Change Log

This page is part of the AU Core (v0.4.1-preview: QA Preview) based on FHIR (HL7® FHIR® Standard) R4. . For a full list of available versions, see the Directory of published versions

Page standards status: Informative

Version = 0.4.1-preview

Publication date: 18 July 2024
Publication status: Preview
Based on FHIR version: 4.0.1

This change log documents the significant updates and resolutions implemented from version 0.3.0-ballot to the 0.4.1-preview.

Changes in this version

Technical Errata: Dependency on SMART App Launch 2.2.0 package reference does not exist in the FHIR registry, replaced with SMART App Launch 2.1.0 package.
FHIR Obligations, Actors, and Capabilities:
- changed the default obligation behaviour in AU Core for Responders from ‘be capable of populate’ to ‘populate if known’ FHIR-45231, FHIR-45195, FHIR-45163, FHIR-45095, FHIR-45073
- introduced FHIR Obligations & ActorDefinitions to clarify system actors and associated obligations FHIR-45231, FHIR-45195, FHIR-45163, FHIR-45073
- clarified the documentation on Must Support and Mandatory elements using the language of Obligation FHIR-45231, FHIR-45195, FHIR-45163, FHIR-45073, FHIR-43852
- clarified capabilities in AU Core R1 by:
  - renaming AU Core Server to be AU Core Responder FHIR-45231, FHIR-45195, FHIR-45163, FHIR-45073, FHIR-43852
  - renaming AU Core Client to be AU Core Requester FHIR-45231, FHIR-45195, FHIR-45163, FHIR-45073, FHIR-43852
- added Actor Definitions page under FHIR Artefacts FHIR-45231, FHIR-45195, FHIR-45163, FHIR-45073.
Added Security and Privacy page FHIR-45067.
Added AU Variance Statement page FHIR-46034.
Moved the Medicine Information section from the General Guidance page to a new Medicine Information page FHIR-45165.
Removed support for the following search parameters and search parameter combinations:
- Encounter: discharge-disposition, type, patient+discharge-disposition, patient+type FHIR-45954, FHIR-45603
- MedicationRequest: identifier and category FHIR-45991
Made the following changes to AU Core Immunization:
- removed Must Support from Immunization.encounter FHIR-45218
- removed Must Support from Immunization.performer, Immunization.performer.function, Immunization.performer.actor FHIR-44653
- removed Must Support from Immunization.protocolApplied, Immunization.protocolApplied.series, Immunization.protocolApplied.targetDisease, Immunization.protocolApplied.doseNumber[x] FHIR-44674, FHIR-44656, FHIR-44654
- removed Must Support from Immunization.reasonCode FHIR-44654, FHIR-45968
- added Must Support to Immunization.primarySource FHIR-44659
Made the following changes to AU Core Encounter:
- removed Must Support from Encounter.identifier FHIR-45212
- removed Must Support from Encounter.type FHIR-44580
- removed Must Support from Encounter.hospitalization, Encounter.hospitalization.dischargeDisposition FHIR-45210
- in Encounter.participant.individual replaced RelatedPerson with AU Base RelatedPerson FHIR-45228
Removed Must Support from Location.description in AU Core Location FHIR-45029.
Made the following changes to AU Core MedicationRequest:
- in MedicationRequest.requester replaced RelatedPerson with AU Base RelatedPerson FHIR-45228
- removed Must Support from MedicationRequest.identifier FHIR-45208
- removed Must Support from MedicationRequest.category FHIR-45207
- removed Must Support from MedicationRequest.note FHIR-45209
- removed Must Support from MedicationRequest.dispenseRequest, MedicationRequest.dispenseRequest.validityPeriod, MedicationRequest.dispenseRequest.numberOfRepeatsAllowed, MedicationRequest.dispenseRequest.quantity FHIR-45088
- removed Must Support from MedicationRequest.substitution, MedicationRequest.substitution.allowed[x] FHIR-45088
- added Must Support to MedicationRequest.reasonReference FHIR-45090
Made the following changes to AU Core Medication:
- removal of Must Support from Medication.manufacturer FHIR-45130
- removed Must Support from Medication.form FHIR-45221
- removed Must Support from Medication.ingredient FHIR-45220
- removed Must Support from Medication.ingredient.item[x] FHIR-45220
- removed Must Support from Medication.ingredient.isActive FHIR-45220, FHIR-45130, FHIR-45049
- removed Must Support from Medication.ingredient.strength FHIR-45220
- removed Must Support from Medication.amount FHIR-45219
Made the following changes to AU Core Organizaton:
- removed Must Support from Organization.alias FHIR-44585
- corrected the invariant au-core-org-01 FHIRPath expression FHIR-46103
Made the following changes to AU Core Patient:
- removed Must Support from Patient.extension:birthPlace FHIR-45018
- removed Must Support from Patient.extension:interpreterRequired FHIR-45186
- removed Must Support from Patient.birthDate.extension:birthTime FHIR-45028
- removed Must Support from Patient.birthDate.extension:accuracyIndicator FHIR-45028
- added Must Support on Patient.name.text FHIR-44818
- added Must Support on Patient.name.family FHIR-44818
- added Must Support on Patient.name.given FHIR-44818
Made the following changes to AU Core Practitioner:
- removed Must Support from Practitioner.communication FHIR-44588
- removed Must Support from Practitioner.qualification, Practitioner.qualification.identifier, Practitioner.qualification.code, Practitioner.qualification.period, Practitioner.qualification.issuer: FHIR-45118, FHIR-44587
- removed Must Support from Practitioner.address FHIR-43860
- removed Must Support from Practitioner.telecom FHIR-43860
- added Must Support on Practitioner.name.family FHIR-44819
- added Must Support on Practitioner.name.given FHIR-44819
- replaced constraint au-core-prac-01: At least text or family name shall be present with making Practitioner.name.family mandatory (1..1) FHIR-44819
Removed Must Support from PractitionerRole.location in AU Core PractitionerRole FHIR-43841.
Made the following changes to AU Core Procedure:
- removed Must Support from Procedure.statusReason FHIR-45013
- removed Must Support from Procedure.category FHIR-45014
- removed Must Support from Procedure.recorder FHIR-45015, FHIR-45082
- removed Must Support from Procedure.asserter FHIR-45016, FHIR-45083
- removed Must Support from Procedure.bodySite and added profile-specific implementation guidance on including body site information FHIR-45017, FHIR-45114
- removed Must Support from Procedure.note FHIR-45114
- removed the cardinality constraint on Procedure.performed[x], changing it from 1..1 to 0..1 FHIR-45109
Removed AU Core Provenance FHIR-45191.
Removed AU Core MedicationStatement and added to Future of AU Core that AU Core MedicationStatement is planned for AU Core R2 FHIR-45052.
Updated mapping of AUCDI Procedure Completed Event to be represented by Procedure only au-fhir-core #147.
Updated mapping of AUCDI Medication Use Statement to be represented by MedicationStatement only au-fhir-core #145.
Made the following changes to AU Core Condition:
- removed Must Support from Condition.asserter FHIR-45019, FHIR-45127, FHIR-45083
- removed Must Support from Condition.recorder FHIR-45019, FHIR-45082
- removed Must Support from Condition.encounter FHIR-45189
- added profile-specific implementation guidance on representing no known problems FHIR-45058
Removed Must Support from the following elements in AU Core AllergyIntolerance:
- AllergyIntolerance.asserter FHIR-44699, FHIR-45083
- AllergyIntolerance.recorder FHIR-45082, FHIR-45066
- AllergyIntolerance.encounter FHIR-45123
- AllergyIntolerance.note FHIR-45188

Made the following changes to AU Core Smoking Status:

removed Must Support from Observation.encounter FHIR-45222
removed Must Support from Observation.performer FHIR-45223
removed the fixed value constraint ‘final’ on Observation.status FHIR-45120

replaced Observation.code patternCodeableConcept constraint of 266918002

Tobacco smoking consumption

with 1747861000168109

Smoking status

FHIR-45124

Removed Must Support from the following elements in AU Core Immunization:
- Immunization.encounter FHIR-45218
- Immunization.performer FHIR-44653
- Immunization.performer.function FHIR-44653
- Immunization.performer.actor FHIR-44653
Made the following changes to AU Core Blood Pressure:
- removed Must Support from Observation.encounter FHIR-45134
- removed Must Support from Observation.performer FHIR-44786
- removed the fixed value constraint ‘final’ on Observation.status FHIR-45120
Made the following changes to AU Core Body Height:
- removed Must Support from Observation.encounter FHIR-45134
- removed Must Support from Observation.performer FHIR-44786
- removed the fixed value constraint ‘final’ on Observation.status FHIR-45120
- removed the required binding to Metric Body Length Units value set from Observation.value[x]:valueQuantity to allow the FHIR standard profile binding, and added the Metric Body Length Units value set as a candidate additional binding FHIR-44787
Made the following changes to AU Core Body Temperature:
- removed Must Support from Observation.encounter FHIR-45134
- removed Must Support from Observation.performer FHIR-44786
- removed the fixed value constraint ‘final’ on Observation.status FHIR-45120
- removed the required binding to Metric Body Temperature Units value set from Observation.value[x]:valueQuantity to allow the FHIR standard profile binding, and added the Metric Body Temperature Units value set as a candidate additional binding FHIR-44787
Made the following changes to AU Core Body Weight:
- removed Must Support from Observation.encounter FHIR-45134
- removed Must Support from Observation.performer FHIR-44786
- removed the fixed value constraint ‘final’ on Observation.status FHIR-45120
- removed the required binding to Metric Body Weight Units value set from Observation.value[x]:valueQuantity to allow the FHIR standard profile binding, and added the Metric Body Weight Units value set as a candidate additional binding FHIR-44787
Made the following changes to AU Core Heart Rate:
- removed Must Support from Observation.encounter FHIR-45134
- removed Must Support from Observation.performer FHIR-44786
- removed the fixed value constraint ‘final’ on Observation.status FHIR-45120
- added profile-specific implementation guidance on representing pulse rate observations FHIR-44861
Made the following changes to AU Core Respiration Rate:
- removed Must Support from Observation.encounter FHIR-45134
- removed Must Support from Observation.performer FHIR-44786
- removed the fixed value constraint ‘final’ on Observation.status FHIR-45120
Made the following changes to AU Core Waist Circumference:
- removed Must Support from Observation.encounter FHIR-45134
- removed Must Support from Observation.performer FHIR-44786
- removed the fixed value constraint ‘final’ on Observation.status FHIR-45120
- removed the required binding to Metric Body Length Units value set from Observation.valueQuantity.code to allow the FHIR standard profile binding, and added the Metric Body Length Units value set as a candidate additional binding FHIR-44787
Corrected the search parameter for gender identity to be gender-identity not patient-gender-identity FHIR-45057.
Changed the following Organization search parameters:
- address search parameter to be SHOULD instead of SHALL FHIR-45133
- name search parameter to be SHOULD instead of SHALL FHIR-45133
Made the following changes to AU Core Diagnostic Result Observation:
- in Observation.performer replaced RelatedPerson with AU Base RelatedPerson FHIR-45228
- removed the required binding to ObservationStatus Result Available value set from Observation.status FHIR-45125
Made the following changes to AU Core Pathology Result Observation:
- in Observation.performer replaced RelatedPerson with AU Base RelatedPerson FHIR-45228
  - removed the required binding to ObservationStatus Result Available value set from Observation.status FHIR-45125
Made the following changes in AU Core Requester CapabilityStatement:
- removed reference to Bulk Data Access implementation guide FHIR-45113
- corrected the Observation combined search parameter ‘patient+category+status’ from SHALL to SHOULD FHIR-45390
Made the following changes in AU Core Responder CapabilityStatement:
- removed reference to Bulk Data Access implementation guide FHIR-45113
- corrected the Observation combined search parameter ‘patient+category+status’ from SHALL to SHOULD FHIR-45390