au-practitioner :: Add ValueSet for Qualification.code to suit Australian Localisation

[udaychandrupatla]

There is a need for two slices for qualification.code to suit HL7 (example) valueset and Australian Localisation valuesSet as the existing HL7 example valueSet (http://hl7.org/fhir/R4/v2/0360/2.7/index.html) from FHIR does not really capture some key Australian qualifications such as AHPRA and MBBS.

Ci team from Australian Digital Health Agency have requested NCTS to add a valueSet to cater for Australian localisation of Qualification code in au-practitioner profile preferably from SNOMED.

A request has been made to include the following two codes as a minimum in the valueSet

• AHPRA

• MBBS

A second query is that does the Australian qualifications also need to cater codes from http://www.abs.gov.au/ausstats/abs@.nsf/mf/1220.0 ?

e.g.

[brettesler-ext]

Create CodeSystem - http://terminology.hl7.org.au/CodeSystem/v2-0360

• Degrees + Colleges https://en.wikipedia.org/wiki/Medical_education_in_Australia Valueset with above + http://terminology.hl7.org/CodeSystem/v2-0360|2.7 Publish in AU base qualification.code binding preferred

[udaychandrupatla]

Hello Brett,

After discussion with my team I want to make you aware that the solution of creating a valueSet with codes from http://terminology.hl7.org.au/CodeSystem/v2-0360 and http://terminology.hl7.org/CodeSystem/v2-0360|2.7 seems to be not we are looking for to satisfy the qualification codes because of the following reasons.

1. The source of qualifications from https://en.wikipedia.org/wiki/Medical_education_in_Australia seems to be not complete to draw the Australian qualifications
2. Having a binding of “required” by doing slices for qualification.code.coding is our preference rather than a binding of “preferred” for qualification.code with valueSet coming from above codeSystems

I suggest it would be a good idea to discuss this again at the next PAWG meeting with Brian P if possible.

Thanks, Uday

[brianpos]

Would be good to create some sample practitioners that have the spread of intended qualifications. Even if its as a logical model for consideration.

[davidmckillop]

Discussed at the HL7 AU PA WG on

• 23rd Oct 2019 here;
• 11th Nov 2019 here;
• 20th Nov 2019 here with the comment "This will be cleaned up new work and properties in R5, and a set of standard extensions to represent this in R4."
• 15th Jan 2020 here with Demo PR created for the review.

Also for consideration the VhDir has some extensions on this backbone element: http://build.fhir.org/ig/HL7/VhDir/StructureDefinition-practitioner-qualification.html Note: the extension:whereValid has example binding to a US value set UspsTwoLetterAlphabeticCodes which isn't useful in the AU context.

@brianpos raised the topic at an HL7 International PA TC on the 2019-11-6 Conference Call with the comment "Reviewed the Australian content, the data was considered that may be worth including in the core specification, HL7 Australia will continue, and report back as it progresses."

Suggest following up with @brianpos to see if there has been any further progress or if the Agency were meant to do some work on this.

[davidmckillop]

Given the above discussions it will be interesting to see what is progressed for Practitioner.qualification in R5 core.
However, following discussions with @oridashi it would be good to have the: a) AHPRA lists of qualifications made available/published, and versioned, and for the list(s) to be made into codesystem and value sets for use in the AU Base Practitioner profile. Need to followup with @LB-Agency on how this may be progressed. b) a "Fellowship" slice on qualification in AU Base Practitioner profile where the list of Australian College fellowships eg FRCPA, FRACP, FRACGP, etc could be made into a value set. The contents of the slice would be the code for the fellowship plus the issuer details. To be progressed in GitHub #463.

[robeastwood-agency]

Another aspect of this regarding APHRA registration is to represent the AHPRA roles / sub-roles coding to go along with AHPRA number as qualification.

This has been added to the PAWG agenda for 12 Aug 2020.

[RichardTON]

http://hl7.org.au/fhir/ValueSet/au-hl7v2-0360 and http://terminology.hl7.org.au/CodeSystem/v2-0360 are relevant

[brettesler-ext]

lower priority at this stage - will check a PA WG

[brettesler-ext]

Discussion : http://build.fhir.org/ig/hl7au/au-fhir-base/CodeSystem-au-hl7v2-0360.html has been added - this can have further items added for other qualifications action : http://terminology.hl7.org/CodeSystem/v2-0360 - is available for educational qualifications - add this as narrative in the AU Base Practitioner to reference this - no binding. Issue GitHub #463 covers college membership - look ther for outcome.

[brettesler-ext]

KM to supply some narrative update for BE to add in

[mcguirek]

Proposed narrative to be added to Practitioner Usage Notes after the current section entitled AHPRA data:

Qualifications

The above section describes how to include AHPRA professions and registrations in the qualifications backbone element.

Tertiary qualifications can be included in the qualification backbone element with a code taken from the international value set (http://hl7.org/fhir/R4/v2/0360/2.7/index.html). There are no plans to add codes for Australian tertiary qualifications. If no suitable code exists in the international valueset, a text representation of the qualification can be included without a coding.

Professional memberships (of colleges etc) can be included in the qualification backbone element using a text representation of the qualification without a coding. Codes for Australian college memberships may be added to the Australian valueset in the future (http://build.fhir.org/ig/hl7au/au-fhir-base/ValueSet-au-hl7v2-0360.html).

[brettesler-ext]

PAWG : narrative above is good; second paragraph adjusted to reflect codes have been added for colleges

[brettesler-ext]

change now committed