Date
Attendees
- Brian Postlethwaite (Telstra Health) chair
- Brett Esler (Oridashi)
- Vikas Mittal (Australian Digital Health Agency)
- David McKillop (Australian Digital Health Agency)
Apologies
- Uday Chandrupatla (Australia Digital Health Agency)
- Philip Wilford (Australia Digital Health Agency)
- Saravanan Shanmugam (Healthdirect)
- Danielle Tavares Rixon (Australian Digital Health Agency)
- Eric Browne (Montage)
- Jim Steel (CSIRO)
- Reuben Daniels (Queensland Health)
- Jane Gilbert (Telstra Health)
- Jared Davison (Medical Objects)
- Angus Millar (Australian Digital Health Agency)
- Paul McMahon
- Richard Townley-O'Neill
- Uma (Health Direct)
- Faraz Ahmed
- Satya Yelisetti (Australian Digital Health Agency)
- Stephen Royce
- Jane Gilbert (Telstra Health)
- Rob Eastwood (Australian Digital Health Agency)
Agenda
- Practitioner Qualifications working session, review the drafts worked on by Jane Gilbert, Brian Postlethwaite, Rob Eastwood and Uday - see https://github.com/hl7au/au-fhir-base/pull/324
Minutes
Jane and Brian hadn't done any further work on the qualification refactoring due to other commitments.
Reviewed the pull request from Uday (https://github.com/hl7au/au-fhir-base/pull/324) noted that the valueset https://healthterminologies.gov.au/fhir/ValueSet/qualifications-1 didn't expand, probably as isn't on the NCTS as yet, seeking the location of the terminology on one of the other terminology servers for review. This is a title only terminology, concepts haven't been worked on as yet.
The initial review notes that this wasn't as broad as the refactoring that was desired to be. Really want to get a better understanding of what properties people want to record for each of the use cases the backbone element is intended to cover:
- Formal Qualifications (e.g. Bachelor of Science, University of Melbourne, with Honours graduated in 1993, majoring in veterinary science, 3 year degree)
- Registrations (e.g. AHPRA Registered Nurse, expiry date 2020-09-01)
- Training (e.g. Cert 3 Aged care, completed 2019-07-01)
- License to practice (e.g. Member of the college of surgeons, start 2019-09-01, expiry date 2020-09-01) These often have associated rule that require people to maintain the currency of the required qualifications
| Property | Formal Qualification | Registration | Training | Licensing |
|---|---|---|---|---|
| Identifier | ID issued by the issuer of the qualification (may not exist in many cases) | likely to exist HPI-I, AHPRA Reg ID | ||
| Code | The example valueset included in the specification | |||
| period.start | when was the qualification was conferred/graduated, and the practitioner now has this qualification | the start of the registration | when the training was completed | start of license validity |
| period.end | this is typically not used, unless for some reason the qualification was revoked | when registration expires | when the training is valid until | when license expires |
| issuer.display | the name of the institution that issued the qualification | the name of the issuer, or the training provider? | issuer of the license | |
| issuer.reference | if the institution was codified (often not used) | |||
| (ext) Specialty | likely included | possibly here too | highly likely | |
| (ext) where valid | the location/area/jurisdiction that the license is valid within. e.g. state based license to practice | |||
| (ext) status | active, inactive, revoked, pending, unknown | active, inactive, revoked, pending, unknown | active, inactive, revoked, pending, unknown |
Do we need a new Type property to indicate the type of qualification: qual, reg, train, licence etc...
Should the http://hl7.org/fhir/v2/0360/2.7/index.html valueset have levels in it? Is this the extra type level that would be in the property above, e.g. Bachelor Degree, Diploma, etc.
This is a good start on the issue, would like to pass the terminology parts of this problem to the Agency, HISA or someone else involved.
Does the difference between a testing provider and issuer of a certification make any difference, and does that need to be recorded?
The VhDir also has some extensions on this backbone element: http://build.fhir.org/ig/HL7/VhDir/StructureDefinition-practitioner-qualification.html
(specifically the where valid and status extensions)
Action items
- Brett Esler to contact HISA to see if they have any informatics people that can assist in the review of the data elements and terminologies
- Brian Postlethwaite to present these notes to the Patient Administration workgroup at HL7 International
- Brett Esler to check if there is a contact in the College of General Practice that can assist
- Jane Gilbert to check with AHPRA if they are able to assist with this
Items for next meeting
20 Nov 2019 - Continue working on this issue, and see if we have any additional details to further the development.
Review HL7 International Encounter modelling issues
Review HL7 International Patient Merge draft