Minutes - Referral WG 2020-01-25

Attendees

• Robin Bosman
• Dr Alain Derom
• Benny Verhamme
• Frederik Lenaerts
• Hans De Keersmaecker
• Joost Van Averbeke
• Jos Bellen
• José Costa Teixeira
• Kristof Jaubin
• Paul Neyens
• Peter Laridon
• Karlien Erauw
• Theo Schumacher

Not present

• Andries Demont
• Frank Vandewiele
• Mieke Buckinx
• Thibault Mahieu
• Tom Fiers

Excused

• Hendrik Plaetinck

Agenda

• updated items since last meeting

Minutes

Intro:

• Discussion on the deadlines and questions on the way the FHIR messages will be exchanges b/w labo's and GPsofts and hospitals
• Question on status of referral platform (at RIZIV end)
• Abrumet and RSW have the links to lab results, Coozo not - results are available in the LIS ; at Coozo you need to request a patient's transactions list and then you can request the details
• it has been decided that there will be an asynchroon communication through the eHealthBox
• The architecture has not been decided yet

Review of updated items of Labo ordering after last meeting's discussions/open items:

• Labo ordering: Priority codes as part of the laboratory service request (routine, urgent, asap, stat= emergency)

• 4 FHIR basic codes will be used: routine, urgent, asap, stat (= emergency)

• the definition of each of these codes have to be respected, see here

• Labo ordering: Testing codes - see 2.6.2 here
• Labo ordering: clarification has been added, see 2.6.3 here
• callback result/requested result notification : FHIR extension seems necessary: be-ext-urgent-communication, see here

• when needed to communicate urgently any results
• 3 elements :

• channel: by phone, by mail, will be codeable concept
• party: having the reference to the patient or practioner who needs to be notified
• instructions: text/string having additional info

• see example

• looks like we need an additional optional value : phone nbr, email address

• is there a need to be able to have multiple be-ext-urgent-communication ? sometimes you need to notify the requester and the patient - extension will be made repeatable and channel as well (if party wants to be notified by phone before 10PM, otherwise by text)

• Results: copy to - HL7 V2 element: be-ext-inform-party can be used

• Action points:

• Robin asks for examples to be converted in FHIR f.e. creatinine clearance with 2 specimens (blood + urine)
• Labo results: is there any additional feedback on the profiling ?

Next Meeting: Monday February 8 at 4PM