Minutes - Referral WG 2020-11-14
From Health Level 7 Belgium Wiki
Contents
Attendees
- Robin Bosman -
- Frederik De Kegel -
- Paul Neyens -
- Dr Alain Derom -
- Karlien Erauw -
- Thibault Mahieu -
- Dieter De Gruyter -
- Joost Van Averbeke (MIPS) -
- Hans De Keersmaecker -
- Benny Verhamme -
- Theo Schumacher -
- Peter Laridon -
- Frederik Lenaerts -
- José Costa Teixeira -
not yet present:
- Jamie Verelst
- Kristof Jaubin
- Tom Fiers
- Frank Vandewiele
- Olivier Lothaire
- Nick Hermans
Excused
- José Costa Teixeira
- Mieke Buckinx
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
- 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
- intent
- 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
- Next Meeting: Monday January 4 at 4PM
- Action points for all: please review the implementation guide & send us your comments (through the feedback icon on the top right)