AU eRequesting Implementation Guide
0.4.0-preview - Preview

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## Change Log

Page standards status: Informative

### Release 0.4.0-preview

- Expected Publication date: 2025-06-17
- Expected Publication status: Preview
- Based on FHIR version: 4.0.1

This change log documents the significant updates and resolutions implemented from version 0.1.0-ballot to 0.4.0-preview.

#### Changes in this version

- New profiles:
  - AU eRequesting CommunicationRequest (FHIR-49807, FHIR-50230, FHIR-50229)
  - AU eRequesting CommunicationRequest CopyTo (FHIR-49807)
  - AU eRequesting CommunicationRequest Patient (FHIR-50230, FHIR-50948)
  - AU eRequesting CommunicationRequest Urgent Provider (FHIR-50229)
  - AU eRequesting Task (FHIR-46947, FHIR-46950, FHIR-46956, FHIR-46958, FHIR-46959, FHIR-47081, FHIR-47082, FHIR-47083, FHIR-47084, FHIR-47086, FHIR-47102, FHIR-49717), FHIR-50899)
  - AU eRequesting MHR Consent Withdrawal (FHIR-49806)
  - AU eRequesting Task Diagnostic Request (FHIR-49718)
  - AU eRequesting Task Group (FHIR-49719)
  - AU eRequesting Task Communication Request (FHIR-50231)
  - AU eRequesting Clinical Context DocumentReference (FHIR-50954, FHIR-50955)
  - AU eRequesting Coverage (FHIR-46848, FHIR-50899)
- New value sets:
  - AU eRequesting Task Status (FHIR-47081)
  - AU eRequesting RequestStatus (FHIR-47097)
  - AU eRequesting CommunicationRequest Patient Category (FHIR-50230)
  - AU eRequesting CommunicationRequest Patient Medium (FHIR-50229, FHIR-50230)
  - AU eRequesting CommunicationRequest Reason (FHIR-49807, FHIR-50230, FHIR-50229)
  - AU eRequesting Task Tag Fulfilment (FHIR-49718, FHIR-49719)
  - AU eRequesting Task Business Status (FHIR-50973, FHIR-51006)
- New code systems:
  - AU eRequesting CommunicationRequest Reason (FHIR-49807, FHIR-50979)
  - AU eRequesting Task Tag Codes (FHIR-49718, FHIR-49719)
  - Task Business Status (FHIR-50973)
- New extensions:
  - AU eRequesting Display Sequence (FHIR-49715, FHIR-50540)
  - AU eRequesting Fasting Precondition (FHIR-49917, FHIR-50540)
- New search parameters:
  - AU eRequesting ServiceRequest SupportingInfo (FHIR-51005)
- Added Sex and Gender page to consolidate implementation guidance on sex and gender concepts in AU eRequesting, with references to guidance in AU Core and AU Base FHIR-47176, FHIR-47178, FHIR-47182, FHIR-47183, FHIR-46892, FHIR-46896.
- Added Security and Privacy page FHIR-50880
- Made the following changes to AU eRequesting ServiceRequest:
  - made the profile abstract (FHIR-46813)
  - made ServiceRequest.encounter mandatory (1..1) FHIR-47008
  - added Must Support to ServiceRequest.priority FHIR-46939
  - changed ServiceRequest.insurance reference type to the AU eRequesting Coverage FHIR-46848
  - AU eRequesting ServiceRequest profile renamed to be AU eRequesting Diagnostic Request FHIR-46842
  - Removed draft and unknown from ServiceRequest.status FHIR-47097
  - added Request status reason extension as a Must Support element with cardinality 0..1 FHIR-47098
  - added Patient Sex Parameter for Clinical Use extension FHIR-46997
  - added AU eRequesting Display Sequence extension as Must Support element with cardinality 1..1 FHIR-49715, FHIR-49716
  - added AU eRequesting Fasting Precondition extension as Must Support element with cardinality 0..1 FHIR-49917
  - added Must Support to ServiceRequest.occurrence FHIR-49918
  - added Must Support to ServiceRequest.quantity FHIR-49919
  - added pregnancy status slice to ServiceRequest.supportingInfo referencing Observation Pregnancy - Status (IPS) FHIR-47006
  - added clinical context slice to ServiceRequest.supportingInfo referencing AU eRequesting Clinical Context DocumentReference FHIR-50956, FHIR-50957
  - changed base profile from AU Base Diagnostic Request (deprecated) to AU Base Service Request FHIR-50147
  - changed the obligation requirement for AU eRequesting Filler from SHALL:no-error to SHALL:handle for the following Must Support elements: ServiceRequest.identifier, ServiceRequest.intent, ServiceRequest.insurance, ServiceRequest.encounter and ServiceRequest.reasonCode FHIR-50976
- Added _include search parameters ServiceRequest:patient, ServiceRequest:requester and ServiceRequest:encounter to AU eRequesting Placer, Filler, Patient and Server CapabilityStatements FHIR-46942
- Renamed AU eRequesting Patient Access actor and CapabilityStatement to be AU eRequesting Patient FHIR-46802
- Clarified profile-specific implementation guidance on populating ServiceRequest.code and removed additional binding in AU eRequesting Pathology Request and AU eRequesting Imaging Request FHIR-46847
- Remove RANZCR Radiology Referral ValueSet (RRV) from AU eRequesting FHIR-51017
- Change RANZCR Radiology Referral ValueSet binding for ServiceRequest.code in AU eRequesting Imaging Request from AU eRequesting defined ValueSet to the NCTS defined ValueSet FHIR-51017
- Made the following changes in AU eRequesting Server CapabilityStatement:
  - changed the conformance requirement for ServiceRequest create and update interactions from SHALL to SHOULD FHIR-47141
  - added read and search-type interactions as SHALL, and create and update interactions as SHOULD for all currently supported resource types FHIR-48934, FHIR-47145, FHIR-47143 FHIR-48915
  - added _id search parameter as SHALL for all currently supported resource types FHIR-48934, FHIR-47145, FHIR-48915
  - added identifier search parameter support for Organization, Patient, Practitioner, and PractitionerRole as SHALL FHIR-48934, FHIR-47145
  - added _include support for PractitionerRole:practitioner and PractitionerRole:organization as SHALL for the PractitionerRole resource type FHIR-48934, FHIR-47145
  - added the following Task search parameters as SHALL: group-identifier, owner, patient, requester, focus, status, _lastUpdated, patient+status, owner+status, requester+status, _lastUpdated+status+owner, patient.identifier, owner.identifier, requester.identifier, Task:patient, Task:requester, Task:owner and Task:focus FHIR-48915
  - added supporting-info search parameter and _include support for ServiceRequest:supporting-info as SHOULD for the ServiceRequest resource type FHIR-51005
  - changed the resource conformance requirement from SHOULD to SHALL for the following resource types: Coverage, Encounter, Organization, Practitioner and PractitionerRole FHIR-50976
- Made the following changes in AU eRequesting Placer CapabilityStatement:
  - added supporting-info search parameter and _include support for ServiceRequest:supporting-info as MAY for the ServiceRequest resource type FHIR-51005
  - changed the conformance requirement from SHOULD to MAY for _include search parameters ServiceRequest:patient, ServiceRequest:requester and ServiceRequest:encounter FHIR-50976
- Made the following changes in AU eRequesting Filler CapabilityStatement:
  - added supporting-info search parameter and _include support for ServiceRequest:supporting-info as MAY for the ServiceRequest resource type FHIR-51005
  - changed the conformance requirement from SHOULD to MAY for _include search parameters ServiceRequest:patient, ServiceRequest:requester and ServiceRequest:encounter FHIR-50976
- Made the following changes in AU eRequesting Patient CapabilityStatement:
  - added supporting-info search parameter and _include support for ServiceRequest:supporting-info as MAY for the ServiceRequest resource type FHIR-51005
  - changed the conformance requirement from SHOULD to MAY for _include search parameters ServiceRequest:patient, ServiceRequest:requester and ServiceRequest:encounter FHIR-50976
- Updated AU eRequesting ValueSet resources to remove conformance to HL7 International ShareableValueSet and instead claim conformance to NCTS Composed ValueSet (FHIR-47149).