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- Table of Contents added for sections missing them that contain sub section headings.
- Table of Contents expanded for several sections to include deeper child section headings.
- Introduction chapter expanded to include Radiology and Referral context.
- Repetition separator not included in maximum field length counts.
- MSH-10 field size increased to 199
- MSH-18 Repeats not allowed.
- MSH-22 to 27 Fields added.
- MSH-27 Security Handling Instructions added.
- MSH-12 Internal Version IDs defined.
- MSH-21 Conformance statements defined.
- PID-1 required in the Australian context.
- PV1-1 required in the Australian context.
- First repeat of PV1-9 in an ORU is use to identify the target provider of each message. Consulting doctors can be specified in the second or following repeats of this field.
- PV2-39 to 47 Fields added.
- Multiple faults in examples corrected
- Additional CE code systems added.
- ED Mime types must be treated case insensitively
- Addition of XCN FHIR qualification in component 16.
- Other than order messages the OBR-3 Filler Order number must be present and qualified with the site identifier.
- OBR-5 and OBR-6 deprecated
- Addition of CNE and CWE datatypes for OBX-2
- For each display format there must be only one 'AUSPDI' OBX segment.
- Highlighting must be achieved by means other that than colour for Atomic data to data to accommodate colour blind readers.
- Addition of Prescriber Identifier Type
- Addition of Vendor Directory Identifier Type
- UPIN must be used for Australian Medicare Provider numbers.
- RRI segments RF1, PID and PRD have been made optional for backward compatibility due to security considerations for personally identifying information.
- RF1-6 and RF1-11 increased to 250 characters
- RF1-7 Effective Date required.
- When a corrected referral snapshot is sent, all information from the previous snapshot identified by the same RF1-6 Originating referral identifier (EI) must be replaced with the current snapshot. e.g. Allergies, Medication, Results, etc.
- PRD-2 and PRD-7 values must be populated in PRD segments including the PRD-1 role of IR "Intended Recipient"
- Correcting referrals sent in error is now possible.
- OBR-16 is not necessarily the sender or recipient.
- Conformance statement rewording
- Conformance statement numbering fixed where incorrect.
- Conformance - Z segments must not be used in messages.
- Conformance - Receivers must present all messages for triage when the intended recipient is either unrecognised or not supplied.
- Conformance - SMD use of HD datatype clarifications
- Conformance - EI datatype must be valued and for each document/report must be unique within the sender facility namespace (HD).
- Conformance - \ originally incorrectly escaped as \S\ and should be \E\
- Conformance - Receivers must not ignore segments that are present but not expected.
- Conformance - OBX-3 must be valued according to the APUTS standard where a code is available.
- Conformance - A PRD segment where PRD-1 contains IR must have at least one PRD-7 repeat.
- Multiple corrections to example messages.
- OBR-20 Filler Field 1 (ST), made instruction in allowable code table consistent with RC=Y example.
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- Removal of Site Sequence Number clauses as it is expected users will use ACK's.
- Updated METeOR codes where required.
- Updated references to AS 4846-2014 rather than the superseded AS 4846-2006 and AS 5017-2006.
- Inclusion of Patient Administrations segments for pathology ie MSH, PV1, PID
- Re-structuring of conformance points into a table, separating out each point into an individual item.
- Added PDF Comformance PDFConformance PDF/A-1b which off the shelf PDF validators can assess.
- Deprecation of PIT
- Development of more detailed conformance points in an appendix