View source for Minutes - Patient Dossier WG 2024-10-09

=== Attendees ===
* Bart Decuypere, eHealth platform/HL7 Belgium
* Benny Tops, Remecare
* Bruno Neckebroek, MoveUP
* José Costa Teixeira, imec/ chair HL7 Belgium
* Kamil Kakareko, Comarch
* Karlien Erauw, Agoria/HL7 Belgium
* Margo Welvaarts, Comarch
* Nele Averens, Remecare
* Stef Schots, Comarch
* Tim Bogaert, Byteflies
* Tom Massaer
* Peter Van Vooren, Remecare
* Piotr Nieciecki, Comarch
* Ysaline Chiliatt, Comarch

=== Excused/absent === 
* Christopher Hex, Fibricheck
* Jean-Michel Polfliet, eHealth platform/HL7 Belgium
* Peter Van Vooren, Remecare

=== Agenda === 
* Round table
* Discuss possible FHIR profiles

=== Minutes ===
* 
* Possible FHIR profiles: vital signs, observations (in general)
::* Remecare has already done some work on observations
::* Byteflies and Remecare are aligned on vital signs

* a FHIR profile is not enough, we need extra data on top of the FHIR profile/implementation guide
* Tim suggests to work on a template for a care path, explaining the usage and guidance on which FHIR resources to use
::* [https://docs.google.com/document/d/1RgzokUH55vucHpGIYphcYcZ5xZC-4DTbK0oUljrr6rw/edit?tab=t.0#heading=h.2r6nuoi219wx working document is here]

* A patient monitoring [https://hl7-be.github.io/patient-monitoring/StructureDefinition-PatientMonitoring.html logical model] & [https://hl7-be.github.io/patient-monitoring/StructureDefinition-PatientMonitoringObservation.html FHIR IG] are here

* Discussion on how we want to standardise
::* each care path has its own requirements regarding granularity

::::::* is also applicable for orthopedics but more specific, intense after the surgery where more data are captured
::::* reports can already be made available through the hubs, but not in FHIR
::::* the FHIR IG can contain an URL pointing to the dashboard and/or pdf 
::::::* are these linked to diagnostic report or to observation?
::::::* we need to agree on where the line is b/w observation and diagnostic report
:::::* we have to investigate where we want to include the PDF and URL (to dashboard)
:::::* F.e. a measurement is done during 60 sec for which there is an outcome and a PDF report is generated
:::::* FHIR R5 has value attachment, but it is not available in R4 yet

::* goal is to profile observations: capture of a parameter, some qualitative, some quantative 
::::* we need an exhaustive list of quantative observations, we will start working on this [https://docs.google.com/spreadsheets/d/1sk4dY9VfKaVQuIhrmO3l-pFRDIBCiD4g9SbIGNBFUb0/edit#gid=0 here]

* Work on some examples has already been done, see [https://build.fhir.org/ig/hl7-be/patient-monitoring/artifacts.html#example-example-instances section 3.0.5 here] 
::* some more examples, from other vendors, are necessary to check off the profile

=== Action items ===
* Work on listing of observations
* investigate where to put pdf and URL
* provide examples 

=== Next meeting ===
Next WG meeting: Wednesday 23 October 11AM CET