Minutes - Referral WG 2020-04-30

HL7 Belgium WG Procedure Referral 2020 04 30, 1PM - Meeting Minutes – by Karlien Erauw & Robin Bosman

11 participants - Microsoft Teams call

Attendees:

• Robin Bosman
• Nick Hermans
• Philip Sidgwick
• Richard Francken
• Arnaud Lippert
• Anne Nerenhausen
• Karlien Erauw
• José Costa Teixeira
• Erwin Bellon
• Tim Weltens, Wit-Gele Kruis
• Filip Vertommen, NexuzHealth (left at 1.30PM due to late invite & other meeting)

Agenda:

• Roll call
• Review of meeting minutes of previous meeting
• Review of WG Mission Statement document
• Feedback/questions on Riziv documents
• Review of first draft of logical model of NIHDI

Meeting Minutes:

• Short presentation of and welcome to the newcomers

• Karlien to add them to the Google Drive so that they have view and edit access

• Review of meeting minutes of previous meeting: please send in your comments to Karlien
• Review of WG Mission Statement document

• Is transport layer out of scope: to discuss at IHE/HL7 BE level, not in this WG, IHE f.e. also looks into architecture, Karlien to put on agenda at IHE Belgium/HL7 Belgium level

• Feedback/ Questions / Clarifications on Riziv document “Verwijsvoorschrift Scenario’s 2.1”

• FR version is still out for translation, once completed Arnaud will put it on the Google Drive
• Riziv now has 2 data analysts who will work on a new draft of the information model. End of next week Arnaud will share the output on the Google Drive
• It is up to the Riziv to prioritize the use cases
• UZ Leuven wants to try and involve more people from their hospital but the moment is not ideal
• The legal obligatio to send aprescription to the mutuality is only there for kine, how does this work in the hospital? For Intramuros prescription still has to be sent to the central platform, the UHMEP will keep the prescription referral where it can be consulted by the advising doctor. The invoicing document will have the ID of the prescription referral
• Ambulant care has to be handled through the UHMEP, for intramuros/hospital care there is no obligation, it is only a possibility
• Patient has 2 years to send in documents for reimbursement, afterwards the prescription is archived, de-archiving will always be possible
• Has the template store already been defined ? No, it is still a concept where a message is kept and can be consulted and downloaded
• This WG considers this document as elaborate enough to be able to continue its work

• Review of RP Information model document

• RP= referral prescription
• Nick has added a table in the document
• Common fields for all use cases: still under discussion wheter a note field has to be present in this common part
• RIZIV wants minimal information that is needed to perform/fulfil the prescription, i.e. no more clinical data in the RP than needed to fulfil. A note field in the common part might not be ideal as this will attract only extra information.

• Patient SSIN : is defined earlier using a naming system (name + system in which the name exist), see https://ehealthplatformstandards.github.io/, see f.e. in https://ehealthplatformstandards.github.io/be-patient.html
• NIHDI identifiers will have to be added f.e. for additional signing parties as outlined by RIZIV in the previous meeting f.e. orthopaedics, integrated care & careteam: prescriber makes the prescription and co-prescriber will give additional input in their domain
• Timing: existing datatypes in FHIR give added value so no need to sort this out in this WG

• Diagnostic imaging: including a questionnaire: it a questionnaire only applicable for diagnostic imaging or also for other use cases ? TBD

FOR ACTION: everyone is asked to look into detail into the information model and put any comments in the document on the Google Drive or send them by email to Karlien and Robin

Next meeting: May 14 at 1PM