Minutes - Referral WG 2021-01-21

From Health Level 7 Belgium Wiki
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
  • Presence of stakeholders: representation for the moment is +/- ok
  • BSR would try to attend, unfortunately no one is present today. We will keep them posted of this WG's progress and ask them for feedback when we have a draft implementation guide
  • Erwin suggests to do a walk through to the patient FHIR resource for the present stakeholders
  • Quick overview of FHIR by Robin by looking at the FHIR patient resource: typical is the way content is structured in FHIR, i.e. in modular form
  • Karen had done some preparations prepared : 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 for KAren
  • do we need a list ?
  • UZA has a list with examinations, like probably other hospitals
  • link with Clinical Decision Support systems are being discussed
  • is it an option to use the catalog from RIZIV?
  • there is a need for a list but it seems not an action item for this WG to create it
  • questionnaire: are there questionnaires that have to be completed prior to the examination
  • does this happen at the hospital side ? not when the GP creates the referral
  • for an MRI people need to fill out a questionnaire
  • would be great if the questionnaire was completed upfront the examination
  • GP will not like it if they have to fill out more than 4-5 questions, it would be great if the software system prefills questionnaires
  • be careful: there are legal implications on questionnaires (safety regulations)
  • there are contra indications for specific examinations that should be asked prior to planning the appointment - relevant for examinations that require appointments months in advance

Agenda next meeting:

  • 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


Date Next Meeting : Feb 4 at 4PM

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