Patch iops 4260 prescription status in the medication request

.github/workflows/firely-validation.yml

@@ -0,0 +1,59 @@
+# This is a basic workflow to help you get started with Actions
+
+name: Firely Validation
+
+# Controls when the action will run. 
+on:
+  # Triggers the workflow on push or pull request events but only for the master branch
+  push:
+    branches: 
+      - '**'
+  pull_request:
+   branches: [ master, main ]
+  # Allows you to run this workflow manually from the Actions tab
+  workflow_dispatch:
+
+# A workflow run is made up of one or more jobs that can run sequentially or in parallel
+jobs:
+
+  # Validate all resources using Firely Terminal 
+  CI_FHIR_VALIDATION:
+    # The type of runner that the job will run on
+    runs-on: ubuntu-latest
+
+    # Steps represent a sequence of tasks that will be executed as part of the job
+    steps:
+      - name: Checkout code
+        uses: actions/checkout@v6
+
+      # Install .NET runtime
+      - name: Setup .NET Core SDK
+        uses: actions/setup-dotnet@v5
+        with:
+          dotnet-version: 8.0.x
+
+      # Install Java runtime (only needed if you want to run the offical HL7 Java validator)
+      - name: Setup Java JDK
+        uses: actions/setup-java@v5
+        with:
+          distribution: 'microsoft'
+          java-version: '21'
+
+      - name: Firely.Terminal (GitHub Actions)
+        uses: FirelyTeam/firely-terminal-pipeline@v0.7.31
+        with:
+          PATH_TO_CONFORMANCE_RESOURCES: StructureDefinition ValueSet CodeSystem
+          PATH_TO_EXAMPLES: ActivityDefinition AuditEvent BodyStructure Bundle CapabilityStatement Composition ConceptMap Condition Consent Device DiagnosticReport DocumentReference FamilyMemberHistory GraphDefinition Group Library MessageDefinition MessageHeader NamingSystem Observation OperationDefinition OperationOutcome Organization Parameters Patient PlanDefinition Practitioner PractitionerRole Procedure Provenance Questionnaire QuestionnaireResponse RelatedPerson RequestGroup SearchParameter ServiceRequest Specimen SpecimenDefinition StructureMap Subscription Task
+          PATH_TO_QUALITY_CONTROL_RULES: custom
+          DOTNET_VALIDATION_ENABLED: true
+          JAVA_VALIDATION_ENABLED: false
+          #EXPECTED_FAILS: VALIDATION_EXAMPLES_JAVA 
+          SIMPLIFIER_USERNAME: ${{ secrets.SIMPLIFIER_USERNAME }}
+          SIMPLIFIER_PASSWORD: ${{ secrets.SIMPLIFIER_PASSWORD }}
+          FIRELY_TERMINAL_VERSION: 3.5.0
+          SUSHI_ENABLED: false
+
+      # - name: Add & Commit.
+      #   uses: EndBug/add-and-commit@v9
+      #   with:
+      #     add: 'fsh-generated/resources/'

.github/workflows/terminology.yml

@@ -5,7 +5,7 @@ on:
   # Triggers the workflow on push or pull request events but only for the master branch
   # Allows you to run this workflow manually from the Actions tab
 
-  push:
+  #push:
 
   workflow_dispatch:
 

ConceptMap/ConceptMap-bsa-prescription-type-to-mim-organisation-type.json

@@ -27,6 +27,7 @@
     "group": [
         {
             "source": "https://fhir.nhs.uk/CodeSystem/prescription-type",
+            "sourceVersion": "1.2.0",
             "target": "https://fhir.nhs.uk/CodeSystem/mim-organisation-type",
             "element": [
                 {

ConceptMap/MedicationRequest-course-therapy-type-map.xml

@@ -21,7 +21,7 @@
     <sourceUri value="https://fhir.nhs.uk/ValueSet/DM-prescription-therapy-type"/>
     <group>
         <source value="http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy"/>
-        <target value="https://fhir.nhs.uk/CodeSystem/DM-prescription-treatment-type"/>
+        <target value="https://fhir.hl7.org.uk/CodeSystem/UKCore-PrescriptionType" />
         <element>
             <code value="acute"/>
             <display value="Short course (acute) therapy"/>

Examples/SDS-Endpoint-Bundle-Example.xml

@@ -4,10 +4,10 @@
 	<total value="1"/>
 	<link>
 		<relation value="self"/>
-		<url value="[baseURL]/Endpoint?organization=https://fhir.nhs.uk/Id/ods-organization-code|R8008&amp;identifier=https://fhir.nhs.uk/Id/nhsEndpointServiceId|urn:nhs:names:services:psis:REPC_IN150016UK05"/>
+		<url value="http://example.org//Endpoint?organization=https://fhir.nhs.uk/Id/ods-organization-code|R8008&amp;identifier=https://fhir.nhs.uk/Id/nhsEndpointServiceId|urn:nhs:names:services:psis:REPC_IN150016UK05"/>
 	</link>
 	<entry>
-		<fullUrl value="[baseURL]/Endpoint/f1dc0ac6-45ff-4d2b-bf91-793971e3e286"/>
+		<fullUrl value="http://example.org//Endpoint/f1dc0ac6-45ff-4d2b-bf91-793971e3e286"/>
 		<resource>
 			<Endpoint>
 				<id value="f1dc0ac6-45ff-4d2b-bf91-793971e3e286"/>

MedicationRequest/MedicationRequest-WithoutGroupID-Example.xml

@@ -0,0 +1,71 @@
+<MedicationRequest xmlns="http://hl7.org/fhir">
+ <id value="MedicationRequest-WithoutGroupID-Example" />
+ <extension url="https://fhir.nhs.uk/StructureDefinition/Extension-PendingCancellation">
+  <valueBoolean value="false" />
+ </extension>
+ <extension
+  url="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-MedicationRepeatInformation">
+  <extension url="numberOfPrescriptionsIssued">
+   <valueUnsignedInt value="3" />
+  </extension>
+  <extension url="authorisationExpiryDate">
+   <valueDateTime value="2026-12-31" />
+  </extension>
+ </extension>
+ <extension url="https://fhir.nhs.uk/StructureDefinition/Extension-EPS-DispensingInformation">
+  <extension url="dispenseStatus">
+   <valueCoding>
+    <system value="https://fhir.nhs.uk/CodeSystem/medicationdispense-type" />
+    <code value="0008" />
+    <display value="Item with dispenser" />
+   </valueCoding>
+  </extension>
+ </extension>
+ <identifier>
+  <system value="https://fhir.nhs.uk/Id/prescription-order-item-number" />
+  <value value="a54219b8-f741-4c47-b662-e4f8dfa49ab6" />
+ </identifier>
+ <status value="active" />
+ <intent value="reflex-order" />
+ <medicationCodeableConcept>
+  <coding>
+   <system value="http://snomed.info/sct" />
+   <code value="39720311000001101" />
+   <display value="Paracetamol 500mg soluble tablets" />
+  </coding>
+ </medicationCodeableConcept>
+ <subject>
+  <reference value="Patient/Patient-StaceyTwitchett-Example" />
+  <identifier>
+   <system value="https://fhir.nhs.uk/Id/nhs-number" />
+   <value value="5839945242" />
+  </identifier>
+ </subject>
+ <courseOfTherapyType>
+  <coding>
+   <system value="https://fhir.nhs.uk/CodeSystem/medicationrequest-course-of-therapy" />
+   <code value="continuous-repeat-dispensing" />
+   <display value="Continuous long term (repeat dispensing)" />
+  </coding>
+ </courseOfTherapyType>
+ <dosageInstruction>
+  <text value="Take two tablets three times a day." />
+ </dosageInstruction>
+ <dispenseRequest>
+  <extension url="https://fhir.nhs.uk/StructureDefinition/Extension-DM-PerformerSiteType">
+   <valueCoding>
+    <system value="https://fhir.nhs.uk/CodeSystem/dispensing-site-preference" />
+    <code value="P1" />
+   </valueCoding>
+  </extension>
+  <quantity>
+   <value value="30" />
+   <unit value="dose" />
+   <system value="http://snomed.info/sct" />
+   <code value="3317411000001100" />
+  </quantity>
+ </dispenseRequest>
+ <substitution>
+  <allowedBoolean value="false" />
+ </substitution>
+</MedicationRequest>

MessageDefinition/MessageDefinition-document.xml

@@ -10,12 +10,12 @@
     <title value="Patient Documents" />
     <status value="active" />
     <date value="2021-04-23" />
+    <description value="Used to exchange a clinical document. One of FHIR Binary or FHIR Bundle (type=document) is required. If a Binary is supplied a DocumentReference MUST also be supplied."/>
     <eventCoding>
         <system value="https://fhir.nhs.uk/CodeSystem/message-event" />
         <code value="document" />
         <display value="Document" />
     </eventCoding>
-    <description value="Used to exchange a clinical document. One of FHIR Binary or FHIR Bundle (type=document) is required. If a Binary is supplied a DocumentReference MUST also be supplied."/>
     <category value="consequence" />
     <focus>
         <code value="DocumentReference" />

MessageDefinition/MessageDefinition-prescription-order.xml

@@ -10,8 +10,8 @@
     <title value="Pharmacy/Treatment Order" />
     <status value="active" />
     <date value="2020-05-27" />
+     <description value="Ordering of medications"/>
     <base value="https://fhir.hl7.org.uk/MessageDefinition/prescription-order" />
-    <description value="Ordering of medications"/>
     <eventCoding>
         <system value="https://fhir.nhs.uk/CodeSystem/message-event" />
         <code value="prescription-order" />

OperationDefinition/MessageHeader-prepare-message.xml

@@ -15,9 +15,9 @@
     </contact>
     <description value="Convert a prescription in FHIR format into the canonicalised HL7 V3 signature fragments which should be signed by the prescriber." />
     <code value="prepare" />
+     <affectsState value="true" />
     <comment value="This operation does not use the parameters resource for input parameters, it does for the response.  \n\n A server may return one of several status codes: \n\n * **200 OK**: Indicates that the message has been fully processed." />
     <system value="true" />
-    <affectsState value="true" />
     <type value="false" />
     <instance value="false" />
     <parameter>

OperationDefinition/OperationDefinition-prescription-release.xml

@@ -18,8 +18,8 @@
     </contact>
     <description value="Use this operation to download prescriptions from Spine before it is dispensed. You can download a single prescription using the prescription's ID, or download up to 25 prescriptions (per request) nominated to a dispenser using the dispenser's ODS code. The operation will return prescriptions passing signature validation as a collection of Prescription-Order bundles and/or error messages for Prescriptions failing signature validation as a collection of OperationOutcome resources (with the prescription-order messages attached as supportingInfo"></description>
     <code value="release"></code>
-    <comment value="Only one of the parameters group-identifier and owner MUST be provided. This operation performs both a query on the message queue and updates the status of returned prescriptions."></comment>
     <affectsState value="true" />
+    <comment value="Only one of the parameters group-identifier and owner MUST be provided. This operation performs both a query on the message queue and updates the status of returned prescriptions."></comment>
     <resource value="Task"></resource>
     <system value="false"></system>
     <type value="true"></type>

OperationDefinition/OperationDefinition-release.xml

@@ -18,8 +18,8 @@
     </contact>
     <description value="Use this endpoint to download prescriptions from Spine before it is dispensed. You can download a single prescription using the prescription's ID, or download up to 25 prescriptions (per request) nominated to a dispenser using the dispenser's ODS code."></description>
     <code value="release"></code>
-    <comment value="Only one of the parameters group-identifier and owner MUST be provided. This operation performs both a query on the message queue and updates the status of returned prescriptions."></comment>
     <affectsState value="true" />
+    <comment value="Only one of the parameters group-identifier and owner MUST be provided. This operation performs both a query on the message queue and updates the status of returned prescriptions."></comment>
     <resource value="Task"></resource>
     <system value="false"></system>
     <type value="true"></type>

StructureDefinition/Extension-NHSDigital-Provenance-agent.StructureDefinition.xml

@@ -2,8 +2,8 @@
 <StructureDefinition xmlns="http://hl7.org/fhir">
   <id value="67329733-af3b-40f1-95f8-a83812dc0a43" />
   <url value="https://fhir.nhs.uk/StructureDefinition/Extension-Provenance-agent" />
-  <name value="ExtensionProvenanceAgent" />
   <version value="1.0.1" />
+  <name value="ExtensionProvenanceAgent" />
   <status value="draft" />
   <date value="2024-08-14T13:51:00+00:00" />
   <fhirVersion value="4.0.1" />

StructureDefinition/NHSDigital-Logical-Event.StructureDefinition.xml

@@ -11,16 +11,13 @@
   <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element" />
   <derivation value="specialization" />
   <differential>
-    <element id="NHSDigital-Logical-Event">
-      <path value="NHSDigital-Logical-Event" />
+    <element id="NHSDigitalLogicalEvent">
+      <path value="NHSDigitalLogicalEvent" />
       <min value="0" />
-      <max value="*" />
-      <type>
-        <code value="Element" />
-      </type>
+      <max value="1" />
     </element>
-    <element id="NHSDigital-Logical-Event.identifier">
-      <path value="NHSDigital-Logical-Event.identifier" />
+    <element id="NHSDigitalLogicalEvent.identifier">
+      <path value="NHSDigitalLogicalEvent.identifier" />
       <short value="Business Identifier for {{title}}" />
       <min value="1" />
       <max value="*" />
@@ -29,8 +26,8 @@
         <profile value="http://hl7.org/fhir/StructureDefinition/Identifier" />
       </type>
     </element>
-    <element id="NHSDigital-Logical-Event.status">
-      <path value="NHSDigital-Logical-Event.status" />
+    <element id="NHSDigitalLogicalEvent.status">
+      <path value="NHSDigitalLogicalEvent.status" />
       <short value="Event status" />
       <min value="1" />
       <max value="1" />
@@ -39,8 +36,8 @@
         <profile value="http://hl7.org/fhir/StructureDefinition/code" />
       </type>
     </element>
-    <element id="NHSDigital-Logical-Event.code">
-      <path value="NHSDigital-Logical-Event.code" />
+    <element id="NHSDigitalLogicalEvent.code">
+      <path value="NHSDigitalLogicalEvent.code" />
       <short value="What was done (recommended)" />
       <min value="0" />
       <max value="1" />
@@ -49,17 +46,17 @@
         <profile value="http://hl7.org/fhir/StructureDefinition/CodeableConcept" />
       </type>
     </element>
-    <element id="NHSDigital-Logical-Event.subject">
-      <path value="NHSDigital-Logical-Event.subject" />
+    <element id="NHSDigitalLogicalEvent.subject">
+      <path value="NHSDigitalLogicalEvent.subject" />
       <min value="1" />
       <max value="1" />
       <type>
         <code value="Reference" />
         <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Patient" />
       </type>
     </element>
-    <element id="NHSDigital-Logical-Event.encounter">
-      <path value="NHSDigital-Logical-Event.encounter" />
+    <element id="NHSDigitalLogicalEvent.encounter">
+      <path value="NHSDigitalLogicalEvent.encounter" />
       <short value="Encounter created as part of (recommended)" />
       <min value="0" />
       <max value="1" />
@@ -68,8 +65,8 @@
         <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Encounter" />
       </type>
     </element>
-    <element id="NHSDigital-Logical-Event.performer">
-      <path value="NHSDigital-Logical-Event.performer" />
+    <element id="NHSDigitalLogicalEvent.performer">
+      <path value="NHSDigitalLogicalEvent.performer" />
       <min value="1" />
       <max value="*" />
       <type>