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AS 4700.6-2004

Superseded

Superseded

A superseded Standard is one, which is fully replaced by another Standard, which is a new edition of the same Standard.

View Superseded by
superseded

A superseded Standard is one, which is fully replaced by another Standard, which is a new edition of the same Standard.

Implementation of Health Level Seven (HL7) Version 2.3.1 Referral and discharge summary

Available format(s)

Hardcopy , PDF 1 User , PDF 3 Users , PDF 5 Users , PDF 9 Users

Superseded date

26-05-2024

Published date

01-01-2004

Preview

Provides implementation of electronic referral messages using the Health Level Seven (HL7) Version 2.3.1 protocol with local extensions, which will be proposed for inclusion in a later version of HL7 2.x.

1.1 GeneralHealth Level Seven (HL7) is a comprehensive health care communications protocol accredited as a Standard by the American National Standards Institute (ANSI). This Standard covers implementation of electronic referral messages using the HL7 Version 2.3.1 protocol with local extensions, which will be proposed for inclusion in a later version of HL7 2.x. It covers communication between health service providers both within and outside hospitals. The Standard includes the data segments and data elements that are mandatory (required), optional or conditional (required, based on a condition), and relevant usage notes in the Australian health environment. The Standard provides consistent use of data definitions as well as commentary and references to the International Organization for Standardization (ISO), the National Health Data Dictionary (NHDD), the National Association of Testing Authorities Australia (NATA), The General Practice Computing Group (GPCG) and its General Practice Data Model and Core Dataset (co-sponsored with the Commonwealth Department of Health and Ageing). This Standard is for the purpose of sharing and transferring patient care. Its content is clinical. There are administrative, financial, and eligibility aspects of referral, which are representable in standardized HL7 segments. These are not included in this Standard. The message structure described here is intended to communicate information representing a complete or partial transfer of care from one clinical provider or organization to another, occurring on discharge from a hospital or other care provider. It differs from a discharge summary although it may include such information or document. Relevant definitions are included in Clause 4 of this Standard. Clinical management by cooperating providers, mandates health service messaging built on agreed semantic exchange. The above groups are actively participating in developments in this evolving area. While the message protocols described in this implementation Standard employ a required level of coding as in the HL7 tables, they do not specify any particular controlled vocabulary for the broader area of clinical concept representation. A logical next step in terminology agreement should address the headings used in referral, and a code set such as LOINC should be considered for this. The HL7 messages detailed here have the capability but not the requirement of exchanging clinical data, and the segments have the capacity to include flexible structures containing both coded and free-form representations. This Standard is applicable across clinical domains, and is intended to be used for communication between providers and organizations with different information models and datasets. This will present a challenge to the exchange of structured clinical information, which will be required for a richer utilization of health information. Such a level of semantic exchange will enable processing aimed at supporting clinical decision making for optimal health outcomes. It is for this purpose that the referral message has been designed to optionally include segments covering the more complex clinical situations reflected in Problems, Goals, and Pathways. It is not however dependent on standardized clinical datasets, and is therefore immediately applicable. 1.2 Breadth of health record information contentThis message is a general clinical communication, which carries health record information, including past history, family history, allergies, medications and medication history, social status, problem, goal and other management details as well as the requested services, which constitute the reason for referral. Referral involves the transfer of care in part (e.g. request for an opinion or a specialized service accompanied by relevant health event summary and record extracts) or in whole (e.g. transfer from one GP practice to another with complete health record data and summary).

Committee
IT-014
DocumentType
Standard
ISBN
0 7337 5847 9
Pages
28
PublisherName
Standards Australia
Status
Superseded
SupersededBy
Supersedes
UnderRevision

First published as AS 4700.6-2004.

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AS ISO 15489.1-2002 Records management General (Reconfirmed 2013)
AS 5017-2002 Health Care Client Identification
AS 4700.2-2004 Implementation of Health Level Seven (HL7) Version 2.3.1 - Pathology orders and results
AS 4700.1-2001 Implementation of Health Level Seven (HL7) Version 2.3.1 Patient administration
AS/NZS 4700.3:2002 Implementation of Health Level Seven (HL7) Version 2.3.1 Electronic messages for exchange of information on drug prescription

TR 2965-2007 Harmonisation of HD and EI data types across AS 4700.X Standards and associated Handbooks
HB 172.2-2006 Message Usage Model Current Standards
ATS 4888.1-2013 Electronic transfer of prescriptions Platform independent (logical) information model to support electronic transfer of prescriptions
MP 97-2008 Standards for enterprise-wide clinical information systems
ATS 4888.3-2013 Electronic transfer of prescriptions Platform implementation specific e-prescription HL7 Clinical Document Architecture implementation guide
ATS 4888.4-2013 Electronic transfer of prescriptions Platform implementation specific dispense record HL7 Clinical Document Architecture implementation guide
HB 262-2008 Guidelines for pathology messaging between pathology providers and health service providers
MP 96-2008 Standards for enterprise-wide patient administration systems
TR 2964-2010 Representing archetyped data in HL7 Version 2
HB 235-2007 Implementers guideline for HL7 referral, discharge and health record messaging
HB 308-2011 Location of digital signatures in HL7 V2 Messages
HB 172.1-2006 Message Usage Model History and conceptual framework
AS 4700.6-2013 Implementation of Health Level Seven (HL7) Version 2.5 Referral, discharge and health record messaging
ATS 4888.5-2013 Electronic transfer of prescriptions Platform implementation specific prescription request HL7 Clinical Document Architecture implementation guide
HB 262-2012 Guidelines for messaging between diagnostics providers and health service providers
AS 4700.6-2006 Implementation of Health Level Seven (HL7) Version 2.4 - Referral, discharge and health record messaging

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