
 * value 1..
-* value obeys CVR-length and CVR-modulus-11
+  * obeys CVR-length and CVR-modulus-11
 
-Invariant:   CVR-length
+Invariant: CVR-length
 Description: "CVR must be exactly 8 numeric characters long"
-Expression:  "value.matches('^[0-9]{8}$')"
-Severity:    #error
+Severity: #error
+Expression: "value.matches('^[0-9]{8}$')"
 
-Invariant:   CVR-modulus-11
+Invariant: CVR-modulus-11
 Description: "CVR must pass the modulus 11 check"
-Expression:  "((
-    (value.substring(0,1).toInteger()*2)+
-    (value.substring(1,1).toInteger()*7)+
-    (value.substring(2,1).toInteger()*6)+
-    (value.substring(3,1).toInteger()*5)+
-    (value.substring(4,1).toInteger()*4)+
-    (value.substring(5,1).toInteger()*3)+
-    (value.substring(6,1).toInteger()*2)+
-    (value.substring(7,1).toInteger()*1)) mod(11)=0)"
-Severity:    #error
+Severity: #error
+Expression: "((\n    (value.substring(0,1).toInteger()*2)+\n    (value.substring(1,1).toInteger()*7)+\n    (value.substring(2,1).toInteger()*6)+\n    (value.substring(3,1).toInteger()*5)+\n    (value.substring(4,1).toInteger()*4)+\n    (value.substring(5,1).toInteger()*3)+\n    (value.substring(6,1).toInteger()*2)+\n    (value.substring(7,1).toInteger()*1)) mod(11)=0)"

input/fsh/DkCoreCondition.fsh

@@ -0,0 +1,112 @@
+Profile: DkCoreCondition
+Parent: Condition
+Id: dk-core-condition
+Title: "Danish Core Condition Profile"
+Description: "HL7 Denmark core profile for professionally asserted conditions, as specified by danish health and social care organizations"
+* ^status = #active
+* extension contains
+    $condition-dueTo named dueTo 0..1 and
+    ConditionLastAssertedDate named conditionLastAssertedDate 0..1 and
+    NotFollowedAnymore named notFollowedAnymore 0..1
+* extension[conditionLastAssertedDate] ^short = "Last date a condition was confirmed valid in its current state"
+* extension[notFollowedAnymore] ^short = "Date where a condition lost focus in a specific clinical context"
+* code.coding ^slicing.discriminator.type = #value
+  * ^slicing.discriminator.path = "system"
+  * ^slicing.rules = #open
+  * ^slicing.ordered = false
+  * ^slicing.description = "Slice based on the code.system value which allow different code-systems to represent a condition"
+  * ^short = "Condition code, [DA] tilstandskode"
+* code.coding contains
+    FSIIIConditionCode 0..1 and
+    SCTConditionCode 0..1 and
+    FFBConditionCode 0..1 and
+    SKS-D 0..1 and
+    ICPC2code 0..1
+* code.coding[FSIIIConditionCode] ^short = "[DA] FSIII tilstandskode"
+  * system 1..
+  * system = "urn:oid:1.2.208.176.2.21"
+* code.coding[SCTConditionCode] from $condition-code (required)
+  * ^short = "SNOMED CT condition code"
+  * system 1..
+  * system = "http://snomed.info/sct"
+* code.coding[FFBConditionCode] ^short = "[DA] FFB undertemakode"
+  * system 1..
+  * system = "urn:oid:1.2.208.176.2.22"
+* code.coding[SKS-D] ^short = "[DA] Kode fra D-hierarkiet i SKS"
+  * system 1..
+  * system = "urn:oid:1.2.208.176.2.4.12"
+* code.coding[ICPC2code] ^short = "ICPC2 code"
+  * system 1..
+  * system = "urn:oid:1.2.208.176.2.31"
+* subject only Reference(DkCorePatient)
+* recorder only Reference(DkCorePractitioner or PractitionerRole or DkCorePatient or RelatedPerson)
+* asserter only Reference(DkCorePractitioner or PractitionerRole)
+
+Instance: ConditionPressureUlcer
+InstanceOf: DkCoreCondition
+Title: "John tryksår"
+Description: "John, tryksår, kommunal tilstand"
+Usage: #example
+* code.coding[0] = urn:oid:1.2.208.176.2.21#I4.4 "Problemer med tryksår"
+* code.coding[+] = $sct#1163220007 "Pressure injury stage II"
+* code.text = "Tryksår i stadium 2, siddende på venstre lår. 4cmx5cm, dybde 3mm, ingen infektion."
+* extension.url = "http://hl7.dk/fhir/core/StructureDefinition/ConditionLastAssertedDate"
+* extension.valueDateTime = "2020-12-12"
+* clinicalStatus = $condition-clinical#active
+* category = $condition-category#problem-list-item
+* subject.reference = "Patient/john"
+* recordedDate = "2020-06-05"
+
+Instance: ElseGraviditet
+InstanceOf: DkCoreCondition
+Title: "Else Graviditet"
+Description: "Else Graviditet, tilstandskode som indberettes ifm Elses ambulante forløb (fx jordemoder), og ved eventuel indlæggelse i graviditeten"
+Usage: #example
+* code = urn:oid:1.2.208.176.2.4.12#DZ340 "Graviditet, førstegangsfødende"
+* subject.reference = "Patient/else"
+* category = $condition-category#encounter-diagnosis
+* recordedDate = "2021-07-03"
+* clinicalStatus = $condition-clinical#active
+* verificationStatus = $condition-ver-status#confirmed
+
+Instance: JohnDiabetes
+InstanceOf: DkCoreCondition
+Title: "John diabetes"
+Description: "Johns diabetes-diagnose, udskrivningsdiagnose fra hospitalet fx til brug i indberetning og epikrise"
+Usage: #example
+* code = urn:oid:1.2.208.176.2.4.12#DE11 "Type 2-diabetes"
+* subject.reference = "Patient/john"
+* asserter.reference = "Practitioner/AbrahamLaege"
+* recorder.reference = "Practitioner/AbrahamLaege"
+* category = $condition-category#encounter-diagnosis
+* onsetDateTime = "2020-02-20"
+* recordedDate = "2020-03-15"
+* clinicalStatus = $condition-clinical#active
+* verificationStatus = $condition-ver-status#confirmed
+
+Instance: JohnMelanoma
+InstanceOf: DkCoreCondition
+Title: "John mistanke om Modermærkekræft"
+Description: "Johns mistanke om modermærkekræft i huden, kan fx bruges som henvisningsdiagnosese"
+Usage: #example
+* code = urn:oid:1.2.208.176.2.4.12#DC43 "Modermærkekræft i huden"
+* subject.reference = "Patient/john"
+* asserter.reference = "Practitioner/AbrahamLaege"
+* recorder.reference = "Practitioner/AbrahamLaege"
+* category = $condition-category#encounter-diagnosis
+* recordedDate = "2021-05-01"
+* clinicalStatus = $condition-clinical#active
+* verificationStatus = $condition-ver-status#unconfirmed
+
+Instance: JohnPacemaker
+InstanceOf: DkCoreCondition
+Title: "John pacemaker"
+Description: "Johns status efter pacemakeroperation, udtrykt semantisk korrekt med fund frem for operationskode"
+Usage: #example
+* code = $sct#441509002 "Cardiac pacemaker in situ"
+* subject.reference = "Patient/john"
+* recorder.reference = "Practitioner/AbrahamLaege"
+* category = $condition-category#problem-list-item
+* recordedDate = "2021-05-01"
+* clinicalStatus = $condition-clinical#active
+* verificationStatus = $condition-ver-status#confirmed

input/fsh/DkCoreCprIdentifier.fsh

@@ -0,0 +1,24 @@
+Profile: DkCoreCprIdentifier
+Parent: Identifier
+Id: dk-core-cpr-identifier
+Title: "Danish Central Person Register (CPR) Identifier"
+Description: "This structure holds the danish [CPR](https://cpr.dk/) identifier"
+* ^status = #draft
+* use = #official (exactly)
+* system 1..
+* system = "urn:oid:1.2.208.176.1.2" (exactly)
+* value 1..
+  * obeys cpr
+  * ^maxLength = 10
+// WARNING: The constraint index in the following rule (e.g., constraint[0]) may be incorrect.
+// Please compare with the constraint array in the original definition's snapshot and adjust as necessary.
+  * ^constraint.source = "https://cpr.dk/cpr-systemet/opbygning-af-cpr-nummeret/#:~:text=5%20%2D%206%20position%20angiver%20personens,i%20personnummeret%20angiver%20personens%20k%C3%B8n."
+// WARNING: The constraint index in the following rule (e.g., constraint[0]) may be incorrect.
+// Please compare with the constraint array in the original definition's snapshot and adjust as necessary.
+  * ^constraint.requirements = "Requirement of danish civil registration numbers"
+  * ^mustSupport = false
+
+Invariant: cpr
+Description: "Requirement of danish civil registration numbers"
+Severity: #error
+Expression: "value.matches('^(?:(?:31(?:0[13578]|1[02])|(?:30|29)(?:0[13-9]|1[0-2])|(?:0[1-9]|1[0-9]|2[0-8])(?:0[1-9]|1[0-2]))[0-9]{2}[0-9]|290200[4-9]|2902(?:(?!00)[02468][048]|[13579][26])[0-3])[0-9]{3}$')"