HL7 April Meeting - Toronto 1999

1. HL7 April Meeting - Toronto 1999 HL7 Standards Development in Australia / New Zealand - an Update Dick Harding / Klaus Veil HL7 April Meeting, Toronto, 1999

2. 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

3. 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

4. SAA HL7 Working Groups HL7 April Meeting, Toronto, 1999

5. 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

6. 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

7. The proposed Expanded ORM HL7 April Meeting, Toronto, 1999

8. 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

9. Referral Messages • Currently being re-established: • Chair: David Rowed • New scope being defined. HL7 Meeting - Orlando 1999

10. 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

11. 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

12. RAPID Specification • Redevelopment ofAcute and Psychiatric Information Directions • Covers entire Australian state of Victoria HL7 April Meeting, Toronto, 1999

13. RAPID Components • Three main components • Mental Health Operational Data Store (ODS) • Mental Health Patient Management feeder system • Data Warehouse HL7 April Meeting, Toronto, 1999

14. RAPID Coverage - Data Warehouse • Acute admitted episodes • Elective Surgery (waiting / booking list) • Emergency • Aged Care • Ambulance HL7 April Meeting, Toronto, 1999

15. 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

16. 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

17. 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

18. Central Registries • Notifiable diseases and conditions • Vaccination • Breast Screening • Pap smear • Dangerous Drugs • etc etc . . . HL7 April Meeting, Toronto, 1999

19. Central Registries - Early Stages • Support from all States • Recently commenced • Limited HL7 planning to date HL7 April Meeting, Toronto, 1999

20. 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

21. 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

22. 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

23. 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

24. Find out more about HL7 Australia at: http://OurWorld.CompuServe.com/Homepages/KVeil Thank You! HL7 Meeting - Orlando 1999