Change Log

This page is part of the AU Core (v1.0.0-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

Release 1.0.0-preview
Release 1.0.0-ballot

Release 1.0.0-preview

Publication date: 2024-12-02
Publication status: Preview
Based on FHIR version: 4.0.1

This change log documents the significant updates and resolutions implemented from version 1.0.0-ballot to 1.0.0-preview.

Changes in this version

Made the following changes to AU Core Diagnostic Result Observation:
- corrected base profile to AU Base Diagnostic Observation FHIR-47116
- removed constraints from Observation.hasMember.reference FHIR-46728, 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
Made the following changes to AU Core Pathology Result Observation:
- removed constraints from Observation.hasMember.reference and Observation.specimen.reference FHIR-46728, FHIR-46731
- removed Must Support and Obligations from Observation.identifier, Observation.method and Observation.note FHIR-46732
Made the following changes to AU Core Location:
- removed Must Support flag and associated Obligation extensions from Location.identifier FHIR-47105 and Location.mode FHIR-47104
Made the following changes in AU Core Requester CapabilityStatement:
- removed all instances of MAY support create, update, delete, vread, patch, history-instance FHIR-46060
- Removed MAY support search-system and history-system FHIR-46059
- updated requirement to mandate both system and code values for identifier search parameters on Organization, Practitioner and PractitionerRole FHIR-46782
- changed the Observation search parameter ‘patient’ from SHALL to MAY FHIR-47171
- removed the requirement for including an offset in the Patient ‘birthdate’ search parameter FHIR-47150
- changed the Organization ‘name’ search parameter from SHOULD to SHALL FHIR-47109
- changed the Location ‘address’ search parameter from SHALL to SHOULD FHIR-47107
- added a PractitionerRole ‘role’ search parameter as a SHOULD FHIR-47115
- changed MedicationRequest search parameters ‘patient+intent’ and ‘patient+intent+status’ from SHALL to SHOULD, and added a new MedicationRequest search parameter ‘patient+status’ as a SHALL FHIR-47073
- removed Location search parameter ‘identifier’ FHIR-48927
Made the following changes in AU Core Responder CapabilityStatement:
- replaced security and authorization requirements with pointer to Security and Privacy page FHIR-46067
- corrected narrative of PractitionerRole practitioner.identifier search parameter from Medicare Provider Number to HPI-I FHIR-47013
- corrected support for Practitioner _id search parameter to be SHOULD instead of SHALL FHIR-46777
- added missing entries for DocumentReference and RelatedPerson resources FHIR-46546
- removed all instances of MAY support create, update, delete, vread, patch, history-instance FHIR-46060
- changed the Observation search parameter ‘patient’ from SHALL to MAY FHIR-47171
- removed the requirement for including an offset in the Patient ‘birthdate’ search parameter FHIR-47150
- changed the Organization ‘name’ search parameter from SHOULD to SHALL FHIR-47109
- changed the Location ‘address’ search parameter from SHALL to SHOULD FHIR-47107
- added a PractitionerRole ‘role’ search parameter as a SHOULD FHIR-47115
- changed MedicationRequest search parameters ‘patient+intent’ and ‘patient+intent+status’ from SHALL to SHOULD, and added a new MedicationRequest search parameter ‘patient+status’ as a SHALL FHIR-47073
- removed Location search parameter ‘identifier’ FHIR-48927

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 to 1.0.0-ballot.

Changes in this version

Added AUCDI element mapping Date/Time of Measurement and Date/Time of Observation, and added future consideration note for Last Updated
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
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, and added requirements on supporting TLS 1.2 and TLS 1.3 FHIR-46068.
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, identifier, type, patient+discharge-disposition, patient+type FHIR-45954, FHIR-45603, FHIR-46057
- 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
- changed Immunization.vaccineCode slicing rule from slicing by system to slice by value set 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). 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
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
- 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). Slicing discriminator changed from slicing by value:system to slicing by value set and the binding strength has been corrected to required. FHIR-46391
- 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
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
- 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). Slicing discriminator changed from slicing by value:system to value set and the binding strength has been corrected to required. FHIR-46391
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
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
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
Made the following changes to AU Core PractitionerRole:
- removed Must Support from PractitionerRole.location 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
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 Obligations on Procedure.bodySite FHIR-46728
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 invariant au-core-cond-05 FHIR-46165
Made the following changes to AU Core AllergyIntolerance:
- 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
- removed Must Support from AllergyIntolerance.asserter FHIR-44699, FHIR-45083
- removed Must Support from AllergyIntolerance.recorder FHIR-45082, FHIR-45066
- removed Must Support from AllergyIntolerance.encounter FHIR-45123
- removed Must Support from AllergyIntolerance.note FHIR-45188
- changed the AllergyIntolerance.code
  - changed Indicator of Hypersensitivity or Intolerance to Substance value set binding strength from preferred to extensible FHIR-44713
  - added Additional Binding, Adverse Reaction Substances and Negated Findings value set as candidate FHIR-44713

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

updated invariant au-core-obs-01 to change the length check from >= 10 to >= 8 to match required precision to the day FHIR-46407

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
- removed invariant au-core-obs-01 (duplicates invariant vs-1) FHIR-46486
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
- removed invariant au-core-obs-01 (duplicates invariant vs-1) FHIR-46486
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
- removed invariant au-core-obs-01 (duplicates invariant vs-1) FHIR-46486
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
- removed invariant au-core-obs-01 (duplicates invariant vs-1) FHIR-46486
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
- removed invariant au-core-obs-01 (duplicates invariant vs-1) FHIR-46486
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
- removed invariant au-core-obs-01 (duplicates invariant vs-1) FHIR-46486
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
- removed invariant au-core-obs-01 (duplicates invariant vs-1) FHIR-46486
Corrected the search parameter for gender identity to be gender-identity not patient-gender-identity FHIR-45057.
Clarified that multipleAnd requires comparator support for AU Core date search parameters. FHIR46309
Changed the following Patient search parameters:
- birthdate search parameter support for comparators gt, le, lt, ge to be SHOULD instead of SHALL and multipleAnd support introduced as SHOULD FHIR-45410
- _id search parameter for AU Core Requester to be SHOULD instead of SHALL FHIR-46390
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
- updated invariant au-core-obs-01 to change the length check from >= 10 to >= 8 to match required precision to the day FHIR-46407
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
- updated invariant au-core-obs-01 to change the length check from >= 10 to >= 8 to match required precision to the day FHIR-46407
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
- corrected narrative of Location identifier parameter requester requirements on providing both the system and code values from SHOULD to MAY FHIR-46209
- replaced security and authorization requirements with pointer to Security and Privacy page FHIR-46067
- added missing entries for DocumentReference and RelatedPerson resources FHIR-46546
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
- corrected MedicationRequest combined search parameter ‘patient+intent+authoredon’ from SHALL to SHOULD FHIR-46167
- corrected narrative of Location identifier parameter requester requirements on providing both the system and code values from SHOULD to MAY FHIR-46209
- replaced security and authorization requirements with pointer to Security and Privacy page FHIR-46067