Minutes - Payment Insurance WG 2023-05-24

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

• Issues on eAttest
• 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

• Review logical models of eTarification for GP softs and dentists:

• Tariff request by care provider, see here
• Response for tariff request by careprovider, see here
• remark : mediprima is not taken into account

• work on FHIR profiles has started, see here

• 2 bundles have been created for Request and Response
• resources for Claim profile, Claim response and Coverage have been created
• presenting Claim

• physiotherapy has to be removed from eTariff types, new issue 5
• total has to be removed, new issue

• NIC has no planning for eAttest as there was a recent change towards version 3
• eTariff: objective would be to implement it by end of 2024 for the specialist and then the FHIR service eTariff would be open for all HCP

Agenda

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

Next meeting - 7 June 9AM