HL7AU - FHIR WG : 2018-09-13 Minutes

Date

13 Sep 2018

Attendees

 Apologies 

• Brian Postlethwaite (Telstra Health) - chair
• Brett Esler (Oridashi)
• Rob Eastwood (Australian Digital Health Agency)
• Uday Chandrupalta (Australia Digital Health Agency)
• Jane Gilbert (Telstra Health)
• Jaco Olivier (HealthDirect)
• Eric Browne (Montage)
• Jared Davison (Medical Objects)
• David McKillop (Australian Digital Health Agency)
• Angus Millar (Australian Digital Health Agency)
• Vikas Mittal (Australian Digital Health Agency)
• Paul McMahon
• Richard Townley-O'Neill
• Uma (Health Direct)
• Faraz Ahmed
• Satya Yelisetti (Australian Digital Health Agency)
• Stephen Royce

Agenda

• Review PA Base IG content
• HealthcareService 
  • location properties (characteristics) and others
  • billing/payments characteristics - service provision
  • timezone -  timezone database e.g. https://build.fhir.demo.nhsd.com.au/CodeSystem-au-timezones.html
  • languages - languages codesystem for use 
  • how to make available content from registration authorities; subsets; publishing; live sources
•  

Minutes

PA review

• Australian Address usage - is guidance rather than referenced; no change
• Referencing target profiles
  • AU base IG should offer a profile that can support core unconstrained instances - additive not constraining : agreed
  • Change - PractitonerRole.identifier (Provider Number) 0..*; PractitionerRole.location 0..*;  agreed - not location specific
  • PD spec needs constraint on identifier PRN
  • All identifiers throughout base 0..* 
  • Guidance use AU profiles where appropriate reference target
  • In general reference core only i.e. unconstrained
  • WGs look for exceptions to this
• Identifier.type.text - 0..1 throughout : agreed 
  • optionality on Identifier.type will change as text is not required
• Statement on appropriate usage - legal behaviour in you context of usage - Guidance

Healthcare Service

• HeathcareService.type - terminology development
  • Taxonomy developed based on HI service taxonomy
  • SNOMED gap identified
  • Concepts drafted 
  • Needs review 
  • SNOMED CT maps have been looked at (ConceptMap)
  • NHSD doing further work
  • may be published direct to NCTS (healthterminologies)
    
    
• serviceProvisionCode
  • Codesystem available from NHSD to replace example ValueSet
  • example binding
  • publish in AU base
  • service-provision-code
  • Jaco: send a copy to  Brett
    
    
• Terminology - small codesystems or incorporate with larger pubs like SNOMED

• characteristics
  • query on extension to include note, category and value; extend CodeableConcept or have a HealthcareService extension
  • look at extensions
  • valueset availabe to work on 
• coverage are
  • look at vhDir geo+json extension for coverage definition

Uday: CAEI individual should be in Practitioner not PractitionerRole

Action items