tewhatuora/cinc-fhir-ig
Nov 2024 – Jun 2026
14 Months active
Languages Used
FSHJSONYAMLMarkdownF#FHIRfshPlantUML
Technical Skills
FHIRQuestionnaire DevelopmentData ModelingHealthcare StandardsHealthcare ITAPI Design
Luke McDowall
PROFILE
Luke Mcdowall
Over 14 months, contributed to the tewhatuora/cinc-fhir-ig repository by designing and developing healthcare interoperability features, focusing on FHIR-based data modeling and workflow automation. Delivered 31 features and resolved 14 bugs, enhancing questionnaire design, claim processing, and communication workflows for New Zealand health IT. Leveraged FHIR Shorthand (FSH), JSON, and YAML to define profiles, implement validation, and manage terminology. Applied configuration management and technical writing to improve documentation, onboarding, and maintainability. The work emphasized robust API development, version control, and compliance with healthcare data standards, resulting in improved data quality, interoperability, and streamlined integration for downstream healthcare systems.
Overall Statistics
Feature vs Bugs
69%Features
Repository Contributions
97Total
Bugs
14
Commits
97
Features
31
Lines of code
9,337
Activity Months14
Your Network
26 peopleSame Organization
@tewhatuora.govt.nz9
Shared Repositories
17
Work History
June 2026
4 Commits • 1 Features
Jun 1, 2026June 2026 monthly summary for tewhatuora/cinc-fhir-ig: Delivered targeted documentation and example enhancements for the Outpatient Communication CarePlan workflow. The work improves author identification, tracking of communication requests and outcomes, overall clarity, and specialty-specific categorization within the Outpatient Care Plan. No major bugs fixed this month; focus was on strengthening guidance, maintainability, and consistency across artifacts. Impact: clearer implementation guidance for adopters, smoother onboarding for new contributors, and better traceability of changes. Technologies/skills demonstrated: documentation best practices, FHIR Shorthand (FSH) updates, repository hygiene, change discipline, and cross-functional collaboration.
4 Commits • 1 Features
Jun 1, 2026June 2026 monthly summary for tewhatuora/cinc-fhir-ig: Delivered targeted documentation and example enhancements for the Outpatient Communication CarePlan workflow. The work improves author identification, tracking of communication requests and outcomes, overall clarity, and specialty-specific categorization within the Outpatient Care Plan. No major bugs fixed this month; focus was on strengthening guidance, maintainability, and consistency across artifacts. Impact: clearer implementation guidance for adopters, smoother onboarding for new contributors, and better traceability of changes. Technologies/skills demonstrated: documentation best practices, FHIR Shorthand (FSH) updates, repository hygiene, change discipline, and cross-functional collaboration.
June 2026
May 2026
6 Commits • 2 Features
May 1, 2026May 2026 monthly KPIs and accomplishments for the tewhatuora/cinc-fhir-ig. Focus this month was stabilizing the FHIR IG while expanding interoperability and demonstrating practical value through an outpatient communication example. Key work included reverting disruptive FHIR resource changes to restore baseline behavior, augmenting interoperability with a new capability statement parameter, and delivering an outpatient email-based communication example to showcase end-to-end usage.
May 2026
6 Commits • 2 Features
May 1, 2026May 2026 monthly KPIs and accomplishments for the tewhatuora/cinc-fhir-ig. Focus this month was stabilizing the FHIR IG while expanding interoperability and demonstrating practical value through an outpatient communication example. Key work included reverting disruptive FHIR resource changes to restore baseline behavior, augmenting interoperability with a new capability statement parameter, and delivering an outpatient email-based communication example to showcase end-to-end usage.
April 2026
12 Commits • 2 Features
Apr 1, 2026April 2026 monthly summary for tewhatuora/cinc-fhir-ig. Delivered key enhancements to Measles Health Check Questionnaire (new difficulty-scale ValueSet, refined Q3-Q4 items, required fields, and duplicate prevention) and modernization of the data model; and CMS enhancements introducing standardized messaging payloads, updated email/SMS templates, and expanded documentation and workflow diagrams. Included documentation fixes (link path) and updated PlantUML diagrams to reflect current workflows. These changes improve data quality, interoperability with CMS workflows, and maintainability, enabling faster onboarding for new implementations. Technologies demonstrated include FHIR Shorthand (FSH) updates, ValueSet design, CMS payload engineering, PlantUML diagramming, and comprehensive documentation practices.
12 Commits • 2 Features
Apr 1, 2026April 2026 monthly summary for tewhatuora/cinc-fhir-ig. Delivered key enhancements to Measles Health Check Questionnaire (new difficulty-scale ValueSet, refined Q3-Q4 items, required fields, and duplicate prevention) and modernization of the data model; and CMS enhancements introducing standardized messaging payloads, updated email/SMS templates, and expanded documentation and workflow diagrams. Included documentation fixes (link path) and updated PlantUML diagrams to reflect current workflows. These changes improve data quality, interoperability with CMS workflows, and maintainability, enabling faster onboarding for new implementations. Technologies demonstrated include FHIR Shorthand (FSH) updates, ValueSet design, CMS payload engineering, PlantUML diagramming, and comprehensive documentation practices.
April 2026
December 2025
5 Commits • 3 Features
Dec 1, 2025December 2025: Delivered feature-rich updates to the cinc-fhir-ig, focusing on reusability, interoperability, and data integrity for SharedCare workflows. Key changes include refactoring SharedCare profiles to reusable rulesets and enforcing identifier requirements, upgrading FHIR profiles to v1.0.0 and activating them (SharedCareAppointment, SharedCareClaim, SharedCareClaimResponse, SharedCareEncounter), and strengthening identifier validation with support for HPI CPN and additional identifier systems. Telehealth components were cleaned up by removing outdated claims and aligning encounter identifiers with current practitioner identification standards. A general code cleanup removed commented-out blocks in FHIR profiles to improve readability and maintainability. These changes enhance consistency across Care pathways, reduce integration risk, and accelerate safe deployment and onboarding of SharedCare features.
December 2025
5 Commits • 3 Features
Dec 1, 2025December 2025: Delivered feature-rich updates to the cinc-fhir-ig, focusing on reusability, interoperability, and data integrity for SharedCare workflows. Key changes include refactoring SharedCare profiles to reusable rulesets and enforcing identifier requirements, upgrading FHIR profiles to v1.0.0 and activating them (SharedCareAppointment, SharedCareClaim, SharedCareClaimResponse, SharedCareEncounter), and strengthening identifier validation with support for HPI CPN and additional identifier systems. Telehealth components were cleaned up by removing outdated claims and aligning encounter identifiers with current practitioner identification standards. A general code cleanup removed commented-out blocks in FHIR profiles to improve readability and maintainability. These changes enhance consistency across Care pathways, reduce integration risk, and accelerate safe deployment and onboarding of SharedCare features.
November 2025
7 Commits • 5 Features
Nov 1, 2025November 2025 (2025-11) monthly summary for tewhatuora/cinc-fhir-ig focused on delivering interoperable, compliant, and automation-ready enhancements across telehealth data modeling, SharedCare claim automation, NZ-specific standards, and core identifier validation. Key deliverables included data model refinements, profile and configuration refactors for broader claim automation, NZ code system adoption, and stronger data integrity checks, paired with CapabilityStatement improvements for improved search and interoperability.
7 Commits • 5 Features
Nov 1, 2025November 2025 (2025-11) monthly summary for tewhatuora/cinc-fhir-ig focused on delivering interoperable, compliant, and automation-ready enhancements across telehealth data modeling, SharedCare claim automation, NZ-specific standards, and core identifier validation. Key deliverables included data model refinements, profile and configuration refactors for broader claim automation, NZ code system adoption, and stronger data integrity checks, paired with CapabilityStatement improvements for improved search and interoperability.
November 2025
September 2025
2 Commits • 1 Features
Sep 1, 2025September 2025: Delivered targeted fixes and enhancements to the cinc-fhir-ig, focusing on accurate capability statement indexing and telehealth data model improvements. These changes improve interoperability, data accuracy, and alignment with Australasian Triage standards.
September 2025
2 Commits • 1 Features
Sep 1, 2025September 2025: Delivered targeted fixes and enhancements to the cinc-fhir-ig, focusing on accurate capability statement indexing and telehealth data model improvements. These changes improve interoperability, data accuracy, and alignment with Australasian Triage standards.
August 2025
12 Commits • 4 Features
Aug 1, 2025Delivered NZ-focused capabilities within tewhatuora/cinc-fhir-ig: Pharmacy Claims, Telehealth Claims, and StatusDateTime Extension with new profiles, extensions, and examples to enable compliant NZ medication and telehealth claim workflows. Also updated claim decision/reason terminology to local codes. Fixed build reliability by disabling problematic flatDataViews and updating capability statements to unblock OpenAPI generation. Overall impact: improved NZ payer processing, traceability, and adjudication accuracy, with stronger release readiness and maintainable capability statements.
12 Commits • 4 Features
Aug 1, 2025Delivered NZ-focused capabilities within tewhatuora/cinc-fhir-ig: Pharmacy Claims, Telehealth Claims, and StatusDateTime Extension with new profiles, extensions, and examples to enable compliant NZ medication and telehealth claim workflows. Also updated claim decision/reason terminology to local codes. Fixed build reliability by disabling problematic flatDataViews and updating capability statements to unblock OpenAPI generation. Overall impact: improved NZ payer processing, traceability, and adjudication accuracy, with stronger release readiness and maintainable capability statements.
August 2025
July 2025
4 Commits • 2 Features
Jul 1, 2025July 2025: Delivered two key features for the tewhatuora/cinc-fhir-ig project that enhance traceability, interoperability, and NZ-specific claim profiling. Feature 1 implements Outreach Correlation ID tracing with meta tags and a standardized sender/requester display name to improve traceability of outreach service requests and tasks. Feature 2 introduces the NzPharmacyClaim FHIR profile for New Zealand, extending the base Claim with NZ-specific extensions (patient cohort, claimant numbers, flags, code system/value set) and refining cardinality and project config. These changes strengthen auditability, data clarity, and readiness for NZ pharmacy claim workflows.
July 2025
4 Commits • 2 Features
Jul 1, 2025July 2025: Delivered two key features for the tewhatuora/cinc-fhir-ig project that enhance traceability, interoperability, and NZ-specific claim profiling. Feature 1 implements Outreach Correlation ID tracing with meta tags and a standardized sender/requester display name to improve traceability of outreach service requests and tasks. Feature 2 introduces the NzPharmacyClaim FHIR profile for New Zealand, extending the base Claim with NZ-specific extensions (patient cohort, claimant numbers, flags, code system/value set) and refining cardinality and project config. These changes strengthen auditability, data clarity, and readiness for NZ pharmacy claim workflows.
May 2025
2 Commits • 1 Features
May 1, 2025May 2025 monthly summary for tewhatuora/cinc-fhir-ig: Delivered Outreach Referral Codes enhancements including new status reasons and codes, migrated terminology from Task to ServiceRequest across code and profiles, refreshed sushi-config.yaml contact data to support accurate user-facing outreach referrals, and updated the FSH file to ensure consistency. These changes improve interoperability and user guidance in outreach referrals.
2 Commits • 1 Features
May 1, 2025May 2025 monthly summary for tewhatuora/cinc-fhir-ig: Delivered Outreach Referral Codes enhancements including new status reasons and codes, migrated terminology from Task to ServiceRequest across code and profiles, refreshed sushi-config.yaml contact data to support accurate user-facing outreach referrals, and updated the FSH file to ensure consistency. These changes improve interoperability and user guidance in outreach referrals.
May 2025
April 2025
2 Commits • 1 Features
Apr 1, 2025Month: 2025-04 — Delivered targeted documentation enhancements for outreach scenarios within the cinc-fhir-ig repository, elevating accuracy and clarity for implementers. Key outcomes include updated FHIR resource examples (removing outdated metadata fields), a refined ServiceRequest claim sequence diagram, and revised outreach use-case documentation to reflect current metadata handling and task/referral workflows. While no major code defects were reported, the improvements reduce ambiguity, accelerate integration, and support reliable adoption of outreach workflows.
April 2025
2 Commits • 1 Features
Apr 1, 2025Month: 2025-04 — Delivered targeted documentation enhancements for outreach scenarios within the cinc-fhir-ig repository, elevating accuracy and clarity for implementers. Key outcomes include updated FHIR resource examples (removing outdated metadata fields), a refined ServiceRequest claim sequence diagram, and revised outreach use-case documentation to reflect current metadata handling and task/referral workflows. While no major code defects were reported, the improvements reduce ambiguity, accelerate integration, and support reliable adoption of outreach workflows.
March 2025
36 Commits • 7 Features
Mar 1, 2025March 2025 performance summary for tewhatuora/cinc-fhir-ig: Delivered foundational Outreach Referral profiling scaffolding with capability statement and Sushi config updates, including outreach codes integration and related examples. Implemented Task.statusReason support, added associated examples, and aligned CMS with the current CMS version. Updated CMS profiles with extensions and title to reflect new capabilities, and enhanced capability statements and communication examples. Reduced configuration drift through Settings updates, renamed status reason codes, and performed targeted cleanups (invariants/unused valueset removals, task.fsh renaming, and general code cleanup). Bumped the IG version to reflect the release. These changes improve interoperability, reduce operational risk, and enable new CMS capabilities for healthcare integrations.
36 Commits • 7 Features
Mar 1, 2025March 2025 performance summary for tewhatuora/cinc-fhir-ig: Delivered foundational Outreach Referral profiling scaffolding with capability statement and Sushi config updates, including outreach codes integration and related examples. Implemented Task.statusReason support, added associated examples, and aligned CMS with the current CMS version. Updated CMS profiles with extensions and title to reflect new capabilities, and enhanced capability statements and communication examples. Reduced configuration drift through Settings updates, renamed status reason codes, and performed targeted cleanups (invariants/unused valueset removals, task.fsh renaming, and general code cleanup). Bumped the IG version to reflect the release. These changes improve interoperability, reduce operational risk, and enable new CMS capabilities for healthcare integrations.
March 2025
February 2025
1 Commits
Feb 1, 2025February 2025 monthly summary focused on delivering a critical reliability fix for template references in the Cinc FHIR IG, along with bug remediation that clarifies example usage for developers integrating templates.
February 2025
1 Commits
Feb 1, 2025February 2025 monthly summary focused on delivering a critical reliability fix for template references in the Cinc FHIR IG, along with bug remediation that clarifies example usage for developers integrating templates.
December 2024
2 Commits • 1 Features
Dec 1, 2024In December 2024, delivered targeted refinements to the tewhatuora/cinc-fhir-ig FHIR Communication resources and corrected example code systems to improve interoperability, reliability, and contributor onboarding. Key outcomes include data model refinements for Communication and CommunicationRequest, templated examples, standardized attachment IDs, refined content types, corrected cardinalities and spelling; plus a fix to replace deprecated code system in examples with the correct hnz-participation-mode-codes across email and SMS. These changes reduce integration risk and clarify specifications for downstream adopters.
2 Commits • 1 Features
Dec 1, 2024In December 2024, delivered targeted refinements to the tewhatuora/cinc-fhir-ig FHIR Communication resources and corrected example code systems to improve interoperability, reliability, and contributor onboarding. Key outcomes include data model refinements for Communication and CommunicationRequest, templated examples, standardized attachment IDs, refined content types, corrected cardinalities and spelling; plus a fix to replace deprecated code system in examples with the correct hnz-participation-mode-codes across email and SMS. These changes reduce integration risk and clarify specifications for downstream adopters.
December 2024
November 2024
2 Commits • 1 Features
Nov 1, 2024November 2024 monthly summary for tewhatuora/cinc-fhir-ig. Focused on delivering a targeted enhancement to the Measles Health Check Questionnaire by expanding the symptom list and updating example responses to improve symptom capture and triage accuracy. This work is traceable via two commits, ensuring reproducibility and auditability.
November 2024
2 Commits • 1 Features
Nov 1, 2024November 2024 monthly summary for tewhatuora/cinc-fhir-ig. Focused on delivering a targeted enhancement to the Measles Health Check Questionnaire by expanding the symptom list and updating example responses to improve symptom capture and triage accuracy. This work is traceable via two commits, ensuring reproducibility and auditability.
Activity
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Quality Metrics
Correctness90.0%
Maintainability88.4%
Architecture88.0%
Performance85.0%
AI Usage21.8%
Skills & Technologies
Programming Languages
F#FHIRFSHJSONMarkdownPlantUMLYAMLfsh
Technical Skills
API DesignAPI DevelopmentAPI designAPI documentationConfiguration ManagementDSLData ModelingData ValidationDocumentationEmail Template DesignFHIRFHIR StandardsFHIR developmentFHIR standardsHealth Informatics
Repositories Contributed To
Overview of all repositories you've contributed to across your timeline