United States Patient Care Summary (US-PCS) Implementation Guide - Downloaded Version 1.0.0 See the Directory of published versions
Change Log
STU 1.0.0
The reconciled version of US-PCS includes the following major updates:
- Derive its Bundle and Composition profiles from updated FHIR Clinical Documents 1.1.0 rather than FHIR Clinical Document 1.0.1
- Ensure that its profiles conform to FHIR IPS Implementation Guide 2.0.1
- Various updates to guidance pages based on implementer feedback
- Various updates to US-PCS Bundle and Composition profiles based on implementer feedback
The specific 77 changes included from the 1.0.0-ballot are categorized below:
There were no Non-compatible changes.
Substative, Compatible Changes
- FHIR-56476: US Core 6.1.0 Interoperability Risks
- FHIR-56514: Clarify section.entry slicing
- FHIR-56518: MustSupport flags in US-PCS Bundle profile
- FHIR-56602: Clarify document signatures in US-PCS Bundle
- FHIR-56673: Clarify requirements on use of entry and emptyReason in US-PCS Composition
- FHIR-56678: Clarify on US-PCS Must Support definition
- FHIR-56798: Guidance on Advance Directives
- FHIR-56830: Improve Must Support rule consistency
- FHIR-56833: Improve Signature STU note and guidance
- FHIR-56834: Remove Must Support from signatures
- FHIR-56835: Remove meta.profile from US-PCS Composition
- FHIR-56871: Improve Image on Home Page
- FHIR-56930: Update to use FHIR Clinical Documents 1.1
- FHIR-56958: Revise US-PCS Must Support on elements
- FHIR-56976: Add Encounter guidance
- FHIR-56982: Remove Composition.meta.profile MS constraint
- FHIR-57091: Clarify distinction between C-CDA CCD and US-PCS
- FHIR-57094: Revise Must Support Definition
- FHIR-57095: Clarify "processing" definition
- FHIR-57115: Add acceptability of using profiles from more than one US Core version
- FHIR-57120: Improve terminology guidance page
Non-substantive Changes
- FHIR-56249: Add Plain Language Summary to US-PCS
- FHIR-56371: Typo on US-PCS Composition
- FHIR-56466: Suggestion to exclude Encounter.status = entered-in-error
- FHIR-56469: Suggestion to exclude entered-in-error and cancelled statuses for Results
- FHIR-56513: Explain sections using DocumentReference
- FHIR-56519: Clarify observation-results resource reference
- FHIR-56523: Typo in Must Support introduction
- FHIR-56549: Improve Terminology guidance page
- FHIR-56550: Improve US Variance page
- FHIR-56609: Add Must Support to Composition.status
- FHIR-56610: Improve display on fullUrl in US-PCS Bundle
- FHIR-56611: Spelling and punctuation errors on Bundle and Composition
- FHIR-56661: Clarify use of change-made and section-note extensions
- FHIR-56820: QA Report on various US-PCS Implementation Guide
- FHIR-56822: Improve links
- FHIR-56824: Update Composition StructureDefinition Description
- FHIR-56826: Clarify "relevant" in US-PCS conformance
- FHIR-56836: Clarify Composition.custodian text
- FHIR-56869: Typos issues on home page
- FHIR-56870: Typos on terminology guidance page
- FHIR-56872: Typos in the Use Case section
- FHIR-56873: Typos and grammar issues in the General Guidance section
- FHIR-56874: Consolidate Dependencies and Related Guides
- FHIR-56875: Remove US Core Gender and Birth Sex extensions from examples
- FHIR-56917: Typo on home page
- FHIR-56918: Clarity "Required sections" versus "Must Support"
- FHIR-56932: Correct typo in the Example JSON note
- FHIR-56963: Update image for US Core version
- FHIR-56964: Improve terminology alignment from US Core to IPS
- FHIR-56977: Update Figure 1
- FHIR-56978: Add guidance to US-PCS Bundle
- FHIR-56980: Add guidance on use of DocumentReference
- FHIR-56981: Change reference to laws and regulation
- FHIR-57061: Clarify US-PCS conformance to IPS
- FHIR-57062: Clarify comparison of IPS profiles with US Core profiles
- FHIR-57077: Improve table with CCD, IPS, and US Core
- FHIR-57080: Correct reference from IPA
- FHIR-57081: Improve major procedures and results recommendations
- FHIR-57082: Improve Must Support wording
- FHIR-57085: Improve Must Support organization
- FHIR-57087: Revise reference to US Core v9.0.0
- FHIR-57098: Remove recommended Encounter types
- FHIR-57118: Improve terminology alignment table
- FHIR-57125: Typo in use case
- FHIR-57127: Provide overview of IPS vs. US Core vs. US-PCS Must Support differences
- FHIR-57128: Typo in Profiles
- FHIR-57129: Create tables for IPS Variance
- FHIR-57154: Revise Encounters guidance
- FHIR-57833: Update to IPS 2.0.1
- FHIR-57921: Improve Figure 3 text that is unclear
- FHIR-57922: Explain Creator and Consumer definition differences
- FHIR-57957: Typo in Terminology Alignment page
- FHIR-57958: Improve Terminology Alignment table
- FHIR-57959: Clarify "methods outlined in that guide"
- FHIR-57960: Improve link from use-case
- FHIR-58638: Fix extensions internal dependency to explicit like IPS 2.0.1
STU 1.0.0-ballot
The first ballot of the US Patient Care Summary (US-PCS) includes the following major design decisions:
Since this is the first version, no detailed change log is yet available.
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