Minutes - Referral WG 2020-02-22

Attendees

• Robin Bosman
• Dr Alain Derom
• Benny Verhamme
• Frank Vandewiele
• Frederik Lenaerts
• Gaston Verelst, HDMP
• Hans De Keersmaecker
• Joost Van Averbeke
• Jos Bellen
• José Costa Teixeira
• Karlien Erauw
• Kristof Jaubin
• Olivier Lothaire
• Paul Neyens
• Peter Laridon
• Thibault Mahieu
• Tom Fiers

Excused/Not present

• Hendrik Plaetinck
• Theo Schumacher

Agenda

• updated items since last meeting
• examples

Minutes

• examples for creatinine clearance & microbiology : have been provided by Benny, thanks for that ; Robin has worked on it, unfortunately not yet published due to HL7 technical issue
• Robin shows first example of lab observation using LOINC code

• extension be-ext-relative-time
• stimulation product that was given, should be provided in some cases

• be-ext-urgent-communication

• multiple channels: technical definition for the lab order, see here

• http://build.fhir/org/ig/hl7-be/hl7-be-fhir-referral-prescription/StructureDefinition-be-lab-prescription
• http://build.fhir.org/ig/hl7-be/hl7-be-fhir-referral-prescription/StructureDefinition-be-ext-urgent-communication.html

• contactway and contactsystem have been added. HL7 FHIR has a valueset for contact-point-system. some codes will be added to cover the very frequent communication means
• a disclaimer about the legislation on medication information distribution will be added

• Order examples have some interesting elements on the coding to use

• element "code" : mandatory
• element "orderDetail" : zero to many to use

• remark: the result can have more order details

• the receiver has to be aware that he will have to be able to receive possible type of messages

• general communication of the result: what is the standard way of sending back the FHIR results ?
• it is expressed that there is a need for a national viewer to view FHIR messages

Review of updated items of Labo ordering after last meeting's discussions/open items:

• Labo ordering: Priority codes as part of the laboratory service request (routine, urgent, asap, stat= emergency)

• 4 FHIR basic codes will be used: routine, urgent, asap, stat (= emergency)

• the definition of each of these codes have to be respected, see here

• Labo ordering: Testing codes - see 2.6.2 here
• Labo ordering: clarification has been added, see 2.6.3 here
• callback result/requested result notification : FHIR extension seems necessary: be-ext-urgent-communication, see here

• when needed to communicate urgently any results
• 3 elements :

• channel: by phone, by mail, will be codeable concept
• party: having the reference to the patient or practioner who needs to be notified
• instructions: text/string having additional info

• see example

• looks like we need an additional optional value : phone nbr, email address

• is there a need to be able to have multiple be-ext-urgent-communication ? sometimes you need to notify the requester and the patient - extension will be made repeatable and channel as well (if party wants to be notified by phone before 10PM, otherwise by text)

• Results: copy to - HL7 V2 element: be-ext-inform-party can be used

• Action points:

• Robin asks for examples to be converted in FHIR f.e. creatinine clearance with 2 specimens (blood + urine)
• Labo results: is there any additional feedback on the profiling ?

Next Meeting: Monday March 8 at 4PM