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HL7 April Meeting - Toronto 1999. HL7 Standards Development in Australia / New Zealand - an Update Dick Harding / Klaus Veil. Who’s here?. Dick Harding Orders/Observations David Rowed MnM Patient Care / Comm. Health Klaus Veil PAFM V2.3.2 Data Warehousing Publishing.

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Hl7 april meeting toronto 1999
HL7 April Meeting - Toronto 1999

HL7 Standards Development

in

Australia / New Zealand

- an Update

Dick Harding / Klaus Veil

HL7 April Meeting, Toronto, 1999


Who s here
Who’s here?

Dick Harding Orders/Observations

David Rowed MnM

Patient Care / Comm. Health

Klaus Veil PAFM V2.3.2

Data Warehousing

Publishing

HL7 Meeting - Orlando 1999


Background information
Background Information

  • In Australia, standards are created by “STANDARDS AUSTRALIA (SAA)” - a government-supported organisation representing all stakeholders.

  • The Australian Federal and State Govts. often elevate Standards created by SAA to legislation level.

  • These standards have achieved widespread acceptance in Australia & New Zealand.

HL7 Meeting - Orlando 1999


Saa hl7 working groups
SAA HL7 Working Groups

HL7 April Meeting, Toronto, 1999


Patient administration
Patient Administration

  • Standard is based on HL7 Chapter 3 (AS4700).

  • Currently being revised to match HL7 V2.3.1.

    • This standard has become the accepted way of implementing Patient Administration messaging in Australia/New Zealand.

    • Fully endorsed by Australian Government.

HL7 Meeting - Orlando 1999


Clinical pathology
Clinical Pathology

  • Pathology Orders and Results (AS4700.2):

    • Covers parts of HL7 Ch. 4 & 7.

  • Currently being revised to match HL7 V2.3.1.

  • Need for an extended Order Message (ORM) for referrals has been identified.

  • Proposal has been submitted to the Orders/Ob-servation TC for consideration at this Meeting.

HL7 Meeting - Orlando 1999


The proposed expanded orm
The proposed Expanded ORM

HL7 April Meeting, Toronto, 1999


Drug prescriptions
Drug Prescriptions

  • Australian Standard for Drug Prescriptions (AS4700.3) is ready for publication:

    • formal modelling approach.

    • 8 data entities

    • 76 transaction types

    • collapsed into 19 HL7 messages

  • New Zealand has adopted AS4700.3 as an NZ Standard.

HL7 Meeting - Orlando 1999


Referral messages
Referral Messages

  • Currently being re-established:

    • Chair: David Rowed

    • New scope being defined.

HL7 Meeting - Orlando 1999


Govt standards policy
Govt. Standards Policy

  • Comprehensive broad-based study on national requirements (Andersen Cons.) focusing on:

    • Health eCommerce.

    • Digitisation & Consolidation of Patient Inf.

    • Aggregation and feedback of information into the Health System,

    • Privacy, security and access

  • Steering Committee to issue recommendations later this year.

HL7 Meeting - Orlando 1999


Australian hl7 participation
Australian HL7 Participation

  • PAFM V2.3.2 Naming Work Group:

    • Moderator: K. Veil

    • Scope: To internationalise the V2.3.2 ("XPN").

    • Brief fulfilled.

    • Proposal prepared for PAFM 2.3.2 Meeting this week.

  • Expanded Order Message

  • RIM Harmonisation Meeting as observer.

  • … normal HL7 Meeting attendance.

HL7 Meeting - Orlando 1999


Rapid specification
RAPID Specification

  • Redevelopment ofAcute and Psychiatric Information Directions

  • Covers entire Australian state of Victoria

HL7 April Meeting, Toronto, 1999


Rapid components
RAPID Components

  • Three main components

    • Mental Health Operational Data Store (ODS)

    • Mental Health Patient Management feeder system

    • Data Warehouse

HL7 April Meeting, Toronto, 1999


Rapid coverage data warehouse
RAPID Coverage - Data Warehouse

  • Acute admitted episodes

  • Elective Surgery (waiting / booking list)

  • Emergency

  • Aged Care

  • Ambulance

HL7 April Meeting, Toronto, 1999


Rapid messaging
RAPID Messaging

  • HL7 based

    • ADT/ACK

      • A01, A02, A03, A04, A08, A11, A12, A13, A21, A22, A24, A31, A37, A45

    • ORU/ACK

      • R01

    • QRY/ADR

      • A19

    • MFN/MFK

      • M02, M05

HL7 April Meeting, Toronto, 1999


Rapid issues with hl7
RAPID Issues with HL7

  • Aliases

  • Address (suburb is coded in “other designation” subcomponent)

  • Financial information (implemented as a Z-segment)

  • Legal status (implemented as a Z-segment)

  • “Leave of absence”

HL7 April Meeting, Toronto, 1999


Rapid doctor master file
RAPID Doctor Master File

  • RAPID relies on a centrally-maintained doctor master file!

    • That is, thousands of instances of a single Doctor master file for the whole State of Victoria.

    • Synchronisation by MFN messages

HL7 April Meeting, Toronto, 1999


Central registries
Central Registries

  • Notifiable diseases and conditions

  • Vaccination

  • Breast Screening

  • Pap smear

  • Dangerous Drugs

  • etc etc . . .

HL7 April Meeting, Toronto, 1999


Central registries early stages
Central Registries - Early Stages

  • Support from all States

  • Recently commenced

  • Limited HL7 planning to date

HL7 April Meeting, Toronto, 1999


Central registries issues with hl7
Central Registries - Issues with HL7

  • Defining Doctors (particularly Doctors in private clinical practice)

    • Address

    • Nature of role of various Doctors involved

    • We notice similar limitations in Australian Pharmacy and USA Center for Disease Control

    • RAPID avoided problem with Doctor master file

  • Consistent definitions of what data is required

HL7 April Meeting, Toronto, 1999


Other australian developments
Other Australian Developments

  • Community Health (CHIME, CHIS, etc.)

  • Aust. Government has commited support for attendance at all HL7 Meetings in 1999!

HL7 Meeting - Orlando 1999


New zealand developments 1
New Zealand Developments - 1

  • Currently re-establishing its position as International Affiliate.

  • May send a delegate to next HL7 Mtg.

  • HL7 well-established in NZ:

    • Central PMI accessed via HL7.

    • >60% of clinical pathology results are sent electronically using HL7.

  • NZ has adopted the Australian Drug Prescrip-tion standard as a NZ standard.

HL7 Meeting - Orlando 1999


New zealand developments 2
New Zealand Developments - 2

  • New Zealand sent 2 delegates to TC215 Meeting in Berlin two weeks ago:

    • Modelling WG

    • Messaging WG

  • NZ International involvement will be via:

    • ISO TC 215

    • Standards Australia

  • Funding currently being investigated.

  • No activity on NZ Z-segment register.

HL7 April Meeting, Toronto, 1999


Find out more about HL7 Australia at:

http://OurWorld.CompuServe.com/Homepages/KVeil

Thank You!

HL7 Meeting - Orlando 1999


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