2018-07-26 Meeting notes

Present:

Michael Legg, Andrew McIntyre, Jared Davidson, Eric Browne, Richard Dixon-Hughes, Vince McCauley, D. Mc,

Objective: to review the public feedback on the draft “Australian Pathology Messaging - Localisation of HL7 Version 2.4” where the main component that has been changed is chapter 7 Patient Referral.

QH Feedback:

1) Gender identification:

• C'tee discussion included:
  • that the RCPA have a WG working on this subject.
  • this is a tricky topic and has considerable sensitivities by those involved.
  • Don't touch the administrative sex as there are established process for dealing with this and any changes will likely affect Medicare billing and a host of other standard interfaces.
  • Need to look at the clinical notes to see the detail about transitioning etc and specific patient details.
  • Vince is not aware of Gender identification being implemented in any systems.
  • It was noted that the current systems for handling Gender identification were not as good as they could be.

Medical Objects Feedback (Anthony Cruice):

1) accept disposition of PV1-9 having a value in an example.

• changes made to table "PV1 Patient Visit" during meeting, including:
  • change "†††" comment ie added "if used internally it becomes optional".
  • Jared to change examples by valuing them.
  • Jared changed the text on-line with text similar to the following - "Field is required for addressing when messages are to be sent by a messaging service. Filed is optional when message is used internally."
  • In table PV1 and the row PV1-9 the optionality from "R" (required) to "C" (conditional).
  • Changed the comment in the row PV1-9 by removing "when in Australia" text.

Medical Objects (Jared Davison):

• mainly formatting
  • Jared to show changes at the next meeting after he's made the changes.

David McKillop:

• mainly formatting and updating of METeOR codes; hence Jared will review these and report back to committee at the next meeting.

Oridashi (Brett Esler):

1) Section 3.4.7.8 IAM-8:

• IAM-7 should be IAM-6 which is an error in the international standard. Good pick up Brett. Accepted.
• ORC-12: Changes made on-line during meeting.

Vince McCauley:

• Changes were done on-line during meeting
• To do: look at 2nd last of Vince's items (PID-23) which is work for a working group; PID-23 text or code and potential have on list with other groups.