Minutes - Payment Insurance WG 2023-08-30

Attendees

• Bart Decuypere
• François Van Hees
• Jean-Michel Polfliet
• Karlien Erauw
• Philippe Baise

Excused

• Baptiste Pierre
• Bruno Bossaert
• Cédric Fabre
• Flora Fosset
• Guillaume Emmanuel
• Nicolas Poussard
• Stijn Goris
• Sophie Pluquet

Agenda

• resolve issues in different IG and logical models
• review logical model eAgreement physiotherapists

Minutes

• FHIR IG of eTarification was finalised: small issue to correct in response

• modify cardinality to 0..* for practioner and for practionerRole instead of 0..1

• eAgreement: datamodel to be modified for logo: see here and here

• assessment completion date has been added (0..5) as it is necessary for logo as he has te make bilans, up to 5
• identification has been added: we add a scan or the UHMEP identifier (might still evolve)
• merge is done as logical model is approved

• Logo: proposal for codesystems have been sent by Philippe

• codes for agreement types: will be added in CodeSystem-agreement-types (where the physio ones already exist)
• codes for pathology: can be addes in CodeSystem-nihdi-physiotherapy-pathologysituationcode

• create new code systems for pathology

• looking at claim.html, procedure which has a data: agreed to use this ; snomed has to be looked into
• Logo service request: what is the link with the UHMEP project

• category & codes for logo are necessary: what can be the input, will be snomed in the future, today there is nothing as it is on paper, need to be determined by the UHMEP project
• temporarily the snomed code 4555154007 for speech therapy will be used until the final UHMEP codes are available

• first examples will be created

• eAttestation : issue 25

• Issue 25 on new restrictions : rule has been added an exclusion for cancellation + add supplements on item level

Agenda

• review logical model and IG eAgreement physiotherapists (goal is to finish by end of October)

Next meeting - 13 September 9AM