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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

slide24
Find out more about HL7 Australia at:

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

Thank You!

HL7 Meeting - Orlando 1999

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