Difference between revisions of "Minutes - Referral WG 2023-04-21"

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(Created page with "=== Attendees === * Anne Nerenhausen * Bart Decuypere * Bart Reekmans * Dorsan de Fabricheckers * Emily Sevrin * Geert Vandenhole * Hans De Keersmaecker * Jean-Michel Polflie...")
 
 
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* Karlien Erauw  
 
* Karlien Erauw  
 
* Katrien Dickx
 
* Katrien Dickx
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* Marleen Van Eygen
 
* Lionel Cremer
 
* Lionel Cremer
−
 
 
* Philippe Baise
 
* Philippe Baise
 
* Philippe Lejoly
 
* Philippe Lejoly
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* Katrien Thorré
 
* Katrien Thorré
 
* Maarten Cobbaert  
 
* Maarten Cobbaert  
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* Marleen Van Eygen
 
 
* Maxime Daive
 
* Maxime Daive
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* Nathan Peeters (INAMI)
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* Nathan Peeters  
 
* Laurent Lamouline
 
* Laurent Lamouline
 
* Pablo Christiaens
 
* Pablo Christiaens
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=== Meeting Minutes ===
 
=== Meeting Minutes ===
−
* Bart presents the changes in the logical model as a result of the updated business rules
+
* Bart presents the changes in the logical model as a result of the [https://github.com/hl7-be/referral/issues/219 updated business rules]
 
::* focus is on the June (first) release so the changes to the logical model are limited to that
 
::* focus is on the June (first) release so the changes to the logical model are limited to that
 
::* creating of the use cases to the templates that will be released in June  
 
::* creating of the use cases to the templates that will be released in June  
Line 66: Line 65:
 
::::* combination of Snomed CT and temporary codes  
 
::::* combination of Snomed CT and temporary codes  
 
::::* the Belgian refset for problem is under construction
 
::::* the Belgian refset for problem is under construction
−
::* prescriber has to indicate why it is useful
+
::::* GP softs don't use Snomed for this yet, will have to be looked into with NRC
−
 
+
::::* GP softs need indications when to use this
−
* Update of business rules V0.21, [https://github.com/hl7-be/referral/issues/219 see in issue 219]
+
::* anamnesis has a new value set, specific for annex 81, so not used
−
::* change for eAgreement to include links
+
::* orderDetail: list has been completed as some codes were missing
−
::::* eAgreement: ReferenceID and ReceptionDate (when performer receives the response from advisory doctor)
+
::* the color orange means that the code has not been found, so a temporary code is needed
−
::::* in serviceRequest a link to the claimResponse can be put (an update of the business rules is needed)
+
::* Route: 2 new additions (at the bottom)
−
::* medication lines that have an impact on the nursing templates (medication, posology and dosage)
+
::* Device: new additions of temporary codes
−
::::* structured solution, not textual one, in the same way as in VIDIS - it is a temporary solution though as VIDIS has not been finalised yet
+
::* BodySite: the list was provided by Wit Gele Kruis, some details were missings (f.e. on foot) so these details have been added, with other key parts
−
::* separate new issues will be created to ensure follow up actions on each of these changes
+
::::* there is no link with the body parts used in wound care, which is a frustration of the nurses as nurses can not document on body parts mentioned in the prescription
−
 
+
::* the issue on Body locations inconsistencies, [https://github.com/hl7-be/referral/issues/213 see here] will be updated as there might be a need for a mapping table or a more future proof solution, it should be consistent with what is in the patient dossier
−
::* new field in logical model device on woundcare : action + type of material (attribute device)
 
−
::::* there will be 3 serviceRequests having a RequestGroup that groups the 3 of them
 
−
::::::* or one ServiceRequest with some orderDetails ? TBC
 
−
::::* it will be clarified in the upcoming weeks as a meeting on this topic will happen next week
 
−
 
 
−
::* new field in business rules Amamnesis
 
−
::* prescription support information: are still present in the business rules/logical model
 
−
::::* ID and reason (reason of deviation on recommendation)
 
−
 
 
−
* New issues in [https://github.com/hl7-be/referral/issues/ Issue list]
 
−
* Is orderDetail precise enough, [https://github.com/hl7-be/referral/issues/218 see here]
 
−
::* some more meetings will happen to discuss each template
 
−
 
 
−
* Change on Requester field, [https://github.com/hl7-be/referral/issues/217 see here]
 
−
::* modify to a BePractionerRole : agreed upon
 
−
 
 
−
* Add name/version of client software, [https://github.com/hl7-be/referral/issues/216 see here]
 
−
::* looked at eHealth specification
 
−
::* name and version will not be added in metadata as it is already present
 
−
::* issue can be closed as no action is needed
 
−
 
 
−
* Unmapped fields, [https://github.com/hl7-be/referral/issues/215 see here]
 
−
::* link to issue 218
 
−
::* this can be solved in the same way as issue 218
 
−
 
 
−
* Namespace for identifier, [https://github.com/hl7-be/referral/issues/214 see here]
 
−
::* INAMI security team has been consulted and is not confident on the proposed solution, ticket will be updated
 
−
 
 
−
* Body locations inconsistencies, [https://github.com/hl7-be/referral/issues/213 see here]
 
−
::* inconsistencies will be resolved next week, they will be available in a new version of the business rules by next week
 
−
 
 
−
* CoSign, [https://github.com/hl7-be/referral/issues/211 see here]
 
−
::* have the result been looked at ? industry still have to come back on this
 
−
 
 
−
* Route and device, [https://github.com/hl7-be/referral/issues/205 see here]
 
−
::* info is in the new business rules
 
−
 
 
−
* Versioning and evolution of profiles, [https://github.com/hl7-be/referral/issues/191 see here]
 
−
::* to be discussed and decided upon in FHIR Validation & Infrastructure WG
 
−
 
 
−
* close issue 169
 
−
* Modifications resulting from business rules will be applied in the logical model and profile
 
  
 
=== Agenda next meeting ===
 
=== Agenda next meeting ===

Latest revision as of 11:12, 21 April 2023

Attendees

  • Anne Nerenhausen
  • Bart Decuypere
  • Bart Reekmans
  • Dorsan de Fabricheckers
  • Emily Sevrin
  • Geert Vandenhole
  • Hans De Keersmaecker
  • Jean-Michel Polfliet
  • Julien Beard
  • Karlien Erauw
  • Katrien Dickx
  • Marleen Van Eygen
  • Lionel Cremer
  • Philippe Baise
  • Philippe Lejoly
  • Robin Merckx

Excused

  • Anthony Maton
  • Ben Goosse
  • Christophe Behaegel
  • Cyprien Janssens
  • Dorsan de Fabricheckers
  • Jacques Yakoub
  • Jean-Francois Coquelet
  • José Costa Teixeira
  • Katleen Smedts
  • Katrien Thorré
  • Maarten Cobbaert
  • Maxime Daive
  • Nathan Peeters
  • Laurent Lamouline
  • Pablo Christiaens
  • Pieter Devolder
  • Richard Francken

Agenda

  • review update of logical model following the update of the business rules
  • continue resolution of issues

Meeting Minutes

  • focus is on the June (first) release so the changes to the logical model are limited to that
  • creating of the use cases to the templates that will be released in June
  • in the business rules V0.21 is more information than in the profiles
  • the IG and logical model will be in sync
in the business rules it will be highlighted what is not included in the first release
  • for the next release (after June) a new branch will be created in github
  • the focus will be on the master branch, that corresponds with the June (first) release
  • Questions and issues resulting from the FHIR UHMEP workshop on 20 April
  • can we indicate for each field in the logical model who can fill in/update the field ?
  • the info will be made available in the cookbook and the business rules, not in the logical model
  • confusion between the recorder and the requester ; can we clarify the definition of the recorder in the logical model ? it the person who last updated the serviceRequest/referral prescription
  • if a co-prescriber signs the referral/requst he will become the recorder ; the prescriber will not change
  • the prescriber is the origin of the referral/request
  • the wording in the logical model will be adapted by Bart
  • for nursing prescription : annex 81 ; a nurse sends some comments that she has to sign and which have to be signed by a doctor, who will be the co-prescriber
  • validationPeriod: can this be changed into validityPeriod
  • WG agrees to make the change
  • Presentation of updated versions of the valuesets
  • problem codes: for wound care there are different types of wounds
  • combination of Snomed CT and temporary codes
  • the Belgian refset for problem is under construction
  • GP softs don't use Snomed for this yet, will have to be looked into with NRC
  • GP softs need indications when to use this
  • anamnesis has a new value set, specific for annex 81, so not used
  • orderDetail: list has been completed as some codes were missing
  • the color orange means that the code has not been found, so a temporary code is needed
  • Route: 2 new additions (at the bottom)
  • Device: new additions of temporary codes
  • BodySite: the list was provided by Wit Gele Kruis, some details were missings (f.e. on foot) so these details have been added, with other key parts
  • there is no link with the body parts used in wound care, which is a frustration of the nurses as nurses can not document on body parts mentioned in the prescription
  • the issue on Body locations inconsistencies, see here will be updated as there might be a need for a mapping table or a more future proof solution, it should be consistent with what is in the patient dossier

Agenda next meeting

  • review update of logical model following the update of the business rules
  • continue resolution of issues

Next meeting: next week Friday 28 April at 9AM

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