Difference between revisions of "Minutes - Referral WG 2023-04-28"

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=== Attendees ===
 
=== Attendees ===
−
* Anne Nerenhausen
+
* Anthony Maton
 
* Bart Decuypere
 
* Bart Decuypere
−
* Bart Reekmans
+
* Cyprien Janssens
 
* Dorsan de Fabricheckers
 
* Dorsan de Fabricheckers
 
* Emily Sevrin
 
* Emily Sevrin
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* Hans De Keersmaecker
 
* Hans De Keersmaecker
 
* Jean-Michel Polfliet
 
* Jean-Michel Polfliet
−
* Julien Beard
 
 
* Karlien Erauw  
 
* Karlien Erauw  
 
* Katrien Dickx
 
* Katrien Dickx
−
* Marleen Van Eygen
 
 
* Lionel Cremer
 
* Lionel Cremer
 +
* Maarten Cobbaert
 
* Philippe Baise
 
* Philippe Baise
 
* Philippe Lejoly
 
* Philippe Lejoly
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=== Excused ===
 
=== Excused ===
−
* Anthony Maton
+
* Anne Nerenhausen
 +
* Bart Reekmans
 
* Ben Goosse  
 
* Ben Goosse  
 
* Christophe Behaegel
 
* Christophe Behaegel
−
* Cyprien Janssens
 
 
* Dorsan de Fabricheckers
 
* Dorsan de Fabricheckers
 
* Jacques Yakoub
 
* Jacques Yakoub
 
* Jean-Francois Coquelet  
 
* Jean-Francois Coquelet  
 
* José Costa Teixeira
 
* José Costa Teixeira
 +
* Julien Beard
 
* Katleen Smedts
 
* Katleen Smedts
 
* Katrien Thorré
 
* Katrien Thorré
−
* Maarten Cobbaert
+
* Marleen Van Eygen
 
* Maxime Daive
 
* Maxime Daive
 
* Nathan Peeters  
 
* Nathan Peeters  
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=== Meeting Minutes ===
 
=== Meeting Minutes ===
−
* Bart presents the changes in the logical model as a result of the [https://github.com/hl7-be/referral/issues/219 updated business rules]
+
* Project update: focus on acceptation release
−
::* focus is on the June (first) release so the changes to the logical model are limited to that
+
* Updates on logical model
−
::* creating of the use cases to the templates that will be released in June
+
::* the recorder and the requester: wording is being changed
−
::* in the business rules V0.21 is more information than in the profiles
+
::* validationPeriod has been changed into validityPeriod
−
::* 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  
+
* Continue resolution of issues
−
::* for the next release (after June) a new branch will be created in github
+
::* [https://github.com/hl7-be/referral/issues/213 issue on body location] : work is ongoing, one valueset has more values than the other one. List has already been reduced. List differ depending the context, one list on the caretaking process has 48 elements, the list for the prescription has more elements and on top there can be other element in the patient information model. RIZIV will continue investigating towards what might be a temporary mapping table.
−
::* the focus will be on the master branch, that corresponds with the June (first) release
+
::* an addition to the profile has been made following the request, see [https://github.com/hl7-be/referral/issues/237 issue Add BeCodedAnnotation]
 +
::::* different types of notes are needed
 +
::::* instead of a simple annotation we change it into multiple notes and will add a type to the note, snomed CT codes: "Contraindication to" and "Reason for", these
 +
::::* the prescriber fills it in  
 +
::::* WG agrees with this change
 +
 
 +
::* [https://github.com/hl7-be/referral/issues/228 Issue on role of the nurse in Annex 81]
 +
::::* use case for annex 81 has been prepared
 +
::::* is this included in the June release ? no Annex 81 is not part of the June release
 +
 
 +
::* [https://github.com/hl7-be/referral/issues/223 Value set issue]
 +
::::* still open items
 +
::::* in package core clinical some values has been added to laterality
  
−
* Questions and issues resulting from the FHIR UHMEP workshop on 20 April
+
::* [https://github.com/hl7-be/referral/issues/222 use cases]
−
::* can we indicate for each field in the logical model who can fill in/update the field ?
+
::::* catheter care is not part of the June release
−
::::* the info will be made available in the cookbook and the business rules, not in the logical model
+
::::* wound care: use case has not been discussed on json level, no progress
−
::* 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
+
::* [https://github.com/hl7-be/referral/issues/16 BodyLaterality] : can be closed
−
::* problem codes: for wound care there are different types of wounds
+
::* Emily is preparing all the use cases for the June release and will be ready next Thursday and afterwards json files will be created by Bart, [https://github.com/hl7-be/referral/issues/218 see issue 218] and [https://github.com/hl7-be/referral/issues/218 see issue 215]
−
::::* combination of Snomed CT and temporary codes
+
::* [https://github.com/hl7-be/referral/issues/214 namespace on identifier, see issue 214]: no update, not yet tackled - Maarten will look into
−
::::* the Belgian refset for problem is under construction
+
::* [https://github.com/hl7-be/referral/issues/211, issue 211] : not part of June release
−
::::* GP softs don't use Snomed for this yet, will have to be looked into with NRC
+
::* [https://github.com/hl7-be/referral/issues/210, issue 210] : it is part of the business rules, version from last week
−
::::* GP softs need indications when to use this
+
::::* there were 2 different requests that can now be distinguished, as orderDetail removal and application have been added
−
::* anamnesis has a new value set, specific for annex 81, so not used
+
::* [https://github.com/hl7-be/referral/issues/191 issue on versioning] : depends on the advice of HL7 Belgium FHIR WG infrastructure - Karlien to move it as agenda point for 3 May meeting
−
::* orderDetail: list has been completed as some codes were missing
+
::* [https://github.com/hl7-be/referral/issues/130 prescriptionNumber] : how to identify a duplicate in case of a network failure, backend will not provide additional info, the prescriber has to handle this manually (when receiving an error, the prescriber has to check if the prescription already exists, if no, he has to create a new one) - the WG members do not agree with this proposal
−
::* the color orange means that the code has not been found, so a temporary code is needed
+
::::* for security reasons the ID cannot be stored, scty team gave a negative advice
−
::* Route: 2 new additions (at the bottom)
+
::::* the prescriber software should handle this (checking if the ID has been created or not and showing the right messages to the prescriber...), they proposed before to create a UUID but this proposal was not taken into account
−
::* 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, [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
 
  
 
=== Agenda next meeting ===
 
=== Agenda next meeting ===

Latest revision as of 07:59, 28 April 2023

Attendees

  • Anthony Maton
  • Bart Decuypere
  • Cyprien Janssens
  • Dorsan de Fabricheckers
  • Emily Sevrin
  • Geert Vandenhole
  • Hans De Keersmaecker
  • Jean-Michel Polfliet
  • Karlien Erauw
  • Katrien Dickx
  • Lionel Cremer
  • Maarten Cobbaert
  • Philippe Baise
  • Philippe Lejoly
  • Robin Merckx

Excused

  • Anne Nerenhausen
  • Bart Reekmans
  • Ben Goosse
  • Christophe Behaegel
  • Dorsan de Fabricheckers
  • Jacques Yakoub
  • Jean-Francois Coquelet
  • José Costa Teixeira
  • Julien Beard
  • Katleen Smedts
  • Katrien Thorré
  • Marleen Van Eygen
  • 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

  • Project update: focus on acceptation release
  • Updates on logical model
  • the recorder and the requester: wording is being changed
  • validationPeriod has been changed into validityPeriod
  • Continue resolution of issues
  • issue on body location : work is ongoing, one valueset has more values than the other one. List has already been reduced. List differ depending the context, one list on the caretaking process has 48 elements, the list for the prescription has more elements and on top there can be other element in the patient information model. RIZIV will continue investigating towards what might be a temporary mapping table.
  • an addition to the profile has been made following the request, see issue Add BeCodedAnnotation
  • different types of notes are needed
  • instead of a simple annotation we change it into multiple notes and will add a type to the note, snomed CT codes: "Contraindication to" and "Reason for", these
  • the prescriber fills it in
  • WG agrees with this change
  • use case for annex 81 has been prepared
  • is this included in the June release ? no Annex 81 is not part of the June release
  • still open items
  • in package core clinical some values has been added to laterality
  • catheter care is not part of the June release
  • wound care: use case has not been discussed on json level, no progress
  • there were 2 different requests that can now be distinguished, as orderDetail removal and application have been added
  • issue on versioning : depends on the advice of HL7 Belgium FHIR WG infrastructure - Karlien to move it as agenda point for 3 May meeting
  • prescriptionNumber : how to identify a duplicate in case of a network failure, backend will not provide additional info, the prescriber has to handle this manually (when receiving an error, the prescriber has to check if the prescription already exists, if no, he has to create a new one) - the WG members do not agree with this proposal
  • for security reasons the ID cannot be stored, scty team gave a negative advice
  • the prescriber software should handle this (checking if the ID has been created or not and showing the right messages to the prescriber...), they proposed before to create a UUID but this proposal was not taken into account

Agenda next meeting

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

Next meeting: next week Friday 5 May at 9AM

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