AU Core Implementation Guide
0.4.1-preview - Preview Australia flag

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

Change Log

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:
  • 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 the following elements in AU Core AllergyIntolerance:
  • 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:
  • 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