Health New Zealand Te Whatu Ora Shared Care FHIR API
0.4.3 - release

Health New Zealand Te Whatu Ora Shared Care FHIR API - Local Development build (v0.4.3) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## Changelog

## v0.4.2 (2025-09-04)

### Added Dunedin Hospital Outpatients

​Added the Dunedin Hospital Outpatients resources and workflow.

## v0.4.1 (2025-03-30)

### Added Outreach Referral

Added the Outreach Referral resources and workflow.

## v0.4 (2024-06-18)

### All Rheumatic Fever definition, examples and API capability description has moved to separate IG

https://build.fhir.org/ig/tewhatuora/fhir-rheumatic-fever/index.html

## v0.3.9c (2024-05-03)

Fixed Capability Statement broken links.

## v0.3.9b (2024-03-22)

### Antiviral eligibility questionnaire

Updated AntiviralEligibilityQuestionnaire to version 1.0.1

- The `answerValueSet` canonical Url in question 3 (link Id "criteria") has been corrected to have the hyphen `-` in 'COVID-19'
- Corresponding `QuestionnaireResponse` examples yes,no changed to use the NZHTS rather than standards.digital.health.nz form of canonical Url for the defined terminology ValueSets

## v0.3.9 (2024-02-29)

### Documentation

- Developer guidance expanded about validation of resources using versioned profiles

## v0.3.8 (2024-02-02)

### RF examples

- The example showing consent by a related person is now an `#active` rather than `#proposed` consent, to make it more realistic.

### Documentation

- In consent-based access control, a diagram and description has been added for the Consent-on-behalf scenario (consent obtained from a related person). Other minor improvements to the description.

- Fixed a few broken links in this changelog.

## v0.3.7 (2023-12-19)

### Business versioning of canonical definitions

As of this IG, a business version of "1.0.0" has been set in definitions and canonical instances. Future updates from this point will increment these version numbers in the applicable artifacts using semantic versioning.

## v0.3.6 (2023-12-14)

## v0.3.5 (2023-11-24)

- The various Consent resource examples now claim conformance with the ManaakiNgaTahiConsent profile in this IG.
- Added a section to the API Developer Guide about validation of FHIR resource references.

## v0.3.4 (2023-11-09)

- A new example has been added demonstrating consent by a person related to a patient. See ConsentByRelatedPersonExample.

- The IG now allows for `.contained` resource instances in Consents (ManaakiNgaTahiConsent )

## v0.3.3 (2023-11-07)

## v0.3.2 (2023-10-27)

- Renamed the API described by this Implementation Guide from Care In The Community FHIR API to Te Whatu Ora Shared Care FHIR API reflecting recent expansion.

- Added Consent tab describing patient-consent-based access controls implemented by the Te Whatu Ora Shared Care API.

## v0.3.1 (2023-10-24)

- Added Provisional patient Consent specifications for pilot
  - `ManaakiTahiConsent` profile updated to reactivate some data elements of *provision.**
  - Added two new `Consent` examples illustrating how provisional consent can be represented to enable pilot Salesforce/Mulesoft access to FHIR data ('ProposedConsentBaseExample', 'ProposedConsentCoverageExample')
  - Added `CareTeam` example identifying the group of all rheumatic fever lead-provider organisations
- Added (this) Changelog page, linked from IG Support tab

## v0.3.0 (2023-10-09)

### Added pilot FHIR support for rheumatic fever national care coordination solution

- New resource profiles (extensions)
  - RheumaticFeverCarePlan
  - RheumaticFeverCondition
  - RheumaticFeverPatient
- Terminology
  - Five ValueSets and two CodeSystems covering rheumatic fever terminology
- Examples of rheumatic fever instances
  - RheumaticFeverCarePlan: 4 states
  - NzPatient: 4 examples
  - secondary prophylaxis information: Encounter, Appointment, MedicationRequest, MedicationStatement
  - supporting examples: Organization, CareTeam

## v0.2.4 (2023-09-19)

- Reverted casing of identifier of AntiViralEligibilityQuestionnaire (reversing the change introduced in v0.2.2)
  - Casing now the same as the Questionnaire's official Url

## v0.2.3 (2023-08-30)

- Published 2 new questionnaires.
  - Pregnancy Assessment Questionnaire
  - Mental Health Questionnaire
- Updated README with guidance on branch publishing steps.

## v0.2.2 (2023-08-16) AntiViralEligibiltyQuestionnaire

- Questionnaire now uses NZ published terminology for eligibility criteria questions 1 and 3

  - Permitted answers for these questions are now defined in answerValueSets instead of local codes in no CodeSystem

  - enableWhen logic comparator operands now use codes instead of valueStrings

  - valueSet references utilise a StructureDataCapture extension for specifiying the preferred terminology server. This lets FHIR clients such as the NLM Form Builder obtain codes correctly using ValueSet `$expand` operation.

- Fixed casing of 'antiviral' in #official identifier to AntiviralEligibilityQuestionnaire

- Revised the two sample Yes | No QuestionnaireResponses to correctly use published CodeSystem codes

- Added SDC to IG dependencies to resolve 'terminology not known and not valid here' publisher errors
- Remove ValueSets / CodeSystems from IG which are now published on NZ Health Terminology Service

## v0.2.1 (2023-08-01) General updates

- CareyCarrington has been defined as an example Patient instance and is now Reference()'d by other examples instead of duplicating.
- The version element (business version) has been removed from all canonical definitions: it is not of any practical use at present because the IG publisher overwrites it with the IG version on publishing.
- COVIDMVPCarePlanTemplate PlanDefinition instance: capitalisation made consistent between instance name, official URL, name and official identifier.
- Deleted unused local ValueSet / CodeSet containing old CINC template identifiers.
- Deleted prototype rheumatic fever profiles / examples not needed at this point.

## v0.2.0 (2023-08-01)

- Updated AntiViralEligibility Questionnaire to align with CCCM per ticket CFFF-889 and also codify two of the criteria

## v0.1.9 (2023-07-27)

- Removed ManaakiNgaTahi `Questionnaire` and `QuestionnaireResponse` profiles as these are not required. A `QuestionnaireResponse` is defined by it's parent `Questionnaire` therefore the profile is not required.
- Removed unused Questionnaire for MeasureMents consent
- Updated examples and CapbilityStatement to reflect the above.

## v0.1.8 (2023-07-26) Updates to Antiviral Eligibility Questionnaire

- Updated Questionnaire items as per business requirements CFFF-889 and tested form in SDC viewer

- Fixed the two sample Yes | No QuestionnaireResponses to match

- Renamed fsh file
- Made InstanceOf: ManaakiNgaTahiQuestionnaire instead of Questionnaire
- Adjusted profile of ManaakiNgaTahiQuestionnaire to restore Coding elements required by this questionnaire (which had been excluded)
- Set start date on period of original (#temp) identifier

## v0.1.7 (2023-07-25) New Questionnaire definitions

1. Created new Questionnaire definition resource COVIDPrivacyStatementQuestionTemplate based on de facto seed resource in use.
2. Created new Questionnaire definition resource PrivacyStatementMeasurementCollectionTemplate based on de facto seed resource in use.

### Other changes

- Fixed publisher errors in Consent and ConsentQuestionnaireResponse examples
- Changed date of definitional resources to reflect the date of last update
- Added version to most definitional and profile resources
- Added an example QuestionnaireResponse to demonstrate a completed COVIDPrivacyStatementQuestionTemplate questionnaire
- Deleted an old example QuestionnaireResponse which was confusing

## v0.1.6 (2023-07-25) New definitional resources

1. Created new PlanDefinition definition resource COVIDMVPCareplanTemplate based on similar example resource.
2. Created new ActivityDefinition definition resource MeasurementProcedureRequestTemplate, starting with current seed JSON payload in MeasurementProcedureActivityDefinition converted to fsh.

### Other minor changes

- In the `PlanDefinition` instance `COVIDMVPCareplanTemplate` (renamed from prior file):
  - corrected `.definitionCanonical` incorrect reference to a Canonical,
  - official identifier `COVIDMVPCarePlanTemplate` added alongside legacy identifier `COVIDRegularHealthCheckQuestionnaire`
- In ActivityDefinition instance `MeasurementProcedureRequestTemplate` (renamed from prior file):
  - `.url` element corrected to set an official URL.
  - official identifier `MeasurementProcedureRequestTemplate` added alongside legacy identifier
- Fixed IG publisher INFO warnings by adding Descriptions to QuestionnaireResponse examples

## v0.1.5 (2023-07-19) COVID Questionnaire improvements

- Revised, and made consistent, canonical identifiers for three COVID-related Questionnaires
  - `COVIDInitialHealthAssessmentQuestionnaire` [was QuestionTemplate-CitC-COVID19-InitialAssessment]
  - `COVIDRegularHealthCheckQuestionnaire` [was QuestionTemplate-CitC-COVID19-RegularHealthCheck]

  - `COVIDVaccinationSurveyQuestionnaire` [was Questionnaire-COVID-VaccinationSurveyQuestionnaire]

    All the above identifiers are categorised "use":"official", with a use.period starting from `2023-07-19` The former legacy identifiers remain, but in "use":"temp" status with their use.period.end date set to `2023-07-19` After these revisions, all four COVID Questionnaires now have consistent identifier values (`COVIDPublicHealthHistoryQuestionnaire` being the fourth and most recent addition)

- Revised official URLs for the same three COVID Questionnaires to:
  `https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/*Questionnaire-COVID-InitialHealthAssessment` `https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/*Questionnaire-COVID-RegularHealthCheck` `https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/*Questionnaire-COVID-VaccinationSurvey`

  ..to be consistent with the recently-added Questionnaire:
  `https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/Questionnaire-COVID-PublicHealthHistory`

## v0.1.4 (2023-05-01)

- Fixed a number of errors with the build
- Added `Observation.note` to the Observation resource
- Added `Observation.encounter` to the Observation resource
- Resolved a number of isses with search parameter definitions across multiple resources