Minutes - Patient Dossier WG 2023-07-13

Attendees

• Anne Nerenhausen
• Bart Decuypere
• Félix De Tavernier
• Isabelle Pollet
• Jean-Michel Polfliet
• Jens Penny
• José Costa Teixeira
• Karlien Erauw
• Pablo Christiaens
• Veerle Michiels

Excused

• Alexis Van Zeveren
• Brecht Van Vooren
• Filoretta Velica
• Hanne Vuegen
• Hans De Keersmaeker
• Nick Hermans
• Philippe Baise
• Sam Jocqué
• Tom De Backer
• Walter Bollaert

Agenda

• Review business ruled document as the first step towards a Belgian IG for patient will

Minutes

• The business rules document has been distributed to the WG members:

• see document here
• remarks on the document were sent

• Mbt leeftijd van het kind (juridische discussie rond privacy van geneesmiddelenvoorschriften en dus “kind”leeftijd)

• Ook hier is dat mogelijks enkel voor geneesmiddelenvoorschriften? Ik ken de discussie en het standpunt niet in de bredere scope van gezondheidszorg in het algemeen. Maar wil hier wel even de aandacht op vestigen.

• Mbt mandaten en link met zorgvolmachten (eenmaal we in FHIR werken)

• Dit is mogelijks een link om later te implementeren…

• these will be looked into

• other remark: will FHIR R4 or R5 will be used ?

• significant decision to be made
• a new WG will be set-up after the holidays on R4/R5 for all the projects by eHealth platform/HL7 Belgium
• discussion exists on github with 4 projects for which the versioning is a subproject

• please note that R4b is not an official version, it doesn't work and is not supported

• question: WillCategory is not mandatory, it might become Must Support

• based on the category specific business rules will be defined
• it might be necessary to become mandatory as otherwise it will not be sent

• valuesets: will they be custom ones or Snomed CT ones ?

• a process is started to have them in Snomed CT, it will be decided by the NRC terminology centre ; currently the ones mentioned are the kmehr ones. Not sure whether the kmehr ones will be intermediate ones before the Snomed ones are available. Still to be determined whether the Snomed ones will be available on time
• NRC will maintain the codes
• kmehr value sets will have to be mapped into FHIR value sets and this mapping will have to be managed (version, publication): who will do this ?

• this can be added to the strategic subproject KmehrToFHIR

• General question: some patient will statements are registered at commune level by the citizen (f.e. euthanisa): this is out of scope of this project

• it is the responsability of the citizen to make his GP aware and then it is up to code it in the EHR record

• The FHIR IG branch was previously named to consent, it is now changed into patient will to avoid confusions

• issue 2 can be closed
• first draft of logical model has been created : please have a look and provide your remarks

• Next actions:

• come prepared with first remarks on business rules document and first draft of logical model by 24 Aug (by all)
• once the Royal Decree and other relevant documents (brochure) are available, they will be distributed to the WG members

Next Patient Dossier WG meeting: 24 Aug at 9AM