Difference between revisions of "Minutes - Referral WG 2020-01-11"

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===== Attendees =====  
 
===== Attendees =====  
 
* Robin Bosman
 
* Robin Bosman
−
* Frederik De Kegel
+
* Dr Alain Derom  
−
* Paul Neyens
+
* Andries Demont
−
* Dr Alain Derom
+
* Benny Verhamme
−
* Karlien Erauw
+
* Frank Vandewiele
−
* Thibault Mahieu
+
* Frederik Lenaerts
−
* Joost Van Averbeke (MIPS)
 
 
* Hans De Keersmaecker
 
* Hans De Keersmaecker
−
* Benny Verhamme
+
* Joost Van Averbeke
−
* Theo Schumacher
+
* Kristof Jaubin
−
* Peter Laridon
+
* Mieke Buckinx
−
* Frederik Lenaerts
+
* Paul Neyens
−
* José Costa Teixeira
+
* Peter Laridon  
 +
* Karlien Erauw
 +
* Theo Schumacher
 +
* Thibault Mahieu
 +
* Tom Fiers
  
 
===== Excused =====  
 
===== Excused =====  
−
* Mieke Buckinx
 
 
* Dieter De Gruyter
 
* Dieter De Gruyter
  
 
===== Agenda =====
 
===== Agenda =====
−
* new work items
+
* work items: priorities
−
* labo ordering
+
* labo codes
  
 
===== Minutes =====
 
===== Minutes =====
−
* Discussion of the [https://github.com/hl7-be/hl7-be-fhir-laboratory-report/issues/ issues] raised since the previous meeting: no issues were raised since last meeting
+
* Set priorities of work items
−
* Welcome and quick wrap-up to newcomer Joost from MIPS
+
* Lab prescription: transfer of codes in the labo ordering
−
* Changes in the implementation guide can be followed up [http://build.fhir.org/ig/hl7-be/hl7-be-fhir-laboratory-report/changes.html here]
+
::* 2 fields are foreseen in the FHIR profile: code and detail code (multiple ones are possible)
−
* Narrative: is this mandatory ? see [http://build.fhir.org/ig/hl7-be/hl7-be-fhir-laboratory-report/guidance.html guidance], FHIR's philosophy is to have one
+
::* detail code : similar to result
−
* Labo ordering, link is included in the guidance, see also [http://build.fhir.org/ig/hl7-be/hl7-be-fhir-referral-prescription/StructureDefinition-be-lab-prescription.html here]: presentation of the different resources
+
* What about the specimen ?
−
::* based on the ServiceRequest, used for non-medication issues
+
::* you cannot link code to specimen
−
::* see [http://build.fhir.org/ig/hl7-be/hl7-be-fhir-referral-prescription/ServiceRequest-laboratory-order-example1.xml.html example]
+
::* there is a workaround: requisition code (which is an identifier)
−
::* use of contained resources <> labo report uses bundle : we will evolve in Belgium to a "server" that will handle all referral prescriptions, UHMEP identifier is the reference ID in this system that RIZIV is working on
+
::* if you have several specimens,  you need several labo orders (one order per specimen)
−
::* other FHIR instances are included in the ServiceRequest using the FHIR contained mechanism (using hashtags #)
+
::* for micro biology, you give the specimen (aeroob & anaeroob)
−
::::* not decided if contained mechanism will be mandatory or if bundles will be used
+
::* with requisition id you can link several labo orders  
−
::* requisition: if multiple orders/prescriptions exist using the same identifier
+
* a RETAM code can only appear once in an order, otherwise labo cannot deal with
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::* category will be LaboratoryTest
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::* if this RETAM code is not sufficient, the specimen info has to added
−
::* priority is optional
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::* if 2 RETAM codes are needed, 2 labo orders will be needed
−
::::* in CDA something was foreseen so this has to be included
+
::* sending system has to determine this
−
::::* f.e. result has to be communicated by phone (does not include urgent)
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* there is a link with the invoicing
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::* subject = the patient
+
 
−
::* encounter: is optional, can be removed
+
* Priority codes as part of the service request (routine, urgent, asap, stat= emergency)
−
::* occurence: can this be practical for "kweek" ? or for diabetic day curves
+
::* 4 codes are available in FHIR: routine, urgent, asap, stat (= emergency)
−
::* insurance: can have multiple occurences (0..x)
+
::* are these codes sufficient when mentioning the definitions or are more , see [http://hl7.org/fhir/valueset-request-priority.html here]
−
::* if labo order is needed as a pre-condition for a life insurance, the insurance company will pay and not RIZIV, how will this be handled in the order
+
::* we can define our own list or an existing other [https://www.hl7.org/fhir/v3/ActPriority/cs.html HL7 list]
−
::* bodySite: is this relevant for a labo order ? as this is already included in the specimen - better to remove it as it can cause confusion
+
::* preference goes to list with 4 options
−
::* patientInstruction: when patient has to be sober or medication cannot be taken 3 days prior
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* callback result/requested result notification: is this useful ?
−
::* important to keep link with specimen
+
::* could a boolean be sufficient ? yes/no ?
−
::* you can have multiple codes per requester - to be doublechecked
+
::* options for callback: phone call, text message, notification by eHealthbox
 +
::* how do other countries handle this?
 +
::* check with other county and setup Q&A session
  
−
* '''Next Meeting:''' Monday January 25 at 4PM  
+
'''Next Meeting:''' Monday January 25 at 4PM
−
* '''Action points for all:''' please have a closer look at the labo order (through thinking of reallife examples) and provide us with your feedback [http://mailto:karlien.erauw@agoria.be by email (karlien.erauw@agoria.be)] or through this [https://docs.google.com/forms/d/e/1FAIpQLSdrWQl4Uhu7SbtCrEYdXI1cOEmPpKyKSVl7apgNIDIRm-kZ1g/viewform?entry.1353807103=HL7.COUNTRY.FHIR.IG%5CGuidance%20-%20FHIR%20v4.0.1&entry.247644557=The%20laboratory%20order feedback form]
 

Latest revision as of 12:22, 12 April 2021

Attendees
  • Robin Bosman
  • Dr Alain Derom
  • Andries Demont
  • Benny Verhamme
  • Frank Vandewiele
  • Frederik Lenaerts
  • Hans De Keersmaecker
  • Joost Van Averbeke
  • Kristof Jaubin
  • Mieke Buckinx
  • Paul Neyens
  • Peter Laridon
  • Karlien Erauw
  • Theo Schumacher
  • Thibault Mahieu
  • Tom Fiers
Excused
  • Dieter De Gruyter
Agenda
  • work items: priorities
  • labo codes
Minutes
  • Set priorities of work items
  • Lab prescription: transfer of codes in the labo ordering
  • 2 fields are foreseen in the FHIR profile: code and detail code (multiple ones are possible)
  • detail code : similar to result
  • What about the specimen ?
  • you cannot link code to specimen
  • there is a workaround: requisition code (which is an identifier)
  • if you have several specimens, you need several labo orders (one order per specimen)
  • for micro biology, you give the specimen (aeroob & anaeroob)
  • with requisition id you can link several labo orders
  • a RETAM code can only appear once in an order, otherwise labo cannot deal with
  • if this RETAM code is not sufficient, the specimen info has to added
  • if 2 RETAM codes are needed, 2 labo orders will be needed
  • sending system has to determine this
  • there is a link with the invoicing
  • Priority codes as part of the service request (routine, urgent, asap, stat= emergency)
  • 4 codes are available in FHIR: routine, urgent, asap, stat (= emergency)
  • are these codes sufficient when mentioning the definitions or are more , see here
  • we can define our own list or an existing other HL7 list
  • preference goes to list with 4 options
  • callback result/requested result notification: is this useful ?
  • could a boolean be sufficient ? yes/no ?
  • options for callback: phone call, text message, notification by eHealthbox
  • how do other countries handle this?
  • check with other county and setup Q&A session

Next Meeting: Monday January 25 at 4PM

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