Minutes - Referral WG 2022-03-22

Attendees

• Dr Alain Derom
• Bart Decuypere
• Frederik De Kegel
• Frederik Lenaerts
• Hans De Keersmaecker
• Jean-Michel Polfiet
• Jos Bellen
• Karlien Erauw
• Kristof Jaubin
• Lotte Adriaensen
• Nico Vannieuwenhuyze (arrived late)
• Olivier Lothaire
• Peter Laridon
• Philippe Cauchie
• Stefan Waegemans
• Sven Bisaro
• Thibault Mahieu
• Tom Tollenaere

Excused/Not present

• Alexis Van Zeveren
• Bart Havermans
• Benny Verhamme
• Filip Migom
• Frédéric Istace
• Hendrik De Moor
• Joost Van Averbeke
• José Costa Teixeira
• Mieke Buckinx
• Nick Hermans
• Paul Neyens
• Richard Francken
• Robert Nicolas
• Roland Vueghs
• Theo Schumacher
• Tom Fiers
• Toon Schiemsky
• Veerle Claessens
• Werner De Mulder
• Yulia Shornikova

Agenda

• Discuss and resolve open issues

Minutes

Resolution of open issues: https://github.com/hl7-be/hl7-be-fhir-laboratory-report/projects/1

• Issue 98 - accreditation comment

• what is really required for the Belac accreditation ?
• do we need a general accr comment for the entire report
• if we keep the comment on the result level

• Answers - was already covered before, see all details here and here

• Belac requires your accr nbr
• Belac requires info at test level
• Belac requires to put more info in the "footer" ; behind every test you can put more details

• experiences abroad: see question in FHIR chat - CLIA in the US, see here

• Issue 103 - DNA info :

• add it to note to BeLaboratroyObservation level
• validate tomorrow with UZ Gent on 23/3

• Issue 105 - microbiology reporting :

• it is in the scope of the pilot
• structured microbiology lab reporting might be very difficult for some lab/LIS vendors

• for some labs it would require a big change in the microbiology reporting
• it is not an official viewpoint of the vendors
• blob is a an option until the lab is ready for structured microbiology (the labs will need a lot of time for this change)
• receiver will be able to parse it but not be able to save it in a unstructured way ; might not be a big problem

• structured microbiology reporting is possible and the pilot has a proposal/way of working
• does Belgium will only do this in an unstructured way ? no, structured microbiology reporting should be looked into as this is valuable

• how many Snomed CT codes are needed ? it seems that there are +/- 200

• there will have to be in the implementation guide
• WG decision: if the string value for the result field contains a new line character the content should be rendered in a non-proportional font. This will be added to the guidance.

• New issue: plan is to have a new release of the FHIR core resources

• canonical url's of the core elements will change
• does this FHIR group want to use the new/future version that will be released in the upcoming weeks, i.e. evolve to the 2.X.X version of the Belgian Profiles Standards
• WG does not want take a decision now

• To be checked: note field at diagnostic report level available in latest FHIR impl guide ?
• Info only: the GP softs part of the pilot will have 2 more months to import the structured FHIR lab reports once the FHIR profile is frozen
• Philippe Cauchie has shared a table with codes for micro organisms Snomed CT after the meeting re. microbiology

Agenda for next meeting:

• wrap-up and resolution of any open issues if they arise

Next Meeting - on Tuesday April 19 at 4PM as the Easter break is coming up - if plenty of new issues arise we'll meet also on April 12