AU Patient Summary Implementation Guide
1.0.0-ci-build - CI Build AU

AU Patient Summary 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-ps/ and changes regularly. See the Directory of published versions

## Artefacts Summary

Page standards status: Informative

This page provides a list of the FHIR artifacts defined as part of this implementation guide.

### Requirements: Actor Definitions

The following artifacts define the types of individuals and/or systems that will interact as part of the use cases covered by this implementation guide.

AU PS Consumer | An AU PS Consumer is a system that consumes an AU PS Bundle and uses it to display or process patient summary content. This actor is based on the Consumer (IPS) actor, and describes the additional requirements and documentation applied for the Australian context.
AU PS Producer | An AU PS Producer is a system which creates or assembles an AU PS Bundle through automated generation or human curation of the patient summary content. This actor is based on the Creator (IPS) actor, and describes the additional requirements and documentation applied for the Australian context.

### Structures: Resource Profiles

These define constraints on FHIR resources for systems conforming to this implementation guide.

AU PS AllergyIntolerance | This profile sets minimum expectations for an AllergyIntolerance resource in the context of a patient summary in an Australian context. It is based on the AU Core AllergyIntolerance profile, and applies the additional requirements from AllergyIntolerance (IPS).
AU PS Bundle | This profile sets minimum expectations for a Bundle resource in the context of a patient summary in an Australian context. It is based on FHIR Bundle, and applies the constraints of Bundle (IPS) and AU Patient Summary (AU PS). AU PS is specified in this guide as a HL7 FHIR document (a Bundle including a Composition), composed by a set of potentially reusable 'minimal' data blocks (the AU PS profiles).
AU PS Composition | This profile sets minimum expectations for a Composition resource in the context of a patient summary in an Australian context. It is based on AU Base Composition and imposes Composition (IPS). AU Patient Summary (AU PS) is specified in this guide as a HL7 FHIR document (a Bundle including a Composition), composed by a set of potentially reusable 'minimal' data blocks (the AU PS profiles).
AU PS Condition | This profile sets minimum expectations for a Condition resource in the context of a patient summary in an Australian context. It is based on the AU Core Condition profile, and applies the additional requirements from Condition (IPS).
AU PS Encounter | This profile sets minimum expectations for an Encounter resource in the context of a patient summary in an Australian context. It is based on the AU Core Encounter profile, and applies the additional constraints for use in a patient summary context consistent with the profiling conventions of IPS.
AU PS Immunization | This profile sets minimum expectations for an Immunization resource in the context of a patient summary in an Australian context. It is based on the AU Core Immunization profile, and applies the additional requirements from Immunization (IPS).
AU PS Medication | This profile sets minimum expectations for a Medication resource in the context of a patient summary in an Australian context. It is based on the AU Core Medication profile, and applies the additional requirements from Medication (IPS).
AU PS MedicationRequest | This profile sets minimum expectations for a MedicationRequest resource in the context of a patient summary in an Australian context. It is based on the AU Core MedicationRequest profile, and applies the additional requirements from MedicationRequest (IPS).
AU PS MedicationStatement | This profile sets minimum expectations for a MedicationStatement resource in the context of a patient summary in an Australian context. It is based on the AU Core MedicationStatement profile, and applies the additional requirements from MedicationStatement (IPS).
AU PS Organization | This profile sets minimum expectations for an Organization resource in the context of a patient summary in an Australian context. It is based on the AU Core Organization profile, and applies the additional requirements from Organization (IPS).
AU PS Pathology Result Observation | This profile sets minimum expectations for an Observation resource that represents a pathology result associated with a patient in the context of a patient summary in an Australian context. It is based on the AU Core Pathology Result Observation profile, and applies the additional requirements from Observation Results - Laboratory/Pathology (IPS).
AU PS Patient | This profile sets minimum expectations for a Patient resource in the context of a patient summary in an Australian context. It is based on the AU Core Patient profile, and applies the additional requirements from Patient (IPS).
AU PS Practitioner | This profile sets minimum expectations for a Practitioner resource in the context of a patient summary in an Australian context. It is based on the AU Core Practitioner profile, and applies the additional requirements from Practitioner (IPS).
AU PS PractitionerRole | This profile sets minimum expectations for a PractitionerRole resource in the context of a patient summary in an Australian context. It is based on the AU Core PractitionerRole profile, and applies the additional requirements from PractitionerRole (IPS).
AU PS Procedure | This profile sets minimum expectations for a Procedure resource in the context of a patient summary in an Australian context. It is based on the AU Core Procedure profile, and applies the additional requirements from Procedure (IPS).
AU PS RelatedPerson | This profile sets minimum expectations for a RelatedPerson resource in the context of a patient summary in an Australian context. It is based on the AU Core Related Person profile, and applies the additional constraints for use in a patient summary context consistent with the profiling conventions of IPS.
AU PS Smoking Status | This profile sets minimum expectations for an Observation resource that represents a patient's smoking status in the context of a patient summary in an Australian context. It is based on the AU Core Smoking Status profile, and applies the additional requirements from Observation Social History - Tobacco Use (IPS).

### Example: Example Instances

These are example instances that show what data produced and consumed by systems conforming with this implementation guide might look like.

Basic Summary | Shows an example of a provider curated patient summary that demonstrates no known problems or disabilities, current allergies and intolerances, and current medication use. Example for the AU PS Bundle and AU PS Composition profiles. Patient: Mia Leanne Banks.
Jeramy 27 May | Interstate GP use case example. Shows an example of a patient summary authored by the patient's usual GP that was updated after a recent admission to hospital. Example for the AU PS Bundle and AU PS Composition profiles. Patient: Jeramy Ezra Banks.
Joyce 07 November 2024 | Referral to Specialist and Allied Health use case example. Shows an example of a patient summary containing the medical history and current medications that is automatically generated by a clinical information system and includes the most recent information. This example is digitally signed. Example for the AU PS Bundle and AU PS Composition profiles. Patient: Joyce Johnson.
Joyce 28 October | Referral to Specialist and Allied Health use case example. Shows an example of a patient summary containing the medical history and current medications at the time of referral that was authored by the GP through curation of a generated view of the data within their clinical information system, and was attested at the time of creation of the patient summary and signed electronically. Example for the AU PS Bundle and AU PS Composition profiles. Patient: Joyce Johnson.
No Known X | Shows an example of a patient summary that demonstrates no known problems or disabilities, no known allergies and intolerances, and no known current medications. Example for the AU PS Bundle and AU PS Composition profiles. Patient: Charlotte Morris.
Section empty reason | Shows a software-assembled patient summary that demonstrates missing data for Patient.birthDate and suppressed data for Patient.gender and Patient.identifier using the Data Absent Reason extension. The system also has no information for the sections: problems, allergies, medications, and immunisations. Example for the AU PS Bundle and AU PS Composition profiles. Patient: Ronny Lawrence Irvine.