Elna Jooste

Jeff Visser

Glenda de Beer

Braam Volschenk

1. Welcome

Jean le Roux opened the meeting and welcomed all present.

2. Apologies

As noted above.

3. The previous Minutes were accepted with an amendment to include the name of Lynne Stewart as being in attendance.

4. Matters arising from previous Minutes

4.1 Questions on the patient confidentiality document

This matter is being investigated by Braam Volschenk who is unfortunately on leave at this time and this item will be dealt with at the next meeting.

The Act on Access to Information (Government Gazette B676-98) to be sourced and investigated by committee members. The difference between the words ‘privacy’ and ‘confidentiality’ must be defined. Pino Mavengere to investigate this issue and thereafter to mail and publish definitions on Web page.

4.2 Provision for Preferred Providers

Hester Huysamen was to provide feedback in this regard but she is unfortunately not in attendance at today’s meeting and this matter will therefore be carried forward to the next meeting.

5. New Discussion Points

5.1 Internet Ethics – SABS ISO WG2 Participation

Mr Le Roux and Ms Stewart to investigate this issue together with the web site addresses and this matter will be dealt with at the next meeting.

www.mtc.ac.za on ethics guidelines

www.sahealthinfo.org.za on health knowledge

An Internet Committee with regard to Ethics has been established of which Lyn Hamner is a member and this committee’s members were asked if they would like to contribute to that Committee. Ms Hamner is to mail previous Minutes of that meeting to Committee members. Ms Hamner also advised that the MRC has an Ethics Committee and that it is in the process of revising guidelines with regard to accessing patient records. If new/revised documents become available Ms Hamner has undertaken to provide copies to this Committee.

6. Electronic Health role player guidelines (eh-guides)

6.1 Fund members and dependants

The member is the person who pays the monthly fees and is therefore the person to whom the remittance is sent. Scenario: a dependant does not want the member to know the diagnosis/treatment received. How much uncoded detail should be included in the remittance advice? What information should be stored, disclosed to the member/dependant and disclosed to other parties (eg employer)? Legislation in this regard should be researched.

6.2 The patient as a person in need of products and services

A patient has no privacy in terms of procedure and is strictly on a ‘need to know’ basis. The information is confidential and subject to the patient's right of disclosure. The difference between the English and Afrikaans versions in the same newspaper to be investigated by Pino.

6.3 Pharmaceutical and Prosthetic consumeable suppliers

6.4 Hospitals, clinics, service providers and associates

6.5 Healthcare Evaluation funders and administrators

6.6 Reimbursement financial ACB and Banks

6.7 Value added networks, web and hubs

6.8 Data storage, backups, warehousing and statistics

6.9 Legal and government local and abroad

9. Date of next meeting

To be determined at PHISC meeting.

10. Closing

Mr le Roux thanked everyone for attending and closed the meeting.