# Profiles ## bc-AbilityToTakeCareOfChild - In Observation.method removed Pattern on Observation.method.coding and added extensible binding to ValueSet MeetMethode_GZ ## bc-AmnioticFluid - Changed the pattern level from code.coding to code in the Observation components - Corrected the level of binding to ValueSet BeoordelingBevindingen of component amnioticFluidCompartment ## bc-BarthelIndex - Changes in slicing in order to fix validation errors ## bc-Birth - Added Pattern and discriminator specifications to Procedure.code.coding - Added mapping of dataset elements Aanpakker kind, Supervisor (peri32-dataelement-1624, -1625, -1626, -1627, -11029) to bc-Birth ## bc-BirthObservation - Removed slicing and changed binding of ValueSet MeetMethode_GZ to required ## bc-BreastFindings - Changed the pattern level from code.coding to code in the Observation components and Observation.code ## bc-CareAgreement - Remodel author extensions for contributor and coordinator - Correction on slicing for .category and .author - Added author mapping to dataset element peri32-dataelement32-3856, Zorgverlener ## bc-CareTeam - Added a reference to bc-Woman in CareTeam.subject ## bc-Child - Removed slicing from multiple elements - Added slicing to Patient.communication.extension:languageProficiency ## bc-ChildBirthAssistance - Removed element under Encounter.participant.type.coding:childBirthAssistance-type - Added element under Encounter.participant.extension:timeWhenCalled.valueDateTime:valueDateTime.value - Changed mapping of element peri32-dataelement-10716 from Encounter.participant.period.start to Encounter.period.start - Changed mapping of element peri32-dataelement-10717 from Encounter.participant.period.end to Encounter.period.end - Removed mapping of dataset elements Aanpakker kind, Supervisor (peri32-dataelement-1624, -1625, -1626, -1627, -11029) ## bc-ChildObservation - Replaced extension bc-observation-laterality with zib2017 extension BodySite-Qualifier ## bc-ClinicalImpression - Add slicing on ClinicalImpression.code.coding ## bc-DeliveryProcedure - Added slicing to Procedure.code and changed the level of fixedCoding - Changed fixedCoding to patternCoding under Procedure.code.coding to allow for display ## bc-DeliveryObservation - Changed the placement of extension period-duration to value[x]:valueString ## bc-DisorderOfChild - Remove redundant mapping of Condition.severity on unrelated dataelement ## bc-ExcretionUrine - Changed the pattern level from code.coding to code in the Observation component ## bc-FeedingPatternInfant - Fixed handling of dataset element peri32-dataelement-10506 Bijvoeding? by applying extension observation-component-valueBooleanSTU3 ## bc-FetalHeartRate - Changed the pattern level from code.coding to code in the Observation.code - Changed the binding of ValueSet Hartactie_op_basis_van under Observation.method.coding:heartActionBasedOn from extensible to required ## bc-FetalMonitoring - Changed the SNOMED code of the pattern on component:heartFrequencyVariability.code.coding - Changed the pattern level from code.coding to code in the Observation components and Observation.code - Fixed handling of dataset concept peri32-dataelement-3910 FoetaleAcceleraties by applying extension to component fetalAccelerations (observation-component-valueBooleanSTU3) - Added mapping of element peri32-dataelement-1767 (previously mapped on bc-FetusObservation) ## bc-Fetus - Added a new extension bc-bodysite-legalstatusVOTS ## bc-FetusObservation - Changed the placement of extension bc-observation-valuereference to value[x]:valueQuantity - Removed outdated mapping of element peri32-dataelement-1767 (placed in bc-FetalMonitoring) ## bc-IndividualCareplan - Removed CarePlan.isCoordinator and added CarePlan.author.extension(isCasemanager) - Removed Goal.extension:carePlan and added use of Goal.target.dueDate.value in order to fix ZorgAfspraak relation to IndividueelZorgplan - Changed target profile in CarePlan.activity.detail.goal from bc-Goal to bc-IndividualCarePlan-Goal ## bc-IndividualCarePlan-Goal - Added CarePlan.basedOn to fix ZorgAfspraak relation to IndividueelZorgplan ## bc-LegalSituation-LegalStatus - Added bc-Child reference type in subject ## bc-LegalSituation-Representation - Added bc-Child reference type in subject ## bc-MaternalObservation - Changed the placement of extension bc-observation-valuereference to value[x]:valueDateTime - Replaced bodySite laterality extension from bc- with nl-core extension - Added mappings to support Sectiowond, Perineumwond, Aantal kraamverbanden Observations in bc-MaternalObservation profile - Added additional guidance for WondInfectie - Replaced extension bc-observation-laterality with zib2017 extension BodySite-Qualifier - Changed mapping of dataset element peri32-dataelement-2279 from Observation.value[x]:valueCodeableConcept to Observation ## bc-MultidisciplinaryTeamMeeting-Plan - Changed discriminator type and path at CarePlan.category ## bc-ObstetricProcedure - Added an explicit slice to allow performedDateTime as a temporary fix for errors in Conformancelab - Decoupled from zib-Procedure because of issues with using .report - Added mapping of dataset elements relating to Verrichting (Algemene anamnese) (peri32-dataelement-1080, -1081, -1082, -1083, -1084, -1085, -1087, -1088, -1089, -1091, -1093, -1095) - Added mapping of dataset elements relating to Verrichting (Maternaal onderzoek) (peri32-dataelement-2416, -2417, -2418, -2419, -2420, -2421) ## bc-PerinatalDeath - Changed the pattern level from code.coding to code in the Observation components - Changed mapping of element Observation.subject from peri32-dataelement-10283 to -1378 - Fixed terminology binding for deceasedDateTime ## bc-PerinealAssessment - Changed the pattern level from code.coding to code in the Observation components ## bc-PlacentaLocalization - Changed level of pattern discriminator at component slices from code.coding to code ## bc-PregnancyObservation - Added/removed mappings of peri32- dataset elements ## bc-PregnancyUltraSound - Changed discriminator path from code to $this in bc-PregnancyUltraSound - Removed extension Comment from bc-PregnancyUltraSound - Updated mappings to peri32- dataelements ## bc-RelatedPerson - Added extension bc-patient-genderIdentity ## bc-TreatmentDirective - Added mapping for consentingParty and added dataAbsentReason ## bc-UterusActivity - Changed the pattern level from code.coding to code in the Observation components and Observation.code - Added/removed mappings of peri32- dataset elements ## bc-VitaminKAdministration - Added/removed mappings of peri32- dataset elements # Changes affecting multiple profiles - Changes in profile files after resave in Forge (automatic updates) and fix Forge bugs manually - Solved snapshot generation and slicing issues in multiple profiles resulting in changes in slicing definitions - Added information in profile descriptions about referencing the relevant Encounter or EpisodeOfCare in Observation.context.reference # Extensions - Fixed path and sliceName in bc-careplan-coordinator to match datatype valueBoolean - Added extension bc-careplan-contributor - Added extension bc-bodysite-legalstatusVOTS to be used in profile bc-Fetus - Added RelatedPerson as context of bc-patient-genderIdentity, updated the fixedUri value and explicitly assigned a 0 cardinality to the Extension.extension - Resolved slicing errors; removed slice from element Extension.value[x]:valueCodeableConcept of all extensions - Added Encounter as the context for extensions bc-encounter-arrival and bc-childbirthassistance-timecalled - Removed Extension bc-observation-laterality from package # ValueSets - All -code ValueSets are now automatically generated and contain information about which dataset element the code corresponds to - Added missing and/or removed redundant concept codes to bc-ChildObservation-code, bc-FetusObservation-code, bc-MaternalObservation-code, bc-PregnancyObservation-code - Added missing and/or removed redundant concept codes to MeetMethode_GZ, ZorgverlenerType_32 - Added ValueSet VerrichtingType_kraambed - Updated concept codes and/or display values in ValueSets Huilgedrag_baby, KeuzeTest, MeetMethode_GZ, Navelstreng_vaten, RolZorgverlener22 - Updated concept codes and/or display values in bc-DeliveryObservation-code - Updated included systems in ProbleemNaamCodelijst - Included ValueSets in bc-MaternalObservation-value - Fixed refset inclusion syntax in VerrichtingTypeGeboortezorgCodelijst - Fixed postcoordination expression in ValueSet Sonomarkers_32 - Removed ValueSets bc-ChildBirthAssistance-type, LanguageAbilityProficiency2 # ConceptMaps - Removed all ConceptMaps due to outdated and unused content # Examples - Fixed inconsistencies in examples PregnancyUltraSoundGeneralFindings, Pregnancy-PregnancyDuration, LegalStatus, LegalRepresentation, FamilySituationAssessment, ChildBirthAssistance - Update example CareAgreement after remodelling extensions for coordinator and contributor - Updated bc-ChildBirthAssistance example

de.medizininformatikinitiative.kerndatensatz.studie 2026.0.0 ballot

- Grouperkardinalität auf ..1 beschnitten. Somit ist nur noch jeweils ein Grouper innerhalb eines Befundberichtes zu verwenden - Entsprechende Veränderung innerhalb der Grouperprofile und des DiagnosticReports - Profil PathoBundle hinzugefügt - VS MII_VS_Patho_Service_Request_Code umbenannt, um LOINC Codes erweitert und das Binding von prefered auf extensible geändert - Composition.type und Composition.category - Eigene Slices auf Snomed CT Codes umgestellt und passend umgenannt - MII_VS_Patho_Composition_Type_KDL für den KDL-Slice hinzugefügt - Aktualisierung des IG - Bezeichnungen der Profilseiten im IG wurden angepasst - neue Seite für Patho-Bundle - neue Seite für Hierachien - Englische Übersetzung des IG - Aktualisierung der Beispieldaten (u.a. Specimen) - Zwei falsche Codes (substances) aus dem VS MII_VS_Patho_Container_Type_SNOMED_CT entfernt - Update MII Dependencies - Update externe Dependencies (z.B. ISiK) - Specimen.identifier Slices (PLAC & FILL) hinzugefügt und .accessionIdentifier Kardinalität von 1.. auf 0.. geändert - PathoFinding.value[x] um Range erweitert

This pull request introduces version 1.0.0 of the de.gematik.fhir.directory package, aligning dependencies with other gematik implementation guides (IGs) and making several important updates to code systems and dependencies. The main changes include adding new dependencies, updating the package version, and removing two code system resources. Dependency and version updates: Updated package version to 1.0.0 in package.json and all resource files to mark a major release and alignment with gematik IGs. [1] [2] [3] [4] [5] [6] [7] [8] [9] [10] [11] [12] [13] Added new dependencies to de.gematik.terminology, de.gematik.ti, hl7.terminology.r4, hl7.fhir.uv.extensions.r4, and dvmd.kdl.r4 in package.json and fhirpkg.lock.json for improved interoperability and alignment. [1] [2] Resource and code system changes: Removed the CodeSystem-OrganizationProfessionOID.json and CodeSystem-PractitionerProfessionOID.json resources, as well as CodeSystem-OrganizationProviderType.json, likely due to migration to the new dependencies or refactoring. [1] [2] [3] Documentation: Updated changelog.md to document the introduction of new dependencies and to note the relaxed binding for qualification.code on PractitionerDirectory in a previous release. These changes collectively mark a significant release focused on dependency alignment and code system cleanup in preparation for further development.… to 1.0.0 across multiple files and introduce new dependencies for gematik IGs

- Um Rückwärtskompatibilität zu der strikten Profilierung des Laboratory-Packages, welches derzeit auf der RKI-TEST-Umgebung vorliegt, zu ermöglichen, wurden folgende Änderungen vorgenommen: - feat: Binding von ServiceRequestId in LaboratoryReport.basedOn.identifier.system entfernt; NamingSystem ServiceRequestId entfernt - feat: Extension ClusterID in Specimen hinzugefügt - feat: NotifiedPersonAnonymous in NotificationLaboratory.subject hinzugefügt - feat: HL7-R5-Backport-Extension TriggeredBy in PathogenDetection hinzugefügt - feat: Streichung von PathogenDetection.hasMember entfernt - feat: federal-state property für SPYP in CodeSystem NotifcationCategory angepasst (Code Sachsen entfernt) - feat: Mapping in ConceptMap NotificationCategoryToTransmissionCategory angepasst - feat: Codes in ValueSet MaterialWBKP angepasst

- feat: Mapping in ConceptMap NotificationDiseaseCategoryToTransmissionCategory angepasst

- fix: nicht benötigte Codes aus CodeSystem und ValueSet TransmissionCategory entfernt - fix: Regex des Constraints validBirthDate in NotifiedPerson und NotifiedPersonAnonymous korrigiert - fix: Discriminator für NotifiedPersonAnonymous.address korrigiert

- Indizierung von JSON- und XML-Dateien wurde hinzugefügt. - Aktualisierung der Abhängigkeit zu de.gematik.epa

#### Terminologien - Das CodeSystem EPAOperationOutcomeDetailsCS wurde um den neuen Fehlercode SVC_ORG_HEADER_PROFILE_MISMATCH ergänzt, der eine fehlerhafte Profilvalidierung der im Header X-Requesting-Organization übermittelten Organization-Ressource kennzeichnet. - Das CodeSystem EPAAuditEventSourceTypeCS wurde um den neuen Code PUSHNOTMGMT ergänzt. #### Provenance - Das Provenance Profile ePA-Änderungseintrag (EPAActivityProvenance) wurde hinzugefügt. #### EPA Patient - Must-Support-Kennzeichnen an den Elementen _id_, _meta_, _active_ werden gesetzt, da sie nicht mehr TIPatient (1.1.1) verortet sind.

#### TI Patient - Must-Support-Kennzeichnen an den Elementen _id_, _meta_, _active_ wurden entfernt. #### Datentypen - Das neue Profil _MedicationPlanIdentifier_ wurde hinzugefügt, um die strukturierte Abbildung des Identifiers für den elektronischen Medikationsplan (eMP) zu unterstützen. #### TI Common - Entspannen von Kardinalitäten von _TIPractitioner.name_ - _TIPractitioner.name_ verwendet nun _HumannameDeBasis_ als Datentyp - Bindings der ValueSets _TIOrganization.type_ anziehen um Slicing-Fehler zu korrigieren

- Folgende Codes wurden als _deprecated_ markiert: - `emp` in _EPADataCategoryOtherCS_ - `urn:gematik:ig:Medikationsplan:r3.1` in _EPAXDSFormatCodeVS_ - `urn:gematik:ig:VerordnungsdatensatzMedikation:v1.1` in _EPAXDSFormatCodeVS_ - Korrektur von URLs in einigen Expansions, in denen eine Value Set anstatt Code System Canonical angegeben wurde - Aktualisierung der KDL-Abhängigkeit auf Version 2025.0.1 und Aktualisierung der Expansion - Aktualisierung des Status von Codes in _EPAXDSAuthorSpecialtyVS_ - Korrektur von _EPAXDSPracticeSettingCodeVS_: Entfernen der Code Systems _Qualifikationen nicht-ärztlicher Autoren_, _Qualifikatoren zahnärztlicher Autoren_; Hinzufügen von _Fachrichtungen, nicht-ärztlich_ - Entfernung externer Code Systems _KBV\_CS\_SFHIR\_BAR2\_WBO Fachgruppen_, _Psychotherapeutische Qualifikationen_, _Facharzttitel Der Aerztekammern_, _Qualifikationen Nicht Aerztlicher Autoren_, _Qualifikatoren Zahnaerztlicher Autoren_ - Inaktivsetzung des Code System _AerztlicheBerufsvarianten_ - Entfernung der Value Sets _TIMedicationSNOMEDCTVS_, _TIMedicineFormSNOMEDCTVS_ sowie _TISubstanceSNOMEDCTVS_ - Hinzufügen von NamingSystems, um verschiedene Identifier eines Code Systems nachvollziehbar machen zu können - Einführen von Versionen und Neustart der Versionsnummern für jedes einzelne Profil, Code System, Value Set etc., um Veränderungen leichter nachvollziehbar zu machen

Änderungen für die Schnittstelle "Terminsynchronisation – TVS": - `KBV_CS_116117_TERMINSERVICE_TVS_TERMINSYNCHRONISATION_Errors`: neuen Wert `TVSTS1231` hinzugefügt und Version erhöht

This version is intended as the first production version of Alberta Laboratory eOrder Implementation Guide

Initialer Release