Minutes - Referral WG 2021-01-04

Attendees

• Erwin Bellon
• Jean-Michel Polfliet
• José Costa Teixeira
• Karen Anthonissen
• Karlien Erauw
• Nick Hermans
• Pieter Devolder
• Robin Bosman
• Sander Van den Wyngaert

Excused

• Andries Nelissen
• Arnaud Lippert
• Bruno Casneuf
• Elfi Goessaert

• Katleen Smedts
• Robin Decoster
• Tom Deprez
• Wouter Huysse

Agenda

• Closure of medical imaging referral
• Next steps
• Review of the updated datamodel and technical FHIR artefact
• Review of example on modalities
• Further take-up in other organisations

Minutes

• Closure of medical imaging referral

• last update:

• add supporting information, only when relevant; see Guidance in 2.4.3: "The profile contains a few elements that can contain supporting information. It SHALL be clear, these elements are there to only include information that is considered relevant within the context of this prescription. These elements are not to be used to construct an exhaustive dossier of the patient." and in be-ext-supporting-info (Relevant clinical information in the context of this prescription concerning for example allergies, kidney function, diabetic. This extension allows the use of a codeableConcept or Annotation but when more detailed information can be given, it is RECOMMENDED to express it as structured as possible using the appropriate elements (for general relevant supporting information, this means the use of the .supportingInfo element.) ContraIndications SHALL be expressed using the contraIndication modifierExtension.) and supportingInfo (that is part of the basic profile ; Additional clinical information about the patient or specimen that may influence the services or their interpretations. This information includes diagnosis, clinical findings and other observations. In laboratory ordering these are typically referred to as "ask at order entry questions (AOEs)". This includes observations explicitly requested by the producer (filler) to provide context or supporting information needed to complete the order. For example, reporting the amount of inspired oxygen for blood gas measurements)
• addition in orderDetail (part of basic profile): modality to put acquisition modalities, with slicing ; in this case you have to use the dicom nema coding system
• examples are available

• Way to evolve to federal standard: following the governance as published last year. Sponsor needs to initiate the project through a form/document "FHIR project proposal". This form is being circulated and ends up at the WGSE that does a quality control. It helps if documents outlines that work has already been done with different stakeholders/domain experts present. Afterwards it moves on to the Program Board that advises that a federal profile would be good or not. IF the advice is negative, it can be published as HL7 Belgium standard. If the advice is positive, it is published as Belgium federal standard.

Date Next Meeting : April 15 at 4PM which will be on a new referral: kine or nursing Action points:

• Karlien should ask for 45/60minute slot to present to 3 associations: BVR, Belg vereniging voor Nuclaire geneeskunde, BELMIP ?Karlien to take action here
• Karlien to reach out to stakeholder for referral nursing to assess whether we can start with the nursing referral as from April 15
• Robin to prepare document and to look for sponsor to go the federal standard route