Minutes - Referral WG 2021-11-30

From Health Level 7 Belgium Wiki
Attendees
  • Dr Alain Derom
  • Bart Decuypere
  • Benny Verhamme
  • Frédéric Istace
  • Frederik Lenaerts
  • Hans De Keersmaecker
  • Jean-Michel Polfiet
  • Joost Van Averbeke
  • José Costa Teixeira
  • Karlien Erauw
  • Kristof Jaubin
  • Nick Hermans
  • Nico Vannieuwenhuyze
  • Peter Laridon
  • Philippe Cauchie
  • Robert Nicolas (Medispring)
  • Thibault Mahieu
  • Tom Tollenaere
  • Stefan Waegemans
  • Toon Schiemsky
Excused/Not present
  • Frederik De Kegel
  • Mieke Buckinx
  • Olivier Lothaire
  • Paul Neyens
  • Philippe Cauchie
  • Richard Francken
  • Theo Schumacher
  • Tom Fiers
Agenda
  • Rework on issues resulted from the pilot phase
Minutes
  • Up-to-date list of issues can always be consulted here
  • Issue 19: unique identifier
  • naming system would be created for unique identifier for the bundle - one for Belgium
  • how do labs need to manage amendments of protocols?
  • form of unique identifier
  • uniqueness of identifier has to be at lab level
  • one lab will do it in this way: protocol order number + version number of the protocol, can be prefixed by the RIZIV number of the lab
  • Issue 40: ServiceRequest references
  • an order creates a ServiceRequest - should ServiceRequests also be stored in the DiagnosticReport.basedOn ?
  • it is not needed to duplicate the references, only put it in DiagnosticReport, if mentioned as suborders at Observation level
  • Issue 28: notion of "sequence number" on specimen
  • important is to be able to note unique ID of specimen, order of sampling is not useful/not relevant
  • no action to be taken
  • Issue 20: May url references to identifier systems be empty or dummy ?
  • there must also be a url that identifies the system and has to be unique within the namespace it belongs to (per lab) but it can be dummy
  • it cannot be empty
  • see: "If the system is a URL, it SHOULD resolve. Resolution might be to a web page that describes the identifier system and/or supports look-up of identifiers. Alternatively, it could be to a NamingSystem resource instance. Resolvable URLs are generally preferred by implementers over non-resolvable URNs, particularly opaque URNs such as OIDs (urn:oid:) or UUIDs (urn:uuid:). If used, OIDs and UUIDs may be registered in the HL7 OID registry and SHOULD be registered if the content is shared or exchanged across institutional boundaries."
  • issue was resolved last week, nothing to be done
  • Issue 42
  • no action to be taken
  • the precision that is mentioned in the FHIR message is the precision that is used by the lab
  • Issue 29: notion of "specimen collected after x... min"
  • LOINC has different codes, these should be used by the labs, if not, then the interval has to specified separately
  • no action to be taken
  • Issue 34
  • what with LOINC codes that are not in the RETAM table ? we should make a distinction b/w LOINC codes in RETAM table and the ones that are not - to create new issue on this so that we adapt the guidance
  • issue 34 can be closed


Next Meeting: on Tuesday Dec 7 4PM to make progress

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