Open Nursing Core FHIR Implementation Guide (ONC-IG)
1.0.0 - release

Open Nursing Core FHIR Implementation Guide (ONC-IG) - Local Development build (v1.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Published Versions

Directory of Published Versions

This page lists all published versions of the Open Nursing Core Implementation Guide.

Current version

Version Status Date Description
1.0.0 Active (Release) 2025 First community release — foundational nursing-process, safety and equity profiles

The version, status and release label above are taken from the IG's authoritative configuration (sushi-config.yaml): version 1.0.0, status active, release label release. These FHIR conformance codes describe this project's own development lifecycle, not endorsement by HL7 International or any other standards body — the IG has not yet been submitted to formal standards balloting. See STANDARDS_ROADMAP.md for the path toward formal review.

Build information

Continuous integration build

The latest development build is always available at the canonical site URL and represents the most current work in progress. Formal releases are tagged in the GitHub repository.

Version history

1.0.0 — First production release

This release provides the foundational Open Nursing Core profile set:

  • 60 profiles covering the full nursing process (ADPIE), from assessment instruments through diagnosis, planning, intervention and evaluation
  • 27 value sets, 3 code systems (Monk Skin Tone Scale, ONC Observation Codes, Problem Type) and 4 extensions
  • 1 logical model — the Relational Care model
  • 49 worked examples demonstrating conformant instances
  • Equity fairness gate — skin-tone documentation on the Monk Skin Tone Scale for wound and pressure-area assessment
  • Reasonable-adjustment logging aligned with the Equality Act 2010
  • NEWS2 clinical logic — computable CQL (including SpO2 Scale 2) with an escalation PlanDefinition
  • Relational AI integration — a FONS-trained language model for person-centred documentation

For questions or feedback, please open an issue on the GitHub repository.