Artefacts

Australian Digital Health Agency FHIR Implementation Guide, published by Australian Digital Health Agency. This guide is not an authorized publication; it is the continuous build for version 1.2.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/AuDigitalHealth/ci-fhir-r4/ and changes regularly. See the Directory of published versions

Profiles
Extensions

This material is under active development and content may be added or updated on a regular basis.

Profiles

ADHA core profiles

The following core FHIR profiles are defined in this implementation guide. These profiles set a core standard for a FHIR R4 resource identifying additional constraints, extensions, and value sets that build on and extend HL7 AU Australian Base Implementation Guide, HL7 AU Australian Core Implementation Guide, and core HL7 FHIR R4.

Foundation	Conformance	Terminology	Security	Documents	Other
Foundation	ADHA Core CapabilityStatement (TBD Architecture Team) ADHA Core MessageDefinition profiles (TBD Architecture Team)		ADHA Core Provenance (TBD Architecture Team) ADHA Core Consent	ADHA Core Composition ADHA Document Composition ADHA Continuity of Care Summary Composition ADHA Core DocumentReference	ADHA Document Bundle ADHA Message Bundle ADHA Payload Bundle ADHA Core Bundle ADHA MHR Bundle (CI & Architecture Team) ADHA Core MessageHeader (Architecture Team) ADHA Core OperationOutcome

Base	Individuals	Entities #1	Entities #2	Workflow	Management
Base	ADHA Core Patient ADHA Core Practitioner ADHA Core PractitionerRole ADHA Core RelatedPerson	ADHA Core Organization ADHA Core HealthcareService ADHA Core Location ADHA Core Endpoint (TBD Architecture Team)	ADHA Device Participant ADHA System Device ADHA Core Substance		ADHA Core Encounter ADHA Core EpisodeOfCare ADHA Core Flag ADHA Core List

Clinical	Summary	Diagnostics	Medications	Care Provision	Request & Response
Clinical	ADHA Core AllergyIntolerance ADHA Core Condition ADHA Core Procedure ADHA Core FamilyMemberHistory ADHA Core DetectedIssue	ADHA Core Observation ADHA Core DiagnosticReport ADHA Core Specimen ADHA Core BodyStructure ADHA Core Media ADHA Core QuestionnaireResponse	ADHA Core MedicationRequest ADHA Core MedicationAdministration ADHA Core MedicationDispense ADHA Core MedicationStatement ADHA Core Medication ADHA Core Immunization	ADHA Core CarePlan ADHA Core ServiceRequest

ADHA use case profiles

The following FHIR profiles are defined in this implementation guide to support one or more defined use cases.

Foundation	Conformance	Terminology	Security	Documents	Other
Foundation			Provenance profiles (TBD Architecture Team) Provenance for Generation of a List ADHA Record of Consent from Australian Organ Donor Register AuditEvent profiles (TBD Architecture Team)	ADHA Advance Care Directive Custodian Record Composition ADHA Advance Care Planning Composition ADHA Aged Care Transfer Summary Composition ADHA Discharge Summary Composition ADHA Diagnostic Report Composition ADHA Event Summary Composition ADHA Event Summary Mixed Narrative and Structure ADHA Event Summary Narrative ADHA Medicare Overview Composition ADHA National Cancer Screening Program Participation View ADHA Personal Health Notes Composition ADHA Personal Health Summary Composition ADHA Personal Observations Composition ADHA Pharmacist Shared Medicines List Composition ADHA Prescription and or Dispense History Composition ADHA Shared Health Summary Composition ADHA Shared Medicines List Composition ADHA Advance Care Planning DocumentReference ADHA Diagnostic Report DocumentReference Architecture related DocumentReference profiles (TBD Architecture Team)	ADHA PDF Document Binary (Architecture Team) ADHA MHR CDA Document Package Binary (Architecture Team) Other Binary profiles (TBD Architecture Team) ADHA MHR Document Bundle (Joint w CI & Architecture Team) ADHA MHR Message Bundle (Joint w CI & Architecture Team) ADHA MHR Payload Bundle (Joint w CI & Architecture Team) MessageHeader profiles (Architecture Team) Operation Outcome profiles (Architecture Team)

Base	Individuals	Entities #1	Entities #2	Workflow	Management
Base	ADHA MHR Patient ADHA Patient Match ADHA Patient Demographics ADHA Patient Emergency Contact ADHA Authoring PractitionerRole ADHA Authoring Care Agency Employee ADHA MHR RelatedPerson ADHA Authoring RelatedPerson		ADHA Organization Contact ADHA Implantable Medical Device		ADHA Hospitalisation Encounter ADHA GP Practice Registration Entry ADHA Australian Immunisation Register Notice ADHA Adverse Reactions List ADHA Allergies and Intolerances List ADHA Dispense List ADHA Immunisation History List ADHA Medical History List ADHA Medication Use List ADHA Practitioner Medicine Review List ADHA Problem List ADHA Procedure List ADHA Prescription and or Dispense History List ADHA Prescription List

Clinical	Summary	Diagnostics	Medications	Care Provision	Request & Response
Clinical		ADHA APGAR Score Observation ADHA Birth Complication Observation ADHA Birth Method Observation ADHA Birth Presentation Observation ADHA Congenital Abnormality Observation ADHA Diagnostic Result Observation ADHA Imaging Result Observation ADHA Labour Induction Method Observation ADHA Labour Onset Type Observation ADHA Pathology Result Observation ADHA Simple Observation ADHA Pathology Report ADHA Diagnostic Imaging DiagnosticReport ADHA National Cancer Screening Program Participation Observation ADHA Organ or Tissue for Donation BodyStructure ADHA Visual Acuity Observation	ADHA Prescription ADHA PBS Claim Item ADHA Dispense Record ADHA Record of Immunization ADHA Record of Immunisation from Australian Immunisation Register	ADHA Referral MODI Request for Diagnostic Imaging Service

Financial	Support	Billing	Payment	General
Financial				ADHA Record of Claim against MBS or DVA ADHA Record of Claim against PBS or RPBS

HL7 AU Base profiles

The following FHIR profiles defined in HL7 AU Australian Base Implementation Guide form part of, or are referenced by, an Australian Digital Health Agency profile.

Data Types	Primitive	Identifiers	Other General-Purpose	Metadata	Special Purpose
Data Types		AU Australian Business Number AU Australian Company Number AU Australian Registered Body Number AU Australian Passport Number AU AHPRA Registration Number AU Care Agency Employee Identifier AU Commonwealth Seniors Health Card Number AU DVA Number AU Employee Number AU Health Care Card Number AU HPI-I AU HPI-O AU IHI AU Medical Record Number AU Medicare Card Number AU Medicare Provider Number AU Pensioner Concession Card Number AU Residential Aged Care Service Identifier AU Insurance Member Number	Australian Address		AU Base Dosage

HL7 AU Core profiles

The following FHIR profiles defined in HL7 AU Australian Core Implementation Guide form part of, or are referenced by, an Australian Digital Health Agency profile.

Observations	Summary	Diagnostics	Lifestyle	Care Provision	Pregnancy
Observations	AU Core Assertion of No Relevant Finding AU Core Biological Sex Assigned at Birth AU Core Health Program Participation Summary	AU Core Body Height AU Core Body Mass Index AU Core Blood Pressure AU Core Body Temperature AU Core Body Weight AU Core Head Circumference AU Core Heart Rate AU Core Oxygen Saturation AU Core Respiration Rate AU Level of Consciousness AU Waist Circumference AU Core Vital Signs Panel	AU Core Alcohol Status AU Core Smoking Cease Date AU Core Smoking Start Date AU Core Smoking Status		AU Core Estimated Date of Delivery AU Core Gestational Age AU Core Gravidity AU Core Last Menstrual Period AU Core Parity

Extensions

The following extensions form part of this implementation guide:

Extension	id	Type	Context
Address Identifier	address-identifier	Identifier	Address
AHPRA Profession Details	ahpraprofession-details	(complex)	Practitioner
AHPRA Registration Details	ahpraregistration-details	(complex)	Practitioner
Australian Indigenous Status	indigenous-status	Coding	Patient
Australian Time Zone	au-timezone	CodeableConcept	time
Birth Place	patient-birthPlace	Address	Patient
Birth Time	patient-birthTime	dateTime	Patient.birthDate
Change Description	change-description	string	List.entry
Closing the Gap Registration	closing-the-gap-registration	boolean	Patient
Contact Purpose	contact-purpose	CodeableConcept	ContactPoint
Data Absent Reason	data-absent-reason	code	Element
Date Accuracy Indicator	date-accuracy-indicator	Coding	date, dateTime
Date of Arrival in Australia	date-of-arrival	date	Patient, RelatedPerson, and Practitioner
Date of Initial Registration	dh-date-initial-registration-1	dateTime	Resource
Dose Administration Aid Medicines Indicator	dh-packed-in-daa-1	CodeableConcept	List
Encounter Description	encounter-description	string	Encounter
genderIdentity	patient-genderIdentity	CodeableConcept	Patient
ADHA HL7 V2 as Base64	dh-hl7-v2-base64-1	base64Binary	ServiceRequest
IHI Record Status	ihi-record-status	Coding	Identifier
IHI Status	ihi-status	Coding	Identifier
IHI Verified Date	ihi-verified-date	dateTime	Identifier
Information Recipient	information-recipient	Reference	Composition
interpreterRequired	patient-interpreterRequired	boolean	Patient
Medication Brand Name	medication-brand-name	string	Medication, MedicationRequest, MedicationDispense, MedicationStatement
Medication Generic Name	medication-generic-name	string	Medication, MedicationRequest, MedicationDispense, MedicationStatement
Medication Type	medication-type	Coding	Coding
Mother's Maiden Name	patient-mothersMaidenName	string	Patient
My Health Record Special Processing	dh-mhr-special-processing-1	Coding	Element
No Fixed Address	no-fixed-address	boolean	Address
Vaccine Vial Serial Number	vaccine-serial-number	string	Immunization