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PITUS-15-16 Project

Pathology Information, Terminology and Units Standardisation (PITUS-15-16) Project will continue the standardisation of pathology requesting and reporting. This project is fully funded by the Department of Health.

The PITUS-15-16 Steering Committee will oversee and co-ordinate the project. All key stakeholders have been engaged and are represented on the on the Steering committee.

The project activities have been split across 6 working groups:

  1. Standards development and publishing for safe electronic publishing of standards, models and terminology with Australian Digital Health Agency and HL7 Australia.
  2. Safety in pathology reporting to ensure all critical information required in a report is transmitted safely.
  3. Request and report terminology to streamline the use of pathology requesting and reporting terminology.
  4. Request modelling to improve requesting of genetic tests.
  5. Report modelling for safe atomic reporting to registries.
  6. Informatics quality assurance to develop a quality assurance protocol that can be used by accrediting bodies to assist with compliance. 


The aim of the PITUS-15-16 Project is to drive development of informatics standards for safer and better pathology requesting and reporting, and facilitate the uptake of these standards by pathology practices and their customers. This standardisation work aligns with the renamed MyHealth Record administered by the Department of Health.  


The governance model for this project provides a structure through the provision of professional knowledge and advice. The key roles:

Steering Committee

Working Groups

There are 6 working groups:

  1. Standards development and publishing (wg1)
  2. Safety in pathology reporting (wg2)
  3. Request and report terminology (wg3)
  4. Request modelling (wg4)
  5. Report modelling (wg5)
  6. Informatics quality assurance (wg6)


The key stakeholders for the PITUS-15-16 Project are:
  1. Pathology Profession - The pathology profession is represented through the Royal College of Pathologists of Australasia (RCPA) and the other members of the Pathology Associations Council (PAC) . The profession will define and endorse the implementation of this project.

  2. Australian Digital Health Agency (the Agency) - The National Clinical Terminology and Information Service (NCTIS) within the Agency is responsible for managing, developing and distributing SNOMED CT in Australia.

  3. HL7 Australia - provides the main link to HL7 standards development, including FHIR standards development.

  4. Customers - The customers include healthcare consumers eg Clinicians and associated healthcare providers; Researchers; Health software developers and knowledge resource, developers; Local Terminology & Information Integrators and Clinical Terminology & Information Users.

  5. Funding - The project has received funding from the Australian Department of Health (DoH).

  6. Collaborators

The Australian & New Zealand Society of Blood Transfusion;
Australian Association of Clinical Biochemists;
Australian Association of Pathology Practices;
Australian Institute of Medical Scientists;
Australian Society for Microbiology; Australian Society of Clinical Immunology and Allergy;
Australian Society of Cytology;
Endocrine Society of Australia;
Haematology Society of Australia and New Zealand;
Health Informatics Society of Australia;
Human Genetics Society of Australasia;
International Academy of Pathology Limited and the National Coalition of Public Pathology.

  • Health Informatics and industry associations are represented by: HL7 Australia; IHTSDO representatives; the Agency; HISA, HIMAA, MSIA, AIIA and others.
  • Government agencies and authorities; ACSQHC, AIHW, Cancer Australia, Health Departments, Registries.

Key deliverables


Status: Completed.

The RCPA Board of Directors have officially endorsed the Standards for Pathology Informatics in Australia (SPIA) and associated information models and terminology reference sets, following internal and public review and endorsement from all of the main stakeholders.

For more details on the Project outcomes, see the latest newsletter RCPA Pathology Information, Terminology and Units Standardisation Project - March 2017 - Issue 7.

The PITUS 15-16 Project collaborated with HL7 Australia to developed the Australian Pathology Messaging - Localisation of HL7 v2.4, Release 1, a localisation of the HL7 International messaging standards, which will provide the required information for implementers of electronic pathology messaging in one document. 

The Pathology Information, Terminology and Units Standardisation (PITUS 15-16) project team would like to thank the 70 pathologists, GPs, other clinicians, scientists and informaticians who contributed to the PITUS-15-16 Project and were responsible for its body of work.