Difference between revisions of "Minutes - Referral WG 2021-03-18"

From Health Level 7 Belgium Wiki
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* Erwin Bellon  
 
* Erwin Bellon  
 
* Jean-Michel Polfliet
 
* Jean-Michel Polfliet
−
* José Costa Teixeira o
+
* José Costa Teixeira  
 
* Karlien Erauw
 
* Karlien Erauw
−
* Katleen Smedts o
 
 
* Nick Hermans  
 
* Nick Hermans  
 
* Pieter Devolder  
 
* Pieter Devolder  
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* Robin Decoster  
 
* Robin Decoster  
 
* Sander Van den Wyngaert
 
* Sander Van den Wyngaert
 +
* Wouter Huysse
  
 
===== Excused =====  
 
===== Excused =====  
 
* Elfi Goessaert  
 
* Elfi Goessaert  
 
* Karen Anthonissen
 
* Karen Anthonissen
 +
* Katleen Smedts
 
* Tom Deprez  
 
* Tom Deprez  
−
* Wouter Huysse
+
 
  
 
===== Agenda =====  
 
===== Agenda =====  
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* Andries is involved in the European working group op cross border exchange of medical imaging & dismissal form, project leader for FOD Volksgezondheid. This project is an extension of the CEF project that includes the summary & eprescription and is now also looking f.e. in the lab results. Andries is involved in the functional part.
 
* Andries is involved in the European working group op cross border exchange of medical imaging & dismissal form, project leader for FOD Volksgezondheid. This project is an extension of the CEF project that includes the summary & eprescription and is now also looking f.e. in the lab results. Andries is involved in the functional part.
 
* Robin presents the
 
* Robin presents the
−
::* modifierExtension
+
::* modifierExtension: obligatory to pass on, v3-NullFlavor can be given, example of null flavor: asked but unknown (ASKU)
−
::* valueset contrastfluiduse http://build.fhir.org/ig/hl7-be/hl7-be-fhir-referral-prescription/ValueSet-be-contrastfluid-use.html
+
::::* Null Flavors is HL7 concept, see values: https://terminology.hl7.org/2.1.0/CodeSystem-v3-NullFlavor.html
 +
::* modifierExtension BeContrastFluidUse, see http://build.fhir.org/ig/hl7-be/hl7-be-fhir-referral-prescription/ValueSet-be-contrastfluid-use.html having 2 values
 +
::* reasonCode element
 +
::* see examples: http://build.fhir.org/ig/hl7-be/hl7-be-fhir-referral-prescription/ServiceRequest-diagnostic-imaging-basic-example-concreteWithDetails.xml.html
 +
 
 +
* the Belgian FHIR profile for vaccination has been used to influence the FHIR profile at European level 
  
 
* Erwin has composed a list with questions that mainly need to be answered by the politics
 
* Erwin has composed a list with questions that mainly need to be answered by the politics
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::* modifier extension for contra indication as it is important ; with its own structure and preferrably expressed as a structure
 
::* modifier extension for contra indication as it is important ; with its own structure and preferrably expressed as a structure
 
::* supporting info: goal is that only relevant information is sent in the referral
 
::* supporting info: goal is that only relevant information is sent in the referral
 +
* Should/shall we enforce for Acquisition Modality: http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html
 +
 +
 +
 +
 +
* Clarification by RIZIV: the referrals will be active and identical intramuros and extramuros
 +
::* however if intramuros there are additional requests, it would be fine as long as it fits in the general model
 +
::* for complex cases it might be difficult to capture all the details in the referral (f.e. 3D modelling for surgery)
 +
::* intramuros there are detailed modules for medical imaging
 +
::* a good balance will have to be sought here to avoid that we keep discusssing for years
 +
 +
* Robin will finalise the technical structure to finish the medical imaging referral
 +
::* can we move to a federal standard ? way is through a formal request, then WGSE (WG Structural Elements) and the eHealth Program Board
  
  
−
''' Date Next Meeting : April 2 at 4PM'''
+
''' Date Next Meeting : April 2 at 4PM which will be the final meeting re. Medical Imaging referral'''
 
'''Action point:'''
 
'''Action point:'''
 
* Karlien should ask for 45/60minute slot to present to 3 associations: BVR, Belg vereniging voor Nuclaire geneeskunde, BELMIP ?Karlien to take action here
 
* Karlien should ask for 45/60minute slot to present to 3 associations: BVR, Belg vereniging voor Nuclaire geneeskunde, BELMIP ?Karlien to take action here

Revision as of 16:36, 18 March 2021

Attendees
  • Andries Nelissen
  • Arnaud Lippert
  • Bruno Casneuf
  • Erwin Bellon
  • Jean-Michel Polfliet
  • José Costa Teixeira
  • Karlien Erauw
  • Nick Hermans
  • Pieter Devolder
  • Robin Bosman
  • Robin Decoster
  • Sander Van den Wyngaert
  • Wouter Huysse
Excused
  • Elfi Goessaert
  • Karen Anthonissen
  • Katleen Smedts
  • Tom Deprez


Agenda
  • Review of the updated datamodel and technical FHIR artefact
  • Review of example on modalities
  • Further take-up in other organisations
Minutes
  • Andries is involved in the European working group op cross border exchange of medical imaging & dismissal form, project leader for FOD Volksgezondheid. This project is an extension of the CEF project that includes the summary & eprescription and is now also looking f.e. in the lab results. Andries is involved in the functional part.
  • Robin presents the
  • modifierExtension: obligatory to pass on, v3-NullFlavor can be given, example of null flavor: asked but unknown (ASKU)
  • the Belgian FHIR profile for vaccination has been used to influence the FHIR profile at European level
  • Erwin has composed a list with questions that mainly need to be answered by the politics
  • Review of the updated datamodel after the discussion in the previous WG ; unfortunately there was a technical issue with the publication
  • logical model has been cleaned, heritage from BeReferralPrescription
  • diagnostic questioning
  • extension for codeable concept
  • modifier extension for contra indication as it is important ; with its own structure and preferrably expressed as a structure
  • supporting info: goal is that only relevant information is sent in the referral



  • Clarification by RIZIV: the referrals will be active and identical intramuros and extramuros
  • however if intramuros there are additional requests, it would be fine as long as it fits in the general model
  • for complex cases it might be difficult to capture all the details in the referral (f.e. 3D modelling for surgery)
  • intramuros there are detailed modules for medical imaging
  • a good balance will have to be sought here to avoid that we keep discusssing for years
  • Robin will finalise the technical structure to finish the medical imaging referral
  • can we move to a federal standard ? way is through a formal request, then WGSE (WG Structural Elements) and the eHealth Program Board


Date Next Meeting : April 2 at 4PM which will be the final meeting re. Medical Imaging referral Action point:

  • Karlien should ask for 45/60minute slot to present to 3 associations: BVR, Belg vereniging voor Nuclaire geneeskunde, BELMIP ?Karlien to take action here
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