SLIDE 60 60 Paper Records Harmonised Content Clinical Information Specifications & Model FHIR Implementation Guide
Consumer Held Child Health Record
- Sharing of child health information
between consumers and multiple providers
- Jurisdictional Child Health Record
(baby book) Custodian
- Full clinical and consumer
consultation by each jurisdiction
Harmonised Clinical & Consumer Content
- Nationally agreed core components
- f a child health record
- Ensure each jurisdiction’s data is
represented in the national data set
- CDHR Harmonisation Expert
Committee (Jurisdictional Child Health Record Custodians)
- Australian Health Ministers Advisory
Council (AHMAC) – Health Services Principal Committee (HSPC)
jurisdictional Child Health Record custodians
Clinical Information Specifications & Model
- Spec: How the information will be
structured in a digital record
- Model: The clinical information
presented for clinical review and endorsement Spec:
- Internal Review
- Terminology Review by CSIRO
Model:
- Clinical Informatics Endorsement
Committee (Peak Bodies & Colleges eg RACGP, RACP, etc) Spec:
- Clinical TIGER team – Clinical
questions Model:
- Endorsed through the organisation’s
standard endorsement process
- Reviewed by National Research
Advisory Group to identify research gaps
Child Data Hub to CIS & Consumer App Information Exchange
- Industry agreed specification for the
exchange of clinical information
- HL7 Child Health Working Group
- HL7 Australia (International
Standard)
- FHIR Implementation Guide profiles
based on the HL7 Australia base resources collaboratively developed through the working group
High (≥50% Use) Medium (30-49% Use) Low (<30% Use) Child Information Nat % Use W/S Outcome Baby's Name 63 C Name of Birth Facility 100 A Date of Birth 100 C Time of Birth 75 A Sex (Male) 75 C Sex (Female) 75 C Child Information Nat % Use W/S Outcome This section is to be completed by a health professional 38 E Baby's Given Name/s 38 C Baby's Family Name 38 C Address 38 C Baby's Blood Group 38 E Child Information Nat % Use W/S Outcome UR (Unique Reference) 13 E Examiner Name 25 E Maternal Information Nat % Use W/S Outcome Mother's Name 63 C Pregnancy Complications 63 A Mother's Blood Group 63 E Labour (Spontaneous) 63 A Labour (Induced) 63 A Labour (Induced - Reason) 63 A Type of Birth (Normal/Vaginal) 75 A Type of Birth (Breech) 75 A Type of Birth (Forceps) 75 A Type of Birth (Caesarean) 75 A Type of Birth (Vac Ext) 75 A Maternal Information Nat % Use W/S Outcome Anti D Given 38 E Labour Complications 38 E Type of Birth (Home) 38 E Type of Birth (Other) 38 E Type of Birth (Other, Specify Details) 38 E Postpartum issues 38 E Maternal Information Nat % Use W/S Outcome Mother's Given Name 25 C Mother's Family Name 25 C Father's Name 13 C Mother's Date of Birth 13 E Mother's Home & Mobile Phone 25 E MRN (medical record number) 25 C Type of Birth (write) 25 E Type of Birth (water) 25 E Delayed cord clamp 13 T Birth Complications 25 E Maternal GBS Status 13 E Maternal GBS Status - Antibiotics given? 13 E Maternal rubella TITRE 13 E Mother has had in pregnancy (CMV / Toxoplasmosis / Rubella 13 E Workshop Identified Nat % Use W/S Outcome Fathers Given & Family Names A Sex Other T Other Parent A
Legend A Agreed (Include) AA Agreed for ATSI T To be Agreed C Core Data O Out of Scope E Exclude
CDH CDHR Cl Clinical & Co Consumer r Inform rmation Management
Purpose Review/Endorse Artefact Consult
Data Source Conceptual Data Item Logical Data Item Logical Data Item Description Logical Data Item Code (If Applicable) Field Type ValueSet Elements ValueSet Element Code ValueSet Description Field Type Format Priority Cardinality Harmonised (H) Content impacts from orchestartion (O) (operational) (OP)/ (F) FHIR / restrictions / enhancements ( E ) BOLD equals Harmonised data Name of the Data Item The description of the logical data item description SNOMED Code which represents the data item FHIR Date, text, checkbox, radio button, numeric, drop down list Name of ValueSet Element Item BOLD equals Harmonised data SNOMED Code which represents the data item The description of the element Date, text, checkbox, radio button, numeric, ValueSet eg DD:MM:YYY Y Mandatory/ Required/ Optional Relationshi p of x to y eg IHI is 1..1 First Name (Given) First Name - will represent the name of baby ie 'Baby of <mother first name>' FHIR Text Text String Required 0..1 Last Name (Family) Last Name - will represent the last name of mother FHIR Text Text String Required 0..1 First Name (Given) First name of Mother FHIR Text Text String Required 0..* Last Name (Family) Last name of mother FHIR Text Text String Required 0..1 OR Full Name Full Name of Mother (used where First and Last names are not split into separate fields in a system) FHIR Text Text String Optional 0..1 *Street Address Street name, number, PO box etc FHIR Text Text String Optional 0..* City Name of City, Town FHIR Text Text String Optional 0..1 State State in which the baby lives FHIR Text Text String Optional 0..1 Postal Code Postal code for area FHIR Text Text String Optional 0..1 Country Name of Country FHIR Text Text String Optional 0..1 First Name (Given) First name of Father FHIR Text Text String Optional 0..* Last Name (Family) Last name of Father FHIR Text Text String Optional 0..1 OR Full Name Full Name of Father (used where First and Last names are not split into separate fields in a system) FHIR Text Text String Optional 0..1 H Address H Father's Name Newborn Delivery Health Interaction (DEFINITIONS) - LOGICAL MODEL NOTES / VERSION NO: 19/10 - 0.6 H Baby's Name H Mother's Name
