Minutes - Referral WG 2020-01-11

Attendees

• Robin Bosman
• Frederik De Kegel
• Paul Neyens
• Dr Alain Derom
• Karlien Erauw
• Thibault Mahieu
• Joost Van Averbeke (MIPS)
• Hans De Keersmaecker
• Benny Verhamme
• Theo Schumacher
• Peter Laridon
• Frederik Lenaerts
• José Costa Teixeira

Excused

• Mieke Buckinx
• Dieter De Gruyter

Agenda

• incoming issues
• labo ordering

Minutes

• Discussion of the issues raised since the previous meeting: no issues were raised since last meeting
• Welcome and quick wrap-up to newcomer Joost from MIPS
• Changes in the implementation guide can be followed up here
• Narrative: is this mandatory ? see guidance, FHIR's philosophy is to have one
• Labo ordering, link is included in the guidance, see also here: presentation of the different resources

• based on the ServiceRequest, used for non-medication issues
• see example
• 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
• other FHIR instances are included in the ServiceRequest using the FHIR contained mechanism (using hashtags #)

• not decided if contained mechanism will be mandatory or if bundles will be used

• requisition: if multiple orders/prescriptions exist using the same identifier
• category will be LaboratoryTest
• priority is optional

• in CDA something was foreseen so this has to be included
• f.e. result has to be communicated by phone (does not include urgent)

• subject = the patient
• encounter: is optional, can be removed
• occurence: can this be practical for "kweek" ? or for diabetic day curves
• insurance: can have multiple occurences (0..x)
• 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
• 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
• patientInstruction: when patient has to be sober or medication cannot be taken 3 days prior
• important to keep link with specimen
• you can have multiple codes per requester - to be doublechecked

• 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 by email (karlien.erauw@agoria.be) or through this feedback form