Minutes - Referral WG 2023-02-17

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Attendees

  • Anne Nerenhausen
  • Anthony Maton
  • Bart Decuypere
  • Bart Reekmans
  • Geert Vandenhole
  • Hans De Keersmaeker
  • Jean-Michel Polfliet
  • Julien Beard
  • Katrien Dickx
  • Karlien Erauw
  • Laurent Lamouline
  • Lionel Cremer
  • Maarten Cobbaert
  • Marleen Van Eygen
  • Maxime Daive
  • Philippe Baise
  • Robin Merckx

Excused

  • Ben Goosse
  • Benjamien Schmitt
  • Christophe Behaegel
  • Cyprien Janssens
  • Dorsan de Fabricheckers
  • Jacques Yakoub
  • Jean-Francois Coquelet
  • José Costa Teixeira
  • Katleen Smedts
  • Pablo Christiaens
  • Pieter Devolder
  • Richard Francken

Agenda

  • Resolution of issues

Meeting Minutes

  • Valuesets: first version has been presented to eHealth platform
  • following the business rules & logical model, a valueset is linked to a template (XLS tabs) and linked to FHIR resource
  • there are only Snomed CT codes in case it is useful & relevant
  • status and status reason of prescription: do not in Snomed CT, FHIR int'l is followed since they are not codeable concepts as they are administrative values
  • status prescription: draft, active, on-hold, revoked, completed, entered-in-error
  • there are valuesets that are a combination of Snomed CT and FHIR
  • for discipline the COBHRA source is used, if preceded by pers it is the role ; still to be decided to split up in 2 valuesets (cardiology cs cardiologue
  • the group agrees that this proposal is moved to the master branch
  • so issue 91 can be closed
  • any comments can still be raised in the upcoming weeks
  • will the controls by mutuatity or RIZIV be done directly on the UHMEP platform : this is outside the UHMEP platform
  • the only thing that changes is the prescription ID
  • Work on use case :
  • work on one use case (medication line) has been done and is present in the IG (implementation guide)
  • recently the use case on the blood case has been added, is also present in the IG
  • annex 81 will be the next use case that will be tackled
  • referral task & performer taksk: standard FHIR quering sytem will be used
  • this closes issue #199
  • Issue 197: there will be additional Snomed CT codes so therefore this issue can not yet be closed
  • Issue 194: work is ongoing on use cases
  • Issue 193: there will be an additional serviceRequest that will refer to another medication line, so issue can be closed
  • Issue 191: awaiting extra input, remains open, no input ready yet
  • Issue 190: is resolved through the proposed architecture
  • Issue 177: timing datatype, is still being looked into
  • is start time & duration sufficient : RIZIV confirms that this is fine, there is often only a start date without time, so start time is optional
  • Issue 187: legislation requests that the medication is mentioned again on the prescription (for patient security reasons), therefore the issue remains open. There are 3 possible options that need to be presented to the business first
  • Issue 176: if there is no litoral reference, there is a strong recommendation to have a logical reference (advice from HL7 BE FHIR WG infrastructure & architecture)
  • UHMEP will only use logical references (for Patient, Practioner)
  • Issue 186: UCUM units for medication administration
  • nu update yet
  • this has to be taken up by the WG FHIR Medication
  • a follow-up meeting will happen as from next week
  • UHMEP will provide the UUID and the client will receive the UUID when looking up the prescription (through location header)
  • it is up to the client whether they have accidentally created a double prescription (if the call is made twice)
  • Issue 126: a use case will be created
  • Issue 77: this is part of the valueset
  • Issue 73: this is part of the document that will be released later on today (COBHRA sources - if incomplete RIZIV will check and o the necessary)
  • Issue 70: input will be received later on today
  • Issue 54: there is a document on operations

Agenda next meeting

  • presentation of valueset by RIZIV (Anne)
  • continuation of resolution of issues
  • input vendors on issue 54

Next meeting: next week Friday 24 Feb at 9AM

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