Difference between revisions of "Minutes - Referral WG 2020-11-14"

Revision as of 17:08, 14 December 2020

Discussion of the issues raised since the previous meeting: no issues were raised since last meeting
Welcome and quick wrap-up to newcomer Joost from MIPS
Changes in the implementation guide can be followed up here
Narrative: is this mandatory ? see guidance, FHIR's philosophy is to have one
Labo ordering, link is included in the guidance, see also here: presentation of the different resources

based on the ServiceRequest, used for non-medication issues
see example
use of contained resources <> labo report uses bundle : we will evolve in Belgium to a "server" that will handle all referral prescriptions, UHMEP identifier is the reference ID in this system that RIZIV is working on
other FHIR instances are included in the ServiceRequest using the FHIR contained mechanism (using hashtags #)

subject = the patient
encounter: is optional, can be removed
occurence: can this be practical for "kweek" ? or for diabetic day curves
insurance: can have multiple occurences (0..x)
if labo order is needed as a pre-condition for a life insurance, the insurance company will pay and not RIZIV, how will this be handled in the order
bodySite: is this relevant for a labo order ? as this is already included in the specimen - better to remove it as it can cause confusion
patientInstruction: when patient has to be sober or medication cannot be taken 3 days prior
important to keep link with specimen
you can have multiple codes per requester - to be doublechecked

Next Meeting: Monday January 4 at 4PM
Action points for all: please have a closer look at the labo order (through thinking of reallife examples) and provide us with your feedback by email or through this feedback form

@@ Line 34: / Line 34: @@
 ::::* not decided if contained mechanism will be mandatory or if bundles will be used
 ::* requisition: if multiple orders/prescriptions exist using the same identifier
-::* intent
 ::* category will be LaboratoryTest
 ::* priority is optional
@@ Line 47: / Line 46: @@
 ::* patientInstruction: when patient has to be sober or medication cannot be taken 3 days prior
 ::* important to keep link with specimen
-** you can have multiple codes per requester - to be doublechecked
+::* you can have multiple codes per requester - to be doublechecked
 * '''Next Meeting:''' Monday January 4 at 4PM
 * '''Action points for all:''' please have a closer look at the labo order (through thinking of reallife examples) and provide us with your feedback [http://mailto:karlien.erauw@agoria.be by email] or through this [https://docs.google.com/forms/d/e/1FAIpQLSdrWQl4Uhu7SbtCrEYdXI1cOEmPpKyKSVl7apgNIDIRm-kZ1g/viewform?entry.1353807103=HL7.COUNTRY.FHIR.IG%5CGuidance%20-%20FHIR%20v4.0.1&entry.247644557=The%20laboratory%20order feedback form]