HL7AU - FHIR WG : 2018-06-26 Meeting notes

Created by Brett Esler on 26 Jun, 2018

Date

Attendees (apologies if i missed you feel free to add yourself in)

  • Tim Blake (TB)
  • Brett Esler (BE)
  • Catherine Resnick (CR)
    Danielle Tavares Rixon (DTR)
  • David Humphreys (DH)
  • Jaymee Murdoch (JM)
  • Jo Fisher (JF)
  • Michael Bainbridge (MB)
  • Michael Lawley (ML)
  • Nichol Hill (NH)

  • Richard Townley-O'Neill (RTO)

Apologies

  • Clinton Hard (CH)
  • Steve Badham (SB)
  • Andrew Bracher (AB)
  • Frances Gillett (FG)
  • Reuben Daniels (RD)
  • Craig Bayley

  • Paul Dajuk (PD)

  • Jose Veroes (JV)
  • Laxmi Singh (LS)

Discussion items


 RTO

Richard Townley ONeil - diagram review
- birth mother + baby
- use related person
- MB: works prior to birth could use to store data in baby record

- antenatal visits and record - not shown in diagram
- multiple birth; related to same mother

- encounter type: birth is noted

  • Need to record still birth + other outcomes

  • RelatedPerson relation types are coded
    - social mother/father
    - biological mother/father

  • Composition sections to be defined
  • Observation (other) entries to be defined
  • DTR - multiple births can be handled with RelatedPerson
  • will flesh out the multiple births modelling in detail

NH

Legal context considerations

- individual patient entity from birth
- information moved to individual record after birth
- pre-birth data moved to individuals record

needs to support - multiple birth


MB

Gender/Sex
- sophisticated coding may be needed
- at birth genetic differences vs social supported in recording
- social - is administrative record Patient.gender
- genetic - observation in the record; supporting records etc.


CR?

Need to consider
* Mother witholding information e.g smoking through pregnancy
* would not be recorded in child record (original record)
* observation can be supported by child record to pregnancy related history at a later point

FamilyMemberHistory - could bring in information from biological parents; context



Next:
- FHIR IG drafting (TB/BE + Agency) work up some FHIR models for Patient, Encounter, RelatedPerson
- JF review model proposals; events→resources; harmonisation project review (share on wiki)

Action items

  • TB to update use cases
  • Everyone to comment on Use cases and Child Health Domain Analysis Model

Attachments:

CHR Harmonisation Report Melbourne 23 May 2018 (V0.07) 28May18.pdf (application/pdf)

Comments:

Hi Brett - I've shared the content that I have on the Child Digital Health record harmonisation CHR Harmonisation Report Melbourne 23 May 2018 (V0.07) 28May18.pdf. I'm not sure if this task was supposed to be attributed to me, or Frances, but would certainly appreciate a discussion at the next meeting about the contents. 
Posted by joanne.fisher at 05 Jul, 2018 14:01

Thanks for info Joanne - I think it should have been Frances; much appreciated following this up.
Posted by b_esler at 05 Jul, 2018 14:37