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This document provides an update on the development of HL7 standards in Australia, including information on patient administration, clinical pathology, registries, drug prescriptions, referral messages, community health, government standards policy, and other Australian developments.
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HL7 Meeting - Cleveland 2000 HL7 Standards Development in Australia - an Update Klaus Veil - David Rowed HL7 Int. Commitee Meeting, Cleveland, 2000
Who’s here? Dick Harding Orders/Obs., CQ, Conf. John Hornsey CBHS, Pers. Mngmt. David Rowed CBHS, Patient Care Klaus Veil PAFM, Publishing Thomas Beale GEHR HL7 Int. Commitee Meeting, Cleveland, 2000
Background Information • In Australia, standards are created by “STANDARDS AUSTRALIA (SAA)” - a government-supported organisation representing all stakeholders. • The Australian Federal Govt endorsed HL7 as the healthcare messaging standard in 1997. • HL7 has achieved widespread acceptance in Australia & New Zealand. HL7 Int. Commitee Meeting, Cleveland, 2000
SAA HL7 Working Groups HL7 Int. Commitee Meeting, Cleveland, 2000
Patient Administration • Patient Administration Standard AS4700.1: • Based on HL7 Chapter 3 and parts of Ch. 2. • Revised to match HL7 V2.3.1. HL7 Int. Commitee Meeting, Cleveland, 2000
Clinical Pathology • Pathology Orders and Results AS4700.2: • Based on parts of HL7 Chapters 4 & 7. • Revised to match HL7 V2.3.1. HL7 Int. Commitee Meeting, Cleveland, 2000
Registries Messages • Registry Messages AS4700.4. • Financial support from Australian States (= $$$s!). • Areas targeted: • Cancer registers. • Notifiable diseases. • Public comment (“ballot”) completed. HL7 Int. Commitee Meeting, Cleveland, 2000
Drug Prescriptions • Drug Prescriptions (AS4700.3): • formal modelling approach. • 8 data entities with 76 transaction types • collapsed into 19 HL7 messages • Adopted as a joint Australian/New Zealand Standard. • Govt. sponsored/funded project to implement electronic prescriptions. HL7 Int. Commitee Meeting, Cleveland, 2000
Referral Messages • Referral Messages (AS4700.5): • Content draft completed, to be embodied in messages. • Publication planned for late 2000. HL7 Int. Commitee Meeting, Cleveland, 2000
Community Health • Australia has identified that this area is currently not adequately covered in HL7 V2.3. • Community-Based Health Services SIG established by HL7. Initial enhancements: • Patient identification (different names, DoB’s, DoD’s, etc.). • Patient legal status (in Mental Health). • Gender (also Mental Health). • ... HL7 Int. Commitee Meeting, Cleveland, 2000
Govt. Standards Policy • In 1999 the Australian Govt. released the “Health Online” policy document. • Stakeholder Focus: • Patients • Providers • Administrators • Technology focus: • EMR • InterNet • 2000: National Health Inform. Standards Plan HL7 Int. Commitee Meeting, Cleveland, 2000
Other Australian Developments • GEHR: an implementation of kernel with API is being funded by Govt (-> Thomas Beale). • GEHR model has been taken to CORBAMed. • Client Identification Standard AS4590 • Govt. Funding GP model & data set • ... Olympics! HL7 Int. Commitee Meeting, Cleveland, 2000
New Zealand Overview • HL7 well-established in NZ: • Central PMI accessed via HL7. • >60% of clinical pathology results are sent electronically using HL7. “Business As Usual” HL7 Int. Commitee Meeting, Cleveland, 2000
Find out more about HL7 Australia at: http://www.HL7.com.au Thank You! HL7 Int. Commitee Meeting, Cleveland, 2000
