Health NZ | Te Whatu Ora FHIR Screening Implementation Guide
0.9.2 - draft New Zealand flag

Health NZ | Te Whatu Ora FHIR Screening Implementation Guide, published by Health New Zealand | Te Whatu Ora. This guide is not an authorized publication; it is the continuous build for version 0.9.2 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/tewhatuora/fhir-screening/ and changes regularly. See the Directory of published versions

Changelog

v0.9.2 (2024-06-19)

  • The example FHIR Patient Kassandra Temahoe (ZCQ3240) now demonstrates how data will be returned if the subject is deceased.
  • Updated sample HTML content.

v0.9.1 (2024-06-13)

  • The .text element is now excluded in the screening summary profile DocumentReference.
  • Updated sample HTML content for 'participant-only' screening summary.
  • Added error handling details to capability statement and search behaviour page.

v0.9.0 (2024-06-07)

Example screening summaries

  • Added new example DocumentReference for subject ZCQ3240 (Kassandra Temahoe) with a partial screening summary document (no screening history)
  • Updated example DocumentReference for subject ZCU7824 (Madeleine Meringue) to a full screening summary document with screening history
  • Added screening summary examples (document images) and HTML previews to website
  • Updated FHIR instance examples with more realistic HTML content
  • Deleted bowel screening summary example

Miscellaneous

  • Removed empty onboarding page

v0.8.0 (2024-06-05)

  • Added NSS to FHIR gender translation information for subject gender and sex-assigned-at-birth.
  • Added two patient attributes to the API response data
    • gender
    • sex-at-birth
  • Revised one of the example screening subject FHIR Patient instances to be gender-diverse
  • Removed meta.versionId and meta.lastUpdated from example instance metadata
  • Various alterations to the API capability statement:
    • read, vread and _revinclude operations have been removed
    • removed unnecessary query parameters _profile, identifier, date and patient
    • _include operation now spec'd in capability statement
  • FHIR search response data model diagram moved to the search behaviour page.
  • Revised definitions of use cases

v0.7.0 (2024-05-29)

API now returns patient data using FHIR's _include operation instead of as a contained instance

  • Updated DocumentReference profile to remove contained instance and links
  • Updated API search behaviour documentation
  • Revised API search response examples
  • Revised data model and sequence diagrams
  • Changed profile name to ScreeningSummaryDocument
  • Corrected total count to 0 in search response examples with no mode:match entries

v0.6.0 (2024-05-28)

  • Added business view, draft use cases and API operations.

  • Added API sequence diagrams

  • Added page describing API search behaviour

  • Added examples showing results for different search scenarios as combinations of ScreeningSummary and OperationOutcome instances

v0.5.0 (2024-05-23)

Adjustments to patient referencing within the DocumentReference profile / examples

  • The DocumentReference profile now requires two Reference(Patient)s – .subject and context.sourcePatientInfo – the first is a reference to NHI while the second is a reference to the inline (contained) NzPatient instance. This change was needed so that searches by GET DocumentReference?subject= searches work in the expected FHIR way

  • The example DocumentReference instances have been adjusted to reflect the revised Patient instance referencing/linking per above.

v0.4.0 (2024-05-17)

Refinements after presentation to HL7NZ FHIR Working Group

  • Improved short descriptions of profiled elements
  • The .date element is now purposed to convey the screening summary report 'as-at' date instead of instance creation date
  • Date search parameter type added to API capability statement
  • Minor improvements to FHIR data model

v0.3.0 (2024-05-13)

  • Patient demographic attributes now represented using a contained NzPatient (NZ Base IG) instance
  • Replaced the specific IG-local Code System with a ValueSet drawing on SNOMED codes to define the types of NZ preventive screening programmes this API supports
  • Added example instance of a bowel screening summary document
  • Added this changelog.
  • Added Developer Support nav section making API spec, artifact zips and changelog available

v0.2.0 (2024-05-08)

  • DocumentReference.category now additionally categorizes by the SNOMED type of screening service
  • Changed DocumentReference.type coding to SNOMED from LOINC-coded
  • Second example added showing screening summary content encoded as HTML

v0.1.0 (2024-04-22)

Initial basic facade API based on FHIR DocumentReference wrapper of screening summary report content