View source for Minutes - Referral WG 2020-03-08

===== Attendees ===== 
* Robin Bosman
* Benny Verhamme 
* Frederik Lenaerts
* Gaston Verelst
* Hans De Keersmaecker
* Jean-Michel Polfiet
* Joost Van Averbeke 
* José Costa Teixeira 
* Karlien Erauw
* Kristof Jaubin
* Olivier Lothaire
* Peter Laridon (arrived at 4.30PM)
* Thibault Mahieu 
* Tom Fiers 

===== Excused/Not present ===== 
* Dr Alain Derom
* Frank Vandewiele 
* Hendrik Plaetinck
* Jos Bellen 
* Paul Neyens 
* Theo Schumacher 

===== Agenda =====
* updated items since last meeting
* examples

===== Minutes =====
* feedback of HL7 international on https://build.fhir.org/ig/hl7-be/hl7-be-fhir-laboratory-report/Observation-obsDynamic1.xml.html
::* what if we have a code in the element code and we need to express extra information like relative time, do we need to use an extension and is this the only option ? You can also use Components for that, you can qualify the central codes in an observation. HL7 International shall clarify this
::::* glucose is not a good example for that
::::* relativeTimeQualifier is now a component in the [http://build.fhir.org/ig/hl7-be/hl7-be-fhir-laboratory-report/StructureDefinition-be-observation-laboratory.html lab result profile]

::* LIS systems will produce content (bundles, contained,...): will the receivers be able to handle all this ?


examples for creatinine clearance & microbiology : have been provided by Benny, thanks for that ; Robin has worked on it, unfortunately not yet published due to HL7 technical issue, they will be published as soon as technical possible
* Robin has been working on several examples:
::* https://build.fhir.org/ig/hl7-be/hl7-be-fhir-laboratory-report/Observation-obsDynamic0.xml.html
::* https://build.fhir.org/ig/hl7-be/hl7-be-fhir-laboratory-report/Observation-obsDynamic1.xml.html
::* https://build.fhir.org/ig/hl7-be/hl7-be-fhir-laboratory-report/Observation-obsDynamic2.xml.html
::* https://build.fhir.org/ig/hl7-be/hl7-be-fhir-laboratory-report/Observation-obsKetonen.xml.html
::* https://build.fhir.org/ig/hl7-be/hl7-be-fhir-laboratory-report/Observation-obsUrineScreening.xml.html

* Robin shows first example of lab observation using LOINC code
::* extension be-ext-relative-time to include a time concept for f.e. glucose test
::* stimulation product and dosage that was given, should be provided in some cases
* Example of observation on urine specimen

* Structured [http://build.fhir.org/ig/hl7-be/hl7-be-fhir-laboratory-report/Bundle-AntibiogramAsBundleCollection.xml.html antibiogram]

* Action points:
::* Robin asks for examples to be converted in FHIR f.e. creatinine clearance with 2 specimens (blood + urine)
::* Labo results: please provide feedback on antibiogram [http://build.fhir.org/ig/hl7-be/hl7-be-fhir-laboratory-report/Bundle-AntibiogramAsBundleCollection.xml.html example]

'''Next Meeting:''' Monday March 8 at 4PM