Minutes - Payment Insurance WG 2023-05-10

Attendees

• Bart Decuypere
• Bruno Bossaert
• Karlien Erauw
• Nicolas Poussard, Corilus
• Philippe Baise
• Stijn Goris

Excused

• Baptiste Pierre
• Cédric Fabre
• Flora Fosset
• François Van Hees
• Guillaume Emmanuel
• Jean-Michel Polfliet

Agenda

• Work on logical models of eTarification

Minutes

• welcome & intro to Nicolas from Corilus
• eAttest: clarification needed regarding the location of prestation that has to be filled in (the RIZIV number of hospital)

• how to use use "chain" in location
• see All eAttest ServiceRequest
• through partOf we reference
• we will change the invariant to take into account the managingOrganisation, 2 resources of Location are kept (using partOf), example has to be modified

• eAttest: in prestation reference to supporting info, information sequence has to be removed

• examples have to be modified

• Discuss logical models of eTarification: [1]

• this is available the the following health care providers: GP's and dentists - specialists is still under discussion, it might become available for them as from the end of this year
• there are two logical models: the request and the response
• eTarif request: is being discussed
• eTarif response: is being discussed

• a tarif can be provided or it can be refused
• coverage will be used: https://www.hl7.org/fhir/R4/valueset-coverage-type.html

https://build.fhir.org/ig/hl7-be/mycarenet/

• a new value set has been created: basic laterality based on the values provided by RIZIV/INAMI

• these values are present in/a subset of the body laterality list
• is present in profile of eAttestation, bodyLaterality

• eAttest: serviceRequests - linked to Referral Prescription project

• linked to serviceRequestNurses

• values snomed will remain, there are other values determined by INAMI
• category is mandatory, code is optional for the time being, might become mandatory in the future
• support for eAttest will be optional

• as such changes in master branch are approved
• this concludes the work on eAttestation

Agenda

• continue work on logical models of eTarification towards approval of the logical models

Next meeting - 10 May 9AM