Minutes - Referral WG 2022-12-19

Attendees

• Dr Alain Derom
• Ardon Toonstra
• Bart Decuypere
• Benny Verhamme
• Christoff Nicque
• Frédéric Istace
• Hans De Keersmaecker
• Ilse
• Jean-Michel Polfiet
• Jonathan Capitano
• Jos Bellen
• José Costa Teixeira
• Karlien Erauw
• Kristof Jaubin
• Peter Laridon
• Robert Nicolas
• Theo Schumacher
• Thibault Mahieu
• Thomas Mellen
• Tom Fiers
• Tom Tollenaere

Excused/Not present

• Alexis Van Zeveren
• Bart Havermans
• Filip Migom
• Frederik De Kegel
• Frederik Lenaerts -
• Hendrik De Moor
• Joost Van Averbeke
• Lotte Adriaensen
• Mieke Buckinx
• Nick Hermans
• Nico Vannieuwenhuyze
• Pablo Christiaens
• Philippe Cauchie
• Olivier Lothaire
• Paul Neyens
• Richard Francken
• Roland Vueghs
• Stefan Waegemans
• Toon Schiemsky
• Veerle Claessens
• Werner De Mulder

Agenda

• Issue resolutions
• New issues/questions from an open Q&A organised by the eHealth platform earlier this afternoon
• other project request: analyse m.b.t. de ontiwkkeling van een nieuwe nationale database en applicatie m.b.t. antistoffen tegen rode bloedcellen en bloedplaatjes

Minutes

Context: since the publication of the profile mid September by eHealth platform, some new issues have been raised

Resolution of open issues: https://github.com/hl7-be/lab/issues

• Issue 165: https://github.com/hl7-be/lab/issues/165

• quick win for the visualizer: when opening the Service request when showing the file
• please note that the visualiser is not part of the HL7 FHIR standard and its rework as such is not eligible for this kind of meeting

• Issue 164: https://github.com/hl7-be/lab/issues/164

• add postal codes to visualiser
• please note that the visualiser is not part of the HL7 FHIR standard and its rework as such is not eligible for this kind of meeting

• Issue 163: https://github.com/hl7-be/lab/issues/163

• a lab can have different activity centers but only 1 RIZIV number
• has to be dealt with as part of BeOrganisation as part of the core profile

• Issue 162: https://github.com/hl7-be/lab/issues/162 - is more a question

• lab results related to blood transfusion
• having a centralized database would be risky
• tests regarding blood transfusions can be dealt with in this profile

• Issue 160: https://github.com/hl7-be/lab/issues/160 - is more a question

• our profile is for a diagnostic report - do we need to mention this in the guidance

• Issue 157: https://github.com/hl7-be/lab/issues/157 - have logical model

• eHealth platform will reverse engineer technical model to have a logical model and have it reviewed by the clinical biologists - any volunteers are welcomed
• NL has already a logical model

• Issue 144: https://github.com/hl7-be/lab/issues/144, raised by Philippe Cauchie on dynamic testing: more info (fro mMIPS) is needed
• Issue 141: https://github.com/hl7-be/lab/issues/141, clarification from MIPS is needed
• Issue 139: https://github.com/hl7-be/lab/issues/139, label from LOINC codes differ from those in RETAM

• loinc numbers will be there, often being RETAM ; a description of the test will be a label that will depend on the lab performing the test, that description will not be the label
• if the LOINC code is a RETAM code then the RETAM description will have to be used
• results will be displayed next to one another, showing the RETAM label - which can be confusing
• RETAM descriptions can be long though although there are short labels
• --> the labs have to ensure to use the same label on the paper record and digital report
• --> it is up to the GP softs to decide what they show when results come form different labs
• this info will have to be included in the guidance

• Open issues

• work on logical model
• is the visualizer part of the standard ? if so, documentation will be necessary

Agenda for next meeting:

• continue work on logical model offline

Next Meeting : validation of logical model - date to be defined later once work on logical model has almost finalised