I've been pointed to:

http://australianit.news.com.au/story/0,24897,21848256-15317,00.html

E-health standards advance

Karen Dearne | June 05, 2007

THE National E-Health Transition Authority is pursuing software industry
engagement through a growing relationship with the Australian
Information Industry Association, NEHTA chief executive Ian Reinecke
says.

Dr Ian Reinecke says NEHTA remains engaged with the software industry on
standards

"Most of the big players in health globally are members of the AIIA," he
said after a successful vendor forum in Brisbane last week.

"Sheryle Moon, the new chief executive, has been really supportive of
health as an agenda item for the AIIA, so we're making progress in that
area."

Dr Reinecke said high-level vendor forums were held twice a year and
were followed up with bilateral engagement, particularly with key
vendors.

"We now have pretty detailed briefings with the major players," he said.
"On several occasions, we've had vendors come in and present to us"
about where they are, their future plans, "where they're headed".

"In turn, we explain where NEHTA is headed and the timetable for the
various elements that we're producing.

"For the Cerners, the iSofts and others, when the infrastructure,
standards and specifications are going to be available is a critical
issue, because they are going to adopt them in their systems."

NEHTA communications manager Lisa Smith said about 130 participants were
updated on the progress of unique healthcare identifiers and the
International Health Terminologies Standards Development Organisation
(SDO), formed to promote the use of SNOMED (Systematised Nomenclature of
Medicine) Clinical Terms worldwide.

"We're leading the national rollout of SNOMED CT under a dual licensing
model," she said.

"Vendors that want to adopt SNOMED will need to get a licence from the
SDO for access to the core elements and, if they are operating here,
they'll need a licence with NEHTA for access to the Australian
elements."

Ms Smith said NEHTA was in continuing discussions with the Medical
Software Industry Association and other industry groups about the
national licence.

"Essentially, most of the clauses are taken directly from the SDO
licence because we're obliged to pass on the same requirements," she
said.

"The national licence will cover the specifically Australian extensions,
such as the work we're doing in relation to local medicines
terminology." Dr Reinecke said the National Centre for Classification in
Health was working with NEHTA on aliging classification and
terminologies in clinical coding.

"Two NCCH representatives were in Chicago last week to attend SNOMED CT
working groups," he said.

Meanwhile, NEHTA clinical product design manager Kate Ebrill said the
draft medications terminology for health messaging created by HL7
Australia and the MSIA for the federal Health Department in 2004 (to
support basic clinical communications) was being further developed as an
extension to SNOMED CT.

"A lot of the work we're doing is focused on taking that model and
looking at what is required to make that sustainable, quality assured
and deliverable in Australia," she said.

"We're also trying to co-ordinate various inputs around the Therapeutic
Goods Administration and the PBS."

Ms Ebrill said the model was initially intended to provide a terminology
for health messaging, but "it could also be used in e-prescribing and
dispensing applications, as well as shared electronic health records".

"We're developing a whole lot of products that will actually support
health messaging, and terminologies is just one component of that," she
said.

Dr Reinecke said the MSIA's working group on interoperability between
clinical systems was "sensible".

"Messaging vendors need to have those discussions, and it's in their
commercial interests to do so," he said.

"But as far as the work that's coming out of NEHTA, we cannot afford to
have uniquely Australian solutions in this space. We've got to be
consistent with what's occurring globally."



Oliver Frank, general practitioner
255 North East Road, Hampstead Gardens
South Australia 5086
Ph. 08 8261 1355  Fax 08 8266 5149  M 0407 181 683
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