ID | WG | Priority | Voting | WG Disposition | Summary | Detail |
FHIRIG-97 | meds | High | Affirmative + Suggestion | Under Review | Semantics not clear for ETP Vendor Identifier | url: http://hl7.org.au/fhir/base2018Oct/StructureDefinition-au-prescription.html
The semantics around this data element are not clear. Specifically, the barcodes associated with current electronic prescription exchange services are a mechanism for obtaining and decrypting a prescription or dispense payload. It is not clear whether this is necessarily an identifier for the prescription.
Suggestion:
Suggest clarifying the semantics (including removal of the suggestion that it is the barcode in ETP solutions) or removing the data element.
Reporter: Reuben Daniels
E-mail: reuben.daniels at health dot qld dot gov dot au
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FHIRIG-96 | meds | Medium | Affirmative + Suggestion | Under Review | AU Prescription StructureDefinition name | url: http://hl7.org.au/fhir/base2018Oct/StructureDefinition-au-prescription.html
The name refers to prescription and not the name of the resource (i.e. medication request) which is inconsistent with the other profiles in AU Base
Suggestion:
Rename the profile to StructureDefinition-au-medicationrequest
Reporter: Reuben Daniels
E-mail: reuben.daniels at health dot qld dot gov dot au
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FHIRIG-95 | meds | Medium | Affirmative + Suggestion | Under Review | Multiple PBS sponsors | url: http://hl7.org.au/fhir/base2018Oct/StructureDefinition-au-medication.html
I believe it is possible for the PBS sponsor of a medication to change if the sponsor goes out of business, is acquired, or for other reasons.
Suggestion:
Suggest supporting multiple PBS Sponsors
Reporter: Reuben Daniels
E-mail: reuben.daniels at health dot qld dot gov dot au
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FHIRIG-94 | pa | High | Negative | Under Review | Reference to Medicare Number is ambiguous | url: http://hl7.org.au/fhir/base2018Oct/StructureDefinition-au-relatedperson.html
The reference to Medicare Number refers to either:
a 10-digit medicare card number + checksum and issue number AND
an 11-digit number which includes medicare card number + checksum + issue number + individual reference number.
If this is to be considered a patient/consumer identifier, this needs to be the 11-digit form and this should be made clear.
Reporter: Reuben Daniels
E-mail: reuben.daniels at health dot qld dot gov dot au
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FHIRIG-93 | pa | High | Negative | Under Review | Unclear what the requirement for the au device profile is | url: http://hl7.org.au/fhir/base2018Oct/StructureDefinition-au-device.html
This profile appears to only specify support for the PAI-D identifier which is not in widespread use in Australia. The description of the profile is pretty broad too: "A device in an Australian healthcare context" and this does not agree with the use of the PAI-D identifier which is specific to devices which generate My Health Record documents on behalf of an organisation.
I think it might be too early to include this profile in the IG and it may be misunderstood or cause confusion.
Suggestion:
Recommend removing this profile, or updating the description to align with the intended use of the PAI-D identifier.
Reporter: Reuben Daniels
E-mail: reuben.daniels at health dot qld dot gov dot au
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FHIRIG-92 | pa | High | Affirmative + Suggestion | Under Review | Clarification required around HPI-O being an identifier for both HealthcareService and Organisation | url: http://hl7.org.au/fhir/base2018Oct/StructureDefinition-au-healthcareservice.html
The HPI-O identifier listed is also an organisational identifier. It would this be helpful to describe to readers of this specification how a healthcare service is different to an organisation in this specification. By allowing the same identifier to be used in both might create confusion.
Suggestion:
Add clarification and guidance.
Reporter: Reuben Daniels
E-mail: reuben.daniels at health dot qld dot gov dot au
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FHIRIG-91 | pa | High | Affirmative + Suggestion | Under Review | Clarification required around concurrent use of HPI-O, CSP, and PAI-O identifiers for a single organisation | url: http://hl7.org.au/fhir/base2018Oct/StructureDefinition-au-organisation.html
The profile allows a single organisation to have any combination of CSP, HPI-O, and PAI-O identifiers concurrently. It is extremely unlikely that an organisation would be eligible for (and have) an HPI-O and then also have a CSP number and/or PAI-O.
Suggestion:
Add constraints disallowing this, or clarification/guidance for correct use.
Reporter: Reuben Daniels
E-mail: reuben.daniels at health dot qld dot gov dot au
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FHIRIG-90 | pa | High | Affirmative + Suggestion | Under Review | Clarification required around use of multiple HPI-Os single a single organisation | url: http://hl7.org.au/fhir/base2018Oct/StructureDefinition-au-organisation.html
The profile allows multiple HPI-Os for a single individual organisation which is unusual. However, if the IG is recognising that an organisation can be part of a network and associated with multiple HPI-Os, then perhaps this might make sense. However, that would require explanation and guidance on correct use.
Suggestion:
Describe intent and correct use.
Reporter: Reuben Daniels
E-mail: reuben.daniels at health dot qld dot gov dot au
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FHIRIG-89 | pa | High | Negative | Under Review | "Provider Number" is ambiguous | url: http://hl7.org.au/fhir/base2018Oct/StructureDefinition-au-practitionerrole-definitions.html
"Provider Number" is ambiguous and might be mistaken to refer to an identifier other than the Medicare Prescriber Number.
Suggestion:
Rename "Provider Number" as "Medicare Provider Number"
Reporter: Reuben Daniels
E-mail: reuben.daniels at health dot qld dot gov dot au
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FHIRIG-88 | pa | High | Affirmative + Suggestion | Under Review | Multiple HPI-I identifiers should not be allowed for a single practitioner. | url: http://hl7.org.au/fhir/base2018Oct/StructureDefinition-au-practitioner.html
According to the HI Service, a practitioner individual can only have a single HPI-I regardless of changing names or healthcare provider professions/specialties.
Suggestion:
Either change cardinality to 0..1 or explain why multiple HPI-Is are allowed and explain how to safely do so.
Reporter: Reuben Daniels
E-mail: reuben.daniels at health dot qld dot gov dot au
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FHIRIG-87 | pa | High | Negative | Under Review | "Prescriber Number" is ambiguous | url: http://hl7.org.au/fhir/base2018Oct/StructureDefinition-au-practitioner.html
"Prescriber Number" is ambiguous and might be mistaken to refer to an identifier other than the Medicare Prescriber Number
Suggestion:
Rename "Prescriber Number" as "Medicare Prescriber Number"
Reporter: Reuben Daniels
E-mail: reuben.daniels at health dot qld dot gov dot au
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FHIRIG-86 | pa | High | Negative | Under Review | AHPRA Registration Number is not a qualification identifier | url: http://hl7.org.au/fhir/base2018Oct/StructureDefinition-au-practitioner.html
The AHPRA Registration Number is an identifier associated with practitioners registration (not their qualifications)
Suggestion:
Include AHPRA Registration Number as practitioner identifier.
Reporter: Reuben Daniels
E-mail: reuben.daniels at health dot qld dot gov dot au
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FHIRIG-85 | pa | High | Affirmative + Suggestion | Under Review | Guidance should be provided the value of assigner for the IHI | url: http://hl7.org.au/fhir/base2018Oct/StructureDefinition-au-patient-definitions.html#Patient.identifier:ihiNumber.assigner
Specifically, which organisation is the assigner? Is it the HI Service Operator or a different organisation?
Suggestion:
Address with guidance and examples.
Reporter: Reuben Daniels
E-mail: reuben.daniels at health dot qld dot gov dot au
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FHIRIG-84 | pa | High | Affirmative + Suggestion | Under Review | Guidance should be provided on use of the period value. | url: http://hl7.org.au/fhir/base2018Oct/StructureDefinition-au-patient-definitions.html#Patient.identifier:ihiNumber.period
Specifically, how is this populated for a verified IHI, and how is it populated for IHIs which have different number and record status values.
Suggestion:
Addressing with guidance and examples to address all cases.
Reporter: Reuben Daniels
E-mail: reuben.daniels at health dot qld dot gov dot au
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FHIRIG-83 | pa | High | Negative | Under Review | Multiplicity of Patient.identifier(ihiNumber) should be clarified. | url: http://hl7.org.au/fhir/base2018Oct/StructureDefinition-au-patient.html
The specification states that a patient may have multiple Individual Healthcare Identifiers (IHIs). This is unusual (though not impossible e.g. replicas). The specification should be clear on how multiplicity should be used, or otherwise ensure that a patient may only have a zero or 1 (0..1) IHI values.
Suggestion:
Support multiple IHIs values AND provide clear rules/constraints on how this should be used by implementers.
Reporter: Reuben Daniels
E-mail: reuben.daniels at health dot qld dot gov dot au
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FHIRIG-82 | pa | Low | Affirmative + Suggestion | Under Review | Inclusion of NDIS patient identifier | url: http://hl7.org.au/fhir/base2018Oct/StructureDefinition-au-patient.html
The implementation of the National Disability Insurance Scheme by the National Disability Insurance Agency (NDIA) may include a unique identifier for individuals. It may be worth including this in the IG
Suggestion:
Investigate inclusion of the identifier.
Reporter: Reuben Daniels
E-mail: reuben.daniels at health dot qld dot gov dot au
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FHIRIG-81 | pa | High | Negative | Under Review | Medicare Number should only be the 11-digit form which includes the IRN | url: http://hl7.org.au/fhir/base2018Oct/StructureDefinition-au-patient.html
The reference to Medicare Number seemingly refers to both:
the 10-digit medicare card number + checksum and issue number AND
an 11-digit number which includes medicare card number + checksum + issue number + individual reference number.
If this is to be considered a patient/consumer identifier, this needs to be the 11-digit form.
Suggestion:
Mandate that only the 11-digit Medicare Card Number can be used
Reporter: Reuben Daniels
E-mail: reuben.daniels at health dot qld dot gov dot au
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FHIRIG-80 | if | Low | Affirmative + Suggestion | Under Review | Description of levels FMM 1 - FMM 5 could be clearer. | url: http://hl7.org.au/fhir/base2018Oct/guidance.html
The use of the word "PLUS" is in these descriptions is ambiguous. I expect that it means the previous level and the following additional requirements. But it reads as if the level might be named "FMM X PLUS"
Suggestion:
Include the previous level in the description e.g. :FMM1: DRAFT 0 PLUS …."
Reporter: Reuben Daniels
E-mail: reuben.daniels at health dot qld dot gov dot au
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FHIRIG-79 | meds | Low | Affirmative + Query | Under Review | Clarification required | url: http://hl7.org.au/fhir/base2018Oct/StructureDefinition-au-allergyintolerance.html
Note: The value set Indicator of Hypersensitivity or Intolerance to Substance is part of a staged approach to offering meaningful localised coding and that redesign occurring in SNOMED CT content relating to allergies, adverse reactions and intolerances. What work is being done in relation to data standards more broadly in the health context that will be impacted. Current data standards will not align to the terminology.
Reporter: Reuben Daniels
E-mail: reuben.daniels at health dot qld dot gov dot au
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FHIRIG-78 | pa | High | Negative | Under Review | Contemporary gender and sex data elements should be included in the profile | url: http://hl7.org.au/fhir/base2018Oct/StructureDefinition-au-patient-definitions.html
It is not clear why the sex data element is not included and this is relevant in a clinical context. Permissible values for the sex data element are not limited to male and female.
Suggestion:
Address contemporary requirements for gender and sex data elements. Perhaps adoption of extensions for elements like biological sex could be considered in consultation with health providers.
Reporter: Reuben Daniels
E-mail: reuben.daniels at health dot qld dot gov dot au
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FHIRIG-77 | pa | Low | Affirmative + Query | Under Review | PBS Safety Net Card Identifier | url: http://hl7.org.au/fhir/base2018Oct/StructureDefinition-au-patient.html
Should the PBS Safety Net Card identifier be included?
Reporter: Reuben Daniels
E-mail: reuben.daniels at health dot qld dot gov dot au
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FHIRIG-76 | if | High | Affirmative + Suggestion | Under Review | StructureDefinition URLs should include the version | url: http://hl7.org.au/fhir/base2018Oct/downloads.html
The StructureDefinitions for profiles and extensions do not include the version in the URL. This has the implication that when referencing them, you can't reference a specific version. This is unlike the NCTS StructureDefinitions which DO include the version in the URL.
Suggest including the x.y.z version in the StructureDefinition.url value e.g.
http://hl7.org.au/fhir/StructureDefinition/au-practitionerrole/1.0.0
Reporter: Reuben Daniels
E-mail: reuben.daniels at health dot qld dot gov dot au
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FHIRIG-75 | pa | High | Affirmative + Suggestion | Under Review | It is not always clear which identifier or extension parts of the specification refer to | url: http://hl7.org.au/fhir/base2018Oct/profiles.html
When components of the identifier are specified, some elements have the identifier it refers to provided e.g. "(ihiNumber)" in "Patient.identifier(ihiNumber)". However, for others the specific identifier is omitted e.g. "Patient.identifier.extension.valueCoding(valueCoding)" refers to the IHI Record Status but it is not clear that this element refers to the ihiNumber instance of Patient.identifier. Similar issues applied to DVA and Medicare number
Reporter: Reuben Daniels
E-mail: reuben.daniels at health dot qld dot gov dot au
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FHIRIG-74 | if | High | Affirmative + Suggestion | Under Review |