Minutes - Patient Dossier WG 2023-12-14

Attendees

• Alexis Van Zeveren
• Anne Nerenhausen
• Bart Decuypere
• Elisabeth Buekers
• François Depelchin
• Hans De Keersmaeker
• Jean-Michel Polfliet
• Jens Penny
• Karlien Erauw
• Philippe Baise
• Veerle Michiels

Excused

• Brecht Van Vooren
• Félix De Tavernier
• Hanne Vuegen
• Isabelle Pollet
• Jens Penny
• José Costa Teixeira
• Nick Hermans
• Pablo Christiaens
• Sam Jocqué
• Tom De Backer
• Walter Bollaert
• Wouter De Jonghe

Agenda

• Review implementation guide and resolve issues/questions for patient will
• Plan for upcoming meetings

Minutes

• Work on Patient Will is almost finished
• Plan is to start working on observation and problem.

• we will start these meetings in January, most probably as from 11 Jan
• we need to indentify the involved stakeholders, f.e. from Data Capabilities projects, HL7 Belgium will look into this
• eBirth is a priority so we will start working on this, this includes condition and observation, it is mainly about malformation congenital, afterwards goal is to work on addiction

• Patient will

• FYI: The business rules document version 1.1 can be found here in NL and FR
• we look at the logical mode: see here

• the representative is the one who is officially mandated to represent the patient - recorder description will be updated
• source: possibility to add a URI or pdf - binary or uri
• changes will be made

• FHIR profile: see here

• do we make the identifier mandatory? no and more than one is possible
• proposal to adopt the same system as for UHMEP
• you provide identifier in a http header when sending for the first time, the receiving system will communicate an identifier to the sending system ; if sthg goes wrong, you can re-send the same request using the same identifier, the receiving system will send that he already processed the request. The vaults will be responsible to assign a unique identifier
• status: is a code, not a codeable concept
• scope: is not on the logical model, mustSupport must be removed

• related to issue, issue can be closed
• business rules document have to indicate that it is not used

• scope is mandatory in the int'l profile (in R4 - in R5 is disappears), what will be the default value ; since it is not used, it does not matter what i

• an extension will be made to the valueset, and a value "not applicable" will be added

• category is mustSupport and mandatory: has to be changed into mandatory in logical model
• the performer is the representative
• recorder will be used in all caresets, we have created a BeRecorder, description will be updated
• source: can be a reference, can be binary file
• policyRule: is not in logical model, we will remove it as it is not mandatory in the int'l profile
• provision refers to WillCode etc from the logical model

• status seems to be missing as it is not the same as type, but we can use that status higher up
• code is mandatory

• note: we miss it here, we can add BeNote that we have created and will be there in all caresets

• what about a general representative for the patient ? see issue 13

• RIZIV will have to look into it
• is it a possibility there the fallback is defined by law, not by this profile
• is not blocking but could be an improvement

• Next actions:

• final review of last changes before merging

Next Patient Dossier/Observation & Problem WG meeting: 11 January at 9AM