AU eRequesting Implementation Guide
1.0.0-ci-build - CI Build

AU eRequesting Implementation Guide, published by HL7 Australia. This guide is not an authorized publication; it is the continuous build for version 1.0.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7au/au-fhir-erequesting/ and changes regularly. See the Directory of published versions

## Change Log

Page standards status: Informative

### Release TBD

- Expected Publication date: TBD
- Expected Publication status: TBD
- Based on FHIR version: 4.0.1

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

#### Changes in this version

- AU eRequesting Clinical Context DocumentReference:
  - added Must Support and LOINC code “107903-7” as patternCodeableConcept to DocumentReference.type, and changed cardinality from 0..1 to 1..1 FHIR-51765
- AU eRequesting CommunicationRequest Patient:
  - removed usage guidance from profile description and added Usage Scenario section to profile FHIR-51855
- AU eRequesting DiagnosticRequest:
  - added profile specific implementation guidance on the use of ServiceRequest.occurrenceTiming.repeat.count to represent the number of diagnostic requests to be performed FHIR-51854

### Release 1.0.0-ballot

- Publication date: 2025-08-04
- Publication status: Ballot for Working Standard
- Based on FHIR version: 4.0.1

This change log documents the significant updates and resolutions implemented from version 0.1.0-ballot to 1.0.0-ballot.

#### Changes in this Version

- 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 Recorded Sex or Gender and Sex Parameter for Clinical Use to the Sex and Gender page AU Base: 51408.
- added to General Guidance, Diagnostic Request Grouping guidance and general implementation considerations FHIR-51565.
- added AU eRequesting Workflow Guidance page FHIR-51565
- added to General Guidance, reference to AU Base guidance on SNOMED CT Australian Edition FHIR-51474.
- added to General Guidance, re-use of referenced resources FHIR-52167.
- added Security and Privacy page FHIR-50880.
- removed RANZCR Radiology Referral ValueSet (RRV) from AU eRequesting (defined in NCTS) FHIR-51017.
- moved supporting-info search parameter, added in FHIR-51005, to AU Base to support broad implementation FHIR-51251.
- moved Communication Request Reason code system, added in FHIR-50979, FHIR-49807, FHIR-50230 and FHIR-50229 to AU Base to support broad implementation FHIR-51348.
- moved Task Tag code system, added in FHIR-49718 to AU Base and renamed to Resource Tag to support broad implementation FHIR-51349.
- moved Task Business Status code system, added in FHIR-50973 and FHIR-51006 to AU Base to support broad implementation FHIR-51350.
- AU eRequesting CommunicationRequest:
  - added new profile, including interaction support FHIR-49807, FHIR-51636, FHIR-51637
  - changed cardinality of CommunicationRequest.sender from 1..1 to 0..1 FHIR-51145
- AU eRequesting CommunicationRequest CopyTo:
  - added new profile, including interaction support FHIR-49807, FHIR-51636, FHIR-51637
- AU eRequesting CommunicationRequest Patient:
  - added new profile, including interaction support FHIR-50230, FHIR-51636, FHIR-51637
  - added Must Support and cardinality constraint to CommunicationRequest.subject, changing it from 0..1 to 1..1, and type reference AU Core Patient FHIR-50948
- AU eRequesting CommunicationRequest Patient Category:
  - added new value set FHIR-50230
- AU eRequesting CommunicationRequest Patient Medium:
  - added new value set FHIR-50229, FHIR-50230
- AU eRequesting CommunicationRequest Reason:
  - added new value set FHIR-49807, FHIR-50230, FHIR-50229
  - changed value set definition from AU eRequesting code system to Communication Request Reason code system in AU Base AU Base: 51348
- AU eRequesting CommunicationRequest Urgent Provider:
  - added new profile, including interaction support FHIR-50229, FHIR-51636, FHIR-51637
- AU eRequesting Clinical Context DocumentReference:
  - added new profile, including interaction support FHIR-50954, FHIR-50955, FHIR-51636, FHIR-51637
- AU eRequesting Coverage:
  - added new profile FHIR-46848
  - added Must Support and cardinality constraint to Coverage.type, changing from 0..1 to 1..1 FHIR-50899
  - added default Must Support obligations and interaction support FHIR-51636, FHIR-51637
- AU eRequesting Coverage Type and Self-Pay Codes:
  - added new value set FHIR-46848
- AU eRequesting Fulfilment Task Tags:
  - added new value set FHIR-49718, FHIR-49719
- AU eRequesting DiagnosticRequest:
  - AU eRequesting ServiceRequest profile renamed to AU eRequesting Diagnostic Request FHIR-46842
  - changed the profile to be abstract FHIR-46813
  - changed cardinality of ServiceRequest.encounter from 0..1 to 1..1 FHIR-47008
  - changed ServiceRequest.insurance reference type to AU eRequesting Coverage FHIR-46848
  - changed base profile from AU Base Diagnostic Request (deprecated) to AU Base Service Request FHIR-50147
  - clarified profile-specific implementation guidance on populating ServiceRequest.code FHIR-46847
  - 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, FHIR-51636, FHIR-51637
  - added Request status reason extension as a Must Support element with cardinality 0..1 FHIR-47098
  - added Patient Sex Parameter for Clinical Use extension as Must Support element with cardinality 0..1 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 and constrain to type Quantity and Range FHIR-49919
  - added pregnancyStatus slice to ServiceRequest.supportingInfo as Must Support with cardinality 0..1 referencing Observation Pregnancy - Status (IPS) FHIR-47006
  - added clinicalContext slice to ServiceRequest.supportingInfo as Must Support referencing AU eRequesting Clinical Context DocumentReference FHIR-50956, FHIR-50957
  - added Must Support to ServiceRequest.priority FHIR-46939
  - added profile specific implementation guidance on the use of ServiceRequest.supportingInfo for pregnancy status and clinical context FHIR-51565
- AU eRequesting Imaging Request:
  - removed Imaging Procedure additional binding on ServiceRequest.code FHIR-46847
  - change RANZCR Radiology Referral ValueSet binding for ServiceRequest.code from AU eRequesting defined ValueSet to the NCTS defined ValueSet FHIR-51017
- AU eRequesting MHR Consent Withdrawal:
  - added new profile, including interaction support FHIR-49806, FHIR-51636, FHIR-51637
  - added Must Support and cardinality constraints changing Consent.policy from 0..* to 1..1, Consent.policy.authority from 0..1 to 1..1 and Consent.policy.uri from 0..1 to 1..1 FHIR-51096
- AU eRequesting Pathology Request:
  - removed Pathology Procedure additional binding on ServiceRequest.code FHIR-46847
- AU eRequesting Patient ActorDefinition:
  - changed AU eRequesting Patient Access actor to AU eRequesting Patient FHIR-46802
- AU eRequesting RequestStatus:
  - removed “draft” and “unknown” from value set FHIR-47097
- AU eRequesting Task:
  - added new profile, including interaction support FHIR-46947, FHIR-46950, FHIR-46956, FHIR-46958, FHIR-46959, FHIR-47081, FHIR-47082, FHIR-47083, FHIR-47084, FHIR-47086, FHIR-47102, FHIR-48915, FHIR-51406, FHIR-47099, FHIR-47089, FHIR-47087, FHIR-48330, FHIR-51636, FHIR-51637
  - added Must Support to Task.meta and Task.meta.tag:eRequestingFulfilmentTask and change cardinality of Task.meta from 0..1 to 1..1 FHIR-50899
  - added Must Support to Task.identifier with support for type Identifier and AULocalOrderIdentifier FHIR-50081
  - changed to abstract profile FHIR-49717
- AU eRequesting Task Business Status:
  - added new value set FHIR-50973
  - changed value set definition from AU eRequesting code system to Task Business Status code system in AU Base AU Base: 51350
- AU eRequesting Task Communication Request:
  - added new profile, including interaction support FHIR-50231, FHIR-51636, FHIR-51637
- AU eRequesting Task Diagnostic Request:
  - added new profile, including interaction support FHIR-49718, FHIR-50275, FHIR-51636, FHIR-51637
- AU eRequesting Task Group:
  - added new profile, including interaction support FHIR-49719, FHIR-51636, FHIR-51637
- AU eRequesting Task Status:
  - added new value set FHIR-47081
  - changed value set definition from AU eRequesting code system to Resource Tag code system in AU Base AU Base: 51349
- AU eRequesting Server CapabilityStatement:
  - 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 as SHALL for Organization, Patient, Practitioner, and PractitionerRole 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 _include support for ServiceRequest:patient and ServiceRequest:requester as SHALL and ServiceRequest:encounter as SHOULD for ServiceRequest resource type FHIR-46942
  - added default conformance requirements where no prior conformance agreement existed, including resource implementation and supported profile conformance as SHALL, agreed search parameters as SHALL, read and search-type interactions as SHALL, and update and create interactions as SHOULD FHIR-51636, FHIR-51637
  - changed the conformance requirement for ServiceRequest create and update interactions from SHALL to SHOULD FHIR-47141
  - changed support for supporting-info search parameter and _include support for ServiceRequest:supporting-info from SHOULD to SHALL for the ServiceRequest resource type FHIR-51005, FHIR-51253
  - changed the resource conformance requirement from SHOULD to SHALL for the following resource types: Coverage, Encounter, Organization, Practitioner and PractitionerRole FHIR-50976
- AU eRequesting Placer CapabilityStatement:
  - added create and update interactions as SHOULD for all currently supported resource types FHIR-47144
  - added supporting-info search parameter and _include support for ServiceRequest:supporting-info as MAY for ServiceRequest resource type FHIR-51005
  - added _include support for ServiceRequest:patient, ServiceRequest:requester and ServiceRequest:encounter as SHOULD for the ServiceRequest resource type FHIR-46942
  - added default conformance requirements where no prior conformance agreement existed, including resource implementation and supported profile conformance as SHALL, agreed search parameters as MAY, and read, search-type, update and create interactions as SHOULD FHIR-51636, FHIR-51637
  - changed _include support for ServiceRequest:patient, ServiceRequest:requester and ServiceRequest:encounter from SHOULD to MAY FHIR-50976
  - changed the resource conformance requirement from SHOULD to SHALL for the following resource types: Coverage, Encounter, Organization, Practitioner and PractitionerRole FHIR-50976
- AU eRequesting Filler CapabilityStatement:
  - added read and search-type interactions as MAY for all currently supported resource types FHIR-47144
  - added _id search parameter as MAY for all currently supported resource types FHIR-47144
  - added identifier search parameter as MAY for Organization, Patient, Practitioner, and PractitionerRole resource type FHIR-48934, FHIR-47144
  - added _include support for PractitionerRole:practitioner and PractitionerRole:organization as MAY for the PractitionerRole resource type FHIR-48934, FHIR-47144
  - added requisition search parameter as MAY for ServiceRequest resource type FHIR-47144
  - added _include support for ServiceRequest:patient, ServiceRequest:requester and ServiceRequest:encounter as SHOULD for ServiceRequest resource type FHIR-46942
  - added supporting-info search parameter and _include support for ServiceRequest:supporting-info as MAY for ServiceRequest resource type FHIR-51005
  - added default conformance requirements where no prior conformance agreement existed, including resource implementation and supported profile conformance as SHALL, agreed search parameters as MAY, and read and search-type interactions as SHOULD FHIR-51636, FHIR-51637
  - changed _include support for ServiceRequest:patient, ServiceRequest:requester and ServiceRequest:encounter from SHOULD to MAY FHIR-50976
  - changed the resource conformance requirement from SHOULD to SHALL for the following resource types: Coverage, Encounter, Organization, Practitioner and PractitionerRole FHIR-50976
- AU eRequesting Patient CapabilityStatement:
  - renamed AU eRequesting Patient Access CapabilityStatement to be AU eRequesting Patient FHIR-46802
  - added read and search-type interactions as MAY for all currently supported resource types FHIR-47146
  - added _id search parameter as MAY for all currently supported resource types FHIR-47146
  - added identifier search parameter as MAY for Organization, Patient, Practitioner, and PractitionerRole resource type FHIR-48934, FHIR-47145
  - added requisition search parameter as MAY for ServiceRequest resource type FHIR-47146
  - added _include support for PractitionerRole:practitioner and PractitionerRole:organization as MAY for the PractitionerRole resource type FHIR-48934, FHIR-47145
  - added supporting-info search parameter and _include support for ServiceRequest:supporting-info as MAY for ServiceRequest resource type FHIR-51005
  - added _include support for ServiceRequest:patient, ServiceRequest:requester and ServiceRequest:encounter as SHOULD for the ServiceRequest resource type FHIR-46942
  - changed _include support for ServiceRequest:patient, ServiceRequest:requester and ServiceRequest:encounter from SHOULD to MAY FHIR-50976.
  - added default conformance requirements where no prior conformance agreement existed, including resource implementation as SHOULD, supported profile conformance as SHALL, agreed search parameters as MAY, and read and search-type interactions as SHOULD FHIR-51636, FHIR-51637
  - changed the resource conformance requirement from SHOULD to SHALL for the following resource types: Coverage, Encounter, Organization, Practitioner and PractitionerRole FHIR-50976