Minutes - Referral WG 2020-03-22

Attendees

• Dr Alain Derom
• Robin Bosman
• Benny Verhamme
• Frederik Lenaerts
• Hans De Keersmaecker
• Jean-Michel Polfiet
• Joost Van Averbeke
• José Costa Teixeira
• Karlien Erauw
• Kristof Jaubin
• Peter Laridon
• Thibault Mahieu
• Theo Schumacher
• Tom Fiers

Excused/Not present

• Frank Vandewiele
• Gaston Verelst
• Hendrik Plaetinck
• Jos Bellen
• Olivier Lothaire
• Paul Neyens

Agenda

• Review updates on examples
• Examples: volunteers ?

Minutes

• question on how to include messages on eHealth Box... ? to be clarified
• updates in the Lab report Guidance, see http://build.fhir.org/ig/hl7-be/hl7-be-fhir-laboratory-report/guidance.html

• how to refer to other resources: diagnostic report refers

• you can refer to a bundle or to a contained resource, or a logical reference
• see Guidance 3.13.& Minimal information concerning the subject: new information has been added concerning a FHIR logical reference i.e. we don't give a link where you can get the Patient, we don't give a path where the Patient might reside, we only give the patient's social scty number
• same logic for the laboratory

• how do we send all of this ?

• see 3.14.2 diagnostic reports in FHIR that are sent to eHealth boxes...

• all sent as contained or as bundles
• Bundle example : http://build.fhir.org/ig/hl7-be/hl7-be-fhir-laboratory-report/Bundle-HematologyStudiesAsBundleCollection.htmll : every entry in the bundle has its identifier
• Contained example: http://build.fhir.org/ig/hl7-be/hl7-be-fhir-laboratory-report/DiagnosticReport-DiagnosticReportHematologyStudiesEverythingContained.html

other previous meeting: feedback of HL7 international on https://build.fhir.org/ig/hl7-be/hl7-be-fhir-laboratory-report/Observation-obsDynamic1.xml.html

• what if we have a code in the element code and we need to express extra information like relative time, do we need to use an extension and is this the only option ? You can also use Components for that, you can qualify the central codes in an observation. HL7 International shall clarify this

• glucose is not a good example for that
• relativeTimeQualifier is now a component in the lab result profile

• LIS systems will produce content (bundles, contained,...): will the receivers be able to handle all this? This should not be so difficult to handle

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, they will be published as soon as technical possible

• There are now more examples published, see them all on the bottom of the page:

• A possible solution can be: a laboratory report can be diagnostic report with FHIR instance and all will be there as contained resource. Let's discuss this next time

• Action points for next meeting:

• anyone willing to work on examples

Next Meeting: Monday April 19 April at 4PM, since April 5 is Easter Monday, as such next meeting is in 4 weeks