HL7AU - FHIR WG : MED20200303 Meeting

Attendance

• Danielle Bancroft (FRED IT)
• Dion McMurtrie
• Brett Esler (Oridashi)
• Phil Robinson
• Dusica Bojicic (Digital Health Agency)
• Richard Dixon-Hughes
  
  

Apology 

• Jose Veroes (eHealth NSW)
• Eric Browne (Montage Systems)
• Arfa Amjad (Digital Health Agency)
• Jaymee Murdoch (Agency)
• Peter Duldig (MedicAlert Australia)
• Danielle Bancroft (FRED IT)
• David McKillop (Digital Health Agency)
• Liam Barnes (Digital Health Agency)
• Gamila MacRury (NPS Medicinewise)
• Shovan Roy
• Stephen Royce
• Jared Davison
• Matt Cordell
• Mina Wanis (MIMS Australia)
• Stephen Chu
• John Grimes

• Brian Dunstan

• Vikas Mittal (ADHA)

Agenda

1. Where are we at?
2. New fields for AU Base
3. International WG update

Minutes

• R4 implementation
• Paperless prescription work has happened : updates proposed
  1. grounds for concurrent supply - true / false (DB to confirm defence internal usage);https://github.com/hl7au/au-fhir-base/issues/374
     1. replace extension grounds-for-concurrent-supply
  2. original pharmacy approval number / script number -  persist across the subsequent authorisations
     1. MedicationRequest.identifier:originalScriptNumber 
     2. add: Approval number (from Organisation.identifier:pharmacyapprovalNumber) extension for MedicationRequest/MedicationDispense
  3. ETP conformance id (creator, repeat creator, dispenser) + ETP URL reference 
     1. ETPIdentifiers.CreatorConformanceId
     2. ETPIdentifiers.DispenserConformanceId
     3. ETPIdentifiers.URI
  4. Emergency Supply; https://github.com/hl7au/au-fhir-base/issues/152
     1. MedicationRequest.emergencySupply
  5. RTAC; https://github.com/hl7au/au-fhir-base/issues/373
     
     1. MedicationRequest.rtacid
  6. Medicare Authority;; https://github.com/hl7au/au-fhir-base/issues/153
     1. MedicationRequest.identifier:authorityScriptNumber - ring medicare and provide them generated script number or provider as generated for streamlined
     2. MedicationRequest.identifier:authorityNumber - supplied by Medicare on call; or use streamlined authority number
  7. Organisation.identifier:pharmacyapprovalNumber - organisation; https://github.com/hl7au/au-fhir-base/issues/370
  8. CTG annotation : MedicationRequest/Dispense .identifier slice; https://github.com/hl7au/au-fhir-base/issues/372
• International working group
  • Medication List as a resource work beginning 
  • Catalouge - will head to medications eventually; but not really now

Actions

• • • • DB: confirm Defense Health internal usage - grounds for concurrent supply
      • BE: discuss with Primary Care project; Agency and eHealth NSW intensive care handover project wrt medicines list
      • BE draft some discussion points for CSIRO event discussion on meds list
      • BE: Verifier role - describe usage; checked by e.g. student or policy of second observe
      • BE: discussed Composition.section code use across multiple IGs; potential AU Base guidance; maybe valueset for section type; rules on section content
      • BE: AU Base Body Site - > naming in narrative
      • BE: container types element in R4 query zulip chat
      • BE: check international MedicationStatement needs informationSource 
      • BE: diluent zulip chat feedback required