Minutes - Referral WG 2021-01-21

Attendees

• Robin Bosman, eHealth Platform
• Karlien Erauw, Agoria/IHE Belgium
• Pieter Devolder
• Arnaud Lippert
• Elfi Goesaert, Domus Medica
• Erwin Bellon, UZ Leuven
• José Costa Teixeira, chair HL7 Belgium
• Bruno Casneuf, recip-e
• Karen Anthonissen, GP (Domus Medica)
• Katleen Smedts, UZ Antwerpen
• Filip Deferme, UZ Antwerpen
• Geoffrey Stenuit, Odissee, teacher of computer science
• Robin Decoster, Odissee, education program & part of research group ZINN

• Nicolas Delvaux, GP/prof Medicine Univ Leuven (CDS & radiology (Domus Medica)
• Nils Devos

Agenda

• Roll call of attendees
• Set context for referral for medical imaging
• Assess representation of stakeholders & identify others

Minutes

• Presence of stakeholders: representation for the moment is +/- ok

• BSR would try to attend, unfortunately no one is present today. We will keep them posted of this WG's progress and ask them for feedback when we have a draft implementation guide

• Erwin suggests to do a walk through to the patient FHIR resource for the present stakeholders

• the logical model and the FHIR profile for the general referral have been drafted (see snapshot table for the best overview)
• a first draft of the logical model and the FHIR profile for the medical imaging referral are here

• Quick overview of FHIR by Robin by looking at the FHIR patient resource: typical is the way content is structured in FHIR, i.e. in modular form
• Karen had done some preparations prepared : how is the referral done by using the instruction document used by a GP now ?

• Karen has used softwareGP's careconnect & healthone that are very similar

• information from kidney function is automatically taken
• in border areas there are people from the Netherlands without rijksregisternummer

• what is crucial: body part + type of medical image/examination + contract (for GP)
• do the GP's want to specify deatils of the imagination or do they leave it up to the radiologist ?

• sometimes: GP mention artrosis in the remark section which is enough for the radiologists
• for mammographies other words are mentioned in the remark section

• does the GP get contacted by the radiologists ? it never happened for KAren
• do we need a list ?

• UZA has a list with examinations, like probably other hospitals
• link with Clinical Decision Support systems are being discussed
• is it an option to use the catalog from RIZIV?
• there is a need for a list but it seems not an action item for this WG to create it

• questionnaire: are there questionnaires that have to be completed prior to the examination

• does this happen at the hospital side ? not when the GP creates the referral
• for an MRI people need to fill out a questionnaire

• would be great if the questionnaire was completed upfront the examination
• GP will not like it if they have to fill out more than 4-5 questions, it would be great if the software system prefills questionnaires

• be careful: there are legal implications on questionnaires (safety regulations)

• there are contra indications for specific examinations that should be asked prior to planning the appointment - relevant for examinations that require appointments months in advance

Agenda next meeting:

• Missing information in the logical model for the medical imaging referral: klacht, vraagstelling, onderzoek, aanvullende info (denk aan nierfunctie, prothese, CI, etc) : to be discussed in detail next meeting

Date Next Meeting : Feb 4 at 4PM