# Change Log - AU Core Implementation Guide v2.0.0-preview

* [**Table of Contents**](toc.md)
* **Change Log**

## Change Log

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| :--- |
| *Page standards status:*[Informative](http://hl7.org/fhir/R4/versions.html#std-process) |

### Release 2.0.0-preview

* Publication date: 2025-11-27
* Publication status: Preview
* Based on FHIR version: 4.0.1

This change log documents the significant updates and resolutions implemented from version [2.0.0-ballot](https://hl7.org.au/fhir/core/2.0.0-ballot/index.html) to [2.0.0-preview](https://hl7.org.au/fhir/core/2.0.0-preview/index.html).

#### Changes in this version

* moved substantive guidance on representing body site and laterality from [Representing Body Site, Which May Include Laterality](general-guidance.md#representing-body-site-which-may-include-laterality) section in [General Guidance](general-guidance.md) to the AU Base [General Guidance](https://build.fhir.org/ig/hl7au/au-fhir-base/generalguidance.html) page, with AU Core specific content retained [AU Core: FHIR-52372](https://jira.hl7.org/browse/FHIR-52372).
* [AU Core Diagnostic Result Observation](StructureDefinition-au-core-diagnosticresult.md) 
* changed Observation.hasMember to restore reference to AU Base Diagnostic Imaging Result profile inherited from AU Base [AU Core: FHIR-52164](https://jira.hl7.org/browse/FHIR-52164)
 
* [AU Core Patient](StructureDefinition-au-core-patient.md) 
* applied technical correction to invariants inv-pat-1 and inv-pat-2 to ensure terminology validation applies to the correct sub-extension values when multiple extension instances are present [AU Base: FHIR-53536](https://jira.hl7.org/browse/FHIR-53536)
 
* [AU Core Requester CapabilityStatement](CapabilityStatement-au-core-requester.md) 
* added AU Base Diagnostic Imaging Result to the supported profiles for Observation as a SHALL [AU Core: FHIR-52164](https://jira.hl7.org/browse/FHIR-52164)
 
* [AU Core Responder CapabilityStatement](CapabilityStatement-au-core-responder.md) 
* added AU Base Diagnostic Imaging Result to the supported profiles for Observation as a SHALL [AU Core: FHIR-52164](https://jira.hl7.org/browse/FHIR-52164)
 

### Release 2.0.0-ballot

* Publication date: 2025-07-31
* Publication status: Ballot for Working Standard
* Based on FHIR version: 4.0.1

This change log documents the significant updates and resolutions implemented from version [1.0.0](https://hl7.org.au/fhir/core/1.0.0/index.html) to [2.0.0-ballot](https://hl7.org.au/fhir/core/2.0.0-ballot/index.html). The changes in this update are for ballot.

#### Changes in this version

* moved general guidance on representing communication preferences for a patient or related person to AU Base [FHIR-46877](https://jira.hl7.org/browse/FHIR-46877).
* added to general guidance, reference to AU Base guidance on SNOMED CT Australian Edition [FHIR-51473](https://jira.hl7.org/browse/FHIR-51473).
* added Recorded Sex or Gender and Sex Parameter for Clinical Use to the Sex and Gender page [AU Base: 51408](https://jira.hl7.org/browse/FHIR-51408).
* updated AUCDI mapping Date of assertion to be MedicationStatement.dateAsserted [FHIR-49960](https://jira.hl7.org/browse/FHIR-49960).
* updated dependency on SMART App Launch from version 2.1.0 to 2.2.0 [FHIR-46398](https://jira.hl7.org/browse/FHIR-46398).
* [AU Core AllergyIntolerance](https://hl7.org.au/fhir/core/2.0.0-ballot/StructureDefinition-au-core-allergyintolerance.html): 
* added Must Support to AllergyIntolerance.note [FHIR-46940](https://jira.hl7.org/browse/FHIR-46940)
* added Must Support and obligation SHOULD:populate to AllergyIntolerance.onsetDateTime for the AU Core Responder [FHIR-45187](https://jira.hl7.org/browse/FHIR-45187)
 
* [AU Core Blood Pressure](https://hl7.org.au/fhir/core/2.0.0-ballot/StructureDefinition-au-core-bloodpressure.html): 
* added guidance on more blood pressure specific concepts for sitting, lying, and standing measurements [FHIR-49951](https://jira.hl7.org/browse/FHIR-49951).
 
* [AU Core Condition](https://hl7.org.au/fhir/core/2.0.0-ballot/StructureDefinition-au-core-condition.html): 
* added Must Support and obligation SHOULD:populate to Condition.onsetDateTime for the AU Core Responder [FHIR-45040](https://jira.hl7.org/browse/FHIR-45040)
 
* [AU Core Diagnostic Result Observation](https://hl7.org.au/fhir/core/2.0.0-ballot/StructureDefinition-au-core-diagnosticresult.html): 
* clarified that this profile is for specialist and other (non imaging or pathology) results, and added profile-specific implementation guidance to see AU Core Pathology Result Observation profile for pathology results [FHIR-46889](https://jira.hl7.org/browse/FHIR-46889).
 
* [AU Core Encounter](https://hl7.org.au/fhir/core/2.0.0-ballot/StructureDefinition-au-core-encounter.html) 
* changed Encounter.reasonCode binding to Reason for Encounter (preferred) [AU Base: FHIR-50996](https://jira.hl7.org/browse/FHIR-50996)
 
* [AU Core HealthcareService](https://hl7.org.au/fhir/core/2.0.0-ballot/StructureDefinition-au-core-healthcareservice.html): 
* added new profile, including interaction support to the AU Core CapabilityStatements [FHIR-49934](https://jira.hl7.org/browse/FHIR-49934), [FHIR-50406](https://jira.hl7.org/browse/FHIR-50406), [FHIR-50405](https://jira.hl7.org/browse/FHIR-50405), [AU Base: FHIR-46322](https://jira.hl7.org/browse/FHIR-46322).
 
* [AU Core Immunization](https://hl7.org.au/fhir/core/2.0.0-ballot/StructureDefinition-au-core-immunization.html): 
* added Must Support to Immunization.lotNumber [FHIR-47331](https://jira.hl7.org/browse/FHIR-47331)
* added Must Support and obligation SHOULD:populate to Immunization.occurrenceDateTime for the AU Core Responder [FHIR-45216](https://jira.hl7.org/browse/FHIR-45216)
 
* [AU Core MedicationRequest](https://hl7.org.au/fhir/core/2.0.0-ballot/StructureDefinition-au-core-medicationrequest.html): 
* added Must Support to MedicationRequest.dosageInstruction.text [FHIR-50101](https://jira.hl7.org/browse/FHIR-50101)
* removed duplication of obligation flag added by error to MedicationRequest.medicationReference [FHIR-50800](https://jira.hl7.org/browse/FHIR-50800)
* applied technical correction to add Must Support and obligation flag to slices medicationCodeableConcept and medicationReference on MedicationRequest.medication[x] to align with Must Support on the sliced element [FHIR-51083](https://jira.hl7.org/browse/FHIR-51083)
 
* [AU Core MedicationStatement](https://hl7.org.au/fhir/core/2.0.0-ballot/StructureDefinition-au-core-medicationstatement.html): 
* added the new profile, including interaction support and adding the DiagnosticReport resource to AU Core CapabilityStatements [FHIR-45091](https://jira.hl7.org/browse/FHIR-45091), [FHIR-49954](https://jira.hl7.org/browse/FHIR-49954), [FHIR-49955](https://jira.hl7.org/browse/FHIR-49955), [FHIR-49956](https://jira.hl7.org/browse/FHIR-49956), [FHIR-49957](https://jira.hl7.org/browse/FHIR-49957), [FHIR-49958](https://jira.hl7.org/browse/FHIR-49958), [FHIR-49959](https://jira.hl7.org/browse/FHIR-49959).
* added Must Support to MedicationStatement.dosage.text [FHIR-50101](https://jira.hl7.org/browse/FHIR-50101)
* applied technical correction to add Must Support and obligation flag to slices medicationCodeableConcept and medicationReference on MedicationStatement.medication[x] to align with Must Support on the sliced element [FHIR-51083](https://jira.hl7.org/browse/FHIR-51083)
* removed duplication of obligation flag added by error to MedicationRequest.medicationReference [FHIR-50800](https://jira.hl7.org/browse/FHIR-50800)
 
* [AU Core Organization](https://hl7.org.au/fhir/core/2.0.0-ballot/StructureDefinition-au-core-organization.html): 
* added Must Support on Organization.telecom.system [FHIR-51042](https://jira.hl7.org/browse/FHIR-51042)
* added Must Support on Organization.telecom.value [FHIR-51042](https://jira.hl7.org/browse/FHIR-51042)
 
* [AU Core Pathology Result Observation](https://hl7.org.au/fhir/core/2.0.0-ballot/StructureDefinition-au-core-diagnosticresult-path.html): 
* added profile-specific implementation guidance to see AU Core Diagnostic Result Observation profile for non imaging or pathology results [FHIR-46889](https://jira.hl7.org/browse/FHIR-46889)
* changed Observation.effective[x] type to remove type constraint [AU Base: FHIR-49189](https://jira.hl7.org/browse/FHIR-49189)
* applied technical correction to add Must Support and obligation flag to slices lab and specificDiscipline on Observation.category to align with Must Support on the sliced element [FHIR-51083](https://jira.hl7.org/browse/FHIR-51083)
 
* [AU Core Patient](https://hl7.org.au/fhir/core/2.0.0-ballot/StructureDefinition-au-core-patient.html): 
* removed the cardinality constraint on AU Medicare Card Number identifier, changing it from 0..1 to 0..* [FHIR-46268](https://jira.hl7.org/browse/FHIR-46268)
* added AU Patient Internal Identifier as an allowed type for Patient.identifier [AU Base: FHIR-48671](https://jira.hl7.org/browse/FHIR-48671)
* added Must Support on Patient.telecom.system [FHIR-51033](https://jira.hl7.org/browse/FHIR-51033)
* added Must Support on Patient.telecom.value [FHIR-51033](https://jira.hl7.org/browse/FHIR-51033)
* added Must Support on Patient.telecom.use [FHIR-51033](https://jira.hl7.org/browse/FHIR-51033)
 
* [AU Core PractitionerRole](https://hl7.org.au/fhir/core/2.0.0-ballot/StructureDefinition-au-core-practitionerrole.html): 
* added Must Support on PractitionerRole.telecom.system [FHIR-51034](https://jira.hl7.org/browse/FHIR-51034)
* added Must Support on PractitionerRole.telecom.value [FHIR-51034](https://jira.hl7.org/browse/FHIR-51034)
 
* [AU Core Procedure](https://hl7.org.au/fhir/core/2.0.0-ballot/StructureDefinition-au-core-procedure.html): 
* added Must Support and obligation SHOULD:populate to Procedure.performedDateTime for the AU Core Responder [FHIR-45145](https://jira.hl7.org/browse/FHIR-45145)
 
* [AU Core RelatedPerson](https://hl7.org.au/fhir/core/2.0.0-ballot/StructureDefinition-au-core-relatedperson.html): 
* added the new profile, including interaction support and replacing references to AU Base Related Person with AU Core RelatedPerson [FHIR-49745](https://jira.hl7.org/browse/FHIR-49745), [FHIR-49746](https://jira.hl7.org/browse/FHIR-49746), [FHIR-44600](https://jira.hl7.org/browse/FHIR-44600), [FHIR-49747](https://jira.hl7.org/browse/FHIR-49747).
 
* [AU Core Smoking Status](https://hl7.org.au/fhir/core/2.0.0-ballot/StructureDefinition-au-core-smokingstatus.html): 
* applied technical correction to add Must Support and obligation flag to slice socialHistory on Observation.category to align with Must Support on the sliced element [FHIR-51083](https://jira.hl7.org/browse/FHIR-51083)
 

### Release 1.0.0

* Publication date: 2025-01-29
* Publication status: Working Standard (Trial Use)
* Based on FHIR version: 4.0.1

This change log documents the significant updates and resolutions implemented from version [1.0.0-ballot](https://hl7.org.au/fhir/core/1.0.0-ballot/index.html) to [1.0.0](https://hl7.org.au/fhir/core/1.0.0/index.html).

#### Changes in this version

* Added [Sex and Gender](https://hl7.org.au/fhir/core/1.0.0/sex-and-gender.html) page to consolidate implementation guidance on sex and gender concepts in AU Core. Duplicate guidance already defined in AU Base is removed, and replaced with reference to AU Base guidance [FHIR-47176](https://jira.hl7.org/browse/FHIR-47176), [FHIR-47178](https://jira.hl7.org/browse/FHIR-47178), [FHIR-47182](https://jira.hl7.org/browse/FHIR-47182), [FHIR-47183](https://jira.hl7.org/browse/FHIR-47183), [FHIR-46892](https://jira.hl7.org/browse/FHIR-46892), [FHIR-46896](https://jira.hl7.org/browse/FHIR-46896).
* [AU Core Diagnostic Result Observation](https://hl7.org.au/fhir/core/1.0.0/StructureDefinition-au-core-diagnosticresult.html): 
* corrected base profile to AU Base Diagnostic Observation [FHIR-47116](https://jira.hl7.org/browse/FHIR-47116)
* removed constraints from Observation.hasMember.reference [FHIR-46728](https://jira.hl7.org/browse/FHIR-46728), [FHIR-48331](https://jira.hl7.org/browse/FHIR-48331)
* removed Must Support and Obligations from Observation.identifier, Observation.interpretation, Observation.note, Observation.method, Observation.referenceRange, Observation.referenceRange.low, Observation.referenceRange.high, Observation.referenceRange.type and Observation.referenceRange.text [FHIR-46737](https://jira.hl7.org/browse/FHIR-46737)
 
* [AU Core Location](https://hl7.org.au/fhir/core/1.0.0/StructureDefinition-au-core-location.html): removed Must Support flag and associated Obligation extensions from Location.identifier [FHIR-47105](https://jira.hl7.org/browse/FHIR-47105) and Location.mode [FHIR-47104](https://jira.hl7.org/browse/FHIR-47104)
* [AU Core MedicationRequest](https://hl7.org.au/fhir/core/1.0.0/StructureDefinition-au-core-medicationrequest.html): updated invariant au-core-medreq-01 to allow for a Data Absent Reason extension in order to meet AU Core Missing Data and Suppressed Data requirements [FHIR-46417](https://jira.hl7.org/browse/FHIR-46417)
* [AU Core Pathology Result Observation](https://hl7.org.au/fhir/core/1.0.0/StructureDefinition-au-core-diagnosticresult-path.html): 
* removed constraints from Observation.hasMember.reference and Observation.specimen.reference [FHIR-46728](https://jira.hl7.org/browse/FHIR-46728), [FHIR-46731](https://jira.hl7.org/browse/FHIR-46731)
* removed Must Support and Obligations from Observation.identifier, Observation.method and Observation.note [FHIR-46732](https://jira.hl7.org/browse/FHIR-46732)
 
* AU Core search parameters and search parameter combinations: 
* [Observation search parameters](https://hl7.org.au/fhir/core/1.0.0/StructureDefinition-au-core-bloodpressure.html#notes): changed 'patient' from SHALL to MAY [FHIR-47171](https://jira.hl7.org/browse/FHIR-47171)
* [Patient search parameters](https://hl7.org.au/fhir/core/1.0.0/StructureDefinition-au-core-patient.html#notes): removed the requirement for including an offset for 'birthdate' [FHIR-47150](https://jira.hl7.org/browse/FHIR-47150)
* [Organization search parameters](https://hl7.org.au/fhir/core/1.0.0/StructureDefinition-au-core-organization.html#notes): changed 'name' search parameter from SHOULD to SHALL [FHIR-47109](https://jira.hl7.org/browse/FHIR-47109)
* [Location search parameters](https://hl7.org.au/fhir/core/1.0.0/StructureDefinition-au-core-location.html#notes): 
* changed 'address' search parameter from SHALL to SHOULD [FHIR-47107](https://jira.hl7.org/browse/FHIR-47107)
* removed 'identifier' [FHIR-48927](https://jira.hl7.org/browse/FHIR-48927)
 
* [PractitionerRole search parameters](https://hl7.org.au/fhir/core/1.0.0/StructureDefinition-au-core-practitionerrole.html#notes): added 'role' as a SHOULD [FHIR-47115](https://jira.hl7.org/browse/FHIR-47115)
* [MedicationRequest search parameters](https://hl7.org.au/fhir/core/1.0.0/StructureDefinition-au-core-medicationrequest.html#notes): changed 'patient+intent' and 'patient+intent+status' from SHALL to SHOULD, and added a new MedicationRequest search parameter 'patient+status' as a SHALL [FHIR-47073](https://jira.hl7.org/browse/FHIR-47073)
* updated requirement to mandate both system and code values for identifier search parameters on Organization, Practitioner and PractitionerRole [FHIR-46782](https://jira.hl7.org/browse/FHIR-46782)
 
* [AU Core Requester CapabilityStatement](https://hl7.org.au/fhir/core/1.0.0/CapabilityStatement-au-core-requester.html): 
* removed all instances of MAY support create, update, delete, vread, patch, history-instance [FHIR-46060](https://jira.hl7.org/browse/FHIR-46060)
* removed MAY support search-system and history-system [FHIR-46059](https://jira.hl7.org/browse/FHIR-46059)
* _id Patient search parameter changed to SHOULD from SHALL [FHIR-46390](https://jira.hl7.org/browse/FHIR-46390)
* added missing entries for DocumentReference and RelatedPerson resources [FHIR-46546](https://jira.hl7.org/browse/FHIR-46546)
 
* [AU Core Responder CapabilityStatement](https://hl7.org.au/fhir/core/1.0.0/CapabilityStatement-au-core-responder.html): 
* removed all instances of MAY support create, update, delete, vread, patch, history-instance [FHIR-46060](https://jira.hl7.org/browse/FHIR-46060)
* corrected narrative of PractitionerRole practitioner.identifier search parameter from Medicare Provider Number to HPI-I [FHIR-47013](https://jira.hl7.org/browse/FHIR-47013)
* corrected support for Practitioner _id search parameter to SHOULD instead of SHALL [FHIR-46777](https://jira.hl7.org/browse/FHIR-46777)
* added missing entries for DocumentReference and RelatedPerson resources [FHIR-46546](https://jira.hl7.org/browse/FHIR-46546)
 

### Release 1.0.0-ballot

* Publication date: 2024-08-05
* Publication status: Ballot
* Based on FHIR version: 4.0.1

This change log documents the significant updates and resolutions implemented from version [0.3.0-ballot](https://hl7.org.au/fhir/core/0.3.0-ballot/index.html) to [1.0.0-ballot](https://hl7.org.au/fhir/core/1.0.0-ballot/index.html).

#### Changes in this version

* In the [AU Core Data for Interoperability](https://hl7.org.au/fhir/core/1.0.0-ballot/aucdi.html) page, to align to the published AUCDI Release 1 (R1): 
* added AUCDI element mapping Date/Time of Measurement and Date/Time of Observation, and added future consideration note for Last Updated
* updated mapping of AUCDI Procedure Completed Event to be represented by Procedure only [au-fhir-core #147](https://github.com/hl7au/au-fhir-core/issues/147).
* updated mapping of AUCDI Medication Use Statement to be represented by MedicationStatement only [au-fhir-core #145](https://github.com/hl7au/au-fhir-core/issues/145).
 
* dependency to Smart App Launch changed to 2.1.0 instead of latest (2.2.0) due to missing dependency issue that causes failure to load in NPM Package registry [FHIR-46398](https://jira.hl7.org/browse/FHIR-46398)
* Throughout the specification made significant clarifications to 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](https://jira.hl7.org/browse/FHIR-45231), [FHIR-45195](https://jira.hl7.org/browse/FHIR-45195), [FHIR-45163](https://jira.hl7.org/browse/FHIR-45163), [FHIR-45095](https://jira.hl7.org/browse/FHIR-45095), [FHIR-45073](https://jira.hl7.org/browse/FHIR-45073)
* introduced FHIR Obligations & ActorDefinitions to clarify system actors and associated obligations [FHIR-45231](https://jira.hl7.org/browse/FHIR-45231), [FHIR-45195](https://jira.hl7.org/browse/FHIR-45195), [FHIR-45163](https://jira.hl7.org/browse/FHIR-45163), [FHIR-45073](https://jira.hl7.org/browse/FHIR-45073)
* clarified the documentation on Must Support and Mandatory elements using the language of Obligation [FHIR-45231](https://jira.hl7.org/browse/FHIR-45231), [FHIR-45195](https://jira.hl7.org/browse/FHIR-45195), [FHIR-45163](https://jira.hl7.org/browse/FHIR-45163), [FHIR-45073](https://jira.hl7.org/browse/FHIR-45073), [FHIR-43852](https://jira.hl7.org/browse/FHIR-43852)
* clarified capabilities in AU Core R1 by: 
* renamed AU Core Server to AU Core Responder [FHIR-45231](https://jira.hl7.org/browse/FHIR-45231), [FHIR-45195](https://jira.hl7.org/browse/FHIR-45195), [FHIR-45163](https://jira.hl7.org/browse/FHIR-45163), [FHIR-45073](https://jira.hl7.org/browse/FHIR-45073), [FHIR-43852](https://jira.hl7.org/browse/FHIR-43852)
* renamed AU Core Client to AU Core Requester [FHIR-45231](https://jira.hl7.org/browse/FHIR-45231), [FHIR-45195](https://jira.hl7.org/browse/FHIR-45195), [FHIR-45163](https://jira.hl7.org/browse/FHIR-45163), [FHIR-45073](https://jira.hl7.org/browse/FHIR-45073), [FHIR-43852](https://jira.hl7.org/browse/FHIR-43852)
 
* added [Actor Definitions](https://hl7.org.au/fhir/core/1.0.0-ballot/actors.html) page under FHIR Artefacts [FHIR-45231](https://jira.hl7.org/browse/FHIR-45231), [FHIR-45195](https://jira.hl7.org/browse/FHIR-45195), [FHIR-45163](https://jira.hl7.org/browse/FHIR-45163), [FHIR-45073](https://jira.hl7.org/browse/FHIR-45073).
 
* Added [Security and Privacy](https://hl7.org.au/fhir/core/1.0.0-ballot/security.html) page [FHIR-45067](https://jira.hl7.org/browse/FHIR-45067), and added requirements on supporting TLS 1.2 and TLS 1.3 [FHIR-46068](https://jira.hl7.org/browse/FHIR-46068).
* Added [AU Variance Statement](https://hl7.org.au/fhir/core/1.0.0-ballot/variance.html) page [FHIR-46034](https://jira.hl7.org/browse/FHIR-46034).
* Added additional guidance for body site / laterality implementation to [General Guidance](https://hl7.org.au/fhir/core/1.0.0-ballot/general-guidance.html) page [FHIR-45176](https://jira.hl7.org/browse/FHIR-45176).
* Moved the Medicine Information section from the General Guidance page to a new [Medicine Information](https://hl7.org.au/fhir/core/1.0.0-ballot/medicine-information.html) page [FHIR-45165](https://jira.hl7.org/browse/FHIR-45165).
* Changes to the following AU Core search parameters and search parameter combinations: 
* clarified multipleAnd comparator support for AU Core date search parameters [FHIR-46309](https://jira.hl7.org/browse/FHIR-46309)
* [Encounter search parameters](https://hl7.org.au/fhir/core/1.0.0-ballot/StructureDefinition-au-core-encounter.html#notes): removed discharge-disposition, identifier, type, patient+discharge-disposition, patient+type [FHIR-45954](https://jira.hl7.org/browse/FHIR-45954), [FHIR-45603](https://jira.hl7.org/browse/FHIR-45603), [FHIR-46057](https://jira.hl7.org/browse/FHIR-46057)
* [MedicationRequest search parameters](https://hl7.org.au/fhir/core/1.0.0-ballot/StructureDefinition-au-core-medicationrequest.html#notes): removed identifier and category [FHIR-45991](https://jira.hl7.org/browse/FHIR-45991)
* [Patient search parameters](https://hl7.org.au/fhir/core/1.0.0-ballot/StructureDefinition-au-core-patient.html#notes): 
* birthdate search parameter support for comparators gt, le, lt, ge to SHOULD from SHALL and multipleAnd support introduced as SHOULD [FHIR-45410](https://jira.hl7.org/browse/FHIR-45410)
* corrected the search parameter for gender identity to `gender-identity` not `patient-gender-identity` [FHIR-45057](https://jira.hl7.org/browse/FHIR-45057).
 
* [Organization search parameters](https://hl7.org.au/fhir/core/1.0.0-ballot/StructureDefinition-au-core-organization.html#notes): 
* address search parameter to SHOULD instead of SHALL [FHIR-45133](https://jira.hl7.org/browse/FHIR-45133)
* name search parameter to SHOULD instead of SHALL [FHIR-45133](https://jira.hl7.org/browse/FHIR-45133)
 
 
* Changes to [AU Core Immunization](https://hl7.org.au/fhir/core/1.0.0-ballot/StructureDefinition-au-core-immunization.html): 
* removed Must Support from Immunization.encounter [FHIR-45218](https://jira.hl7.org/browse/FHIR-45218)
* removed Must Support from Immunization.performer, Immunization.performer.function, Immunization.performer.actor [FHIR-44653](https://jira.hl7.org/browse/FHIR-44653)
* removed Must Support from Immunization.protocolApplied, Immunization.protocolApplied.series, Immunization.protocolApplied.targetDisease, Immunization.protocolApplied.doseNumber[x] [FHIR-44674](https://jira.hl7.org/browse/FHIR-44674), [FHIR-44656](https://jira.hl7.org/browse/FHIR-44656), [FHIR-44654](https://jira.hl7.org/browse/FHIR-44654)
* removed Must Support from Immunization.reasonCode [FHIR-44654](https://jira.hl7.org/browse/FHIR-44654), [FHIR-45968](https://jira.hl7.org/browse/FHIR-45968)
* added Must Support to Immunization.primarySource [FHIR-44659](https://jira.hl7.org/browse/FHIR-44659)
* changed Immunization.vaccineCode slicing rule from slicing by system to slice by value set [FHIR-46391](https://jira.hl7.org/browse/FHIR-46391)
* support for AIR codes and AMT Vaccine codes in Immunization.vaccineCode changed to define the slices in AU Core (no longer inherited from AU Base as per [FHIR-44821](https://jira.hl7.org/browse/FHIR-44821)). Slicing discriminator changed from slicing by value:system to slicing by value set and AMT value set binding strength has been corrected to required. [FHIR-46391](https://jira.hl7.org/browse/FHIR-46391)
 
* Changes to [AU Core Encounter](https://hl7.org.au/fhir/core/1.0.0-ballot/StructureDefinition-au-core-encounter.html): 
* removed Must Support from Encounter.identifier [FHIR-45212](https://jira.hl7.org/browse/FHIR-45212)
* removed Must Support from Encounter.type [FHIR-44580](https://jira.hl7.org/browse/FHIR-44580)
* removed Must Support from Encounter.hospitalization, Encounter.hospitalization.dischargeDisposition [FHIR-45210](https://jira.hl7.org/browse/FHIR-45210)
* changed Encounter.participant.individual type from RelatedPerson to AU Base RelatedPerson [FHIR-45228](https://jira.hl7.org/browse/FHIR-45228)
 
* Changes to [AU Core Location](https://hl7.org.au/fhir/core/1.0.0-ballot/StructureDefinition-au-core-location.html): removed Must Support from Location.description in [FHIR-45029](https://jira.hl7.org/browse/FHIR-45029).
* Changes to [AU Core MedicationRequest](https://hl7.org.au/fhir/core/1.0.0-ballot/StructureDefinition-au-core-medicationrequest.html): 
* changed MedicationRequest.requester type from RelatedPerson to AU Base RelatedPerson [FHIR-45228](https://jira.hl7.org/browse/FHIR-45228)
* removed Must Support from MedicationRequest.identifier [FHIR-45208](https://jira.hl7.org/browse/FHIR-45208)
* removed Must Support from MedicationRequest.category [FHIR-45207](https://jira.hl7.org/browse/FHIR-45207)
* removed Must Support from MedicationRequest.note [FHIR-45209](https://jira.hl7.org/browse/FHIR-45209)
* removed Must Support from MedicationRequest.dispenseRequest, MedicationRequest.dispenseRequest.validityPeriod, MedicationRequest.dispenseRequest.numberOfRepeatsAllowed, MedicationRequest.dispenseRequest.quantity [FHIR-45088](https://jira.hl7.org/browse/FHIR-45088)
* removed Must Support from MedicationRequest.substitution, MedicationRequest.substitution.allowed[x] [FHIR-45088](https://jira.hl7.org/browse/FHIR-45088)
* added Must Support to MedicationRequest.reasonReference [FHIR-45090](https://jira.hl7.org/browse/FHIR-45090)
* support for AMT codes and PBS Item Codes in MedicationRequest.medicationCodeableConcept changed to define slicing in AU Core (no longer inherited from AU Base as per [FHIR-44821](https://jira.hl7.org/browse/FHIR-44821)). Slicing discriminator changed from slicing by value:system to slicing by value set and the binding strength has been corrected to required. [FHIR-46391](https://jira.hl7.org/browse/FHIR-46391)
 
* Changes to [AU Core Medication](https://hl7.org.au/fhir/core/1.0.0-ballot/StructureDefinition-au-core-medication.html): 
* removal of Must Support from Medication.manufacturer [FHIR-45130](https://jira.hl7.org/browse/FHIR-45130)
* removed Must Support from Medication.form [FHIR-45221](https://jira.hl7.org/browse/FHIR-45221)
* removed Must Support from Medication.ingredient [FHIR-45220](https://jira.hl7.org/browse/FHIR-45220)
* removed Must Support from Medication.ingredient.item[x] [FHIR-45220](https://jira.hl7.org/browse/FHIR-45220)
* removed Must Support from Medication.ingredient.isActive [FHIR-45220](https://jira.hl7.org/browse/FHIR-45220), [FHIR-45130](https://jira.hl7.org/browse/FHIR-45130), [FHIR-45049](https://jira.hl7.org/browse/FHIR-45049)
* removed Must Support from Medication.ingredient.strength [FHIR-45220](https://jira.hl7.org/browse/FHIR-45220)
* removed Must Support from Medication.amount [FHIR-45219](https://jira.hl7.org/browse/FHIR-45219)
* support for AMT codes and PBS Item Codes in Medication.code changed to define slicing in AU Core (no longer inherited from AU Base as per [FHIR-44821](https://jira.hl7.org/browse/FHIR-44821)). Slicing discriminator changed from slicing by value:system to value set and the binding strength has been corrected to required. [FHIR-46391](https://jira.hl7.org/browse/FHIR-46391)
 
* Changes to [AU Core Organizaton](https://hl7.org.au/fhir/core/1.0.0-ballot/StructureDefinition-au-core-organization.html): 
* removed Must Support from Organization.alias [FHIR-44585](https://jira.hl7.org/browse/FHIR-44585)
* corrected the invariant au-core-org-01 FHIRPath expression [FHIR-46103](https://jira.hl7.org/browse/FHIR-46103)
 
* Changes to [AU Core Patient](https://hl7.org.au/fhir/core/1.0.0-ballot/StructureDefinition-au-core-patient.html): 
* removed Must Support from Patient.extension:birthPlace [FHIR-45018](https://jira.hl7.org/browse/FHIR-45018)
* removed Must Support from Patient.extension:interpreterRequired [FHIR-45186](https://jira.hl7.org/browse/FHIR-45186)
* removed Must Support from Patient.birthDate.extension:birthTime [FHIR-45028](https://jira.hl7.org/browse/FHIR-45028)
* removed Must Support from Patient.birthDate.extension:accuracyIndicator [FHIR-45028](https://jira.hl7.org/browse/FHIR-45028)
* added Must Support on Patient.name.text [FHIR-44818](https://jira.hl7.org/browse/FHIR-44818)
* added Must Support on Patient.name.family [FHIR-44818](https://jira.hl7.org/browse/FHIR-44818)
* added Must Support on Patient.name.given [FHIR-44818](https://jira.hl7.org/browse/FHIR-44818)
* updated invariants au-core-pat-01, au-core-pat-02, and au-core-pat-04 to allow for a Data Absent Reason extension in order to meet AU Core Missing Data and Suppressed Data requirements [FHIR-46406](https://jira.hl7.org/browse/FHIR-46406)
 
* Changes to [AU Core Practitioner](https://hl7.org.au/fhir/core/1.0.0-ballot/StructureDefinition-au-core-practitioner.html): 
* removed Must Support from Practitioner.communication [FHIR-44588](https://jira.hl7.org/browse/FHIR-44588)
* removed Must Support from Practitioner.qualification, Practitioner.qualification.identifier, Practitioner.qualification.code, Practitioner.qualification.period, Practitioner.qualification.issuer: [FHIR-45118](https://jira.hl7.org/browse/FHIR-45118), [FHIR-44587](https://jira.hl7.org/browse/FHIR-44587)
* removed Must Support from Practitioner.address [FHIR-43860](https://jira.hl7.org/browse/FHIR-43860)
* removed Must Support from Practitioner.telecom [FHIR-43860](https://jira.hl7.org/browse/FHIR-438608)
* added Must Support on Practitioner.name.family [FHIR-44819](https://jira.hl7.org/browse/FHIR-44819)
* added Must Support on Practitioner.name.given [FHIR-44819](https://jira.hl7.org/browse/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](https://jira.hl7.org/browse/FHIR-44819)
 
* Changes to [AU Core PractitionerRole](https://hl7.org.au/fhir/core/1.0.0-ballot/StructureDefinition-au-core-practitionerrole.html): 
* removed Must Support from PractitionerRole.location [FHIR-43841](https://jira.hl7.org/browse/FHIR-43841)
* updated invariant au-core-prarol-01 to allow for a Data Absent Reason extension in order to meet AU Core Missing Data and Suppressed Data requirements [FHIR-46419](https://jira.hl7.org/browse/FHIR-46419)
 
* Changes to [AU Core Procedure](https://hl7.org.au/fhir/core/1.0.0-ballot/StructureDefinition-au-core-procedure.html): 
* removed Must Support from Procedure.statusReason [FHIR-45013](https://jira.hl7.org/browse/FHIR-45013)
* removed Must Support from Procedure.category [FHIR-45014](https://jira.hl7.org/browse/FHIR-45014)
* removed Must Support from Procedure.recorder [FHIR-45015](https://jira.hl7.org/browse/FHIR-45015), [FHIR-45082](https://jira.hl7.org/browse/FHIR-45082)
* removed Must Support from Procedure.asserter [FHIR-45016](https://jira.hl7.org/browse/FHIR-45016), [FHIR-45083](https://jira.hl7.org/browse/FHIR-45083)
* removed Must Support from Procedure.bodySite and added profile-specific implementation guidance on including body site information [FHIR-45017](https://jira.hl7.org/browse/FHIR-45017), [FHIR-45114](https://jira.hl7.org/browse/FHIR-45114)
* removed Must Support from Procedure.note [FHIR-45114](https://jira.hl7.org/browse/FHIR-45114)
* removed the cardinality constraint on Procedure.performed[x], changing it from 1..1 to 0..1 [FHIR-45109](https://jira.hl7.org/browse/FHIR-45109)
* removed Obligations on Procedure.bodySite [FHIR-46728](https://jira.hl7.org/browse/FHIR-46728)
 
* Removed AU Core Provenance [FHIR-45191](https://jira.hl7.org/browse/FHIR-45191).
* Removed AU Core MedicationStatement in accordance with the agreement to move work on this profile from AU Core R1 to R2. This decision is noted in the AU Core [Future Candidate Requirements Under Consideration](https://hl7.org.au/fhir/core/1.0.0-ballot/future.html#future-candidate-requirements-under-consideration) [FHIR-45052](https://jira.hl7.org/browse/FHIR-45052).
* Changes to [AU Core Condition](https://hl7.org.au/fhir/core/1.0.0-ballot/StructureDefinition-au-core-condition.html): 
* removed Must Support from Condition.asserter [FHIR-45019](https://jira.hl7.org/browse/FHIR-45019), [FHIR-45127](https://jira.hl7.org/browse/FHIR-45127), [FHIR-45083](https://jira.hl7.org/browse/FHIR-45083)
* removed Must Support from Condition.recorder [FHIR-45019](https://jira.hl7.org/browse/FHIR-45019), [FHIR-45082](https://jira.hl7.org/browse/FHIR-45082)
* removed Must Support from Condition.encounter [FHIR-45189](https://jira.hl7.org/browse/FHIR-45189)
* added profile-specific implementation guidance on representing no known problems [FHIR-45058](https://jira.hl7.org/browse/FHIR-45058)
* removed invariant au-core-cond-05 [FHIR-46165](https://jira.hl7.org/browse/FHIR-46165)
 
* Changes to [AU Core AllergyIntolerance](https://hl7.org.au/fhir/core/1.0.0-ballot/StructureDefinition-au-core-allergyintolerance.html): 
* removed profile-specific implementation guidance "`AllergyIntolerance.verificationStatus` is "unconfirmed" where a sending system does not clearly have this element or "confirmed" depending on the level of certainty" [FHIR-45039](https://jira.hl7.org/browse/FHIR-45039)
* removed Must Support from AllergyIntolerance.asserter [FHIR-44699](https://jira.hl7.org/browse/FHIR-44699), [FHIR-45083](https://jira.hl7.org/browse/FHIR-45083)
* removed Must Support from AllergyIntolerance.recorder [FHIR-45082](https://jira.hl7.org/browse/FHIR-45082), [FHIR-45066](https://jira.hl7.org/browse/FHIR-45066)
* removed Must Support from AllergyIntolerance.encounter [FHIR-45123](https://jira.hl7.org/browse/FHIR-45123)
* removed Must Support from AllergyIntolerance.note [FHIR-45188](https://jira.hl7.org/browse/FHIR-45188)
* in AllergyIntolerance.code 
* changed Indicator of Hypersensitivity or Intolerance to Substance value set binding strength from preferred to extensible [FHIR-44713](https://jira.hl7.org/browse/FHIR-44713)
* added Additional Binding, Adverse Reaction Substances and Negated Findings value set as candidate [FHIR-44713](https://jira.hl7.org/browse/FHIR-44713)
 
 
* Changes to [AU Core Smoking Status](https://hl7.org.au/fhir/core/1.0.0-ballot/StructureDefinition-au-core-smokingstatus.html): 
* removed Must Support from Observation.encounter [FHIR-45222](https://jira.hl7.org/browse/FHIR-45222)
* removed Must Support from Observation.performer [FHIR-45223](https://jira.hl7.org/browse/FHIR-45223)
* removed the fixed value constraint 'final' on Observation.status [FHIR-45120](https://jira.hl7.org/browse/FHIR-45120)
* replaced Observation.code patternCodeableConcept constraint of 266918002 |Tobacco smoking consumption| with 1747861000168109 |Smoking status| [FHIR-45124](https://jira.hl7.org/browse/FHIR-45124)
* corrected invariant au-core-obs-01 to change the length check from >= 10 to >= 8 to match required precision to the day [FHIR-46407](https://jira.hl7.org/browse/FHIR-46407)
 
* Changes to [AU Core Immunization](https://hl7.org.au/fhir/core/1.0.0-ballot/StructureDefinition-au-core-immunization.html): 
* removed Must Support from Immunization.encounter [FHIR-45218](https://jira.hl7.org/browse/FHIR-45218)
* removed Must Support from Immunization.performer [FHIR-44653](https://jira.hl7.org/browse/FHIR-44653)
* removed Must Support from Immunization.performer.function [FHIR-44653](https://jira.hl7.org/browse/FHIR-44653)
* removed Must Support from Immunization.performer.actor [FHIR-44653](https://jira.hl7.org/browse/FHIR-44653)
 
* Changes to [AU Core Blood Pressure](https://hl7.org.au/fhir/core/1.0.0-ballot/StructureDefinition-au-core-bloodpressure.html): 
* removed Must Support from Observation.encounter [FHIR-45134](https://jira.hl7.org/browse/FHIR-45134)
* removed Must Support from Observation.performer [FHIR-44786](https://jira.hl7.org/browse/FHIR-44786)
* removed the fixed value constraint 'final' on Observation.status [FHIR-45120](https://jira.hl7.org/browse/FHIR-45120)
* removed invariant au-core-obs-01 (duplicates invariant vs-1) [FHIR-46486](https://jira.hl7.org/browse/FHIR-46486)
 
* Changes to [AU Core Body Height](https://hl7.org.au/fhir/core/1.0.0-ballot/StructureDefinition-au-core-bodyheight.html): 
* removed Must Support from Observation.encounter [FHIR-45134](https://jira.hl7.org/browse/FHIR-45134)
* removed Must Support from Observation.performer [FHIR-44786](https://jira.hl7.org/browse/FHIR-44786)
* removed fixed value constraint 'final' on Observation.status [FHIR-45120](https://jira.hl7.org/browse/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](https://jira.hl7.org/browse/FHIR-44787)
* removed invariant au-core-obs-01 (duplicates invariant vs-1) [FHIR-46486](https://jira.hl7.org/browse/FHIR-46486)
 
* Changes to [AU Core Body Temperature](https://hl7.org.au/fhir/core/1.0.0-ballot/StructureDefinition-au-core-bodytemp.html): 
* removed Must Support from Observation.encounter [FHIR-45134](https://jira.hl7.org/browse/FHIR-45134)
* removed Must Support from Observation.performer [FHIR-44786](https://jira.hl7.org/browse/FHIR-44786)
* removed the fixed value constraint 'final' on Observation.status [FHIR-45120](https://jira.hl7.org/browse/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](https://jira.hl7.org/browse/FHIR-44787)
* removed invariant au-core-obs-01 (duplicates invariant vs-1) [FHIR-46486](https://jira.hl7.org/browse/FHIR-46486)
 
* Changes to [AU Core Body Weight](https://hl7.org.au/fhir/core/1.0.0-ballot/StructureDefinition-au-core-bodyweight.html): 
* removed Must Support from Observation.encounter [FHIR-45134](https://jira.hl7.org/browse/FHIR-45134)
* removed Must Support from Observation.performer [FHIR-44786](https://jira.hl7.org/browse/FHIR-44786)
* removed the fixed value constraint 'final' on Observation.status [FHIR-45120](https://jira.hl7.org/browse/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](https://jira.hl7.org/browse/FHIR-44787)
* removed invariant au-core-obs-01 (duplicates invariant vs-1) [FHIR-46486](https://jira.hl7.org/browse/FHIR-46486)
 
* Changes to [AU Core Heart Rate](https://hl7.org.au/fhir/core/1.0.0-ballot/StructureDefinition-au-core-heartrate.html): 
* removed Must Support from Observation.encounter [FHIR-45134](https://jira.hl7.org/browse/FHIR-45134)
* removed Must Support from Observation.performer [FHIR-44786](https://jira.hl7.org/browse/FHIR-44786)
* removed the fixed value constraint 'final' on Observation.status [FHIR-45120](https://jira.hl7.org/browse/FHIR-45120)
* added profile-specific implementation guidance on representing pulse rate observations [FHIR-44861](https://jira.hl7.org/browse/FHIR-44861)
* removed invariant au-core-obs-01 (duplicates invariant vs-1) [FHIR-46486](https://jira.hl7.org/browse/FHIR-46486)
 
* Changes to [AU Core Respiration Rate](https://hl7.org.au/fhir/core/1.0.0-ballot/StructureDefinition-au-core-resprate.html): 
* removed Must Support from Observation.encounter [FHIR-45134](https://jira.hl7.org/browse/FHIR-45134)
* removed Must Support from Observation.performer [FHIR-44786](https://jira.hl7.org/browse/FHIR-44786)
* removed the fixed value constraint 'final' on Observation.status [FHIR-45120](https://jira.hl7.org/browse/FHIR-45120)
* removed invariant au-core-obs-01 (duplicates invariant vs-1) [FHIR-46486](https://jira.hl7.org/browse/FHIR-46486)
 
* Changes to [AU Core Waist Circumference](https://hl7.org.au/fhir/core/1.0.0-ballot/StructureDefinition-au-core-waistcircum.html): 
* removed Must Support from Observation.encounter [FHIR-45134](https://jira.hl7.org/browse/FHIR-45134)
* removed Must Support from Observation.performer [FHIR-44786](https://jira.hl7.org/browse/FHIR-44786)
* removed the fixed value constraint 'final' on Observation.status [FHIR-45120](https://jira.hl7.org/browse/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](https://jira.hl7.org/browse/FHIR-44787)
* removed invariant au-core-obs-01 (duplicates invariant vs-1) [FHIR-46486](https://jira.hl7.org/browse/FHIR-46486)
 
* Changes to [AU Core Diagnostic Result Observation](https://hl7.org.au/fhir/core/1.0.0-ballot/StructureDefinition-au-core-diagnosticresult.html): 
* changed Observation.performer type from RelatedPerson to AU Base RelatedPerson [FHIR-45228](https://jira.hl7.org/browse/FHIR-45228)
* removed the required binding to ObservationStatus Result Available value set from Observation.status [FHIR-45125](https://jira.hl7.org/browse/FHIR-45125)
* updated invariant au-core-obs-01 to change the length check from >= 10 to >= 8 to match required precision to the day [FHIR-46407](https://jira.hl7.org/browse/FHIR-46407)
 
* Changes to [AU Core Pathology Result Observation](https://hl7.org.au/fhir/core/1.0.0-ballot/StructureDefinition-au-core-diagnosticresult-path.html): 
* changed Observation.performer type from RelatedPerson to AU Base RelatedPerson [FHIR-45228](https://jira.hl7.org/browse/FHIR-45228)
* removed the required binding to ObservationStatus Result Available value set from Observation.status [FHIR-45125](https://jira.hl7.org/browse/FHIR-45125)
* updated invariant au-core-obs-01 to change the length check from >= 10 to >= 8 to match required precision to the day [FHIR-46407](https://jira.hl7.org/browse/FHIR-46407)
 
* Changes in [AU Core Requester CapabilityStatement](https://hl7.org.au/fhir/core/1.0.0-ballot/CapabilityStatement-au-core-requester.html): 
* removed reference to Bulk Data Access implementation guide [FHIR-45113](https://jira.hl7.org/browse/FHIR-45113)
* corrected the Observation combined search parameter 'patient+category+status' from SHALL to SHOULD [FHIR-45390](https://jira.hl7.org/browse/FHIR-45390)
* corrected narrative of Location identifier parameter requester requirements on providing both the system and code values from SHOULD to MAY [FHIR-46209](https://jira.hl7.org/browse/FHIR-46209)
* replaced security and authorization requirements with pointer to Security and Privacy page [FHIR-46067](https://jira.hl7.org/browse/FHIR-46067)
 
* Changes in [AU Core Responder CapabilityStatement](https://hl7.org.au/fhir/core/1.0.0-ballot/CapabilityStatement-au-core-responder.html): 
* removed reference to Bulk Data Access implementation guide [FHIR-45113](https://jira.hl7.org/browse/FHIR-45113)
* corrected the Observation combined search parameter 'patient+category+status' from SHALL to SHOULD [FHIR-45390](https://jira.hl7.org/browse/FHIR-45390)
* corrected MedicationRequest combined search parameter 'patient+intent+authoredon' from SHALL to SHOULD [FHIR-46167](https://jira.hl7.org/browse/FHIR-46167)
* corrected narrative of Location identifier parameter requester requirements on providing both the system and code values from SHOULD to MAY [FHIR-46209](https://jira.hl7.org/browse/FHIR-46209)
* replaced security and authorization requirements with pointer to Security and Privacy page [FHIR-46067](https://jira.hl7.org/browse/FHIR-46067)
 

