HL7AU - FHIR WG : 2016-07-20 Call Minutes

Date

07 Jul 2016

Attendees

• Brian Postlethwaite (Telstra Health) - chair/scribe

• Jason Steen (eHealth NSW)

• Nichol Hill (eHealth NSW)
• Sheetal Ram (eHealth NSW)
• Brett Esler (Oridashi)
• Iurie Brinister (eHealth NSW)
• David McKillop (Australian Digital Health Agency)
• Zoran Milosevic (Deontik)
• Angus Millar (Australian Digital Health Agency)
• Heather Grain (eHealth Australia)
• Eric Browne (Montage Systems)
• Dean Hansen

Minutes

Approve 2016-07-07 WGM meetings minutes: Motion Jason, Second Brett 7-0-1 (For-Against-Abstain)

The uploaded Mission and Charter was reviewed and noted that other workgroups are more focusing on Implementation Guides.
It was clarified that we are also doing this within PA Au, and will be the focus of current work on FHIR.

The existing Patient FHIR Profile draft was reviewed

The IHI representation appears to be fine, no objections at this point (with comments noted below)

Eric: In SA context, there are 2 IHIs recorded, one from the HI Service (internal lookup), and another via other external sources.

Brian: Currently this is not represented in this profile (however the identifier datatype does have the capability).

Brian: Requested to Eric to provide some information on their use-case handling multiple IHIs for a patient.

Brett: The approach is to refine on the profiles, documenting solutions to known issues.

Brian: Will use the current definition as proposed and test this in connectathon usage.

Brett: This may be created using the FHIR definition infrastructure.

Namespace allocation selection (hl7au, Australian Digital Health Agency, assigner)

Brett: OIDs are not generally being recommended moving forward, and use domain namespaces instead.

We do not plan to use other organizations domains without their knowledge

Should all identifiers be defined under the hl7 au namespace? (Nichol/Jason)

Brian: Would like to keep the engagement with the organizations that need identifiers exchanged that they are involved in the selection of the identifiers and the namespaces, that way they will likely specify these, rather than their own.

Heather: Request the TSC to investigate the relationships with the international terminology groups.

The same approach should be used for identifiers and code systems/value sets.

Brett to report this information back.

Group: Is the preferred approach:

1. Approach Defining organization for namespace definition
   1. Could use theirs
   2. Could defer to ADHA to proxy it
   3. Could defer to HL7 Au to proxy it
2. Defined by HL7 au

Medicare Number

Brian: Is the format of 10 N or 11 N acceptable?

The 11-digit format is required for billing – but not all systems have that last digit.

Brian: Propose that 10 or 11 digits be acceptable, and have no spaces included.

Brett: CDA spec considers that this can be either 10 or 11 and doesn’t cater for it as a separate field.

Action items

• Brian Postlethwaite to update the Patient Medicare Number profile based on discussion (10 or 11 digits, no spaces or other chars)

• Brett Esler to report to TSC the thoughts/discussion from the group on the Namespace allocation process
• Angus Millar to investigate the namespace applicable for the Medicare Number (checking to see if already allocated at ADHA)
• Eric Browne to provide feedback on when they choose to use which of the IHIs they have internally (one they internally checked, vs an externally received one)