HL7AU - FHIR WG : MED20180725 Meeting

Attendance

• Brett Esler (Oridashi)
• Eric Browne (Montage Systems)
• Jose Veroes (eHealth NSW)
• Phil Robinson (Acrobatic Consulting Services)

Apology 

• Gamila MacRury (NPS Medicinewise)
• Shovan Roy
• Dusica Bojicic
• Richard Townley-O'Neill
• David McKillop (Digital Health Agency)
• Danielle Bancroft (FRED IT)
• Stephen Royce
• Jaymee Murdoch (Agency)
• Jared Davison
• Matt Cordell
• Mina Wanis (MIMS Australia)
• Stephen Chu
• John Grimes

• Brian Dunstan

• Vikas Mittal (ADHA)

Agenda

• • PBS Manufacturer two letter code revisited

    • PBS Manufacturer/Supplier recommend following for discussion
      • add extension explicitly for PBS Manufacturer/Supplier noting this is responsible sponsoring entity and not necessarily the factory producer
      • extension is Reference(Organization)
      • Reference.display is optional name of organization
      • Reference.identifier is required
        • value is two letter code
        • URL ? recommendation is there now
      • Reference.reference is optional 
      • FHIR PBS Manufacturer is drafted
    • Recommend we note Medication.manufacturer is explicitly responsible drug manufacturer (factory) rather than supplier
  • Medical Benefit Category 
    

    • Existing vocab : e.g. PBS, RPBS, CTG

    • https://api.healthterminologies.gov.au/integration/v2/fhir/ValueSet/$expand?url=https%3A%2F%2Fhealthterminologies.gov.au%2Ffhir%2FCodeSystem%2Faustralian-benefit-payment-category-1&_count=100

    • https://api.healthterminologies.gov.au/integration/v2/fhir/ValueSet/$expand?url=https%3A%2F%2Fhealthterminologies.gov.au%2Ffhir%2FCodeSystem%2Faustralian-healthcare-entitlement-type-1&_count=100

    • 
      

  • Authority MedicationRequest, MedicationDispense 

    • PBS/RPBS Authority Prescription Number

    • PBS/RPBS Authority Approval Number

    • Streamlined Authority Approval Number

    • State Authority Number

  • Note: issues with IG builder Brett follow up with Grahame + https://chat.fhir.org/#narrow/stream/18-australia/topic/IG.20Publisher.20Issue.20Hit.20Li
    
    • This is not going to happen before FHIR R4 release is locked in 
  • Child Health Working group terminology usage discussion - recommend using explicit ValueSets to include narrative and metadata rather than implicit sets referencing SNOMED-CT directly (hierarchies + refsets)

Minutes

• working group approach to PBS re suitable URI to reference the two letter code; also NCTS intent around PBS usage - BE draft question for PBS to give to PR to send on 
• what is a good description of the PBS two letter code; is there a definition of this role? can use to name the extension -  maybe RT can find previous investigation work
• https://healthterminologies.gov.au/fhir/CodeSystem/australian-benefit-payment-category-1 is prescribing element - valueset with no-benefit/pbs/rpbs 
• existing descriptions - 

Some definitions from the Agency data model. 

• • Concession Benefit:  Indicates the category of subsidy appropriate to the item being prescribed.
    Notes for Concession Benefit: This indicates whether the item has been prescribed for a use that attracts a subsidy.

  • Claim Category: The category of reimbursement or subsidy sought for the item.
    The primary purpose of this data element is to enable the determination of the source of any applicable financial subsidy for the item.
    Not to be confused with Concession Benefit.

• Concession Benefit - is related to MedicationRequest (prescription) 
  • no good candidate FHIR resource types 
  • implement as an extension
  • draft url: http://hl7.org.au/fhir/StructureDefinition/concession-benefit
  • coding - valueset to be defined no-benefit/pbs/rpbs from https://healthterminologies.gov.au/fhir/CodeSystem/australian-benefit-payment-category-1
  • context MedicationRequest; MedicationStatement, ImmunizationRecommendation
• Jose eHealth NSW - some items to discuss; put on the agenda and continue discussion
  • witness of administration role on administration
  • https://chat.fhir.org/#narrow/stream/94-Medication 

Actions

• • • • Richard: check with NCTS on GTIN and AMT 
      • Brett: add DHS PBS coding; explanation  in base IG
      • Brett: add OID mappings to coding into base IG
      • Richard & Brett: content for page on IG warnings and FMM description
      • Brett: Add long term extension to MedicationStatement AU base
      • Brett: add brand/generic name extensions in AU base