Minutes - Referral WG 2021-01-21

Attendees

• Robin Bosman, eHealth Platform
• Karlien Erauw, Agoria/IHE Belgium
• Pieter Devolder
• Arnaud Lippert
• Elfi Goesaert, Domus Medica
• Erwin Bellon, UZ Leuven
• José Costa Teixeira, chair HL7 Belgium
• Bruno Casneuf, recip-e
• Karen Anthonissen, GP (Domus Medica)
• Katleen Smedts, UZ Antwerpen
• Filip Deferme, UZ Antwerpen
• Geoffrey Stenuit, Odissee, teacher of computer science
• Robin Decoster, Odissee, education program & part of research group ZINN

• Nicolas Delvaux, GP/prof Medicine Univ Leuven (CDS & radiology (Domus Medica)
• Nils Devos

Agenda

• Roll call of attendees
• Set context for referral for medical imaging
• Assess representation of stakeholders & identify others

Minutes

• BSR would try to attend, unfortunately no one is present today. We will keep them posted of this WG's progress
• Presence of stakeholders: representation for the moment is +/- ok
• Erwin suggests to do a walk through to the patient FHIR resource

• the logical model and the FHIR profile for the general referral have been drafted (see snapshot table for the best overview)
• a first draft of the logical model and the FHIR profile for the medical imaging referral are here

• Karen prepared already some typical examples
• Quick overview of FHIR by Robin by looking at the FHIR patient resource: typical is the way content is structured, i.e. in modular form
• Karen: how is the referral done by using the instruction document used by a GP now ?

• Karen has used softwareGP's careconnect & healthone that are very similar

• information from kidney function is automatically taken
• in border areas there are people from the Netherlands without rijksregisternummer

• what is crucial: body part + type of medical image/examination + contract (for GP)
• do the GP's want to specify deatils of the imagination or do they leave it up to the radiologist ?

• sometimes: GP mention artrosis in the remark section which is enough for the radiologists
• for mammographies other words are mentioned in the remark section

• does the GP get contacted by the radiologists ? it never happened
• UZA has a list with examinations

Agenda:

• Missing information in the logical model for the medical imaging referral: klacht, vraagstelling, onderzoek, aanvullende info (denk aan nierfunctie, prothese, CI, etc) : to be discussed in detail next meeting

• Action items

• representatives from GP's to bring real time examples of medical imaging referrals to the next meeting to identify missing fields in the model for the medical imaging referral

Next Meeting : Feb 4 at 4PM