As part of the Agency’s support for HL7™ FHIR® standard (FHIR) a new participant model is being developed. The participant data specification is based on FHIR resources and will support both CDA and FHIR implementations. There will be a number of steps taken to transition the current open EHR-based logical model to FHIR, which are outlined below.
As a result of this work, the specification will be changed from a broader participation specification to the more specific participant specification in both PDF format (for CDA support) and as FHIR implementation guide. The end result will be a set of profiles of FHIR resources that maintains the richness of the Agency’s logical model and supports the requirements for the Australian healthcare context.
The existing Agency participation data specification v3.3 will be deprecated, with modelling to be done in the FHIR space and therefore the use of FHIR data types.
There will be a single profile for each FHIR resource that is in scope of participant v1.0. These profiles are what will be used in specific projects, i.e., a profile of the participant v1.0 profile to represent the My Health Record requirements, or to specifically represent a GP sending a referral.
The HL7™ Australia Patient Administration work group is currently working on a number of participant concepts and developing FHIR profiles of each, with the intention of establishing an Australian core FHIR specification.
It is important that any participant or administration concepts being profiled in the FHIR logical model aligns with the profiles being developed by HL7 Australia and the Australian FHIR community to ensure consistency and interoperability between Australian systems. Ideally the Agency profiles are profiles of the broader HL7 Australia profile, specifically for My Health Record compatible implementations.