This page is part of the Australian Base IG (v4.2.0-preview: QA Preview) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 4.1.0. For a full list of available versions, see the Directory of published versions
Change Log
Release TBD
- Expected Publication date: December 2023
- Expected Publication status: Trial Use
- Based on FHIR version: 4.0.1
The changes in this update are in progress and yet to be balloted.
To help implementers, only the more significant changes are listed here.
Changes in this version
- TBD.
- New profiles:
- New extensions:
- New value sets:
- New code systems:
- New search parameters:
- Changes to AU Base Patient:
- Patient.extension changed to:
- add Individual Pronouns (FHIR-43719) and Person Recorded Sex Or Gender
- add Australian Veteran Status
- remove genderIdentity extension and replace it with the Individual Gender Identity extension (FHIR-43718)
- Added invariant inv-pat-1 to apply Gender Identity Response value set (FHIR-43718)
- Added invariant inv-pat-2 to apply Australian Pronouns value set (FHIR-43719)
- Changes to AU Base RelatedPerson:
- RelatedPerson.extension changed to:
- add Individual Gender Identity extension (FHIR-43718)
- add Individual Pronouns extension (FHIR-43719)
- Added invariant inv-relper-0 to apply Gender Identity Response value set (FHIR-43718)
- Added invariantinv-relper-1 to apply Australian Pronouns value set (FHIR-43719)
- Changes to AU Base Practitioner:
- Changed Practitioner.extension in AU Base Practitioner:
- to add Individual Gender Identity extension (FHIR-43718)
- to add Individual Pronouns extension (FHIR-43719)
- Added invariant inv-pra-2 to apply Gender Identity Response value set (FHIR-43718)
- Added invariant inv-pra-3 to apply Australian Pronouns value set (FHIR-43719)
- Changed context of extension Australian Indigenous Status to add Person and RelatedPerson.
- Added a guidance page on AU Base relationship with other HL7 AU FHIR implementation guides.
Release 4.1.0
- Publication date: 2023-02-22
- Publication status: Trial Use
- Based on FHIR version: 4.0.1
To help implementers, only the more significant changes are listed here.
Changes in this version
Release 4.0.0
- Publication date: 2022-05-30
- Publication status: Trial Use
- Based on FHIR version: 4.0.1
To help implementers, only the more significant changes are listed here.
Changes in this version
- Changed the canonical URL to http://terminology.hl7.org.au and applied new OIDs to HL7 AU CodeSystems and ValueSets.
- Technical correction to extensions to remove slicing (refactoring).
- Changed identifier slices to Identifier profiles in resource profiles.
- New extensions:
- Address Identifier
- AHPRA Profession Details
- AHPRA Registration Details
- Contact Purpose
- Date of Arrival in Australia
- Ethnicity
- IHI Verified Date
- Vaccine Vial Serial Number
- Medication Strength
- Australian Time Zone
- New profiles:
- New resource profiles:
- AU Diagnostic Imaging Report
- AU Diagnostic Imaging Result
- AU Diagnostic Request
- AU Pathology Report
- AU Pathology Result
- AU Base Procedure
- AU Biological Sex Assigned at Birth
- AU Blood Pressure
- AU Body Mass Index
- AU Body Temperature
- AU Heart Rate
- AU Oxygen Saturation
- AU Respiration Rate
- AU Vital Signs Panel
- AU Smoking Status
- AU Estimated Date of Delivery
- AU Gestational Age
- AU Gravidity
- AU Last Menstrual Period
- AU Parity
- Identifier type profiles:
- AU Accession Number
- AU Australian Business Number
- AU Australian Company Number
- AU Australian Registered Body Number
- AU AHPRA Registration Number
- AU Care Agency Employee Identifier
- AU Commonwealth Seniors Health Card Number
- AU CSP Registration Number
- AU Delivery Point Identifier
- AU DVA Number
- AU Employee Number
- AU ETP Prescription Identifier
- AU G-NAF Identifier
- AU Health Care Card Number
- AU HPI-I
- AU HPI-O
- AU IHI
- AU Insurance Member Number
- AU Local Dispense Identifier
- AU Local Order Identifier
- AU Local Prescription Identifier
- AU Local Report Identifier
- AU Location Specific Practice Number
- AU Medical Record Number
- AU Medicare Card Number
- AU Medicare Provider Number
- AU NATA Accreditation Number
- AU NATA Site Number
- AU National Provider Identifier At Organisation
- AU PAI-D Identifier
- AU PAI-O Identifier
- AU PBS Prescriber Number
- AU Pensioner Concession Card Number
- AU Pharmacy Approval Number
- New code systems:
- Contact Purpose
- ActCode AU
- DegreeLicenseCertificate AU
- Location Type (Physical) AU
- Location Type AU
- New value sets:
- Contact Purpose
- ActEncounterCode - AU Extended
- hl7VS-degreeLicenseCertificate - AU Extended
- DVA Entitlement
- Accession Number Type
- Order Identifier Type
- Location Type (Physical) - AU Extended
- ServiceDeliveryLocationRoleType - AU Extended
- Removed profiles:
- AU Base Device
- AU Base Immunisation Recommendation
- AU PBS Sponsor
- AU Base Observation Age
- Removed value sets:
- Healthcare Service Types SNOMED)
- Healthcare Service Roles (SNOMED)
- AMT Trade Product
- AMT Trade Product Pack
- AMT Containered Trade Product Pack
- AMT Medicinal Product Unit of Use
- AMT Trade Product Unit of Use
- AMT Medicinal Product Pack
- Changed definition of IHI (AU IHI) to add extension IHI Verified Date.
- Changed definition of DVA number (AU DVA Number) to convert invariants to a required binding on Identifier.type of DVA Entitlement (refactoring).
- Changed IdentifierTypeAU, added codes "CAEI", "CSPRN", "DVAU", "LRI", "LSPN", "NATAA", "NATAS", "RACSI", "PAN", "GNAF", and "DPID".
- Changed RelatedPerson.communication.language binding in AU Base Related Person to Common Languages in Australia (extensible).
- Changed Encounter.class binding in AU Base Encounter to ActEncounterCode - AU Extended (extensible).
- Changed Location.type binding in AU Base Location to ServiceDeliveryLocationRoleType - AU Extended (extensible).
- Changed Location.physicalType in AU Base Location to Location Type (Physical) - AU Extended (preferred).
- Changed Location.identifier type in AU Base Location to add AU Location Specific Practice Number.
- Changed HealthcareService.identifier type in AU Base Healthcare Service to add AU Residential Aged Care Service Identifier.
- Changed HealthcareService.type binding in AU Base Healthcare Service to Service Type (preferred).
- Changed HealthcareService.specialty binding in AU Base Healthcare Service to Clinical Specialty (preferred).
- Changed HealthcareService.availableTime.availableStartTime and HealthcareService.availableTime.availableEndTime in AU Base Healthcare Service to add the extension Australian Time Zone.
- Changed PractitionerRole.availableTime.availableStartTime and PractitionerRole.availableTime.availableEndTime in AU Base Practitioner Role to add the extension Australian Time Zone.
- Changed PractitionerRole.code binding in AU Base Practitioner Role to Practitioner Role (preferred).
- Changed PractitionerRole.specialty binding in AU Base Practitioner Role to Clinical Specialty (preferred).
- Changed Organization.identifier type in AU Base Organization to add AU Pharmacy Approval Number.
- Changed Organization.type binding in AU Base Organization to Healthcare Organisation Role Type (preferred).
- Changed Organization.contact.purpose binding in AU Base Organization to Contact Purpose (extensible).
- Changed Practitioner.identifier type in AU Base Practitioner to add AU Ahpra Registration Number.
- Changed Practitioner.qualification.extension in AU Base Practitioner to add extensions Ahpra Profession Details and Ahpra Registration Details.
- Changed Practitioner.qualification.identifier type in AU Base Practitioner to add AU Ahpra Registration Number.
- Changed Practitioner.qualification.code binding in AU Base Practitioner to hl7VS-degreeLicenseCertificate - AU Extended (preferred).
- Changed Patient.extension in AU Base Patient to add extensions Date of Arrival in Australia and interpreterRequired.
- Changed Patient.contact.relationship binding in AU Base Patient to Contact Relationship Type (extensible).
- Changed Address.extension in Australian Address to add the extension Address Identifier.
- Changed Substance.substanceReference to remove type restriction to AU Base Substance.
- Changed AllergyIntolerance.code binding in AU Base Allergy Intolerance to version 2 of Indicator of Hypersensitivity or Intolerance to Substance (preferred).
- Changed AllergyIntolerance.reaction.exposureRoute binding in AU Base Allergy Intolerance to Route of Administration (preferred).
- Changed Condition.bodySite binding strength in AU Base Condition to preferred.
- Changed Observation.code in AU Body Height to add a slice for the SNOMED CT concept.
- Changed Observation.effective[x] in AU Body Height to restrict the type to dateTime.
- Changed Observation.valueQuantity.code binding in AU Body Height to Metric Body Length Units.
- Changed Observation.code in AU Body Weight to add a slice for the SNOMED CT concept.
- Changed Observation.effective[x] in AU Body Weight to restrict the type to dateTime.
- Changed Observation.valueQuantity.code binding in AU Body Weight to Metric Body Weight Units.
- Changed Observation.code in AU Head Circumference to add a slice for the SNOMED CT concept.
- Changed Observation.effective[x] in AU Head Circumference to restrict the type to dateTime.
- Changed Observation.valueQuantity.code binding in AU Head Circumference to Metric Body Length Units.
- Changed Observation.bodySite binding in AU Head Circumference to Body Site (preferred).
- Retitled AU Base Diagnostic Observation to AU Base Diagnostic Result.
- Changed Observation.category cardinality in AU Base Diagnostic Result to 1..*.
- Changed Observation.subject cardinality in AU Base Diagnostic Result to 1..1.
- Changed Observation.specimen type in AU Base Diagnostic Result to remove AU Base Specimen.
- Changed Observation.effective[x] cardinality in AU Base Diagnostic Result to 1..1.
- Changed Observation.hasMember in AU Base Diagnostic Result to allow only AU Diagnostic Result, AU Diagnostic Imaging Result, or AU Pathology Result.
- Changed Observation.code constraint in AU Assertion of No Relevant Finding from fixed value to required pattern.
- Changed Observation.dataAbsentReason cardinality in AU Assertion of No Relevant Finding to remove cardinality constraint.
- Changed ServiceRequest.identifier type in AU Base Diagnostic Request from Placer Identifier to AU Local Order Identifier.
- Changed ServiceRequest.code binding in AU Base Diagnostic Request to Evaluation Procedure (example).
- Changed ServiceRequest.performerType binding in AU Base Diagnostic Request to replace multiple terminology binding slices with a binding to Practitioner Role (preferred).
- Changed ServiceRequest.reasonCode binding in AU Base Diagnostic Request to Reason for Request (preferred).
- Changed ServiceRequest.bodySite binding in AU Base Diagnostic Request to Body Site (preferred).
- Changed DiagnosticReport.identifier type in AU Base Diagnostic Report from Filler Identifier to AU Local Report, AU Local Order Identifier, and AU Accession Number Identifier.
- Changed DiagnosticReport.basedOn type in AU Base Diagnostic Report to add AU Diagnostic Request.
- Changed DiagnosticReport.code binding in AU Base Diagnostic Report to Evaluation Procedure (example).
- Changed DiagnosticReport.result type in AU Base Diagnostic Report to add AU Diagnostic Result, AU Diagnostic Imaging Result, AU Pathology Result.
- Changed Specimen.type, Specimen.collection.method, Specimen.collection.bodySite, and Specimen.container.type terminology constraint to replace the slice with a preferred binding.
- Changed BodyStructure.morphology binding strength in AU Base BodyStructure to preferred.
- Changed BodyStructure.locationQualifier binding in AU Base BodyStructure to Body Site Relative Site Qualifier (preferred).
- Changed Immunization.site binding in AU Base Immunisation, moved the binding from Immunization.site.coding to Immunization.site and changed the strength to preferred.
- Changed Immunization.route binding in AU Base Immunisation, moved the binding from Immunization.route.coding to Immunization.route and changed the strength to preferred.
- Changed Immunization.performer slicing in AU Base Immunisation to remove the slice Immunisation Witnessed By and changed the discriminator to pattern:function.
- Changed Immunization.vaccinationProtocol.targetDisease in AU Base Immunisation to remove the slice No Information for Target Disease.
- Changed Medication.extension in AU Base Medication to remove extensions Medication Brand Name and Medication Generic Name.
- Changed Medication.ingredient.itemReference type in AU Base Medication to remove AU Base Medication and AU Base Substance.
- Changed MedicationRequest.extension in AU Base Medication Request to remove extensions Medication Brand Name and Medication Generic Name.
- Changed MedicationRequest.medicationReference type in AU Base Medication Request to remove AU Base Medication.
- Changed MedicationRequest.reasonCode binding in AU Base Medication Request to Reason for Request (preferred).
- Changed MedicationDispense.extension in AU Base Medication Dispense to remove extensions Medication Brand Name and Medication Generic Name.
- Changed MedicationDispense.medicationReference type in AU Base Medication Dispense to remove AU Base Medication.
- Technical correction to MedicationDispense.dosageInstruction.method in AU Base Medication Dispense to remove partial slice definition.
- Changed MedicationDispense.substitution.reason cardinality in AU Base Medication Dispense to 0..1.
- Changed MedicationStatement.extension in AU Base Medication Statement to remove extensions Medication Brand Name and Medication Generic Name.
- Changed MedicationStatement.medicationReference type in AU Base Medication Statement to remove AU Base Medication.
- Changed MedicationStatement.status binding in AU Base Medication Statement to remove Medication Reason Not Taken (preferred).
- Changed MedicationAdministration.medicationReference type in AU Base Medication Administration to remove AU Base Medication.
- Changed MedicationAdministration.dosage.site binding in AU Base Medication Administration to Body Site (preferred).
- Changed MedicationAdministration.dosage.route binding in AU Base Medication Administration to Route of Administration (preferred).
- Changed MedicationAdministration.dosage.method binding strength in AU Base Medication Administration to preferred.
- Changes specific to moving from STU3 to R4
- Removed extensions:
- Performer Party
- Administration Witness
- Associated Practitioner Role
- Section Author
- Related Person Attester Party
- Composition Author Role
- Condition Recorder
- Additional Category
- Metadata Source
- Encounter Origin Organisation
- Encounter Destination Organisation
- Healthcare Service Eligibility Detail
- Healthcare Service Communication
- Changed AU Base Diagnostic Procedure Request to AU Base Diagnostic Request.
- Changed AU Base Body Site to AU Base Body Structure.
- Changed Encounter.hospitalization.extension in AU Base Encounter to remove Encounter Origin Organisation and Encounter Destination Organisation.
- Changed HealthcareService.extension in AU Base Healthcare Service to remove Healthcare Service Eligibility Detail and Healthcare Service Communication.
- Changed Composition.extension in AU Base Composition to remove Composition Author Role.
- Changed Composition.attester.extension in AU Base Composition to remove Related Person Attester Party.
- Changed Composition.section.extension in AU Base Composition to remove Section Author.
- Changed AllergyIntolerance.extension in AU Base Allergy Intolerance to remove Author as a RelatedPerson.
- Changed Condition.extension in AU Base Condition to remove Condition Recorder.
- Changed Observation.extension in AU Base Diagnostic Result to remove Performer Party.
- Changed DiagnosticReport.extension in AU Base Diagnostic Report to review Performer Party and Additional Category.
- Changed Immunization.vaccinationProtocol.doseStatus in AU Base Immunisation to remove the slice Dose Status Not Available.
- Changed MedicationAdministration.performer.extension in AU Base Medication Administration to remove the extension Administration Witness.
- Changed MedicationList.extension in AU Base Medication List to remove the extension Authoring Practitioner Role.
Release 1.1.1
- Publication date: 2020-01-21
- Publication status: Trial Use
- Based on FHIR version: 3.0.2
Rebuild of this guide to publish based on FHIR 3.0.2. To help implementers, only the more significant changes are listed here.
Changes in this version
- Added Maturity level (FMM) to profile and extension pages.
- New extensions
- Encounter Description
- Authoring Practitioner Role
- Encounter Origin Organisation
- Encounter Destination Organisation
- Associated Practitioner Role
- Associated Healthcare Service
- Performer Party
- Administration Witness
- Change Description
- Author as a RelatedPerson
- Condition Recorder
- Additional Category
- New profiles:
- AU Base Encounter
- AU Base Immunisation Recommendation
- AU Medicine List
- AU Base Specimen
- AU Assertion of No Relevant Finding
- AU Base Diagnostic Procedure Request
- AU Base Diagnostic Report
- AU Base Diagnostic Observation
- AU Base Substance
- New code systems:
- HL7 V2 Table 0443 - Provider Role (AU Extended).
- New value sets:
- Healthcare Service Types (SNOMED)
- v2 Provider Role - AU Extended
- Changed HealthcareService.type binding in AU Base Healthcare Service to Healthcare Service Types (SNOMED) (preferred).
- Technical correction to fix slicing of elements of type coding or codeable concept by fixing system value.
- Changed Immunization.practitioner in AU Base Immunisation to add slices for Immunisation Administered By, Immunisation Approved By, Immunisation Witnessed By.
- Changed Immunization.explanation.reason and reasonNotGiven in AU Base Immunisation from slicing to preferred binding (refactoring).
- Changed Medication.extension in AU Base Medication to remove extension AU PBS Sponsor.
- Changed Medication.form binding in AU Base Medication to Medication Form.
- Changed Medication.ingredient.itemReference type in AU Base Medication to allow only AU Base Medication or AU Base Substance.
- Changed MedicationRequest.medicationReference type in AU Base MedicationRequest to allow only AU Base Medication.
- Changed MedicationDispense.substitution.reason binding in AU Base Medication Dispense to Medicine Substitution Reason.
- Changed MedicationStatement.reasonNotTaken binding in AU Base Medication Statement to Medication Reason Not Taken.
- Changed MedicationStatement.reasonCode binding in AU Base Medication Statement to Medication Reason Taken.
- Changed Observation.code constraint in AU Base Observation Age from required pattern to fixed value.
- Changed Condition.code and Condition.evidence.code in AU Base Condition from slicing to preferred binding (refactoring).
- Changed Condition.bodySite binding in AU Base Condition to Body Site.
- Changed AllergyIntolerance.extension in AU Base Allergy Intolerance to replace Recorder as a RelatedPerson with Author as a RelatedPerson.
- Changed AllergyIntolerance.reaction.substance and AllergyIntolerance.reaction.manifestation in AU Base Allergy Intolerance from slicing to preferred binding (refactoring).
- Changed Dosage.method binding strength in AU Base Dosage to preferred.
- Changed Dosage.additionalInstruction, Dosage.asNeeded[x], Dosage.site, and Dosage.route in AU Base Dosage from slicing to preferred binding (refactoring).
Release 1.0.2
- Publication date: 2019-05-06
- Publication status: Trial Use
- Based on FHIR version: 3.0.1
First official published version of this implementation guide.
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