Difference between revisions of "Minutes - Referral WG 2021-06-10"

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===== Excused =====  
 
===== Excused =====  
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* Anne Nerenhausen
 
−
* José Costa Teixeira
 
 
* Katleen Smedts
 
* Katleen Smedts
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* Maarten Cobbaert, RIZIV
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* Maarten Cobbaert
 
* Nick Hermans
 
* Nick Hermans
  
 
===== Agenda =====  
 
===== Agenda =====  
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* continuation of last week's topic
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* continuation of last week
  
 
===== Minutes =====
 
===== Minutes =====
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::* removed categories: probes, constipation, enteral feeding
 
::* removed categories: probes, constipation, enteral feeding
 
::* remaining categories: wound-care, compression-therapy, medication
 
::* remaining categories: wound-care, compression-therapy, medication
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::::* it will have to pass through RIZIV for approval
+
::::* it will have to pass through the "commission de convention" RIZIV for approval or at least as information, Arnaud will take care of this to start written procedure
 +
::* see also [[ http://build.fhir.org/ig/hl7-be/hl7-be-fhir-referral-prescription/CodeSystem-codesystem-be-type-of-probe.html |codesystem for types of probes]]
 +
::* these kind of things are not often prescribed, if they are, it comes from hospital prescription and details are put in the free text field, so it is proposed not to put too much detail
 +
* on http://build.fhir.org/ig/hl7-be/hl7-be-fhir-referral-prescription/StructureDefinition-be-referralprescription-nursing-probes.html it has been added "please explain it in a note" : we have to be careful not to structure everything or the work for the prescribers will be too difficult
  
 +
* enteral feeding
 +
::* are 3 categories needed : stomach probe, gastrostomyprobe, enterostomy probe ?
 +
::* there are 3 ways of enteral feeding : continuous, intermittent (4 times per day for half an hour), bolus injection (at certain times an injection)
  
−
Tim has some questions on what was discussed last week in the [https://docs.google.com/spreadsheets/d/1Z70_kj2WTo53yojjzRkPkpUJuWwDFZXdzPyK1ly-cT0/edit?usp=sharing Draft model nursing]:
+
* constipation, which is now part of digestive system care
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::* Frequency in column 1B: is indicated as optional. Depending on the type of prescribed care it is mandatory. Is it possible to add links b/w type of medication of frequency. This is technically possible but is more complex and has consequences on maintenance level. If we use questionnaires, these kind of rules are easier.
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* remaining topics: medication & wound care: concertation is ongoing with GP
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::* is there a maximum duration: prescriber can prescribe some things only for a limited duration, f.e. for 3 months
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::* for wound care: risk analysis will have to be done regarding whether to start in this WG or not  
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::* notion of feedback towards GP's: this is not included in today's referral for home nursing ; this would cause the need for new processes at the organisation of home nursing and a tsunami of feedback at GP side. It is currently not a request at home nursing side as in practice there are currently sufficient ways of consults possible
 
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::::* for kine referrals it exists as it is legally mandatory in some cases
 
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* Resulting from the discussions the sheet has been updated, including comments
 
  
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* Probes:
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''' Date Next Meeting : June 24 at 4PM
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::* we discuss the "Valuesets translations" tab and make some modifications in the sheet
 
−
 
 
−
 
 
−
''' Date Next Meeting : June 10 at 4PM
 
  
 
'''Action points for next meeting:'''
 
'''Action points for next meeting:'''
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* feedback on today's discusions
+
* medication: see input in [https://docs.google.com/spreadsheets/d/1Z70_kj2WTo53yojjzRkPkpUJuWwDFZXdzPyK1ly-cT0/edit#gid=0 Excelfile] as from line 103 in tab "datamodel draft" if you want to start preparing
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* continue work on probes (sondes)
 

Latest revision as of 15:05, 10 June 2021

Attendees
  • Ann Huyghe
  • Anne Nerenhausen
  • Anne-Sophie Paquet
  • Arnaud Lippert
  • Benjamien Schmitt
  • Bruno Casneuf, recip-e
  • Jean-Michel Polfliet
  • José Costa Teixeira
  • Karen Anthonissen
  • Karlien Erauw
  • Katrien Thorré
  • Marie Pierard
  • Robin Bosman
  • Tim Weltens
  • Wil Rijnen
Excused
  • Katleen Smedts
  • Maarten Cobbaert
  • Nick Hermans
Agenda
  • continuation of last week
Minutes
  • Feedback was received on last week's topics
  • Robin is presenting the Nursing Code Systems after having done work based on previous inputs
  • 2 new categories: bladder care (probe/instillation, flushing, suprapubic), digestive system care (all enteral feeding codes in 1 code, all constipation codes, 2 codes from 'probes' category)
  • removed categories: probes, constipation, enteral feeding
  • remaining categories: wound-care, compression-therapy, medication
  • it will have to pass through the "commission de convention" RIZIV for approval or at least as information, Arnaud will take care of this to start written procedure
  • enteral feeding
  • are 3 categories needed : stomach probe, gastrostomyprobe, enterostomy probe ?
  • there are 3 ways of enteral feeding : continuous, intermittent (4 times per day for half an hour), bolus injection (at certain times an injection)
  • constipation, which is now part of digestive system care
  • remaining topics: medication & wound care: concertation is ongoing with GP
  • for wound care: risk analysis will have to be done regarding whether to start in this WG or not

Date Next Meeting : June 24 at 4PM

Action points for next meeting:

  • medication: see input in Excelfile as from line 103 in tab "datamodel draft" if you want to start preparing
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