Difference between revisions of "Minutes - Referral WG 2020-02-22"

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(Created page with "===== Attendees ===== * Robin Bosman * Dr Alain Derom * Benny Verhamme * Frank Vandewiele * Frederik Lenaerts * Gaston Verelst, HDMP * Hans De Keersmaecker * Joost Van Averb...")
 
 
(5 intermediate revisions by the same user not shown)
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* Paul Neyens
 
* Paul Neyens
 
* Peter Laridon
 
* Peter Laridon
 +
* Theo Schumacher
 
* Thibault Mahieu
 
* Thibault Mahieu
 
* Tom Fiers
 
* Tom Fiers
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===== Excused/Not present =====  
 
===== Excused/Not present =====  
 
* Hendrik Plaetinck
 
* Hendrik Plaetinck
−
* Theo Schumacher
 
  
 
===== Agenda =====
 
===== Agenda =====
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===== Minutes =====
 
===== Minutes =====
−
* examples for creatinine clearance & microbiology : have been provided by Benny, thanks for that ; Robin has worked on it, unfortunately not yet published due to HL7 technical issue
+
* examples for creatinine clearance & microbiology : have been provided by Benny, thanks for that ; Robin has worked on it, unfortunately not yet published due to HL7 technical issue, they will be published as soon as technical possible
 +
* Robin has been working on several examples:
 +
::* https://build.fhir.org/ig/hl7-be/hl7-be-fhir-laboratory-report/Observation-obsDynamic0.xml.html
 +
::* https://build.fhir.org/ig/hl7-be/hl7-be-fhir-laboratory-report/Observation-obsDynamic1.xml.html
 +
::* https://build.fhir.org/ig/hl7-be/hl7-be-fhir-laboratory-report/Observation-obsDynamic2.xml.html
 +
::* https://build.fhir.org/ig/hl7-be/hl7-be-fhir-laboratory-report/Observation-obsKetonen.xml.html
 +
::* https://build.fhir.org/ig/hl7-be/hl7-be-fhir-laboratory-report/Observation-obsUrineScreening.xml.html
 +
 
 
* Robin shows first example of lab observation using LOINC code
 
* Robin shows first example of lab observation using LOINC code
−
::* extension be-ext-relative-time
+
::* extension be-ext-relative-time to include a time concept for f.e. glucose test
−
::* stimulation product that was given, should be provided in some cases
+
::* stimulation product and dosage that was given, should be provided in some cases
−
 
+
* Example of observation on urine specimen
−
 
 
−
* be-ext-urgent-communication
 
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::* multiple channels: technical definition for the lab order, see here
 
−
::::* http://build.fhir/org/ig/hl7-be/hl7-be-fhir-referral-prescription/StructureDefinition-be-lab-prescription
 
−
::::* http://build.fhir.org/ig/hl7-be/hl7-be-fhir-referral-prescription/StructureDefinition-be-ext-urgent-communication.html
 
−
::* contactway and contactsystem have been added. HL7 FHIR has a [http://hl7.org/fhir/R4/valueset-contact-point-system.html valueset] for [http://hl7.org/fhir/contact-point-system contact-point-system]. some codes will be added to cover the very frequent communication means
 
−
::* a disclaimer about the legislation on medication information distribution will be added
 
−
 
 
−
* Order examples have some interesting elements on the coding to use
 
−
::* element "code" : mandatory
 
−
::* element "orderDetail" : zero to many to use
 
−
::::* remark: the result can have more order details
 
−
::* the receiver has to be aware that he will have to be able to receive possible type of messages
 
−
 
 
−
* general communication of the result: what is the standard way of sending back the FHIR results ?
 
−
* it is expressed that there is a need for a national viewer to view FHIR messages
 
−
 
 
−
''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)
 
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::* 4 FHIR basic codes will be used: routine, urgent, asap, stat (= emergency)
 
−
::::* the definition of each of these codes have to be respected, see [http://hl7.org/fhir/valueset-request-priority.html here]
 
−
* Labo ordering: Testing codes - see 2.6.2 [http://build.fhir.org/ig/hl7-be/hl7-be-fhir-referral-prescription/guidance.html here]
 
−
* Labo ordering: clarification has been added, see 2.6.3 [http://build.fhir.org/ig/hl7-be/hl7-be-fhir-referral-prescription/guidance.html here]
 
−
* callback result/requested result notification : FHIR extension seems necessary: be-ext-urgent-communication, see [http://build.fhir.org/ig/hl7-be/hl7-be-fhir-referral-prescription/StructureDefinition-be-lab-prescription.html 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 [http://build.fhir.org/ig/hl7-be/hl7-be-fhir-referral-prescription/ServiceRequest-laboratory-order-example1.xml.html 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
+
* Structured [http://build.fhir.org/ig/hl7-be/hl7-be-fhir-laboratory-report/Bundle-AntibiogramAsBundleCollection.xml.html antibiogram]
  
 
* Action points:
 
* Action points:
 
::* Robin asks for examples to be converted in FHIR f.e. creatinine clearance with 2 specimens (blood + urine)
 
::* 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 ?
+
::* Labo results: please provide feedback on antibiogram [http://build.fhir.org/ig/hl7-be/hl7-be-fhir-laboratory-report/Bundle-AntibiogramAsBundleCollection.xml.html example]
  
 
'''Next Meeting:''' Monday March 8 at 4PM
 
'''Next Meeting:''' Monday March 8 at 4PM

Latest revision as of 14:57, 8 March 2021

Attendees
  • Robin Bosman
  • Dr Alain Derom
  • Benny Verhamme
  • Frank Vandewiele
  • Frederik Lenaerts
  • Gaston Verelst, HDMP
  • Hans De Keersmaecker
  • Joost Van Averbeke
  • Jos Bellen
  • José Costa Teixeira
  • Karlien Erauw
  • Kristof Jaubin
  • Olivier Lothaire
  • Paul Neyens
  • Peter Laridon
  • Theo Schumacher
  • Thibault Mahieu
  • Tom Fiers
Excused/Not present
  • Hendrik Plaetinck
Agenda
  • updated items since last meeting
  • examples
Minutes
  • examples for creatinine clearance & microbiology : have been provided by Benny, thanks for that ; Robin has worked on it, unfortunately not yet published due to HL7 technical issue, they will be published as soon as technical possible
  • Robin has been working on several examples:
  • Robin shows first example of lab observation using LOINC code
  • extension be-ext-relative-time to include a time concept for f.e. glucose test
  • stimulation product and dosage that was given, should be provided in some cases
  • Example of observation on urine specimen
  • Action points:
  • Robin asks for examples to be converted in FHIR f.e. creatinine clearance with 2 specimens (blood + urine)
  • Labo results: please provide feedback on antibiogram example

Next Meeting: Monday March 8 at 4PM

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