ADDING_PROFILES_GUIDE.md

Adding Clinical Profiles to the Open Nursing Core IG

What I Just Created

I've added a new FSH file with three clinical assessment profiles:

• NEWS2 Score (National Early Warning Score 2)
• Pain Assessment (Numeric Rating Scale 0-10)
• Wound Assessment (Pressure ulcer staging and dimensions)

File Location: input/fsh/onc-clinical-assessments.fsh

How to Build and Publish the IG

Step 1: Install SUSHI (if not already installed)

npm install -g fsh-sushi

Step 2: Build the Implementation Guide

Navigate to the open-nursing-core-ig directory and run:

cd c:\Users\g0226\OneDrive\Desktop\fhir-git\open-nursing-core-ig

# Download the HL7 FHIR IG Publisher (if needed)
./_updatePublisher.sh  # or .bat on Windows

# Run SUSHI to compile FSH files
sushi .

# Build the full IG
./_genonce.sh  # or .bat on Windows

Step 3: Review the Output

After building, the IG will be in the output/ directory. Open output/index.html in a browser to preview.

Step 4: Commit and Push to GitHub

git add input/fsh/onc-clinical-assessments.fsh
git commit -m "feat: Add NEWS2, Pain Assessment, and Wound Assessment profiles"
git push

Step 5: GitHub Pages will Auto-Publish

If you have GitHub Actions set up, the IG will automatically rebuild and publish to: https://clinyqai.github.io/open-nursing-core-ig/

What Gets Generated

The SUSHI/IG Publisher will create:

• StructureDefinitions: Formal FHIR profile definitions
• ValueSets: Code systems for wound stages and pain codes
• HTML Documentation: Human-readable pages for each profile
• JSON/XML: Machine-readable profile files

Linking the Validator to the IG

Once the IG is published, you can update the validator's README to reference the official profiles:

This validator enforces the profiles defined in the [Open Nursing Core IG](https://clinyqai.github.io/open-nursing-core-ig/):
- [NEWS2 Score](https://clinyqai.github.io/open-nursing-core-ig/StructureDefinition-onc-news2-score.html)
- [Pain Assessment](https://clinyqai.github.io/open-nursing-core-ig/StructureDefinition-onc-pain-assessment.html)
- [Wound Assessment](https://clinyqai.github.io/open-nursing-core-ig/StructureDefinition-onc-wound-assessment.html)

Next Steps

1. Build the IG to verify the FSH compiles correctly
2. Review the generated profiles in the output
3. Push to GitHub to trigger auto-publishing
4. Update the validator to reference the official IG URLs instead of placeholder URLs