2017-09-10 Meeting notes

Review of work done since last meeting

Jared went through the Referral section including:

• Update of AS 4700.6 content

Conformance Points - Appendix 5

Addition of conformance point in Appendix 5 - Conformance Statements
Vince mentioned not to make the "bar to high" for conformance points.

Andrew suggested an Appendix 8 - "A simplified Ref profile"

Jared discussed the Appendix 8 and the simplified message structure and cf to HL7 Ch7 has the full message structure.

Vince - need to keep the bar low initially
Jared added ' Whenever atomic date is present a system can just display the display segment, but must not error when atomic data is present.

Content added to A8.8.2 Sender - first sentence added. Changed "must" to "should" in 2nd paragraph.

Referred to section 7.5
3rd paragraph changes made "for each ORC group", plus deleted the latter half of the existing sentence.
Discussion on basic and complex HTML - reference to Appendix 5 XHTML Display Segment conformance points.

Discussion on constraints on senders and receivers. Senders should restrict what they ask and receivers should accept as broad as possible.
Discussion on keeping it simple for adoption ie just pdf.
Sender has to use table 0074 values and the receiver can place the messages into different parts of the application eg Pathology/Radiology/Other.
Wording changed include:

• "to inbox categotries"

Discussion on where to send the REF message. Added "Clinical/Other" instead of just "Other".

Added in section A8.7.1 "Senders must place "PHY" into OBR-24 .... <<<needs conformance point >>>
A8.7.2 Receivers
Where multiple inboxes are used in a receiving system, the value of OBR-24 must be used to direct the appropriate inbox.