Difference between revisions of "Minutes - Referral WG 2021-11-16"

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===== Attendees =====  
 
===== Attendees =====  
 +
* Alexis Van Zeveren (arrived late)
 
* Dr Alain Derom  
 
* Dr Alain Derom  
 
* Bart Decuypere  
 
* Bart Decuypere  
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===== Agenda =====
 
===== Agenda =====
* Final updates & feedback
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* Rework on issues resulted from the pilot phase
  
 
===== Minutes =====
 
===== Minutes =====
* Updates of the pilot phase of the Lab result project
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* Updates of the pilot phase of the Lab result project, [https://docs.google.com/presentation/d/1_kdAsluoOGHxq_eOSbx-hC5P8mBI1gsO/edit?usp=sharing&ouid=105469359652835948544&rtpof=true&sd=true see presentation here] - by Jean-Michel Polfliet
 
::* goal of the pilot: implementation proof documentation for the project  
 
::* goal of the pilot: implementation proof documentation for the project  
::* 5 participants (2 GP softs + EPD soft + 2 LIS) + 2 biologists
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::* 5 pilot participants (2 GP softs + EPD soft + 2 LIS) + 2 biologists
::* tracking of issues in github
+
::* tracking of issues is done in github
 
::* testcases will be used in the future for the end-to-end solution
 
::* testcases will be used in the future for the end-to-end solution
 
   
 
   
: Today we will deal with the issues having status "To Be Validated by WG"
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* '''List of issues is here:''' https://github.com/hl7-be/hl7-be-fhir-laboratory-report/projects/1
* Issue #18 Every bundle needs a unique identifier - how will be deal with this at national level, do we want to standardise this ?
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* Today we will deal with the issues having as status "To Be Validated by WG"
 +
* Issue #18 Every bundle needs a unique identifier - how will be deal with this at national level, do we want to standardise this ? yes
 
::* combination of system and value has to be unique
 
::* combination of system and value has to be unique
 
::* Medina will remove the lab prefix : lab riziv number + unique number for the lab (f.e. riziv request number)
 
::* Medina will remove the lab prefix : lab riziv number + unique number for the lab (f.e. riziv request number)
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::* please note: one request cannot have 2 bundles as outcome
 
::* please note: one request cannot have 2 bundles as outcome
  
* the Bundles have to be unique, any reference identifiers in the bundle do not have to be unique ? They only have to be unique within the same bundle
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* The Bundles have to be unique, any reference identifiers in the bundle do not have to be unique ? They only have to be unique within the same bundle
  
 
* Issue #26 "Multilevel titles on protocols"
 
* Issue #26 "Multilevel titles on protocols"
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::* nuance of narrative generation  
 
::* nuance of narrative generation  
 
::* is there a need for a dummy narrative to a panel ?
 
::* is there a need for a dummy narrative to a panel ?
:: conclusion: if you have a child you have to use "hasMember"
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::* Conclusion: if you have a child you have to use "hasMember"
  
 
* Narrative: the receiving party needs to be able to rebuild the protocol
 
* Narrative: the receiving party needs to be able to rebuild the protocol

Latest revision as of 16:31, 16 November 2021

Attendees
  • Alexis Van Zeveren (arrived late)
  • Dr Alain Derom
  • Bart Decuypere
  • Benny Verhamme
  • Frédéric Istace
  • Frederik Lenaerts
  • Hans De Keersmaecker
  • Jean-Michel Polfiet
  • Joost Van Averbeke
  • Jos Bellen
  • José Costa Teixeira
  • Karlien Erauw
  • Kristof Jaubin
  • Nick Hermans
  • Nico Vannieuwenhuyze
  • Peter Laridon
  • Robert Nicolas (Medispring)
  • Thibault Mahieu
  • Tom Tollenaere
  • Stefan Waegemans
  • Toon Schiemsky
Excused/Not present
  • Frederik De Kegel
  • Mieke Buckinx
  • Olivier Lothaire
  • Paul Neyens
  • Richard Francken
  • Theo Schumacher
  • Tom Fiers
Agenda
  • Rework on issues resulted from the pilot phase
Minutes
  • goal of the pilot: implementation proof documentation for the project
  • 5 pilot participants (2 GP softs + EPD soft + 2 LIS) + 2 biologists
  • tracking of issues is done in github
  • testcases will be used in the future for the end-to-end solution
  • combination of system and value has to be unique
  • Medina will remove the lab prefix : lab riziv number + unique number for the lab (f.e. riziv request number)
  • HL7 Belgium has to work on naming system : HL7 Belgium will set this up in the way "this is the approved url as agreed" - it will be the identifier of the bundle, not the unique ID
  • please note: one request cannot have 2 bundles as outcome
  • The Bundles have to be unique, any reference identifiers in the bundle do not have to be unique ? They only have to be unique within the same bundle
  • Issue #26 "Multilevel titles on protocols"
  • a lab protocol has titles and none or multiple subtitles and each level can have results
  • need for agreement on way of encoding
  • proposal: using "hasMember" as this has been created to have hierarchy
  • Issue #38 is almost the same issue "Subtitles and panels"
  • nuance of narrative generation
  • is there a need for a dummy narrative to a panel ?
  • Conclusion: if you have a child you have to use "hasMember"
  • Narrative: the receiving party needs to be able to rebuild the protocol
  • Macsys wants to leave the narrative empty - is this against the HL7 FHIR standard mandatory guidance ? Macsys will create plain text in the narrative
  • copy of the protocol could be sent as a blob, not in the narrative
  • Issue 34 about coding system to include in the observation
  • can we use multiple ones ?
  • link to coding system : FHIR allows Loinc, Albert or lab codes
  • should we not determine how we have to identify lab coding systems - will Medidoc, Medigest codes be identified ?
  • is there a repository page of the used lab coding systems ? needs to be created & option to be re-validated by this WG
  • a terminology server could be an option for the future


Action items

  • HL7 Belgium to make up naming system for identifier for bundles
  • HL7 Belgium to make up repository page of the used lab coding systems
  • HL7 Belgium to update status of discussed items

Next Meeting: additional meeting on Thursday Nov 25 at 1PM to make progress