AU Patient Summary Implementation Guide
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AU Patient Summary Implementation Guide - Local Development build (v0.2.0-preview) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## Comparison with other national and international IGs

Page standards status: Informative

AU Patient Summary complies with, and leverages, national and international standards, in particular:

- International Patient Access 1.0.0
- International Patient Summary Implementation Guide 2.0.0-ballot
- AU Core Implementation Guide

Relationships between AU Patient Summary, AU Core, AUCDI, and the above key implementation guides is described in Relationship with other IGs.

Corresponding profiles, conformance requirements, and capability statements included in the key FHIR implementation guides were reviewed and considered during AU PS’s development to ensure alignment, and to facilitate adoption of, this standard.

The below comparison evaluates AU Patient Summary conformance requirements with the key implementation guides identifying where compliance with AU Patient Summary satisfies the expectations established by the referenced implementation guide.

### Profile comparison

As part of profile comparison, the requirements, constraints, and standards specified in a particular FHIR profile are evaluated. These requirements can include mandatory elements, Must Support elements, cardinality constraints, data types, terminology bindings, usage rules, extensions, rules on missing or suppressed data.

The table below provides a profile only comparison from AU Patient Summary to profiles in key implementation guides. Compliance in the reverse direction is not guaranteed, i.e. a resource that is compliant with an International Patient Summary profile MAY NOT be compliant with AU Patient Summary.

Legend:

Compliant: An AU PS compliant resource meets all requirements of the compared profile.

Additional requirements: An AU PS compliant resource is compatible, but additional changes may be needed to meet all requirements of the compared profile. Where additional requirements are identified, more information is provided in the sections below.

Incompatible: An AU PS compliant resource is incompatible with the compared profile. A resource cannot be compliant to both. Where incompatible requirements are identified, more information is provided in the sections below.

No equivalent profile: No equivalent profile for comparison.

AU PS | International Patient Access 1.0.0 | International Patient Summary 2.0.0 (ci-build) | AU Core (ci-build)
--- | --- | --- | ---
AU PS AllergyIntolerance |  |  |
AU PS Bundle |  |  |
AU PS Composition |  |  |
AU PS Condition |  |  |
IPA-problem-list-item
AU PS Encounter |  |  |
AU PS Immunization |  |  |
AU PS Medication |  |  |
AU PS MedicationRequest |  |  |
AU PS MedicationStatement |  |  |
AU PS Organization |  |  |
AU PS Patient |  |  |
AU PS Pathology Result Observation |  |  |
AU PS Practitioner |  |  |
AU PS PractitionerRole |  |  |
AU PS Procedure |  |  |
AU PS RelatedPerson |  |  |
AU PS Smoking Status |  |  |

#### International Patient Access

International Patient Access 1.0.0 describes how an application acting on behalf of a patient can access patient information from a clinical records system using a FHIR-based API.

##### Incompatible requirements

The following IPA profile(s) contain incompatible requirements with the equivalent AU PS Profile. Implementers are advised to note that substantial code changes may be required to support these profiles.

AU PS | International Patient Access 1.0.0 | Element | Incompatible requirements
--- | --- | --- | ---
AU PS MedicationRequest | IPA-MedicationRequest | MedicationRequest.requester | IPA prohibits reference to Organization and RelatedPerson resources.

##### Additional requirements

The following IPA profile(s) contain additional requirements. Implementers are advised to note that some code changes may be required to support these profiles.

AU PS | International Patient Access 1.0.0 | Element | Additional requirements
--- | --- | --- | ---
AU PS Condition | IPA-problem-list-item | Condition.category | Requires category of 'problem-list-item'.
AU PS Immunization | IPA-Immunization | Immunization.statusReason | Must Support element in IPA.
AU PS MedicationRequest | IPA-MedicationRequest | MedicationRequest.reported[x] | Must Support element in IPA.
AU PS MedicationStatement | IPA-MedicationStatement | MedicationStatement.statusReason | Must Support element in IPA.
MedicationStatement.context | Must Support element in IPA.
MedicationStatement.informationSource | Must Support element in IPA.
AU PS Patient | IPA-Patient | Patient.identifier.value | Must Support element in IPA.
Patient.active | Must Support element in IPA.
Patient.link | Must Support element in IPA.

##### Missing and Suppressed Data

AU PS compliant resources are compliant with IPA requirements for Missing Data. IPA does not include requirements for Suppressed Data.